Local introduction Jenny Wood, Warwickshire County Council Socitm Introduction Martin Ferguson, Socitm Video 1 – Statement of Purpose Roundtable session 1: The ‘future state’ – a view on social care Andrew Fenton, Department of Health Roundtable session 2: Infrastructure - systems architectural framework Julie Oxley, Leeds City Council Roundtable session 3: Financial and care record matters Richard Pantlin, ADASS IMG
Reflections on the sessions so far – open discussion. Roundtable session 4: Planning the practical steps - what we need to do Video 2 Restatement of the purpose of the workshop Roundtable session 5: Engaging citizens - the service user perspective Ian Swanson, ADASS-IMG & Julie Oxley, Leeds City Council Roundtable session 6: IG toolkit Roundtable session 7: Planning the practical steps - what we need to do Concluding comments Jenny Wood, Warwickshire County Council & Martin Ferguson, Socitm
increased confidence na6onally and regionally that councils will be able to deliver the Care Act reforms from April 2015. • Concerns about costs have increased na6onally • Responses indicate a need for support around costs, informa6on & advice, IT, market shaping and workforce • Other pressures on councils (e.g. funding shorKalls, BeMer Care Fund/Integra6on) compounded with uncertainty on key guidance and informa6on has delayed or otherwise impacted upon prepara6ons in a number of areas
that financial and IT systems will be adequate to manage the statutory du6es from 2015 has improved and is strongest in London and the East of England In the West Midlands twelve councils are ‘fairly confident’ and two are ‘not very confident’ Over 80% will engage with IT suppliers before Jan 2015 Twelve out of 14 will have engaged suppliers by November 2014 20% of areas are poten6ally behind with key changes to IT systems. In par6cular 55% an6cipate having systems in place to cope with increased demand for carers between January and April 2015, with 30% before January and 15% a\er April. Most councils are planning for systems to be live by April 2015. Four councils will have systems in place to handle the an6cipated volume of Deferred Payment Agreements by January 2015 and 2 will have a live system to cope with the an6cipated increase in carers assessments and support planning by the same date. One council will not have a live system to support carers assessment volumes by the April 2015 deadline. 7% of councils either don’t know or will be rescheduling resources for changes a\er April 2015. Two councils (14.3%) don’t know when they will be rescheduling resources. 20% of councils are iden6fied as poten6ally needing support Four out of 14 councils poten6ally need support in this area. This is nearly 30%.
Programme Milestones Oct Nov Dec Jan Feb March April Regs & Guidance published for Apr 15 reforms Consulta6on on 16/17 Regs & Guidance Public Awareness Campaign Phase 1 Care Act Stocktake April 2015 reforms in place Informa+cs Implementa+on Tasks Oct Nov Dec Jan Feb March April Suppliers engaged re 15/16 changes So\ware upgrades released Install, test, configure Go live for 15/16 reforms Scope changes for case management systems for 16/17 Suppliers engaged re 16/17 reforms
Local introduction Jenny Wood, Warwickshire County Council Socitm Introduction Martin Ferguson, Socitm Video 1 – Statement of Purpose Roundtable session 1: The ‘future state’ – a view on social care Andrew Fenton, Department of Health Roundtable session 2: Infrastructure - systems architectural framework Julie Oxley, Leeds City Council Roundtable session 3: Financial and care record matters Richard Pantlin, ADASS IMG
Local introduction Jenny Wood, Warwickshire County Council Socitm Introduction Martin Ferguson, Socitm Video 1 – Statement of Purpose Roundtable session 1: The ‘future state’ – a view on social care Andrew Fenton, Department of Health Roundtable session 2: Infrastructure - systems architectural framework Julie Oxley, Leeds City Council Roundtable session 3: Financial and care record matters Richard Pantlin, ADASS IMG
delivery of the core social care na6onal programmes and influencing broader na6onal policy where appropriate 2. Working in partnership with other na6onal and local agencies to develop the underpinning work that will enable future change and progress across the whole system 3. Suppor6ng complimentary ini6a6ves in which DH Social Care has strong interest but does not have the direct levers
development Achieving broader strategic objec+ves Current state Target future state Capability & leadership Our na6onal work programme focused on two broad areas -‐ 1) Delivery of core programmes Informa+on Governance Transparency & Compara+ve Data Integra+on & interoperability -‐ Pioneers Care Act implementa+on Delivery of core priority programmes Integra+on & interoperability -‐ Standards Integra+on & interoperability – IDCR & Tech Fund Infrastructure and systems 2) How we can start to develop a wider consensus around investment and change in this area? DH priori6es for 2014/15
