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Developing a city ‘blueprint’ Alastair Cartwright Director of Informatics Leeds Clinical Commissioning Groups. To maximise the value and delivery of public services in a city there’s a lot of ‘joining up’ to do….

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slide1

Developing a city ‘blueprint’ Alastair CartwrightDirector of InformaticsLeeds Clinical Commissioning Groups

to maximise the value and delivery of public services in a city there s a lot of joining up to do

To maximise the value and delivery of public services in a city there’s a lot of ‘joining up’ to do…..

slide3

Some strategic ‘joining’ between health and social care…..- Health and Well Being Board- Joint Health and Well Being strategy- Joint Strategic Needs Assessment- Better Care Fundetc.

slide4

Complexity

In practical terms, joining up…..-Teams-Departments-Functions-Organisation-Services-Sectors-Organisations-Cities

slide6

To account for all of this, need to make the shared case for change and begin to speak a common language

leeds informatics within the governance for health and social care transformation

Health and Wellbeing Board

via

Health and Social Care Transformation Board

Commercial and Academic links

Leeds Informatics within the governance for Health and Social Care transformation

Leeds Informatics Board

Local Authority

CTO

Chair – Dr J Broch

CCG North, Chair

City-wide Leadership

Office

Primary Care

Senior GP/s

LTHT

Executive

ASC

Senior Officer

Children’s

Senior Officer

CCG

Senior Officers

City-wide Clinical leader

LYPFT

Executive

LCH

Executive

Informatics Director

Programme Manager

  • Partners:
  • CCGs x 3
  • Leeds Teaching Hospitals
  • Leeds Community Healthcare
  • Adult Social Care
  • Leeds City Council
  • Leeds and York Partnership FT
  • Primary Care

City-wide Programme Management Group

Variable resources inc.

Project Management, expert advisors/specialists, admin, Finance

LCC IT

Senior Reps from Local departments

Local Informatics departments and resources

plan on a page building blocks to achieve the leeds informatics vision

Monitoring/ commissioning system

Improved Contract Mgt

Improved needs assessment

Needs assessment

Improved health intelligence

Data

Warehouse

Event linkage

Costing analysis

Risk Stratification

Contract and additional data flows

Knowledge Management

Data Protection/Caldicott/Sharing

‘Plan on a Page’ - Building blocks to achieve the Leeds informatics ‘Vision’

Pathway Management/Visibility/Clinical Decision Support

Telecare and Telehealth

Patient/client

access to records

Between organisations

Leeds Care Record

e-messaging

Order Communications

Risk Stratification

Summary Care Record (SCR)

Programme/Project Management Business Analysis and process re-design

IT Infrastructure linkages inc. LCC city-wide facilities e.g. ‘superfast cities’

Interoperability standards

Research

Paper-light processing inc. Digitised/e-records

NHS Number

Wireless technology

Integration Engine

Mobile working

IG Toolkit

Provider organisations

LTHT

Full range

of

integrated

clinical

systems

Social Care

Full range

of

strategic

systems

Independent

and

3rd

sector

systems

YAS

LYPFT

Full range

of

integrated

clinical

systems

LCH

Full range

of

integrated

clinical

systems

Primary Care

Hosted

nationally

compliant

systems

plan on a page building blocks to achieve the leeds informatics vision1

Monitoring/ commissioning system

Improved Contract Mgt

Improved needs assessment

Needs assessment

Improved health intelligence

Data

Warehouse

Event linkage

Costing analysis

Risk Stratification

Contract and additional data flows

Knowledge Management

Data Protection/Caldicott/Sharing

‘Plan on a Page’ - Building blocks to achieve the Leeds informatics ‘Vision’

Pathway Management/Visibility/Clinical Decision Support

Telecare and Telehealth

Patient/client

access to records

Between organisations

Leeds Care Record

e-messaging

Order Communications

Risk Stratification

Summary Care Record (SCR)

Programme/Project Management Business Analysis and process re-design

IT Infrastructure linkages inc. LCC city-wide facilities e.g. ‘superfast cities’

Interoperability standards

Research

Paper-light processing inc. Digitised/e-records

NHS Number

Wireless technology

Integration Engine

Mobile working

IG Toolkit

Provider organisations

LTHT

Full range

of

integrated

clinical

systems

Social Care

Full range

of

strategic

systems

Independent

and

3rd

sector

systems

YAS

LYPFT

Full range

of

integrated

clinical

systems

LCH

Full range

of

integrated

clinical

systems

Primary Care

Hosted

nationally

compliant

systems

allowed informatics to be a key part of joined up transformation circa 2014

Allowed Informatics to be a key part of joined up ‘transformation’ ………(circa 2014)

slide17

TRANSFORMATION PROGRAMMES

HWB

ENABLING GROUPS

West Yorkshire Workstreams

ICE

Children’s

Urgent Care

Finance Task Group (DOFs)

Julian Hartley

Leeds Health and Social Care

Transformation ‘Portfolio’ Board

Cancer

Stroke

Informatics Board

Jason Broch

Strategy Group

PMO

Workforce

Phil Corrigan/Bryan Machin

Elective Care

Simon Stockill/ Susan Robins

Adult Integrated Care and Prevention

Andy Harris

Ian Cameron

Goods & support services

Chris Butler

Growing up in Leeds

Nigel Richardson/ Matt Ward

Urgent Care

Nigel Gray/Jason Broch

Effective admission & discharge

Phil Corrigan/ Sandie Keene

Quality Improvement with Leeds University

Gordon Sinclair

Estates Group

Chris Butler

Operational group

In-patients

Identification and risk stratification

Emergency admission avoidance

Best Start

Estates

Communications and Engagement Group

Rob Kenyon/Phil Corrigan/

Primary prevention

Population management

Family support

Improving hospital discharge

Outpatients including diagnostics

Supplies

Emotional and mental health

System development

Pathway development

Cancer

Community beds service

Primary CareGordon Sinclair

Complex needs

Integrated system change

Pioneer

Rob Kenyon

Best transition into adulthood

Self-management

BCF

Matt Ward/Dennis Holmes

Prevent entry into Care

slide19

Simplification and

refinement:

3 TIERS of delivery:

‘primary’ use’ of data

‘secondary use’ of data

Time

Tier 1

Tier 2

Tier 3

strategic requirements for transformational change

6 features of a transformational Informatics platform:

Strategic requirements for transformational change.……..

  • Centred around patients or individuals
  • Common data definitions
  • Covers all types of care
  • Relevant parts of the clinical record can be accessed by all parties involved in care
  • Templates and expert systems to support appropriate and consistent quality of care
  • Information collected and extracted to support holistic analysis and intelligence
slide22

Complexity

In practical terms, joining up…..-Teams-Departments-Functions-Organisation-Services-Sectors-Organisations-Cities

slide25

‘Blueprints’ 2 and 3 have enabled:- Case to establish a city Intelligence Hub- Case to progress citizen-driven health agenda- Strengthened the city PSN case- Recognition that more is required than ‘simply’ integration- Formed part of our ‘Tech Fund 2’ bid [LCC led]- Forms our dialogue with other Pioneer cities- Dialogue around Better Care Fund- Basis for a more formal exploration on end-user compute opportunities

slide26

Recommend the use of shared (and evolving) models/blueprints to form the basis for:- Common language (internal and external)- Common goals- Engagement across sectors- Development of business cases- Programme of delivery- Governance framework