CKWCB-12-192c_Appendix_A__C_H_Strategic_Review__Care_Stream_CCT_progress_report_110912

Appendix A CARE STREAM AND CROSS CUTTING THEME PROGRESS – 11TH SEPTEMBER 2012

1.0 OBJECTIVES OF THE PAPER 1.1 To share the progress made for the Care Streams and Cross Cutting Themes.

2.0 BACKGROUND 2.1 All Care Streams are now fully operational and preparation has begun to establish Cross Cutting Theme (CCT) groups to support key work within the care streams to enable business cases to be developed in line with the critical path.

3.0 CARE STREAM PROGRESS 3.1 Childrens Care Stream – Chair: Sajid Azeb Vice-Chair: Dr. Hazel Carsley The Children’s Care Stream has just had its 5th meeting. The group has agreed and signed off Terms of Reference (ToRs) and have also agreed their 10 year Vision for Children’s Care: ‘Every child will have a healthy start and continue to lead a safe, happy life with every opportunity to achieve their potential within their families and communities’ The Care Stream has carried out extensive scoping work and are including preconception and maternity within their scope, as well as transition. The group has identified some broad areas, where they want to concentrate development of business cases (outlined below) but have still to agree specific priority areas. This will be finalised this week.

• • • • • •

Emotional and Behavioural Wellbeing for Children and Young People Acute Services; Right person, Right place, Right time On-going Care for Children and Young People with Long Term Conditions/Vulnerabilities - Keeping them well and out of Hospital Improving Assessment and Management for Children with Special Educational Needs and/or Disabilities Improving the Planning and Management of Transition – Implementation of a Transition plan for all young people with Long-Term problems Improving inequalities and outcomes in pregnancy and neo-natal care

3.2 Long Term Care Stream – Chair: Jackie Ramsey vice-Chair: Mick Mellors The Long Term Care Stream has had its 2nd meeting. The group has agreed and signed off ToRs and has set a 10 year Vision for Long Term Care: ‘To improve the health, well-being and quality of life of all our communities.

• We will deliver the best quality of long term care and treatment to maximise independence, choice and personalised care.

• Our people will be innovative and focus services on the needs of those who use them, and their carers.

1

•

We will work openly and honestly, building genuine partnerships with shared ambitions’.

The Long Term Care Stream has identified the following themed areas where they want to identify priorities for business case development: • • • • •

Promoting Independence Maintaining Independence Short Term Independent Living Care Homes Assistive Technology / Telehealth to support Long Term Care

The Care Stream will be holding evidence based workshops over the next 2-3 weeks, inviting wider stakeholders and experts to assist them in identifying specific areas for development/change.

3.3 Unplanned Care Stream – Chair: Judy Moorhouse vice-Chair: Dr. Majid Azeb The Unplanned Care Stream has just had its 3rd Meeting. The group has agreed ToRs and has set a 10 year Vision for Unplanned Care.

‘To improve the health, well-being and quality of life of all our communities.

We will deliver the best quality of unplanned care in the right place, at the right time, by the right person. We will encourage our people to be innovative and to focus services on the needs of those who use them. To achieve this, we will work openly and honestly, building genuine partnerships with shared ambitions’ The Unplanned Care Stream has identified areas of priority, which include: • • • •

Maximising Unplanned care in General Practice and through Community Teams 24/7 Development of a Centre of Excellence for Emergency Care Improve Access to telephone consultation for GP’s with Clinical Consultant colleagues and improve Triage into ambulatory and assessment services Discharge Planning to prevent readmission and to prevent exacerbation causing unplanned admission 7 days p/w (Ref. to Intermediate Care Services Calderdale and Kirklees

3.4 Planned care Stream – Chair: Rachel Carter vice-Chair: Julie O’Riordan The Planned Care Stream has had its 3rd meeting. The group has signed of their ToRs and agreed a 10 year Vision: ‘Every person will have high quality appropriate, personalised planned care delivered in the right place at the right time. The right evidencebased interventions in collaboration with people to aid their recovery post those interventions, delivered across integrated care pathways with best use of capacity, resources and information by health and social care partners will enable optimised recovery’

2

The Care Stream has agreed some broad priority areas but these are currently still under discussion by the Care Stream.

•

• • •

Improve and Innovate Referral Pathways – location, technological interventions, straight to test/list, restricted procedures of low value, referral thresholds, patient expectations, self- care, self- management, covers planned GP and community, OP’s and to all diagnostics – location, technology Jointly Manage Referral to Hospital – cancelled electives, DNAs, conversion ratio’s, reduction in pre-op bed days, enhanced recovery programme Jointly Manage Discharge from Hospital – Reduced LOS, Enhanced Recovery, Move to D/C, appropriate follow up Jointly Manage Worried Well – public health, healthy living, self- management

4.0 CROSS CUTTING THEMES (CCTs) The following CCTs have been identified as key areas that will support the Care streams during the business case development phase: • • • • • • • •

Culture Estates Finance Information Technology Transport Workforce Diagnostics

Steering Group Members have been sending in CCT nominees and critical work is underway to ensure these groups are established and up and running as soon as possible.

5.0 NEXT STEPS The Care Streams will all be going through their Gate 1 review this week. The Gate 1 Review is part of the four-phased quality management process for the programme. Gate 1 Review is focused on ensuring that the Care Streams are fully established, have their ToRs, 10 year Vision and have agreed their scope and themes for development. This gate can be seen as a transition that each care stream must pass through before entry into the next stage of work.

It is expected that all Care Streams will pass the Gate 1 Review Process and a copy of the reports will be made available for viewing.

Hayley Haycock, Senior Programme Manager 11 September 2012 3