Oldham Urgent Care Alliance supported by V4 Services

NHS Five Year Plan: Implementation and progress

Transforming urgent care in Oldham

Caroline Drysdale, Director of Community Health Services, Pennine Care NHS Foundation Trust and Chair of Oldham Urgent Care Alliance

Today were sharing...

Our history

A snapshot of Oldhams Urgent Care Alliance

Our achievements and our plans

Thebenefits

History 2009 2014

Nick Gili, Consultant in Emergency Medicine, Pennine Acute Hospitals NHS Trust

History 2009 2014

History 2009 2014

Which way?

Our alliance contract

A new hope!

Our governance

Governing Body

Executive Regulation

finance, performance & quality

CPAG (primary care assurance)

Alliance Management

Team

Alliance Leadership

Team

Operational Board

Tactical Alliance Group

Steve Morton, Service Director, V4 Services

Our achievements3 5.8% reduction in unplanned admissions (2015)

3 9deflectionprojects

3 Design and implementation of a programme of work based on integration across the urgent care economy

3 Specificprojects:AmbulatoryCare,frontdoorA&Eandintegrateddischargeprocess

3 Paediatric services pathway redesign with integrated front end

3 Strategic review of resilience funding including evaluation of past schemes

3 IntroductionofbusinesscaseandKPIperformancemanagementtoprovebenefits

3 New frail elderly unit reduction of average length of stay in excess of 4 days

3 Cultural change and trust between alliance partners developed by re-enforcing key messages

Our BCF deflection performance5.8% reduction in unplanned admissions (Jan-Dec 2015)

from previous year

Our SPRINT performance

Usual average days for discharge65-84 years

6.3Usual average days for dischargeover 85 years

Average days for discharge65-84 years

Average days for dischargeover 85 years

3.1

ALL SITES

SPRINT

2.3

8.53.2days less stay65-84 years

6.2days less stayover 85 years

Integrated Discharge Team

Target Operating Model

defined and agreed

Single team lead recruited

Unified KPIs agreed

Data collection

and monitoring processes

agreed

Monthly performance

reports

Single location and

alternative ways of working identifiedIT systems

issues identified and reported for

remedial action

Processes mapped and

reviews ongoing

Single point of access agreed

in principle

Single fact-finder

form developed do it once,

do it right

Trusted Assessor Model - implementation

INTE

GRAT

ED DISCHARGE TEAM

Project activities

A&E

Our plans

Front end development including Ambulatory Care and A&E

IDT

Intermediate Care system review

System review re-ablement, community and Medlock Court

Transitional arrangements review and develop

Readmission rates review and improve

All schemes analyse cost benefit and quality of outcome

Joint model of care for children

Helen Hayes, Service Director, V4 Services

How?

RoyAL oLdhAm hoSPITAL

A&EIntegrated Paediatric Emergency

& Urgent Care Facility

Joint model of care for children

RoyAL oLdhAm hoSPITAL

A&EIntegrated Paediatric Emergency

& Urgent Care Facility

Emergency Department

Joint model of care for children

RoyAL oLdhAm hoSPITAL

A&EIntegrated Paediatric Emergency

& Urgent Care Facility

See & treat (Community)

Emergency Department

Joint model of care for children

RoyAL oLdhAm hoSPITAL

A&EIntegrated Paediatric Emergency

& Urgent Care Facility

GotoDoc (GP on site)

See & treat (Community)

Emergency Department

Joint model of care for children

RoyAL oLdhAm hoSPITAL

A&EIntegrated Paediatric Emergency

& Urgent Care Facility

GotoDoc (GP on site)

See & treat (Community)

Ambulatory Care Service

Emergency Department

Joint model of care for childrenJoint model of care for children

RoyAL oLdhAm hoSPITAL

A&EIntegrated Paediatric Emergency

& Urgent Care Facility

GotoDoc (GP on site)

See & treat (Community)

Ambulatory Care Service

Emergency Department

Paediatric ward

Joint model of care for children

RoyAL oLdhAm hoSPITAL

A&EIntegrated Paediatric Emergency

& Urgent Care Facility

GotoDoc (GP on site)

See & treat (Community)

Ambulatory Care Service

Emergency Department

Paediatric ward

GP primary

care service

Joint model of care for children

RoyAL oLdhAm hoSPITAL

A&EIntegrated Paediatric Emergency

& Urgent Care Facility

GotoDoc (GP on site)

See & treat (Community)

Ambulatory Care Service

Emergency Department

Paediatric ward

GP primary

care service

Community Care

Nursing Team

Joint model of care for children

RoyAL oLdhAm hoSPITAL

A&EIntegrated Paediatric Emergency

& Urgent Care Facility

GotoDoc (GP on site)

See & treat (Community)

Ambulatory Care Service

Emergency Department

Paediatric ward

GP primary

care service

Community Care

Nursing Team

North West Ambulance

Service

Joint model of care for children

Key success factors

Pragmatic

Can do attitude

Focus on quality improvement

Strong Alliance governance model

ExternalPMOsupporttransparencyandtrust

Benefits to commissioners

Dan Cassell, Commissioning Business Partner, Oldham CCG

Benefits to commissioners

Benefits to commissioners

Coordin

ation Resilience

PlanningInt

ellige

nce

+

Better commissioning

= Improvedoutcomes

+

+

++

Programme Management

Office

Working together

The key strengths of Oldhams BCF programme are built on very strong relationships between the Council and

CCG,andalsowithproviders.TheUrgentCareAlliancebringstogetherallofthemajorplayersonthepatchand

is the vehicle for their BCF plan.

TheyhaveresourcedaPMOtosupporttheAllianceandseethisasakeyfactorintheirsuccess,withastrong

focus on data and key metrics.

Anthony Kealy, Head of Delivery Support (Better Care Fund, Out-of-Hospital and Elective Care Programmes)

NHS England