telemedicine service - nhs england · hospital from care homes aylesbury vale ccg emergency care...

NHS Aylesbury Vale Clinical Commissioning Group NHS Chiltern Clinical Commissioning Group

Telemedicine Service Aylesbury Vale CCG

28th Nov 2016

Gary Passaway (urgent Care Lead)

&

Sharon Hanley (Digital Transformation Project Manager)

NHS Aylesbury Vale Clinical Commissioning Group NHS Chiltern Clinical Commissioning Group

Why did we want to introduce a Telemedicine Service?

• 23% rise in Care home emergency admissions over two years in AVCCG

• Airedale Vanguard site - reduced emergency admissions by 35% and A&E attendances by 53%

• Opportunity to introduce ‘New ways of working’ to support the Primary Care Sustainability and Transformation agenda

• Supports the sharing of information via SCRAI • Supports the paperless 2020 agenda

NHS Aylesbury Vale Clinical Commissioning Group NHS Chiltern Clinical Commissioning Group

What is Airedale Telehealth Hub?

• Digital Healthcare Centre based in Airedale FT Hospital

• 24/7 service • Video via PC’s • Resilient Infrastructure • Experienced nurses • Real time access to health information • Automated messaging back to GP practices

NHS Aylesbury Vale Clinical Commissioning Group NHS Chiltern Clinical Commissioning Group

Increasing Emergency admissions to hospital from Care Homes

Aylesbury

Vale CCG

Emergency Care

Home Admission to

Hospital

Percentage Increase

2012/13 657 -

2013/14 727 10.65% increase

2014/15 804 10.59% increase

• Overall 23.2% increase in emergency care home admissions over the last two • Applying Airedale benefits we can expect to see emergency admission to hospital fall by

as much as 245 over a year (stats not yet available)

NHS Aylesbury Vale Clinical Commissioning Group NHS Chiltern Clinical Commissioning Group

Key Stakeholders • GP Clinical Leads • Care Homes

• Care Home residents • Airedale NHS Foundation Trust

• Docman • Immedicare

• Aylesbury Vale CCG • Bucks County Council

• Bucks Urgent Care • Bucks Healthcare Trust

• CCG Meds management • Care Home Pharmacy

• South Central Ambulance Service • South, Central & West CSU

NHS Aylesbury Vale Clinical Commissioning Group NHS Chiltern Clinical Commissioning Group

Project Deliverables

• Developing New Models of care to support care homes and sheltered housing (including extra care housing) via 24 hour clinical support via video link.

• Releasing GP Capacity – introduce GP video triage for care home residents

• More efficient management of winter pressures

• Better access to patient records and care plans through the use of digitalisation.

NHS Aylesbury Vale Clinical Commissioning Group NHS Chiltern Clinical Commissioning Group

Current status

• Targeted top 30 Care homes with highest number of A&E Attendances

• First Care Home ‘Go live’ October 2016

• Currently 18 care homes accessing the telecare hub

NHS Aylesbury Vale Clinical Commissioning Group NHS Chiltern Clinical Commissioning Group

Telecare hub process map

NHS Aylesbury Vale Clinical Commissioning Group NHS Chiltern Clinical Commissioning Group

What benefits are expected? • Reduction in 111 / 999 calls • Reduction in ambulance conveyances • Reduction in emergency admissions • Improved access to health Care professionals • Improved understanding around record sharing • Increased access to shared health information (SCRAI) • Improved care processes for care home residents • Improved access to training and development for care

home staff

NHS Aylesbury Vale Clinical Commissioning Group NHS Chiltern Clinical Commissioning Group

Challenges

• Baselining current GP /Care home contacts

• Care Home technical readiness

• Care Home staff user confidence

• Record sharing (SCRAI)

• Messaging process back to the practice – paperless and reduce admin time

NHS Aylesbury Vale Clinical Commissioning Group NHS Chiltern Clinical Commissioning Group

What’s next?

• Review and reporting of project outcomes

• Scaling up to include other Care Homes across Bucks

• Scoping work underway for Sheltered Housing and Extra Care Housing

• Can the service be bought in house?

NHS Aylesbury Vale Clinical Commissioning Group NHS Chiltern Clinical Commissioning Group

Questions?

Thank you Gary Passaway g.passaway@nhs.net – Urgent Care Lead

Ojalae Jenkins ojalae.jenkins@nhs.net – Project Manager

Sharon Hanley sharon.hanley@nhs.net - Digital Transformation Project Manager