the transparency agenda, integration across service domains, enabling citizen participation Transparency Transactional services Participation and self care Interoperability and trust Community and locality-led health and wellbeing
community Across service domains – NHS, local government, social care, public health, voluntary sector • Identity management • Information standards – data and formats/ protocols • Common terminology and definitions • Open architecture and APIs • Customer focus • Communications infrastructure and culture • Creating benefits case for investment
explicitly link the key elements and ac6ons to how they will contribute to the delivery of Health and Wellbeing outcomes: • People will live longer and have healthier lives • People will live full, ac6ve and independent lives • People will enjoy the best possible quality of life • People are involved in decisions made about them • People will live in healthy and sustainable communi6es DH – Leading the nation’s health and care
Information Standards Client Level data Quick wins Acute – Social Care Admissions & Discharge Con6nuing Care GP – Social Care Referrals Secure email Iden6ty Management (NHS Number) Infrastructure PSN/ N3 Classifica6on/ Terminology Metadata Digital Maturity Model NIB Strategy: Delivering locally Capability & leadership
more detail and at a local level: • What is the target state for information and IT enablement and what are the steps along the way that we must prioritise – what would success look like for citizens and how must we change to deliver? • For each organisation; where we are now and what must we do first, second . . . and so on • To develop a social care/local government digital maturity model that embraces variation and innovation
automated business processes 2. User portals transacting online 3. Digitally enabled assessments, reviews and transactions 4. On-line access to health and social care record 5. Joined up health and care ecosystem, including independent sector 6. User in charge of their data 7. Wider use of bespoke apps to encourage self-care 26
Fully Digital Par6al Integra6on (within the organisa6on) Full Integra6on (across all care sekngs) Health and Social Care Informa+on sharing: Secure email, encryp+on, structured messaging Informa+on for Ci+zens made accessible in a format they prefer: paper, email, smartphone, portal etc. Digital maturity model Informa+on Standards, Tool Kits, Guidance Integrated service models – locality based Measured improvements in ci+zen experience
data would be valuable, why and for whom? • How and what needs to be done to collect / extract information with less burden? • What are the key barriers / challenges / blockages for interoperability at a detailed level – can we expose the priority issues / challenges that might be resolved by national standards and national support initiatives?
were in favor of developing a Digital Maturity Model” Q. How ready is your local heath and care stakeholder environment to begin developing and implementing a collaborative plan? a) Not ready at all b) We've begun the process but have barriers to overcome c) We are well on the way and have effective partnerships
threats of a social care informatics maturity index and road map? • Strengths: https://viz.polleverywhere.com/free_text_polls/Ore9ElTheulAwmp • Weaknesses: https://viz.polleverywhere.com/free_text_polls/c92WDFrzxHjZdal • Opportunities: https://viz.polleverywhere.com/free_text_polls/CRVivtWF0HrjHOt • Threats: https://viz.polleverywhere.com/free_text_polls/PDNylTqET2WB1tI
Local introduction Jenny Wood, Warwickshire County Council Socitm Introduction Martin Ferguson, Socitm Video 1 – Statement of Purpose Roundtable session 1: The ‘future state’ – a view on social care Andrew Fenton, Department of Health Roundtable session 2: Infrastructure - systems architectural framework Julie Oxley, Leeds City Council Roundtable session 3: Financial and care record matters Richard Pantlin, ADASS IMG
Social Care transforma6on Leeds Informa+cs Board City-‐wide Clinical leader City-‐wide Leadership Office Chair – Dr J Broch CCG North, Chair Informa6cs Director LTHT Execu6ve ASC Senior Officer Children’s Senior Officer LYPFT Execu6ve LCH Execu6ve CCG Senior Officers Variable resources inc. Project Management, expert advisors/ specialists, admin, Finance City-‐wide Programme Management Group Programme Manager Local Informa+cs departments and resources Commercial and Academic links Senior Reps from Local departments Health and Wellbeing Board via Health and Social Care Transforma+on Board LCC IT Primary Care Senior GP/s Local Authority CTO Partners: -‐ CCGs x 3 -‐ Leeds Teaching Hospitals -‐ Leeds Community Healthcare -‐ Adult Social Care -‐ Leeds City Council -‐ Leeds and York Partnership FT -‐ Primary Care
