NHS | Presentation to [XXXX Company] | [Type Date]1 Right Care in action Cheryl McKay R.G.N, R.S.C.N, R.H.V, BSc, MBA Head of Programmes, Warrington CCG

Copyright 2011 Right Care Transforming Urgent Care The Right Care Way Warrington CCG

3 WHAT TO CHANGE

4

5 Transforming Urgent Care DOWN by 8% EFFICIENCY SAVING M6- £750,000

6 Redesigning Urgent Care Services

7 HOW TO CHANGE

8 Our Vision 2013

9 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

10 OUR OUTCOMES

11 Warrington Success

12 Overall Reduction in Non-elective Care DOWN by 8% EFFICIENCY SAVING M6 - £750,000

13 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%

14 Patient satisfaction surveys- patients 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 ” Our Other Outcomes

Copyright 2011 Right Care Warrington CCG Cheryl McKay Head of Programmes

16 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

17 Case Study 2 – West Cheshire CCG Clinical Leadership

Making sure you get the healthcare you need What is NHS West Cheshire Clinical Commissioning Group 2013? Our Programmes: Starting well Prevention and early detection Supporting self care Developing primary care Improving care pathways Ageing well End of life £308m 55 Employed staff and Governing Body members £55m £43m £227m hospital and community services £6m Running costs 263,172 Total population Population over 85 6,100 Prospering small towns ONS Cluster Total budget Countess of Chester NHS Foundation Trust Cheshire and Wirral Partnership NHS Foundation Trust £1,213 Spend per person GP practices Our clinical leads 5 Governing Body GPs 19 Clinical pathway lead GPs 284 Total number of GPs 40 GP commissioning leads Our membership Our population 13,465 Population under 5 £129m Other providers Your money

Examples of where Right Care principles have delivered in West Cheshire Shift the monitoring of low grade conditions into primary care Haematology Enhance use of existing community service to improve outcomes and reduce waiting time pressures Pain management Develop a community service to improve outcomes and reduce variation Urology

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.

21 Right Care for Populations Follow Right Care online Subscribe to get a weekly digest of our blog alerts in your inbox, Receive occasional eBulletins Follow us on Find the full series at: 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