1. Transforming
systems
Transforming
systems

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

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

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

5. SHREWD Operations
Response
Audit
Operational Data

6. 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

7. 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

8. Whole System view in SHREWD

9. Detailed Layers within SHREWD

10. Detailed views specific to all System Providers

11. BRAG thresholds and graphs in SHREWD

12. 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 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

13. 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

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

15. Whole system action

16. Escalation - Under Utilised Beds

17. Escalation Action

18. 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”

19. Addressing delays
SAFER – reducing the number of Red Days

20. Monitoring Red and Green days in SHREWD

21. Reduction in Red Days for Patients

22. Reducing administration
NHS National/Regional Reporting

23. 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

24. One click – SHREWD whole health system view

25. 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”.

26. Empowering citizens
WaitLess

27. 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

28. An APP for Minor Emergencies
Pharmacies
Dentists

29. WaitLess for 111 Call Handlers

30. Patient Stories - WaitLess

31. Questions? George Boyd Head of Sales Transforming Systems
Tel: +44 (0)
Questions?

32. 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”

33. 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”

34. 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.”