Developing a city ‘blueprint’ Julie Oxley Head of Information Management & Technology Leeds City Council

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

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 Fund etc.

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

In technology terms, joining up….. People – Process – Technology

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

“Patient/Citizen” “The Leeds £”

‘Blueprints’ have been useful…………

BUT FIRST Joined up governance……… (circa 2012)

Leeds Informatics within the governance for Health and Social Care transformation Leeds Informatics Board City-wide Clinical leader City-wide Leadership Office Chair – Dr J Broch CCG North, Chair Informatics Director LTHT Executive ASC Senior Officer Children’s Senior Officer LYPFT Executive LCH Executive CCG Senior Officers Variable resources inc. Project Management, expert advisors/specialists, admin, Finance City-wide Programme Management Group Programme Manager Local Informatics departments and resources Commercial and Academic links Senior Reps from Local departments Health and Wellbeing Board via Health and Social Care Transformation 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

‘Blueprint’ 1 (circa 2012)

‘Plan on a Page’ - Building blocks to achieve the Leeds informatics ‘Vision’ Provider organisations Between organisations e-messaging Summary Care Record (SCR) Data Protection/Caldicott/Sharing IT Infrastructure linkages inc. LCC city-wide facilities e.g. ‘superfast cities’ Order CommunicationsRisk Stratification Contract and additional data flows Costing analysisEvent linkage Needs assessment Improved Contract Mgt Primary Care Hosted nationally compliant systems Interoperability standards Paper-light processing inc. Digitised/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 Patient/client access to records Independent and 3 rd sector systems Leeds Care Record Integration Engine Telecare and Telehealth Pathway Management/Visibility/Clinical Decision Support Data Warehouse Research YAS

This common framework enabled……..

‘Plan on a Page’ - Building blocks to achieve the Leeds informatics ‘Vision’ Provider organisations Between organisations e-messaging Summary Care Record (SCR) Data Protection/Caldicott/Sharing IT Infrastructure linkages inc. LCC city-wide facilities e.g. ‘superfast cities’ Order CommunicationsRisk Stratification Contract and additional data flows Costing analysisEvent linkage Needs assessment Improved Contract Mgt Primary Care Hosted nationally compliant systems Interoperability standards Paper-light processing inc. Digitised/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 Patient/client access to records Independent and 3 rd sector systems Leeds Care Record Integration Engine Telecare and Telehealth Pathway Management/Visibility/Clinical Decision Support Data Warehouse Research YAS

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

West Yorkshire Workstreams Leeds Health and Social Care Transformation ‘Portfolio’ Board Leeds Health and Social Care Transformation ‘Portfolio’ Board Pathway development Integrated system change Primary prevention Identification and risk stratification HWBHWB Growing up in Leeds Nigel Richardson/ Matt Ward Elective Care Simon Stockill/ Susan Robins Adult Integrated Care and Prevention Andy Harris Ian Cameron Urgent Care Nigel Gray/Jason Broch Effective admission & discharge Phil Corrigan/ Sandie Keene Goods & support services Chris Butler System development Population management Operational group Community beds service Improving hospital discharge Emergency admission avoidance Cancer In-patients Family support Best transition into adulthood Complex needs Emotional 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 Informatics Board Jason Broch Quality Improvement with Leeds University Gordon Sinclair Quality Improvement with Leeds University Gordon Sinclair Estates Group Chris Butler Estates Group Chris Butler Finance Task Group (DOFs) Julian Hartley Finance Task Group (DOFs) Julian Hartley Communication s and Engagement Group Rob Kenyon/Phil Corrigan/ Communication s and Engagement Group Rob Kenyon/Phil Corrigan/ Workforce Phil Corrigan/Bryan Machin Workforce Phil Corrigan/Bryan Machin Primary Care Gordon Sinclair Pioneer Rob Kenyon Pioneer Rob Kenyon BCF Matt Ward/Dennis Holmes BCF Matt Ward/Dennis Holmes Outpatients including diagnostics

‘Blueprint’ 2 (circa 2012)

Simplification and refinement: 3 TIERS of delivery: Clinical Integration Clinical Support Tools Business Intelligence Tier 1 Tier 2 Tier 3 ‘ primary’ use’ of data ‘secondary use’ of data Time

Strategic requirements for transformational change.…….. 6 features of a transformational Informatics platform: 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

‘Blueprint’ 3 (circa 2013)

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

Overlay: Clinical IntegrationClinical Support ToolsBusiness Intelligence

‘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

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

- QUESTIONS -