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The Journey -

NHS Somerset holds contracts with 74 Primary Care Dental Practices, with an annual contract value of £27 million. Through an annual contract review process the Primary Care Team developed key performance indicators that allowed activity to be analysed down to individual performer/patient level.  Comparisons were made by Clinician and Practice across the county and best practice encouraged in terms of patient recall intervals and dealing with repeat attending patients.  

Outcomes

Patients with high needs are now being managed more effectively (fewer claims per patient) and recall intervals have improved to exceed national average indicators.  Annual Saving: £700,000 recurring  

Annual value of savings made

Year: 2008 and ongoing         Amount: £700,000       Recurrent  

Patient setting

In-patient Out-patient Community base  X
Mental health Chronic illness Cross-systems

 

 Clinical area

Staying healthy  X Maternity/Newborn Children and young people Acute care
Planned care Mental health Long-term conditions End of life
   

Information, tools and techniques used 

N/A  

Geography

County wide Somerset  

Timescale

2008 and ongoing  

Contact details and further information

Richard Wood -Associate Director for Primary Care Development 01935 384122 Richard.Wood@somerset.nhs.uk [post_title] => Primary Care Dentistry – Contract Monitoring QIPP [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => primary-care-dentistry-contract-monitoring-qipp [to_ping] => [pinged] => [post_modified] => 2015-03-24 13:27:31 [post_modified_gmt] => 2015-03-24 13:27:31 [post_content_filtered] => [post_parent] => 0 [guid] => https://www.tvhkt.org.uk/?post_type=improvement-science&p=3709 [menu_order] => 0 [post_type] => improvement-science [post_mime_type] => [comment_count] => 0 [filter] => raw ) [1] => WP_Post Object ( [ID] => 3408 [post_author] => 8 [post_date] => 2013-01-16 15:15:37 [post_date_gmt] => 2013-01-16 15:15:37 [post_content] =>

The journey -

The Small Business Research Initiative is an innovation challenge to industry. The object of this particular SBRI was to develop technology solutions to help reduce secondary care admissions and deliver new services and products to the NHS. The solution featured here is Message Dynamics’ ‘COPD Monitor’ which uses interactive voice technology to monitor patients’ wellbeing.  It is designed to improve patients’ quality of life, improve disease management, reduce admissions and reduce costs.  

Outcomes

The COPD monitor calls patients twice a week to record their state of health. Between September 2011 and February 2012, almost 1,500 calls were completed (a response rate of 91 per cent). Of these, 13 per cent generated an alert which starts an automatic escalation process. An initial follow up call by the unit’s nurses resolved 80 per cent of issues and the remaining 20 per cent required home visits. These home visits prevented nearly forty emergency admissions (representing a saving of at least £80,000). The investment in this project by the SHA has been £48,775. However, excluding the development cost the cost of the service to deliver this service is £375 – ie 25p per call. The return on investment ratio of this pilot is in excess of 200:1. An unanticipated benefit is that patients like talking to a computer; they do not feel they are wasting people’s time and patients report feeling less isolated. Clinicians are also noting that patients are becoming better equipped to understand and manage their own conditions.  

Patient setting

In-patient   X Out-patient   X Community based   X
Mental health Chronic illness   X Cross-systems   X
 

Clinical area

Staying healthy   X Maternity and newborn Children and young people Acute care   X
Planned care Mental health Long-term conditions    X End of life
 

Information, tools and techniques used

SBRIs start with a ‘problem space’ which can be defined quite closely to respond to a specific issue.  Prince project management underpins the thinking of the programme management team and helps provide a balance between process structure and outcome focus.  

Geography

The programme covers the South Central SHA area.  

Timescale

SBRI was launched in July 2010 and companies were given six weeks to bid. Sixty-nine companies from the UK and overseas responded in September 2010 and in November, Message Dynamics was one of four companies that received funding to take their proposal to a ‘proof of concept’ (POC) by February 2011. The product was adopted in September 2011 and is now offered to all patients referred to the specialist COPD service at Heatherwood and Wexham Park Hospital.  

