1. Right Care Programme in West Essex
Presentation to the West Essex CCG Board
July 2016
Presented by Dr Angus Henderson and Chloe Atkinson

2. What is Right Care?
Helps health economies find where they have low value healthcare.
Helps them replace that with high value (optimal) healthcare.
All CCG’s will be required to deliver service transformation through this methodology from April 2017.

3. Need for everyone to be clear on what really matters to patients
Value
High Value: Increase things that support patient achieve their outcomes
Need for everyone to be clear on what really matters to patients
Lower value: Reduce the amount of things that do not support patients achieve their outcomes
We need as much as high value care and as little low value care as possible.

4. OBJECTIVE - Maximise Value (individual & population)

5. West Essex Right Care Programme
In March 2016 the West Essex Professional Leaders Group agreed the priorities for 2016/2017 as Respiratory, Musculoskeletal and Cardiovascular.
Respiratory began in April 2016.
Musculoskeletal began in June 2016.
Cardiovascular due to begin in September 2016.

6. West Essex Respiratory Programme
Commissioning for Data Pack (available online) showed areas to improve outcome and value within Respiratory care as:
Smoking Cessation
Medicine Optimisation
Early Identification and diagnosis
Support following diagnosis
Crisis Prevention
Crisis Management
Length of Hospital Stay for patients

7. Who is involved? West Essex Core Right Care Team
Data analysis, project oversight
Respiratory Expert Advisory Group
Clinical experts across West Essex system, oversight of programme
Breathe Easy
Form part of Expert Advisory Group, provide patient and carer experience
Design Phase
Front line staff, patients, managers coming together to design different ways of working.

8. Designing the Optimum Pathway
On the 2nd and 9th June over 60 front line staff, patients and managers cam together to design optimum pathways of care in the chosen areas.

10. Next Steps for Respiratory Programme
Proposed changes between now and April 2017 include:
Introduction of a Care Plan for patients to hold and accessible by all clinicians
All patients stratified by severity of disease to ensure appropriate support is identified and accessed
West Essex system team overseeing all patients with medium and high severity ratings
Out of Hours advice and guidance line for patients and clinicians

11. Next Steps for Musculoskeletal Programme
The MSK Expert Oversight Group and one optimal design workshop have agreed the focus of this West Essex MSK programme as:
Common themes around prevention, wider support options, shared decision making, medicines optimisation and support following discharge.
Main areas:
o             Back Pain
o             Rheumatoid Arthritis
o             Osteoarthritis
o             Osteoporosis

12. Next Steps for Cardiovascular Programme
Initial data analysis has shown the majority of opportunity within Coronary Heart Disease.
CHD Optimum Pathway Design Workshops scheduled for the 8th and 22nd September 2016.

13. Any Questions?