1. Andrew Cratchley 28th January 2016
Vanguard Programme
Andrew Cratchley
28th January 2016
NHS organisations and providers across the North East

2. The NUECN Vision
To reduce unwarranted variation and improve the quality, safety and equity of urgent and emergency care provision by bringing together SRGs and stakeholders to radically transform the system at scale and pace which could not be delivered by a single SRG alone.

3. Key principles
The needs of the patient are above those of individual organisations
As a system we can provide a higher standard of care than as individual organisations
Patients and staff will be involved in the development and delivery of our programme
Costs will be reduced by co-ordinated care focused on improving health
We will work together to develop and meet our shared vision for urgent and emergency care
We will involve partners in social care

4. Main Working Groups
ICT – Dr Mark Dornan Need a common system across NE
Vanguard Leadership – Dr Stewart Findlay (South) Mark Adams (North)
Clinical reference Group – Chairs Mr. Bas Sen, Dr Mathew Beattie
New Payment Models – Peter Dawson, Graeme Niven
Clinical Hub – Mr Bas Sen
111 Access to Primary Care – Steve Summers
Self care -
Pharmacy schemes – led by meds optimisation
Communications and Engagement - NECS
CCGs and FTs need to lead.

5. 2015/16 Network awarded £1.543m for remainder of 2015/16
For 15/16 we all agreed what we would deliver as part of our original Vanguard Bid

6. Programme of Work 2015/16 Funding Allocated Delivered by
SCR/ 111 Access / Data Sharing
£900k
Locally
Clinical Hub
£200k
Regionally
Mental Health
£50k
Self Care <5 App
Self Care - COPD
Regional Roll out of local scheme
Flight Deck
Regionally (NEAS and Acute)
CRG – Standardisation
DOS
Regionally (NECS)
Marketing and Communications
£70k
Regionally (NECS led)

7. 2016/17 Draft Value Proposition submitted on 8th January
Final Value Proposition due 8th February
Current VP bid c £20m
SRGs asked to complete analysis against route map
Identify where they are allocating funding

8. Draft Five Year Investment Plan
Planned Investment
2016/17
2017/18
2018/19
2019/20
2020/21
System Leadership
£1,550,000
£1,600,000
ICT
£728,707
£236,421
£237,523
Integrated Urgent Care
£3,705,000
£1,930,000
£1,680,000
Primary and Community care
£7,477,953
£9,034,776
£8,343,459
£7,941,502
£7,881,502
Mental Health
£5,697,000
£5,647,000
Total
£19,158,660
£18,448,197
£17,507,982
£17,106,025
£17,046,025

9. The Vanguard and Digital Care

10. The ICT work stream Two functions As an enabler
As a delivery stream in it’s own right

11. ICT Team Dr Mark Dornan – Work Stream Lead
Jane Powell – Work Stream Lead
Diane Nielsen - Project Manager
Janine Howorth - Project Manager
Jude Cowey – Project Support

12. Vanguard 15/16 ICT Schemes System Leadership:
Development of an ICT Leadership Forum
Scoping to define the vision & priorities
Information Sharing between services:
Summary Care Record Additional Information / MIG
Evaluation and stock take of current work
GP Booking:
Increase number of practices opening up appointment slots to NHS 111
Regional Information Governance Framework:
Propose a region wide governance structure
Telehealth:
Florence pathways initiated
Engagement to recruit more GP practices

13. Vanguard ICT 16/17 Schemes System Leadership/Information Governance:
Continued from 15/16
Connectivity:
Wi-Fi and network interoperability across organisations
Open Data & Live performance Information:
Sharing and acting on live performance data (Flight Desk/Strata)
Open data – following the patient journey
Enhanced Information:
Mapping and scoping
Anticipatory care planning – plan follows the patient & is available & up to date
Access to basic information at point of care - Special Patient Notes/ SCR AI

15. Vanguard ICT 16/17 Schemes System Leadership/Information Governance:
Continued from 15/16
Connectivity:
Wi-Fi and network interoperability across organisations
Open Data & Live performance Information:
Sharing and acting on live performance data (Flight Desk/Strata)
Open data – following the patient journey
Enhanced Information:
Mapping and scoping
Anticipatory care planning – plan follows the patient & is available & up to date
Access to basic information at point of care - Special Patient Notes/ SCR AI

16. “Matched funding”
The national team are looking for evidence of matched funding
Examples include
Payment Reform
Clinical Hub
Project Development
Reconfiguration
Workforce changes and training
Network Resource

17. Deliverables Tangible deliverables by 31/03/2016
Increase in direct GP booking from 111
Progress on information sharing
Leadership
IG framework
Plan for the future