Contact details and further information

Duncan Goodes, Head of Innovation Promotion: Duncan.Goodes@nesc.nhs.uk [post_title] => Small Business Research Initiative [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => small-business-research-initiative [to_ping] => [pinged] => [post_modified] => 2013-01-16 15:15:37 [post_modified_gmt] => 2013-01-16 15:15:37 [post_content_filtered] => [post_parent] => 0 [guid] => http://clients.electricstudio.co.uk/tvhiec/wpcms/?post_type=improvement-science&p=3408 [menu_order] => 0 [post_type] => improvement-science [post_mime_type] => [comment_count] => 0 [filter] => raw ) [2] => WP_Post Object ( [ID] => 3406 [post_author] => 8 [post_date] => 2013-01-16 15:07:06 [post_date_gmt] => 2013-01-16 15:07:06 [post_content] =>

The journey -

The vision of POPP is to build supportive communities to enable older people to remain living in their own homes for as long as they wish by developing responsive, appropriate services and activities at a localised level. Dorset POPP is primarily a partnership between Dorset County Council, NHS Dorset, the Third Sector and older people. However the programme has developed a robust working partnership that extends beyond this and includes a range of other service providers; including Dorset Fire and Rescue, Dorset Police, Libraries, Community Matrons, Community Pharmacies and others. The programme aims to ensure that less is spent on acute care and more emphasis is given to prevention and services designed to keep older people healthy and independent. By co-designing services with communities of older people, solutions are tailored to local needs and delivered by local people, encouraging people to take more responsibility for their own health and well-being, reducing the requirement for acute services.  

Outcomes

All programmes are now monitored against eight desired outcomes and the team has built up a huge body of evidence to illustrate the benefits of POPP. This approach has allowed the programme to demonstrate its impact much more effectively and to garner support for its work; it has received numerous awards for its work. On average, POPP provides services, activities or information to 63,000 people annually. It sees its central achievements as the engagement and empowerment of older people and the rebalancing of services from disease to health.  

Patient setting

In-patient Out-patient Community based   X
Mental health Chronic illness Cross-systems   X
 

Clinical area

Staying healthy  X Maternity and newborn Children and young people Acute care
Planned care Mental health Long-term conditions   X End of life
 

Information, tools and techniques used

No specific change tools were used during the project.  Instead, there was a pragmatic approach to delivery within the confines of the vision.  

Geography

The programme extended across Dorset.  

Timescale

The main implementation phase of the programme was from 2006-2008.  From 2008 to date it has continued to provide and develop its services.  

Contact details and further information

Sue Warr, Strategic Commissioning Manager and Programme Manager for, Dorset POPP email:-  sue.warr@dorsetcc.gov.uk

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The journey -

The aim of this programme was to implement an integrated plan for the care of the frail and elderly with the aim of reducing hospital admissions.  Many older people were finding it difficult to access the right services, so part of the aim was to simplify and co-ordinate care for this group of patients. The first steps were informal conversations among interested parties.  This led to the formation of a local strategic partnership spanning health and social care specialists.  The programme looked at all areas relevant to patients aged over 65, learning disabled and other vulnerable people.  These included dementia, end-of-life care, balance classes to reduce falls and ‘living well at home.’  

Outcomes

The programme is still ongoing, but there is some evidence of fewer hospital admissions in this age group.  Another benefit has been improved relationships between strategic partners and considerable learning in areas such as aligning finances, outcome measurements, assessment processes and the politics of organisational relationships.  

Patient setting

In-patient Out-patient Community based   X
Mental health   X Chronic illness   X Cross-systems   X
 

Clinical area

Staying healthy   X Maternity and newborn Children and young people Acute care
Planned care Mental health    X Long-term conditions    X End of life   X
 

Information, tools and techniques used

The programme started with informal networking among interested parties and progressed to a more formal local strategic partnership.  Specific change management tools were not used.  

