1. Transforming Community Services Commissioning Information for Community Services Stakeholder Workshop 14 October 2009 Coleen Milligan – Project Manager

2. Transforming Community Services Aim of the Presentation Welcome Provide an overview of the Transforming Community Services Programme Outline the Community Information project

3. They provide essential care to many, often vulnerable, people, families and communities along the full spectrum from health promotion to end of life care This is on a large scale - community services represent 10% of NHS spend and 250,000 staff They are essential for delivering major strategic change and efficiency improvements in other sectors e.g. hospital utilisation Transforming Community Services is important because…

4. The case for change Services do not have capacity and capability to meet the challenges facing health and care £10bn annual spend with largely unmeasured outcomes Lack of robust data, tariffs and currencies Large variation in quality, care pathways, productivity, costs and activity Infrastructure outdated - technology, buildings, workforce Confusing referral routes, lack of awareness of what’s available Variable focus, limited innovation Facing rising demands 57% of those over 85 are in contact with a district nurse 31% increase in people over the age of 85 in the next ten years 15 million people with chronic long term conditions and increasing Rising obesity rates amongst children storing up longer terms problems In a financially difficult climate, with hospital and social care systems also under pressure and growing consumer expectations! The case for change

5. The potential benefits of transformation are substantial Increased quality of life, health and well being for many Reduction in variations in quality and access More equal access Promotion of equality More efficient use of hospital and social care sectors Better productivity (potentially 10-20%) and value for money Potential for substantial benefits

6. Transforming Community Services – Phase 1 Reforming Systems Developing People Improving Services Transformational Guides in 6 areas Quality Framework Community Services Productive Community Services NHSII Publishing the evidence of what works 6 Transformational Attributes Workforce and organisational development Innovation and Leadership fund ‘Enabling new patterns of provision’ Approaches to Currency and Pricing National community services contract Community information models and datasets Improving commissioning

7. Transforming Community Services – Phase 2 Developing People Innovation Embedding TCS Guides Adoption of proven methodologies Leadership and ‘TCS Attributes’ Workforce and curriculum Provider development Improving Services Commissioning support and development Quality Framework and indicators Whole System Pathfinders Service user engagement Equality and diversity Reforming Systems Currency and Pricing National Contract Community information Investment/asset strategy Impact measurement PVP AHP offer data collection Quality Innovation Productivity Prevention Linked and ‘hosted’ programmes

8. Transforming Community Services Community Information Project Community Information Model Community Information Dataset AHP – Referral to Treatment Data Reporting Mobile Solutions

9. Transforming Community Services Community Information Model Developed with 35 PCT pilot sites Provides the foundation stone for the Community Information Project Assists providers and commissioners to develop their local plans to further improve community information collection and reporting So what is the model?

10. Transforming Community Services

12. Community Information Dataset A national dataset to support the efficiency of service planning, management and commissioning of community services. Therefore supporting Quality, Innovation, Productivity and Prevention gains to deliver consistently higher quality care in the community setting

13. Multi Agency Project Roles Community information dataset development- NHS Information Centre Infrastructure to ensure recording and reporting – NHS Connecting For Health Approval of developed dataset – Information Standards Board Approval of project controls – OGC Gateway team Transforming Community Services

14. AHP Referral to Treatment Data Reporting Developed to deliver the mandate of ‘Framing the contribution of allied Health Professionals (2008) - mandates the collection of RTT from 2010 Pilot sites being established to test the current definitions and processes used by some organisations 18 week RTT definitions Expert Reference panel Transforming Community Services

15. Mobile Solutions Significant evidence is available which demonstrates the benefits to be secured through the adoption of mobile solutions Some evidence of excellent local adoption but not widespread Further support required to accelerate learning and adoption of mobile solutions Transforming Community Services

16. Mobile Solutions Undertake a costs and benefits analysis of mobile technology in supporting community services to demonstrate the role of mobile solutions in delivering QIPP and Improving Working Lives Review evaluation of mobile solutions already deployed Produce State of Readiness Guidance Establish a number of adoption sites Support the wide scale adoption of mobile solutions Transforming Community Services

17. Community Information Project Supporting QIPP Quality Enhanced patient experienced due to the availability of the clinical record at the point of care. Having the clinical record available at the point of care reduces the necessity to repeat questions and makes test results, which are available, accessible. Innovation Monitor improvements in health outcomes and identify contributory factors by capturing accurate, comparable data Transforming Community Services

18. Community Information Project Supporting QIPP Productivity Allows measurement of clinical activity and benchmarking against other services / organisations Reducing travel time to and from bases to input clinical activity into desktop computer. Increase in the number of home visits per day due to the reduction in travel time to base Prevention Analysis of impact of lifestyle and other risk factors, e.g. smoking, on clinical outcomes in order to plan early intervention Transforming Community Services

19. Thank you Transforming Community Services