1. Supporting Whole System Delivery

2. Out of Hospital Standards Testing the principles Paul Maubach, Chief Accountable Officer Dudley Clinical Commissioning Group

3. Setting the scene We know that there is variation in the out of hospital service provision Out of hospital standards can be seen as an enabler to support the implementation of seven day services across the NHS to improve patient experience and outcomes Started in Dudley to standardise out of hospital community service provision Being an ‘Early Adopter’ site we wanted to test the principles with the wider system This is the ‘START’ of wider engagement and consultation across the health and social care system – ‘A truly bottom-up approach’

4. Developing Out of Hospital Standards to support patient care seven days a week 1.Patient experience 2.Timely access, assessment and review by General Practice settings for vulnerable people 3.Timely access, assessment and review by integrated community services for vulnerable people or with acute conditions 4.Timely access to mental health community services to avoid crisis 5.Proactive integrated case management of people with complex or on-going needs 6.Integrated electronic clinical systems for sharing information and effective communication 7.Diagnostics 8.Quality Improvement

5. Table Top Discussion Questions for discussion Do you agree in principle with the standard statement? (Scope, terminology, definition, are they measurable?) If no, please specify why What amendments/adaptations would you make? Are there any additional standards required? Getting started Discuss the content of the Individual standard on your table for 20 minutes Nominate someone to scribe and feedback

6. Feedback Do you agree with standard? If not, why? What amendments would you make? What other standards are required?

7. Next steps – issues for consideration What is the scope of out of hospital care Are the standards for a system or for an organisation, or commissioning? Should they be called Out of Hospital Standards or Community based care standards? What is it about community based care that we need standards for? Do we really know what good looks like – are the standards supporting good practice – what does good look like? What problem are we trying to fix with standards?

8. Thank you for your participation