1. Paper Switch-off Programme Initial engagement
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Date

2. Contents Target Implications Benefits Paper Switch-Off Programme1.
Target 2.
Implications 3.
Benefits 4.
Paper Switch-Off Programme 5.
Provider Statistics 6.
The Ask 7.
Dedicated Project Support 8.
Next Steps

3. (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.

4. 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.

5. 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:

6. 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

7. 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

8. 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

9. 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

10. 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

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

12. 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

13. 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

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

15. Any questions?

16. System Development Roadmap