Leeds informa6cs ‘Vision’ Provider organisa+ons Between organisa+ons e-‐messaging Summary Care Record (SCR) Data Protec6on/CaldicoM/Sharing IT Infrastructure linkages inc. LCC city-‐wide facili6es e.g. ‘superfast ci6es’ Order Communica6ons Risk Stra6fica6on Risk Stra6fica6on Contract and addi6onal data flows Cos6ng analysis Event linkage Needs assessment Improved Contract Mgt Primary Care Hosted na6onally compliant systems Interoperability standards Paper-‐light processing inc. Digi6sed/e-‐records NHS Number LTHT Full range of integrated clinical systems LYPFT Full range of integrated clinical systems LCH Full range of integrated clinical systems Wireless technology Mobile working Social Care Full range of strategic systems IG Toolkit Programme/Project Management Business Analysis and process re-‐design Knowledge Management Improved needs assessment Improved health intelligence Monitoring/ commissioning system Pa6ent/client access to records Independent and 3rd sector systems Leeds Care Record Integra6on Engine Telecare and Telehealth Pathway Management/Visibility/Clinical Decision Support Data Warehouse Research YAS
Leeds informa6cs ‘Vision’ Provider organisa+ons Between organisa+ons e-‐messaging Summary Care Record (SCR) Data Protec6on/CaldicoM/Sharing IT Infrastructure linkages inc. LCC city-‐wide facili6es e.g. ‘superfast ci6es’ Order Communica6ons Risk Stra6fica6on Risk Stra6fica6on Contract and addi6onal data flows Cos6ng analysis Event linkage Needs assessment Improved Contract Mgt Primary Care Hosted na6onally compliant systems Interoperability standards Paper-‐light processing inc. Digi6sed/e-‐records NHS Number LTHT Full range of integrated clinical systems LYPFT Full range of integrated clinical systems LCH Full range of integrated clinical systems Wireless technology Mobile working Social Care Full range of strategic systems IG Toolkit Programme/Project Management Business Analysis and process re-‐design Knowledge Management Improved needs assessment Improved health intelligence Monitoring/ commissioning system Pa6ent/client access to records Independent and 3rd sector systems Leeds Care Record Integra6on Engine Telecare and Telehealth Pathway Management/Visibility/Clinical Decision Support Data Warehouse Research YAS
‘Portfolio’ Board Pathway development Integrated system change Primary preven+on Iden+fica+on and risk stra+fica+on HWB Growing up in Leeds Nigel Richardson/ Matt Ward Elective Care Simon Stockill/ Susan Robins Adult Integrated Care and Preven+on Andy Harris Ian Cameron Urgent Care Nigel Gray/Jason Broch Effective admission & discharge Phil Corrigan/ Sandie Keene Goods & support services Chris Butler System development Popula+on management Opera+onal group Community beds service Improving hospital discharge Emergency admission avoidance Cancer In-‐pa+ents Family support Best transi+on into adulthood Complex needs Emo+onal and mental health Best Start Supplies Estates ICE Strategy Group ENABLING GROUPS TRANSFORMATION PROGRAMMES PMO Self-‐ management Children’s Urgent Care Cancer Stroke Prevent entry into Care Informatics Board Jason Broch Quality Improvement with Leeds University Gordon Sinclair Estates Group Chris Butler Finance Task Group (DOFs) Julian Hartley Communications and Engagement Group Rob Kenyon/Phil Corrigan/ Workforce Phil Corrigan/Bryan Machin Primary Care Gordon Sinclair Pioneer Rob Kenyon BCF Matt Ward/Dennis Holmes Outpa+ents including diagnos+cs
of a transforma6onal Informa6cs plaKorm: • Centred around pa+ents or individuals • Common data defini+ons • Covers all types of care • Relevant parts of the clinical record can be accessed by all par+es involved in care • Templates and expert systems to support appropriate and consistent quality of care • Informa+on collected and extracted to support holis+c analysis and intelligence
Case to establish a city Intelligence Hub -‐ Case to progress ci+zen-‐driven health agenda -‐ Strengthened the city PSN case -‐ Recogni+on that more is required than ‘simply’ integra+on -‐ Formed part of our ‘Tech Fund 2’ bid [LCC led] -‐ Forms our dialogue with other Pioneer ci+es -‐ Dialogue around Befer Care Fund -‐ Basis for a more formal explora+on on end-‐ user compute opportuni+es
form the basis for: -‐ Common language (internal and external) -‐ Common goals -‐ Engagement across sectors -‐ Development of business cases -‐ Programme of delivery -‐ Governance framework
you established the appropriate governance to support and enable the right conversa6ons and decisions at the right 6me by the right people? AND is your governance linked into the right governance framework – i.e. Health and Wellbeing? 2. Have you set out a clear blue print/ vision? Has this been signed up to by all key stakeholders? Do you have a plan which sets out how you will achieve your blue print/vision?
