1. Cost Consequence Analysis Workshop Afternoon Session Applying it in practice

2. Questions What did we do? Has this change led to an improvement? Are the improvements worth the effort/money invested?

3. Applying it in practice Step One Map the expected impact of your change

4. Increase AZ support worker time Reduce CPN time providing post diagnostic support Increased number of people accessing AZ support Reduce time from referral to individual receiving post diagnostic support Depending on what we use reduced time for all sorts of potential impacts Increased number of people accessing assistive technology Increased number of people with anticipatory care plans Increased number of people receiving appropriate post diagnostic information Increased number of people where Talking Points is being used Increased referrals to locality link offices Better links to local communities Benefits of referring for diagnosis improved and more visible to GPs Individuals better supported in the community Experience improved satisfaction with service providers Increased number of referrals to OACMHTs for diagnosis Increase in number of people on Dementia QOF registers -ve Increased referrals of people with dementia to lunch clubs Increased waiting lists for lunch clubs -ve means has opposite impact to that in box arrow points to so in this case means decrease in no of referrals

5. Increase AZ support worker time Reduce CPN time providing post diagnostic support Increased number of people accessing AZ support Reduce time from referral to individual receiving post diagnostic support Depending on what we use reduced time for all sorts of potential impacts Increased number of people accessing assistive technology Increased number of people with anticipatory care plans Increased number of people receiving appropriate post diagnostic information Increased number of people where Talking Points is being used Increased referrals to locality link offices Better links to local communities Benefits of referring for diagnosis improved and more visible to GPs Individuals better supported in the community Improve satisfaction with post diagnostic support Increased number of referrals to OACMHTs for diagnosis Increase in number of people on Dementia QOF registers -ve Increased referrals of people with dementia to lunch clubs Increased waiting lists for lunch clubs -ve means has opposite impact to that in box arrow points to so in this case means decrease in no of referrals

6. As a minimum consider Health Social Care Services commissioned by Health and Social Care

7. Group Exercise Pick a change you have either committed to or are thinking about doing and have a go at producing an impact diagram for it. Feedback Any key issues/challenges encountered in undertaking this task Any additional support needed nationally

8. Applying it in practice Step Two Identify what impacts have measurable financial consequences attached

9. Increase AZ support worker time Reduce CPN time providing post diagnostic support Increased number of people accessing AZ support Reduce time from referral to individual receiving post diagnostic support Depending on what we use reduced time for all sorts of potential impacts Increased number of people accessing assistive technology Increased number of people with anticipatory care plans Increased number of people receiving appropriate post diagnostic information Increased number of people where Talking Points is being used Increased referrals to locality link offices Better links to local communities Benefits of referring for diagnosis improved and more visible to GPs Individuals better supported in the community Experience improved satisfaction with service providers Increased number of referrals to OACMHTs for diagnosis Increase in number of people on Dementia QOF registers -ve Increased referrals of people with dementia to lunch clubs Increased waiting lists for lunch clubs Green shading = Impact which can be costed.

10. Recurrent Costs

11. Group Exercise Identify the impacts which have measurable financial consequences Start to think about what information you need to collect to do the costings Feedback Any key issues/challenges encountered in undertaking this task Any additional support needed nationally

12. Applying it in practice Step Three Identify what impacts have non financial consequences

13. Increase AZ support worker time Reduce CPN time providing post diagnostic support Increased number of people accessing AZ support Reduce time from referral to individual receiving post diagnostic support Depending on what we use reduced time for all sorts of potential impacts Increased number of people accessing assistive technology Increased number of people with anticipatory care plans Increased number of people receiving appropriate post diagnostic information Increased number of people where Talking Points is being used Increased referrals to locality link offices Better links to local communities Benefits of referring for diagnosis improved and more visible to GPs Individuals better supported in the community Experience improved satisfaction with service providers Increased number of referrals to OACMHTs for diagnosis Increase in number of people on Dementia QOF registers -ve Increased referrals of people with dementia to lunch clubs Increased waiting lists for lunch clubs Purple shading = Impact which is non financial or difficult to cost

14. Non Financial Consequences

15. Remember Limitations of two points Proportionality Outcomes Sampling Qualitative as well as quantitative

16. Group Exercise Identify the impacts which have non - financial consequences Start to think about how you might measure these impacts Feedback Any key issues/challenges encountered in undertaking this task Any additional support needed nationally

17. Applying it in practice Step Four Identify your non-recurrent costs

18. Non-recurrent Costs

19. COST CALCULATOR

20. Group Exercise In your groups identify the individuals that will be involved with implementing the change and any other non-recurrent costs What systems do you need to put in place to collect the relevant data? Feedback Any key issues/challenges encountered in undertaking this task Any additional support needed nationally

21. Why Measure? So you know whether the change is an improvement? So you know whether the improvements were worth the effort/money invested?