Upload
arnold
View
28
Download
0
Embed Size (px)
DESCRIPTION
Change & Benefits Management Connecting for Health NE Cluster & SYSHA. Rose Hand Clinical Director (NPfIT) SYSHA. Context. The NHS serves over 50 million people in England. In 2003-2004 there were: 325 million consultations with GPs or nurses in primary care - PowerPoint PPT Presentation
Citation preview
SYSHA Connecting for Health Slide 1
Rose Hand
Clinical Director (NPfIT) SYSHA
Change & Benefits ManagementConnecting for HealthNE Cluster & SYSHA
SYSHA Connecting for Health Slide 2
Context
The NHS serves over 50 million people in England.
In 2003-2004 there were:
• 325 million consultations with GPs or nurses in primary care
• 13.3 million outpatient consultations
• over 5.4 million people admitted to hospital for planned treatment
• 13.9 million people attended A&E
• 4.2 million emergency admissions
• 649 million prescription items issued
• 6.4 million calls made to NHS Direct
• 6.5 million hits to the NHS Direct Online website.
SYSHA Connecting for Health Slide 3
Context
Acute Trusts•Most systems do not support the movement of information between buildings and departments
•Several records often created for the same patient
SYSHA Connecting for Health Slide 4
Context
Primary Care
•Most individual practices have their own IT applications and databases
•Patient records are not easily transferred to other practices or care providers
•Developmental and effective implementation of care pathways is inhibited
•Paper-based records delay modernisation and the delivery of National Service Frameworks
SYSHA Connecting for Health Slide 5
Connecting for Health
• NHS Care Records Service– Every patient's medical and care records will be held
electronically and will eventually be available securely online. The information will be safely and easily accessible to healthcare professionals and patients, whenever and wherever it is needed.
• Choose and Book – GPs and other primary care staff will be able to book
initial hospital appointments electronically, at a convenient date, time and place for patients, without sending referral letters to hospitals and waiting for a reply.
SYSHA Connecting for Health Slide 6
Connecting for Health
• Electronic Transmission of Prescriptions– A new service making it easier and more convenient for
GPs to issue prescriptions and for patients to collect medicines.
• New National Network – N3– A national network with sufficient connectivity and
broadband capacity to meet current and future NHS needs.
• Picture Archiving and Communications Systems (PACS)– Systems to capture, store, distribute and display static or
moving digital medical images, supporting improvements to the patient's NHS journey.
SYSHA Connecting for Health Slide 7
Connecting for Health
• QMAS - supporting GP practices– QMAS (the Quality Management and Analysis System) gives GP practices
feedback on the quality of care delivered to patients measured against national achievement targets detailed in the GMS (General Medical Services) contract, which sets out the way GPs work and the way they are financially rewarded.
• Contact– A centrally managed email, directory and calendar service provided free
of charge to NHS organisations in England.
SYSHA Connecting for Health Slide 8
High Level Benefits
Better IT to:
• Improve patient centred care
• Improve choice and patient experience
• Give greater support for frontline clinicians
• Improve healthcare process efficiency
• Make better use of existing assets
SYSHA Connecting for Health Slide 9
High Level Benefits
• Patients will benefit from greater involvement in decisions about their care and greater access to and ownership of their records
• Clinicians will benefit from less administration and faster, more efficient access to information and services
• The NHS will benefit from time and cost savings brought about by reduced administration and improved output from the baseline IT spend
SYSHA Connecting for Health Slide 10
Approach To Change Management
• Driven by benefits, avoiding duplication – wide number of change programmes & projects involved in the system reform agenda
• Avoid double counting of benefits through an integrated approach with Modernisation, Workforce Development & Connecting for Health Teams
• Flexibility of approach suitable methodology now may require modification & adaptation as the programme develops
• Work on benefits will be utilised to highlight the positive impact of the Solutions
• Clinical & Stakeholder engagement & leadership to drive out benefits, plus LHC / Project Change & Benefits Leads
SYSHA Connecting for Health Slide 11
Reform Agenda
Improving the patient
experience. Patient centred
services
System Reform
Choice -at six months -at point of referral -choice in primary care
Patient and Public Involvement -Patient Forums - PALS
Contestability -Foundation Trusts -New diagnostic providers -Independent treatment centres
Governance Planning & Performance Inspection & Assessment Standards & Targets
Connecting for Health -Care Records Service -Choose and Book
Incentives -payment by results -Fee for service
Agenda for Change -GP contracts -Consultant contracts
National Service Frameworks -Single Assessment Process
Better Care without Delay Lean Thinking Evidence based care Equity of Access Care-pathways
SYSHA Connecting for Health Slide 12
Advantages of LHC Change & Benefits Leads
• The ability to pull together all the workstreams from an IT and strategic view point and at operational level
• Present the facts in everyday language to end users• Understand which triggers to use to get the interest and
support from key people in the organisations• Ability to ‘infiltrate’ the clinical areas to become part of
the ‘team’