Q. What are the strengths, weaknesses, opportunities & threats to/of a whole place informatics model? • View the Strengths: https://viz.polleverywhere.com/free_text_polls/zNAyK3UygjIPrqd! • View the Weaknesses: https://viz.polleverywhere.com/free_text_polls/1P60Zb2OeVRvnbi! • View the Opportunities: https://viz.polleverywhere.com/free_text_polls/m6dVN5JMwLFh1bY! • View the Threats: https://viz.polleverywhere.com/free_text_polls/HsH8DGERCsHUdit!
Local introduction Jenny Wood, Warwickshire County Council Socitm Introduction Martin Ferguson, Socitm Video 1 – Statement of Purpose Roundtable session 1: The ‘future state’ – a view on social care Andrew Fenton, Department of Health Roundtable session 2: Infrastructure - systems architectural framework Julie Oxley, Leeds City Council Roundtable session 3: Financial and care record matters Richard Pantlin, ADASS IMG
Requirements • New eligibility, assessment & care plans – incl. recording non- eligible needs • Personal Budgets for carers & residential care – RAS? • Carers asssessments, support plans – charging? • Financial assessments including batch re-calculation • Transitions from Children’s Services, Safeguarding, Prisoners Questions Ø Have your Care Act Leads indicated extent of process changes required? Ø Have you estimated staff time required to reconfigure and test systems? Ø Do you have the necessary skills? Ø How much end-user re-training is required?
Requirement • Deferred Payment Agreements – new interest calculations • Optionally: Continuity of Care – info transfer Questions • Have you assessed expected volume? • What is your current process? • Will you use a specialist system? • Whose & when available? • Will you need to load existing DPA data or only use for new DPA’s?
late 2015 • Processing Care Accounts after April 2016 Questions • Have you planned system upgrades with your application provider according to their roadmap? • Do you have confidence that your application provider will engage with representative customers and DH / IMG from Jan 15 in order to design appropriate software enhancements? • Are you clear on commercials?
of Care Accounts and higher capital thresholds is likely to lead to a significant increase in needs assessments & financial assessments Questions • Has your council assessed local impact? • Are you planning other process changes? E.g. • More flexible working • Using third sector / delegated functions • Online self-service – more on this later
are you in your locality to implement the changes required to meet the requirements of the Care Act? Health & Social Care Reform – West Midlands Workshop
Reflections on the sessions so far – open discussion. Roundtable session 4: Planning the practical steps - what we need to do Video 2 Restatement of the purpose of the workshop Roundtable session 5: Engaging citizens - the service user perspective Ian Swanson, ADASS-IMG & Julie Oxley, Leeds City Council Roundtable session 6: IG toolkit Roundtable session 7: Planning the practical steps - what we need to do Concluding comments Jenny Wood, Warwickshire County Council & Martin Ferguson, Socitm
Reflections on the sessions so far – open discussion. Roundtable session 4: Planning the practical steps - what we need to do Video 2 Restatement of the purpose of the workshop Roundtable session 5: Engaging citizens - the service user perspective Ian Swanson, ADASS-IMG & Julie Oxley, Leeds City Council Roundtable session 6: IG toolkit Roundtable session 7: Planning the practical steps - what we need to do Concluding comments Jenny Wood, Warwickshire County Council & Martin Ferguson, Socitm
the practical steps Q. Taking into account the discussion so far, what do we need to do? View the results: https://www.polleverywhere.com/discourses/GP 0cVWiZ0JVgTR2!