Geography

Crawley area including Crawley Borough Council; Crawley CCG; West Sussex County Council; Sussex Partnership Foundation Trust and voluntary groups.  

Timescale

The programme is still ongoing.  

Contact details and further information

Dr Amit Bhargava, GP Principal, Southgate Medical Group, Crawley: amit.bhargava@btopenworld.com [post_title] => Integrated care of the frail and elderly [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => integrated-care-of-the-frail-and-elderly [to_ping] => [pinged] => [post_modified] => 2013-01-16 14:37:39 [post_modified_gmt] => 2013-01-16 14:37:39 [post_content_filtered] => [post_parent] => 0 [guid] => http://clients.electricstudio.co.uk/tvhiec/wpcms/?post_type=improvement-science&p=3393 [menu_order] => 0 [post_type] => improvement-science [post_mime_type] => [comment_count] => 0 [filter] => raw ) [4] => WP_Post Object ( [ID] => 3326 [post_author] => 8 [post_date] => 2012-12-28 13:55:52 [post_date_gmt] => 2012-12-28 13:55:52 [post_content] =>

The journey -

The Wessex Deanery appraisal and revalidation service programme’s purpose was to set up and run a comprehensive medical appraisal service; appraisals were previously carried out by the PCT.  The aim was to deliver consistent and effective medical appraisals and support to doctors and, by doing this, to drive quality improvements in patient care.  Doctors were given an annual opportunity to have protected time with an expert colleague to review and reflect on their performance and practice. The deanery’s appraisal and revalidation service has aimed to create a culture change in the perception of appraisal and revalidation based on the belief that doctors will get more out of the process if they put more in and have better trained and supported appraisers.  

Outcomes

The deanery now delivers about 2,000 medical appraisals per year through about 200 medical appraisers, delivering consistent and valuable appraisals across different healthcare models. It runs appraiser training and support that was described as “exemplary” by an external quality assurance report. Also, by collating and sharing the educational needs highlighted by appraisals, the deanery has created a sharper focus for educational provision. It has also trained appraisers in mentoring skills and created a separate cohort of trained mentors for support and remediation work. The change has also brought closer alignment of medical educators with doctors and has reduced cynicism about the appraisal system and its value.  

Patient setting

In-patient   X Out-patient   X Community based   X
Mental health   X Chronic illness   X Cross-systems   X
 

Clinical area

Staying healthy  X Maternity and newborn  X Children and young people   X Acute care   X
Planned care  X Mental health   X Long-term conditions   X End of life  X
 

Information, tools and techniques used

No information available.  

Geography

The geographic area is principally the Wessex Area plus the Channel Islands with national networks across the UK.  

Timescale

Following three years as a pilot the project was mainstreamed into the Wessex Deanery GP school in April 2010.  

Contact details and further information

Dr Susi Caesar, Service Lead: susi.caesar@wessexdeanery.nhs.uk
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The Journey -

NHS Somerset holds contracts with 74 Primary Care Dental Practices, with an annual contract value of £27 million. Through an annual contract review process the Primary Care Team developed key performance indicators that allowed activity to be analysed down to individual performer/patient level.  Comparisons were made by Clinician and Practice across the county and best practice encouraged in terms of patient recall intervals and dealing with repeat attending patients.  

