Right Care in action
Cheryl McKay R.G.N, R.S.C.N, R.H.V, BSc,
MBA
Head of Programmes, Warrington CCG
1 NHS | Presentation to [XXXX Company] | [Type Date]
Transforming Urgent Care
The Right Care Way
Warrington CCG
Copyright 2011 Right Care
WHAT TO CHANGE
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Transforming Urgent Care
DOWN by 8%
EFFICIENCY SAVING M6- £750,000
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Redesigning Urgent Care
Services
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HOW TO CHANGE
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Our Vision 2013
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Our Approach to Levering the Change
Architectural Framework to Support System
Change
Engagement of users and carers in the
design of services
Devolve planning and implementation to
those key to delivery including users
Engagement and commitment of wider
primary care colleagues
Devolved leadership of programmes to
clinicians and system partners
Programme & change management
approach to support system transformation
Monitoring and Evaluation
Health improvement tools, including a
PDSA approach to improvement
OUR OUTCOMES
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Warrington Success
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Overall Reduction in Non-elective Care
DOWN by 8%
EFFICIENCY SAVING M6 - £750,000
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Reduction in Non-elective Care
0 LOS Unscheduled Care
Admissions (NOF 2.3i/ 2.3ii/ 3a)
DOWN by 8.9%
1 LOS Unscheduled Care
Admissions (NOF 2.3i/ 2.3ii/
3a)
DOWN by 12.8%
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Our Other Outcomes
• Patient satisfaction surveyspatients report having a positive
experience of care (NOF 4)
• Effective integrated working
• Speaking common language
• Mindset & behaviour change
• Emergent & innovative thinking
• One year in- all partners
committed to the emerging vision
• Bottom up emergent primary care
strategy, to create “the
Warrington Brand for Primary
Care”
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Warrington CCG
Cheryl McKay
Head of Programmes
Cheryl.mckay@warringtonccg.nhs.uk
Copyright 2011 Right Care
5 KEY INGREDIENTS
1. Clinical Leadership (of the reform agenda)
2. Indicative Data (on where variation exists –
focus here to improve)
3. Clinical Engagement (in individual reforms,
supported by project managers and teams)
4. Evidential Data (on what, why and how to
change)
5. Effective processes (BPE)
Delivers Reform
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Case Study 2 – West Cheshire CCG
Clinical Leadership
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What is NHS West Cheshire Clinical Commissioning Group 2013?
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Population under 5
Population over 85
Our Programmes:
6,100
Starting well
Prevention and early detection
Supporting self care
Developing primary care
Improving care pathways
Ageing well
End of life
Our
population
ONS Cluster
13,465
263,172
Prospering
small
towns
Total population
Total budget
GP practices
Our
membership
284
40
Running costs
£6m
36
£308m
£129m
Total number of GPs
55
Our clinical
leads
Employed
staff and
Governing
Body
members
52
GP
commissioning
leads
5
Clinical
pathway lead
GPs
Countess of Chester
NHS Foundation Trust
£227m
Spend per person
hospital and
community services
£43m
£55m
Governing Body
GPs
19
£1,213
Other providers
Cheshire and Wirral
Partnership NHS
Foundation Trust
Your money
Making sure you get the healthcare you need
Examples of where Right Care principles
have delivered in West Cheshire
Haematology
• Shift the monitoring of low grade conditions into
primary care
Pain management
• Enhance use of existing community service to
improve outcomes and reduce waiting time pressures
Urology
• Develop a community service to improve outcomes
and reduce variation
Key learning
1. Clinical commissioning isn’t just GPs
2. Maintaining progress, even in the face of
opposition.
3. Led by clinicians, informed by patients,
organised by managers
4. Find the win / win for everybody.
Right Care for Populations
The NHS Right Care website offers resources
to support CCGs in adopting this approach:
• online videos and ‘how to’ guides
• casebooks with learning from previous
pilots
• tried and tested process templates to
support taking the approach forward
• advice on how to produce “deep dive”
packs locally to support later phases,
within the CCG or working with local
intelligence services
• access to a practitioner network
Find the full series at:
www.rightcare.nhs.uk/resourcecentre
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