Reflections on the sessions so far – open discussion. Roundtable session 4: Planning the practical steps - what we need to do Video 2 Restatement of the purpose of the workshop Roundtable session 5: Engaging citizens - the service user perspective Ian Swanson, ADASS-IMG & Julie Oxley, Leeds City Council Roundtable session 6: IG toolkit Roundtable session 7: Planning the practical steps - what we need to do Concluding comments Jenny Wood, Warwickshire County Council & Martin Ferguson, Socitm
Reflections on the sessions so far – open discussion. Roundtable session 4: Planning the practical steps - what we need to do Video 2 Restatement of the purpose of the workshop Roundtable session 5: Engaging citizens - the service user perspective Ian Swanson, ADASS-IMG & Julie Oxley, Leeds City Council Roundtable session 6: IG toolkit Roundtable session 7: Planning the practical steps - what we need to do Concluding comments Jenny Wood, Warwickshire County Council & Martin Ferguson, Socitm
business case headings http://www.adass.org.uk/AdassMedia/stories/Standards_and_Performance/Business_case_factors_v1.pdf – A&I online report (guide to many more in refs.) http://www.local.gov.uk/care-support-reform/-/journal_content/56/10180/6516198/ARTICLE • TLAP resources http://www.thinklocalactpersonal.org.uk/Browse/Informationandadvice/ – Most recently 3 reports about creating a strategy, and a draft strategy tool coming • Socitm Insight reports http://www.socitm.net/research/socitm-insight/health-and-social-care-reforms/health-and-social-care-reforms-ict-and • WHICH report http://www.staticwhich.co.uk/documents/pdf/which_report_the-care-maze_jun14-372280.pdf Ian Swanson ADASS Informatics Network Support Officer [email protected] 07906 333799
Financial check Eligible? Use tools and find services in directory Needs eligible, finance not Personal budget (IPB) Needs assessment Outcomes to be planned Yes/maybe to both Quick check Care Account application Financial Assessment Charges No Yes Colours Services Care Accounts – then normal assessments Old procedure Eligibility triage Items in italic as candidates for self-service tools Support Plan
have our first Leeds ci6zen reach the age of 120 years old • She is 64 years old now and about to re6re with 56 years s6ll to live • She lives in North Leeds • Linda will be con6nually monitored by wearable devices and sensors in her home • Her care will be coordinated using an app on her smart TV • Her life plan will be based on her ‘riskogram’ DNA profile • Medica6on will be ‘pharmogenicially’ designed just for her • Most of her care will be provided by her local community
• Use of exis6ng networks and communi6es • Co-‐produc6on-‐ ‘doing with’ not ‘doing to’ • From passive to ac6ve • Providing tools to helping people take control • Building outcome evidence through prototypes
is about connec6ng the people involved in the circle of care around the individual, so they know who each other are, can connect and be aware of what each other are doing, across the whole Neighbourhood Network and beyond and therefore hopefully become more effec6ve at suppor6ng the health and wellbeing of the individual.
Networks are community based, locally led organisa6ons that – enable older people to live independently – pro-‐ac6vely par6cipate within their own communi6es by providing services that reduce social isola6on – provide opportuni6es for volunteering – act as a “gateway” to advice/informa6on/services promote health and wellbeing and thus improve the quality of life for the individual.
support over 21,900 older people • Volunteers doing this fantas6c work have gone up by over 200 in last 12 months, rising to 1,910 • Prevented 1,450 older people from going into hospital and supported 617 being discharged from hospital. • 26 safeguarding referrals have been made to Leeds Safeguarding Units. • As a measure of how the Networks are appreciated by users, families and friends, a massive 2,427 compliments were received over the past 12 months, with just 4 complaints!