• Produce change management & benefit plans for local ownership which run beyond project boundaries
SYSHA Connecting for Health Slide 13
LHC Service Implementations
Performance management
Comms& Stakeholder Engagement
LeadershipEducationTraining
BenefitsManagement
IntegratedNPfIT
Solutions(LSP)
NPfITService
Implementation
NPfITNational solutions,
Implementation
Strategic Health Authority
Cluster Cluster
programme manager
Pilot programme manager
Department of Health
Knowledge &InformationSolutions
Cluster Cluster
-ordinator
Local Health Community
AmbulanceTrust
MentalHealth
PCTPCTs ATAcuteTrusts
Shared agenda and plan
Users: patients, clinicians, nurses…
PBRPbR
Performance management
CommsStakeholder Engagement
LeadershipEducationTraining
BenefitsManagement
IntegratedNPfIT
Solutions(LSP)
TechnicalImplementation
SupportImplementation
NPfITService
Implementation
NPfITNational solutions,
Implementation
Strategic Health Authority
programme manager
SI programme manager
Department of Health
Knowledge &InformationSolutions
ChoiceChoiceHRAgenda for
Change
SI co-ordinatorLocal Health Community
AmbulanceTrust
MentalHealth
PCTPCTs ATAcuteTrusts
Shared agenda and plan
Users: patients, clinicians, nurses…
Local Health Community
AmbulanceTrust
MentalHealth
PCTPCTs ATAcuteTrusts
AmbulanceTrust
MentalHealth
PCTPCTsPCTPCTs ATAcuteTrustsATAcuteTrusts
Shared agenda and plan
Users: patients, clinicians, nurses…
CDMMA: 10 Changes
SYSHA Connecting for Health Slide 14
Benefits Categorisation
Benefit Categories
SafetyClinical and
Cost Effectiveness
Governance Patient FocusAccessible and
Responsive care
Care Environment
and AmenitiesPublic Health
Patient SafetyHealth Care
Benefits
Managerial & Clinical
Leadership
Partnership with Patients
Responsiveness to patient
needsStaff Well-being
Cross NHS Collaboration
Clinical Efficiency
Reduced Expenditure
Capital Effectiveness
Management Information
Quality
Organisational Flexibility
Systems and Working Practices
Partnership with Other
OrganisationsPatient Choice
Patient Satisfaction
Privacy and data Security
Learning and Research
Benefit Sub-Categories
Process Change
Information Availability
Cost SavingOutcome
Categories
Management Clinical Staff Administrators PatientsStudents,
Teachers and Researchers
IT StaffStakeholders
SYSHA Connecting for Health Slide 15
Benefits Realisation Framework
Benefits Identification
• National Team assembles generic Benefits Register (National Project Focus) and Benefits Measurement Work Packages
• National Team and Clusters define contents of Cluster-specific Benefits Menus (Cluster/LSP Focus) & update Benefits Register
Benefits Prioritisation
• LHC alignment process• LHC selects NPfIT benefits/initiatives (using Benefits Menu)
• LHC identifies additional ‘local’ benefits (using Benefits Menu Format)
Benefits Planning
• LHC defines Benefits Plan (using Benefits Menu)
• National Team captures LHC Benefit Plans (using Benefits Data Warehouse)
• LHC defines Benefits Measurement Plan (using Benefits Measurement Work Packages)
Benefits Reviews
• Held when evidence is available that the benefits in the Benefits Plan should have become measurable. More than one review may be needed (using Benefits Measurement Plan)
• National level review will also take place to assess benefits realisation
Benefits Measurement
• LHC manages benefits realisation• LHC measures subset of benefits (using Benefits Measurement Plan)
• National Team/Other organisations (e.g. HC) measure remaining realised benefits and capture all benefits measurement (using Benefits Data Warehouse)
SYSHA Connecting for Health Slide 16
Success Factors of Local Project
• Benefits Realisation is dependent on changes to working practices and training & education to be successful
• Detailed Benefits Plans, Business Change Plans & Training Plans are an essential part of the Project Plans (PID)
• Projects assign ownership to Business Change & Benefits• Learn the lessons from earlier projects
SYSHA Connecting for Health Slide 17
North East Cluster Achievements To Date
• At the forefront of implementation• Developing processes• Choose and Book
– Barnsley and Harrogate Early Adopters– 270 bookings
• N3 – 584 connections – 775 work in progress• RA – 3201 smartcards issued to staff• 30 Projects mobilised• PACS
– Cluster business case– Plans for first wave delivery completed
SYSHA Connecting for Health Slide 18
North East Cluster Achievements To Date
• Training– NHS trained in a variety of areas– End users trained
– Learning Management System
• Benefits– Leads in each SHA– Close working with national team
• Single Assessment Process– Live in 5 PCTs
• Primary Care – First practice in England – Dr Lee
10,000 patients are already benefiting from Connecting for Health
SYSHA Connecting for Health Slide 19
Current Deployment Profile for 2005
• ETP– Keighley Wave 1 implementer site live– 2 practices in Grimsby go-live imminent
• Choose & Book compliant systems roll-out– Primary Care - 70%– PAS – 60%
• Secondary Uses Service – SHA’s mobilised to establish RA’s by 31 March
• Additional Service Request’s– Many including some tactical core e.g. Airedale and Leeds A&E
SYSHA Connecting for Health Slide 20
Current Deployment Profile for 2005/06
LSP Core First Site/s Total GP Dr Lee 121 practices
Mental Health South of Tyne & Wearside
5 Trusts
Acute Scarborough & NE Yorkshire
9 Trusts + 1 Ambulance Trust
Child Health / Community
Community Care Trust, CDTV
26 PCTs
Ambulance South Yorkshire 1 Trust
Map of Medicine Gateshead, Barnsley, Harrogate & Doncaster
Initially 4 pilots
SAP 3 North of Tyne PCTs 16 PCTs
SYSHA Connecting for Health Slide 21
Summary
• 2004– Built the foundations– Much implementation work in progress– Delivered to 8 Trusts– Benefits to 10,000 patients
• 2005– Delivery to all 98 Trusts– Benefits to approx. 4 million people