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Supporting Whole System Delivery. Out of Hospital Standards Testing the principles. Paul Maubach , Chief Accountable Officer Dudley Clinical Commissioning Group . Setting the scene. We know that there is variation in the out of hospital service provision

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Out of Hospital StandardsTesting the principles

Paul Maubach,

Chief Accountable Officer Dudley Clinical Commissioning Group


Setting the scene
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’


Developing out of hospital standards to support patient care seven days a week
Developing Out of Hospital Standards to support patient care seven days a week

  • Patient experience

  • Timely access, assessment and review by General Practice settings for vulnerable people

  • Timely access, assessment and review by integrated community services for vulnerable people or with acute conditions

  • Timely access to mental health community services to avoid crisis

  • Proactive integrated case management of people with complex or on-going needs

  • Integrated electronic clinical systems for sharing information and effective communication

  • Diagnostics

  • Quality Improvement


Table top discussion
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


Feedback
Feedback

  • Do you agree with standard? If not, why?

  • What amendments would you make?

  • What other standards are required?


Next steps issues for consideration
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?


Thank you for your participation


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