Transforming systems Transforming systems

Our Focus: unscheduled care! Field Tested for 10 years In 36 different health systems Teams in London, India, Australia

Problems in Unscheduled Care Seen as complex and unpredictable Resources don’t align to demand!

SHREWD helps operational teams manage unscheduled demand across the whole health system….

SHREWD Operations Response Audit Operational Data

Whole System Opportunities Empower citizens Health system at a glance with effective actions Plan 14 days in advance Imagine a world: > Delivers Matt Hancock People don’t believe we do this – here’s how we do this …. Resilience & Escalation Health systems need real time and trusted information to help operations teams understand what is happening now Actions that improve the citizens journey through the system need to be visible and constantly improved Prediction Operations teams need confidence in how future activity will change to enable proactive planning that avoids pressure building WaitLess Citizens need to be empowered to reduce their waiting time for minor attendances, reducing pressure on A&E at the busiest times

How can SHREWD make your life easier….. Resilience Forms a real-time whole system data view for urgent care across all providers Brings together all providers including social care and mental health to agree an operational data set based on form a common view of pressure. Creates real-time transparency, enabling system to take data driven decisions. Proven to generate faster, better understanding and whole system response to pressure by showing capacity and demand in real-time. Links to instant messaging to enable pro-active alerting of pressure as it happens. Cut teleconferences back from daily to 2-3 per week. Built proven data-set, developed with 18% of the NHS, enabling rapid deployment. Account Management support from a team of operational experts, enabling a rapid stand up and ongoing relationship to develop and share best practice

Whole System view in SHREWD

Detailed Layers within SHREWD

Detailed views specific to all System Providers

BRAG thresholds and graphs in SHREWD

SHREWD Resilience Features SHREWD Resilience Integrated teleconference Records all minutes and actions, enabling dissemination at the touch of a button. Significantly cuts the length of a teleconference (proven to reduce to 10-15 mins). Skips the need to tell the story of pressure, making calls action focussed. System uses a series of bespoke alerts to help users keep actions on track which can be toggled off and on. This is configured with each system through the account management module SHREWD App Allows users to drill into data views across the whole system from IoS and Android Enables unique manual update features, to help track hard to reach metrics (e.g. real time staffing, visit capacity and flow metrics) SAFER Bespoke built simple process which minimises administrative burdens captures SAFER flow bundles in real-time Proven across 3 acute trust sites, built with ward sisters to minimise disruption and enable data to be taken in real-time QA Audits SHREWD tracks indicator data completeness and provides reports to commissioners which give a breakdown of when data feeds are missed or are provided inconsistently, helping the system to improve consistency of real-time data and level of digital maturity SHREWD Resilience Features

A tool which links App and web interface together A tool which links App and web interface together. SHREWD links high impact actions to real-time data. Escalation creates a just in time framework for managing operational response. Key Benefits Enables escalation plans to be linked to real-time data feeds Speeds up whole system response time by 8-24 hours Pushes locally agreed escalation actions to team/users phones Improves situational awareness Improves consistency of response Tracks which actions have been done, giving a real-time audit log of which actions have been deployed and by who SHREWD Escalation

Action Plan – enables system partners to communicate and audit impact in real time

Whole system action

Escalation - Under Utilised Beds

Escalation Action

Escalation Action Benefit Lorretta Rogers, Head of Adult Operations, West Sussex County Council “As Social Care Operations Manager in a health and social care system, where the local authority are the sole funder for a number of Discharge to Assess beds in the community, it is imperative for me to be able to keep track of bed usage and ensure that vacancies are being pro-actively managed. SHREWD has enabled me to add escalation actions, which will automatically alert me if bed occupancy drops to a certain level – this then reminds me to take action in a timely manner, to reduce the vacancy level. This supports flow in the system, ensures effective use of scarce resources and is financially efficient”

Addressing delays SAFER – reducing the number of Red Days

Monitoring Red and Green days in SHREWD

Reduction in Red Days for Patients

Reducing administration NHS National/Regional Reporting

NHS Reporting Tool Real-time data view Automated Reporting Enables reporting of capacity and demand in real time Shares real-time intelligence about operational flow with NHS Regional Team Automated Reporting Auto generates reports for NHS National and Regional Teams Used this year as part of the South East Region Winter Room solution Significantly reduces duplicated conversations & teleconferences Real-time data allows better knowledge transfer across the region NHS Reporting Tool

One click – SHREWD whole health system view

Data pulls automatically into NHS Report Zara Beattie, Operations and Delivery Manager, Assurance and Delivery Directorate, NHS England (South East):   “I just wanted to provide some feedback I have received about using the NHSE Reporting Tool on SHREWD since its implementation:  Our team have been using SHREWD since its launch and it has significantly reduced the amount of work for them.  As you know we have a complex reporting schedule and the SHREWD NHS Reporting Tool has made this automated, taking away the complication for my team and the CCGs As I have been training our on call team they have all commented on how simple and easy the system is to use, especially when collating the 8 LAEDB system reports”.

Empowering citizens WaitLess

An APP for Minor Emergencies Reduction of 11% in Minors A&E attendances reduction seen at the busiest times Citizens contribute to ‘load balancing the system Simple, easy to use Free to download app

An APP for Minor Emergencies Pharmacies Dentists

WaitLess for 111 Call Handlers

Patient Stories - WaitLess https://www.youtube.com/watch?v=ZNDuQ1jBQjw

Questions? George Boyd Head of Sales Transforming Systems Email: george@transformingsystems.com Tel: +44 (0)7786621427 Questions?

Case Studies – Hospital Operations John Ferguson, General Manager for Acute and Emergency Medicine, Medway Foundation Trust: “Since the trust has had SHREWD, we can see where we sit in the wider picture for the first time. This has meant that I can see which levers to pull and they aren’t what we may previously have assumed they were. This in turn means that I am able to plan my escalation actions with confidence that we will be reaching for the right solutions. As my community based partners are using SHREWD, I have received offers of help I didn’t ask for because they can see that they are operating at OPEL 1 or 2 whilst the hospital trust is operating at OPEL 3 or 4. Once you have it you couldn’t be without it”

Case Studies – Local Authority Lorretta Rogers, Coastal Operations Manager, West Sussex County Council “As social care Operations manager in a health and social care system, where the local authority are the sole funder for a number of Discharge to Assess beds in the community, it is imperative for me to be able to keep track of bed usage and ensure that vacancies are being pro-actively managed. SHREWD has enabled me to add escalation actions, which will automatically alert me if bed occupancy drops to a certain level – this then reminds me to take action in a timely manner, to reduce the vacancy level. This supports flow in the system, ensures effective use of scarce resources and is financially efficient”

Case Studies – Local Authority Jacqui West, Health Interface Manager (County Wide), Kent County Council: “SHREWD Resilience has enabled me to supply real time data to council management and operational partners, which we weren’t previously able to do. Not only has this facilitated more meaningful day to day operational decision making both internally and with partners, it has enabled us to build an operational evidence base to inform management decisions related to service redesign. The SHREWD indicators are also identified in the System Resilience Plan. They are vital to the action plan which gives directives and action to staff at all levels in times of pressure.”