to the online aspect to extending help to all ci6zens, not just those applying for council care • View the Strengths: https://viz.polleverywhere.com/free_text_polls/uE62RO6Lp26xnW0 • View the Weaknesses: https://viz.polleverywhere.com/free_text_polls/RukxifbvFX5yb1t • View the Opportuni6es: https://viz.polleverywhere.com/free_text_polls/sJsTUp83yINEGrj • View the Threats: https://viz.polleverywhere.com/free_text_polls/v44OjuXSO7EbEhk
Reflections on the sessions so far – open discussion. Roundtable session 4: Planning the practical steps - what we need to do Video 2 Restatement of the purpose of the workshop Roundtable session 5: Engaging citizens - the service user perspective Ian Swanson, ADASS-IMG & Julie Oxley, Leeds City Council Roundtable session 6: IG toolkit Roundtable session 7: Planning the practical steps - what we need to do Concluding comments Jenny Wood, Warwickshire County Council & Martin Ferguson, Socitm
Toolkit Informa+on Governance Informa+on sharing for direct care • Proposed private Member's bill on informa6on sharing and use of the NHS number for direct care purposes; • Data sharing guidance for front line staff; and • the informa6on governance alliance Informa+on sharing to support commissioning func+ons regula6ons to support and regulate the use of informa6on for • case management, and • essen6al func6ons (e.g. invoice checking, risk stra6fica6on) Informa+on sharing for other purposes, e.g. research • care.data programme, • the package of measures, some legisla6ve, announced by the Health Secretary in March 2014 Governance and accountability • robust oversight and assurance of na6onal and local informa6on governance prac6ce.
Toolkit Informa+on Governance Informa+on sharing for direct care • Proposed private Member's bill on informa6on sharing and use of the NHS number for direct care purposes; • Data sharing guidance for front line staff; and • the informa6on governance alliance Informa+on sharing to support commissioning func+ons regula6ons to support and regulate the use of informa6on for • case management, and • essen6al func6ons (e.g. invoice checking, risk stra6fica6on) Informa+on sharing for other purposes, e.g. research • care.data programme, • the package of measures, some legisla6ve, announced by the Health Secretary in March 2014 Governance and accountability • robust oversight and assurance of na6onal and local informa6on governance prac6ce.
Discussion Q. How well-prepared are you in your locality for the information governance arrangements needed to enable the new and different approaches: • ways of working, • delivery, • co-creation, • integration, • personalisation, etc. required by the health and social care reforms? View the results: https://www.polleverywhere.com/free_text_polls /90dhmHOdGX1hkEH!
framework - one suggestion • User needs • Governance • Infrastructure • Service redesign • User Experience • Intelligence Martin Greenwood Socitm Insight Programme Manager
12:00 Reflections on the sessions so far – open discussion. 12:15 Roundtable session 4: Planning the practical steps - what we need to do 12:45 LUNCH 13:30 Video 2 Restatement of the purpose of the workshop 13:35 Roundtable session 5: Engaging citizens - the service user perspective Ian Swanson, ADASS-IMG/Julie Oxley, Leeds City Council 14:05 Roundtable session 6: IG toolkit 14:35 Roundtable session 7: Planning the practical steps - what we need to do 15:05 Concluding comments Jenny Wood, Warwickshire County Council/Martin Ferguson, Socitm/Pete Jackson, West Midlands I EP 15:10 Close
Reflections on the sessions so far – open discussion. Roundtable session 4: Planning the practical steps - what we need to do Video 2 Restatement of the purpose of the workshop Roundtable session 5: Engaging citizens - the service user perspective Ian Swanson, ADASS-IMG & Julie Oxley, Leeds City Council Roundtable session 6: IG toolkit Roundtable session 7: Planning the practical steps - what we need to do Concluding comments Jenny Wood, Warwickshire County Council & Martin Ferguson, Socitm
the practical steps Q. Taking into account the discussion throughout the day, what do we need to do? View the results: https://www.polleverywhere.com/discourses/EM SkqGv7zZ8qniL!
Reflections on the sessions so far – open discussion. Roundtable session 4: Planning the practical steps - what we need to do Video 2 Restatement of the purpose of the workshop Roundtable session 5: Engaging citizens - the service user perspective Ian Swanson, ADASS-IMG & Julie Oxley, Leeds City Council Roundtable session 6: IG toolkit Roundtable session 7: Planning the practical steps - what we need to do Concluding comments Jenny Wood, Warwickshire County Council & Martin Ferguson, Socitm
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