Paper Switch-off Programme Initial engagement Sample – please localise and update as necessary Grey font – optional & can be removed as per local preference Date

Contents Target Implications Benefits Paper Switch-Off Programme 1. Target 2. Implications 3. Benefits 4. Paper Switch-Off Programme 5. Provider Statistics 6. The Ask 7. Dedicated Project Support 8. Next Steps

(as per NHS Standard Contract) Target (as per NHS Standard Contract) 100% utilisation of e-Referral Service for referrals from GP practices to consultant-led, first outpatient appointments at Acute Trusts by October 2018.

Implications To successfully transition, Trusts and CCGs need to work together as health economies As per the new NHS Standard Contract provision, with effect from 1 October 2018, the Provider need not accept (and will not be paid for any first outpatient attendance resulting from) Referrals by GPs to Consultant-led acute outpatient Services made other than through the NHS e-Referral Service.

Benefits Patients Safety Operational Financial Choice and control over care Reduced referral to treatment times Secure processing of clinical information Fewer lost referrals Clear referral audit trail Operational Financial Treatment provided sooner Reduced admin overheads Activity reporting to support capacity and demand planning Easier referral tracking, reducing patient and clinician inquiries Reduced ‘did not attend’ (DNA) rates Improved efficiency savings Fewer inappropriate referrals A saving of circa £500m per annum nationally, assuming full use of the system Case studies: http://content.digital.nhs.uk/article/7200/Case-Studies

Paper Switch Off Programme To support health economies to move to full use of e-RS, a national programme approach has been established. This delivers a cohesive, co-ordinated project approach, bringing all stakeholders and decision makers together from impacted organisations As part of the programme, health economies will receive: support to inform the planning of a local project to ensure critical steps are planned for dedicated e-RS subject matter support across a defined project duration as agreed in the planning stage support with resolving local challenges access to learning from other health economies

Paper Switch Off Pioneer Sherwood Forrest invited to be early ‘wave 1’ Pioneer e-RS Utilisation between 95-98% 3 month project (Feb – Apr) - Full Paper Switch-Off Initial focus on referral data quality and exceptions Close working with CCGs and practices during transition Strict referral protocols agreed and are in place

The Ask To make this a success, we ask the Trust and the CCG to: Identify executive-level sponsor Nominate a project management lead to manage the project on behalf of the Trust and referring CCGs Commit for the project lead to, with support from NHS Digital, promptly undertake initial diagnostics, define project timescales and resources, and articulate the support that will be required from NHS Digital Agree for the project manager to provide regular updates to NHS England/NHS Digital on project progress, risks and issues For the project delivery to fall within an agreed slot plan to manage capacity Commit to actively engage with GPs to deliver business change Sign an MOU with NHS Digital

Dedicated Project Support As part of their local projects, health economies will receive: Support with data and process analysis – identify gaps affecting utilisation A Nominated NHS Digital/ Business Change Manager (e-RS subject matter expertise) for the duration of the project as agreed during the project Kick-off phase Access to learning from other health economies and PSO Projects

Dedicated Project Support Local planning will explore a variety of workstreams. These include, but are not limited to; Data and Process Analysis Identifying the necessary business change Demand and capacity and RTT constraints Management of paper referrals (e-RS Service Gaps) Best-practice with current & future E-RS functionality Local engagement events Smartcards, training and education

Business Intelligence Pack To support the project Kick-off meeting and initial planning……

Next Steps Organise and hold a “Kick Off” meeting at least 1 month prior to project start with nominated project lead, e-RS and information leads Allows the nominated project lead, supported by NHSD/SME, to agree project phases, timescales and challenges that need to be addressed and also to undertake the initial diagnostics Following the diagnostics, the Trust/CCG project lead will be asked to define project timescales, and articulate the support that will be required from NHS Digital NHS England and NHS Digital will review requests for support from Trusts/CCGs and propose best ways of providing support; this may include some individual and shared (workshop/webex) support

Overview of Project Stages Engagement Overview of the Programme, Contractual Requirements, Outline Provider Requirements, MOU Kick Off / Launch Meeting with all Stakeholders Business Intelligence Pack, Project Plan Templates, Business Transformation, Governance Model, Support Discovery Determining local baseline, resourcing needs, detailed diagnostic work and planning Delivery, Monitoring & Reporting Milestones Monitoring progress Barriers / Risks & Issues Closure Paper Switch Off, Benefits, Lessons Learned

Regional Contacts Name eRS SME Senior Implementation and Business Change Manager – Region Email: Implementation and Business Change Manager – Region Principal Implementation and Business Change Manager – Region NHS England DCO – Region Email

Any questions?

System Development Roadmap