1. Shrewd Real Time System Resilience Management Single Health Resilience Early Warning Database

2. Case for change Real Time Data Feeds Simple System View Pre- defined, high impact actions Maintain business as usual “One of the core aspects of good practice local systems must incorporate within the Operational Resilience and Capacity Planning guidance include: “the use of real time system-wide data”. “Need for cultural and transformational change to build a system that supports: pro-active response to growing pressure rather than re-active response to the current crisis.” Lord Prior: “ If an Acute Trust pretends they are an island and haven’t integrated with the system around them they are going to fail. This is about joining up the cracks in the system and having a system not a series of institutions within the system”

3. Common Health Economy Picture High impact responses are usually initiated in red which is too late Visibility of system pressure is poor System mobilisation takes 8-24 hrs Front line teams don’t respond cohesively to pressure Leaders spend too much time managing front line response OBJECTIVE: 6-8 hour head start on existing escalation processes

4. What does SHREWD provide? SHREWD Resilience: Real time view of your health economy SHREWD Escalation: Just In Time: Escalation actions deployed in Amber -Provides a real time view of pressure across the system -Uses a collaborative approach to design a bespoke, simple view -Captures key indicators across the system -Re-organises how we view pressure to provide an easy to read view from managers & clinicians -Deployable within 2-12 weeks -Unique escalation system, moving to horizontal response to system pressure – much faster -Experienced operational leaders re-design the pathway -High impact actions are brought forward from Red to Amber and made part of front line response -Significantly reduces time spent by leaders managing system pressure -Buys 6-24 hours earlier response -Creates more pull in the system -Deployable within 3-6 months

5. Our Coverage Live Demonstration

6. New Whole System Visual Interface Clicking on any step/agency of the process will give the relevant indicator details

7. New Whole System Visual Interface

8. Clicking on indicator will take you to granular detail

9. New Whole System Visual Interface

11. Outline of Shrewd Actions can be assigned to anyone in the health economy and monitored in real time. The system alerts the individual and the assignee when an action is near id due date and when it is over due. System designed to focus teleconferences. Over 50% quicker, minutes out in 15 minutes and a clear audit trail of actions TELECONFERENCE SYSTEM

13. Escalation

14. Joint Organisation Bed System (JOBS) Total number of beds in KCC Individual provider beds

15. Manager Dashboard Discharged bookings Provisional bookings Waiting List Approved bookings

16. Calendar

18. Future Developments Development of NHSE view for South and London CQC Shadow dashboard Discussions with NHS Scotland & Wales Predictive Analytic programme supported by Deloitte and DeepMind

19. Shrewd Single Health Resilience Early Warning Database Contact: Colin Rees – Chief Executive Officer Email Colin@transformingsystems.comColin@transformingsystems.com Tel 07860 139890 Alistair Martin – Director of Business Development Email alistar@transformingsystems.comalistar@transformingsystems.com Tel 07887 716759