Right Care in action

1. Right Care in action Systemising reform in Calderdale CCG Tim Shields, Head of Business Intelligence NHS | Presentation to [XXXX Company] | [Type Date]

3. Principles when thinking about reform pathways • Clinical pathways across systems can not be optimised without using effective business/ reform process pathways • Principles of business and clinical pathways are generic - • A pathway should take the most direct route to its destination • Each step should add value to the next

4. Voyage of Discovery

5. New Horizons, New Opportunities • New Board (GP’s, lay members) • Broaden scope of business planning • Maximise use of intelligence • Engage clinicians, staff and other stakeholders • Learn from previous experience & learn from others

6. Approach Build A Shared Understanding Develop The Plans Deliver The Intent

7. Gather Insights Errors using inadequate data are much less than those using no data at all – Charles Babbage Build a picture of Calderdale using routinely available intelligence: • JSNA • Commissioning for Value Pack • SPOT Tool • Atlas of Variation • Health Profiles • NHS Comparators • Primary Care Calculator • QOF/ QMAS

8. Role of Clinical Champions • Identify clinical lead for programme areas • Clinical lead to develop compelling story based on: • Addressing unwarranted variation • Minimising harm to patients • Reducing waste and maximising value • Tackling health inequalities • Preventing disease • Clinical lead to utilise insights from ‘other’ sources of intelligence • Clinical lead recommend priorities for action • Collective challenge + reframe the matrix

9. Nominations

10. Identify Areas of Focus • 1st frame: • Unwarranted variation in outcomes, quality and spend • Outliers • Direction of travel • Scale of opportunity • 2nd frame: • Alignment with vision, mandate and planning frameworks • 3rd frame: • Opportunity to improve outcomes • Opportunity to improve quality • Impact on expenditure (VFM) • 4th frame: • Gap between current state and best practice • Importance to the vision for Calderdale

11. Nominations – Final Matrix

12. Scope Solutions & Prioritise

13. Outputs • Prospectus • Workplan - service redesign/ QIPP • Contract variation • Non recurrent investment • Quality Premiums • Primary Care Engagement Scheme • Strategic Review + ITF

14. Learning • Write it down • Visible and effective clinical leadership • Access to indicative data • Active engagement with stakeholders • Clarity on improvement methodology and documentation • Evidence on what, why and how to change/ improve • Confidence to set aspirational goals • Effective processes to make timely decisions that will drive change at pace • Minimise waste (effort; resources; time) on non viable schemes – be prepared to stop • Consistency - process gave us momentum and confidence during transition in approach

15. Right Care for Populations • The NHS Right Care website offers resources to support CCGs in adopting this approach: • online videos and ‘how to’ guides • casebooks with learning from previous pilots • tried and tested process templates to support taking the approach forward • advice on how to produce “deep dive” packs locally to support later phases, within the CCG or working with local intelligence services • access to a practitioner network • Follow Right Care online • Subscribe to get a weekly digest of our blog alerts in your inbox, • Receive occasional eBulletins • Follow us on Twitter @qipprightcare Find the full series at: www.rightcare.nhs.uk/resourcecentre