Outcomes

Patients with high needs are now being managed more effectively (fewer claims per patient) and recall intervals have improved to exceed national average indicators.  Annual Saving: £700,000 recurring  

Annual value of savings made

Year: 2008 and ongoing         Amount: £700,000       Recurrent  

Patient setting

In-patient Out-patient Community base  X
Mental health Chronic illness Cross-systems

 

 Clinical area

Staying healthy  X Maternity/Newborn Children and young people Acute care
Planned care Mental health Long-term conditions End of life
   

Information, tools and techniques used 

N/A  

Geography

County wide Somerset  

Timescale

2008 and ongoing  

Contact details and further information

Richard Wood -Associate Director for Primary Care Development 01935 384122 Richard.Wood@somerset.nhs.uk [post_title] => Primary Care Dentistry – Contract Monitoring QIPP [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => primary-care-dentistry-contract-monitoring-qipp [to_ping] => [pinged] => [post_modified] => 2015-03-24 13:27:31 [post_modified_gmt] => 2015-03-24 13:27:31 [post_content_filtered] => [post_parent] => 0 [guid] => https://www.tvhkt.org.uk/?post_type=improvement-science&p=3709 [menu_order] => 0 [post_type] => improvement-science [post_mime_type] => [comment_count] => 0 [filter] => raw ) [comment_count] => 0 [current_comment] => -1 [found_posts] => 9 [max_num_pages] => 2 [max_num_comment_pages] => 0 [is_single] => [is_preview] => [is_page] => [is_archive] => 1 [is_date] => [is_year] => [is_month] => [is_day] => [is_time] => [is_author] => [is_category] => [is_tag] => [is_tax] => 1 [is_search] => [is_feed] => [is_comment_feed] => [is_trackback] => [is_home] => [is_privacy_policy] => [is_404] => [is_embed] => [is_paged] => [is_admin] => [is_attachment] => [is_singular] => [is_robots] => [is_favicon] => [is_posts_page] => [is_post_type_archive] => [query_vars_hash:WP_Query:private] => d2e5267479943d4d1143774e8fa4d7bf [query_vars_changed:WP_Query:private] => [thumbnails_cached] => [stopwords:WP_Query:private] => [compat_fields:WP_Query:private] => Array ( [0] => query_vars_hash [1] => query_vars_changed ) [compat_methods:WP_Query:private] => Array ( [0] => init_query_flags [1] => parse_tax_query ) ) [1] => derp )

Category: Staying healthy

Primary Care Dentistry – Contract Monitoring QIPP

The Journey – NHS Somerset holds contracts with 74 Primary Care Dental Practices, with an annual contract value of £27 million. Through an annual contract review process the Primary Care Team developed key performance indicators that allowed activity to be analysed down to individual performer/patient level.  Comparisons were made by Clinician and Practice across the […]

Posted on Mar 27th Cat: , , Comments: Comments are off for this post

Small Business Research Initiative

The journey – The Small Business Research Initiative is an innovation challenge to industry. The object of this particular SBRI was to develop technology solutions to help reduce secondary care admissions and deliver new services and products to the NHS. The solution featured here is Message Dynamics’ ‘COPD Monitor’ which uses interactive voice technology to […]

Posted on Jan 16th Cat: , , , , , , , , Tags: Comments: Comments are off for this post

Partnership for Older People Programme (POPP)

The journey – The vision of POPP is to build supportive communities to enable older people to remain living in their own homes for as long as they wish by developing responsive, appropriate services and activities at a localised level. Dorset POPP is primarily a partnership between Dorset County Council, NHS Dorset, the Third Sector […]

Posted on Jan 16th Cat: , , , , Comments: Comments are off for this post

Integrated care of the frail and elderly

The journey – The aim of this programme was to implement an integrated plan for the care of the frail and elderly with the aim of reducing hospital admissions.  Many older people were finding it difficult to access the right services, so part of the aim was to simplify and co-ordinate care for this group […]

Posted on Jan 16th Cat: , , , , , , , , Tags: Comments: Comments are off for this post

Wessex Deanery Appraisal and Revalidation Service

The journey – The Wessex Deanery appraisal and revalidation service programme’s purpose was to set up and run a comprehensive medical appraisal service; appraisals were previously carried out by the PCT.  The aim was to deliver consistent and effective medical appraisals and support to doctors and, by doing this, to drive quality improvements in patient […]

Posted on Dec 28th Cat: , , , , , , , , , , , , , , , , , Tags: Comments: Comments are off for this post