Use Cases I AM A: (a)– Head of Delivery (b)- Head of Finance Commissioning I WANT TO: (a) – Trigger points for system crisis (bed capacity) (b) – Know the impact of proactive care teams on their patient cohorts SO THAT: (a)– I can assure plans to deal with the ‘expected’ and that we can deal with the system in crisis (b)- I can determine whether they are focussed on the right patients or plans need adjusting

Use Cases I AM A: (a)– Commissioner (b)- (Division Clinical Governance) Head of Midwifery (c)- Commissioner (d)- Division Head in Acute Trust I WANT TO: (a) – know how many missed tissue viability checks occurred in last year (b) – know how many women have (c) – know the number of people admitted to hospital without a GP visit in the last 6/12 (d) – know variation in LOS across C-R Surgery (2 groups) and across the region SO THAT: (a)– reduce unnecessary amputations (b)- change practices to reduce/prevent this (c)- support work to increase GP capacity (d)Reduce variation and improve outcomes/decrease LOS and build a dashboard

Use Cases I AM A: Commissioner I WANT TO: Understand the best way to deliver urgent and emergency care for my local population – the difference between a single and multiple provider models SO THAT: We can commission services in the best way to deliver: o high quality patient outcomes o Cost effective services o Meeting the needs of all

Use Cases I AM A: Director of Transformation (MH) I WANT TO: Know how many people in care homes have an identified need for mental health care and a diagnosis of dementia SO THAT: I can appraise the impact of potential new pathways and models of care on the whole health & social care economy

Use Cases I AM A: Director of Operations I WANT TO: Understand the case mix of patients and the reason they are still in hospital e.g. Awaiting consultant discharge Community bed Nursing home CHC assessment SO THAT: I can be made aware of pressure building and discuss and evidence gaps in services with commissioners

Use Cases I AM A: (a)– Ortho-geriatrician (b)- Programme Manager (c)- Geriatrician working with the CCG (d)- Medicines optimisation project manager I WANT TO: (a)– flow through my system (b)- find out the pathways for our diabetic patients (c)- develop locality hubs to integrate care for frail elderly patients (d)- find out what would help patients adhere to their medicine SO THAT: (a)– I can ‘get’ my patients in the right place at the right time (b)- the services we commission meet the needs of our patients e.g community services do they fit needs? (c)- these patients are kept well and healthy at home (d)- simplify self care and optimise health for these patients

Use Cases I AM A: Analyst I WANT TO: Understand the configuration of AMU SO THAT: (a)– configuration is correct (b)- A&E flows and impact on it (c)- flows out and bottlenecks (d) - tempered considerations

Use Cases I AM A: (a)– Non Executive Director of Acute Hospital (b)- CCG I WANT TO: (a)– Confirm assumptions of discharges from A& and understand flow in and out (b)- Understand the frail elderly pathway o who the stakeholders are and engage with them o what are the drivers SO THAT: (a)– when A&E is having problems we tackle the real causes not assume it is only A&E problem (b)Frail elderly are managed proactively not reactively

Use Cases I AM A: Commissioner - I need data from: o Local authorities o Acute trust o Community providers o The NHS number to link o Need clean, good quality data I WANT TO: Understand patient flows (LTC) from acute intermediate community p/care SO THAT: I can inform the design of new services to join the system up

Use Cases I AM A: Public Health Intelligence Analyst/Manager I WANT TO: Be able to demonstrate how Public Health interventions can reduce (future) health and social care costs SO THAT: Public Health spending is directed to the most effective interventions

Use Cases I AM A: (a)- Head of Commissioning (CCG) part of a team looking at frailty in Brighton (b)- Doctor I WANT TO: (a)– have a whole system simulation model into which we can plug in acute/community/social care changes and find a way to measure the before and after (improve patient care and demand) (b)- the NHS to operate a 7 day system SO THAT: (a)– we fully understand the impact across the whole system and understand what works. Our URCP plans deliver. We can ensure we are providing the best and safest care to our frail patients (b)- patients are managed appropriately over the weekends

Use Cases I AM A: (a)– Enhanced Recovery Lead (b)- Primary Care Pharmacist (c)- Commissioner I WANT TO: (a)– Introduce nurse-led discharge for ER and NEL patients (b)- Improve medicines optimisation (c)- Ensure care can be provided outside hospital wherever possible and when people are admitted to hospital they are not unnecessarily delayed SO THAT: (a)– Improve patient experience, improve time of discharge and therefore flow in hospital (b)- Knowledge and expertise are shared between patients/Drs/Pharmacists/Nurses and Carers (c)- Improve patient experience and make better use of overall resources