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Welcome to Releasing Time to Care Integration WebEx

Welcome to Releasing Time to Care Integration WebEx. Once you have dialled into the teleconference number, please wait on the line as others join

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Welcome to Releasing Time to Care Integration WebEx

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  1. Welcome to Releasing Time to Care Integration WebEx Once you have dialled into the teleconference number, please wait on the line as others join To reduce background noise and manage questions/comments, participant phones may be muted during the presentation so you won’t be heard by other users unless the host un-mutes the phones Please stay on the line – until the host joins, the line will remain silent

  2. Releasing Time Care Integration WebEx Fiona Cook - Healthcare Improvement Scotland Julie Main - NHS Education for Scotland Douglas Hutchens - Joint Improvement Team Jacqueline Morton - Southern Health & Social Care Trust NI Carolyn Chalmers – NHS Orkney

  3. Agenda Welcome and introductions Douglas Hutchens What is Releasing Time to Care (RTC) Julie Main/ Fiona Cook Joint working approach Fiona Cook Examples in practice Jacqueline Morton Carolyn Chalmers Open discussion

  4. Agenda What is Releasing Time to Care (RTC) Julie Main/ Fiona Cook Joint working approach Fiona Cook Examples in practice Jacqueline Morton Carolyn Chalmers Open discussion

  5. What is RTC? A modular evidence-based approach to improve the quality and effectiveness of service delivery. It supports frontline community teams to systematically engage and address productivity and quality challenges It focuses on areas for improvement where we can make the biggest difference Provides tools and techniques to identify and eliminate waste from the way we work

  6. Results from 8 pilot sites • 4 sites showed significant increase in direct patient care time (between 13% ↑ 43% increase) • Reduced staff absence (6.27% ↓ 2.97% reduction) • efficiency stories (172 steps ↓ 5 steps) • stock savings (£700 → £3700 savings made) • Increased patient satisfaction and positive feedback

  7. Community Services programme

  8. “We devised work plans at a glance which improved our team communication and helped manage our workload” NHS Lanarkshire “We designated a referral line for hospital staff manned for 2 hours a day. More in-depth referrals. Better time management. ” “We introduced Patient Status at a Glance boards and improved efficiencies in patient journey – reduced complaints; less missed visits; improved patient and staff satisfaction; better communication – Community midwifery team NHS GG&C “We introduced grab bags for District Nurses: reducing risk, time, errors and bag weight, improving patient experience and staff morale” Various community teams “We implemented WOWE which increased staff morale, reduced waste and reduced cost” NHS Tayside Measuring the impact of RTC

  9. RTC licences across Scotland • Productive Ward • Productive Mental Health Ward • Productive Community Hospital • The Productive Operating Theatre • Releasing Time to Care • community services/community • mental health services • Productive GP • Time to Learn • Integration – RTCC licence extension.

  10. 28% increase in RTC spread in community areas since January 2012

  11. Agenda Joint working approach Fiona Cook Examples in practice Jacqueline Morton Carolyn Chalmers Open discussion

  12. Partnership Approach (QuEST / JIT/ CND) Scottish Government Workforce of Scotland Healthcare Improvement Scotland NHS Education for Scotland

  13. Supporting integration agenda RTC - • brings teams together • reduces duplication of effort • improves client/ patient experience • supports other programmes of work. “RTC making our priorities possible”

  14. Agenda Examples in practice Jacqueline Morton Carolyn Chalmers Open discussion

  15. Jacqueline MortonHead of Continuous Improvement PCS Southern Trust Journey

  16. Background

  17. PCS Project Structure

  18. Productive Community Services: Supporting an Integrated Care Model • Increase direct patient facing time • Predict and plan work • Delivery of high quality and consistent care for patients and clients • Connect more closely with the patient and client experience • Reduce inefficient work practices

  19. Outcomes To Date

  20. Carolyn ChalmersService Improvement Coordinator NHS Orkney

  21. 60 70 590 Orkney Health and Care 497 219 30 520 127 22 364 2264 3 299 3017 Skerryvore 7087 Heilendi 3429 1322 414

  22. Integrated Teams Shared Vision Standardisation of Processes and Procedures Standardisation of assessment and documentation Standardisation of equipment Standardising shared work spaces

  23. Multidisciplinary Working Patient/Service User Status at a Glance Shared Patient/User centred journey Generic/Integrated Roles?

  24. Orkney Health and Care Rehabilitation and Enablement Services Bringing the teams together Developing a shared vision Data Pathways and Journeys Gap Analysis Action Planning

  25. Agenda Open discussion

  26. Discussion Questions • Where are the transferable learning points for integration with local authority/third sector etc? • What are your thoughts about using RTC as a tool to enable the integration agenda? • What are potential models of implementation and spread? • Thoughts on support and networks? • Next steps?

  27. Thank you for joining us today Fiona Cook fionacook@nhs.net Julie Main julie.main@nes.scot.nhs.uk

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