tim straughan, chief executive, national health & social care information centre for england

The Leeds whole system approachTim StraughanLeeds CCGs /Leeds City Councilt.straughan@nhs.net@timstraughan

1

2

The Leeds Landscape • Demographics –

552 sq km 800,000 population

• 7 Statutory health and care organisations

3 CCGs 3 NHS Trusts 1 Local Authority including

Health and Wellbeing Board

3

The Grandest Grand Départ

Achieving a shared ambition through strong partnerships

Between:– Primary and specialist care– Commissioners and Providers– Health and Social Care– Physical and Mental Health– Adults and Children– Public and Private– Academic and Third Sectors– Local and National– Communities and Neighbourhood– Patients and Citizens

Whole System Partnership Working

4

A ‘BEST CITY’ approach to Health and Care services, which enables us to:

• tell the same story across organisations

• be clear about our values• start the process of acting as ‘one

organisation’

5

The Leeds approach to Partnership Working

6

Integration, Integration, Integration

Single Currency Leeds £

Common language and

narrative

Shared infrastructure

7

A sustainable

, high quality

health and social care

system

Behaving like one organisation – with a common ambition

A Focus on

Quality

Leeds Institute

of Quality

HealthcareInformat

ics and Intellige

nce

Leeds Institute of Data Anayltic

sA single point of arbitrati

on

CEx’s GroupA model

for financial

risk sharing

Directors of

Finance Group

Examples of one system in operation

8

Neighbourhood Networks

Neighbourhood Integrated TeamsSingle Point of Urgent Referral / Contact

Monthy variation (95%)

Annualized Diff. to Trend

Age-

sex

corr

. ad

miss

ions p

er 1

,000

pati

ents

per

mon

th

Apr-1

0Ju

l-10

Oct

-10

Jan-

11Ap

r-11

Jul-1

1O

ct-1

1Ja

n-12

Apr-1

2Ju

l-12

Oct

-12

Jan-

13Ap

r-13

Jul-1

3O

ct-1

3Ja

n-14

Apr-1

4Ju

l-14

Oct

-14

Jan-

15Ap

r-15

Jul-1

5O

ct-1

5Ja

n-16

0.00

5.00

10.00

15.00

20.00

25.00

30.00

35.00Ap

r-09

Jul-0

9O

ct-0

9Ja

n-10

Apr-1

0Ju

l-10

Oct

-10

Jan-

11Ap

r-11

Jul-1

1O

ct-1

1Ja

n-12

Apr-1

2Ju

l-12

Oct

-12

Jan-

13Ap

r-13

Jul-1

3O

ct-1

3Ja

n-14

Apr-1

4Ju

l-14

Oct

-14

Jan-

15Ap

r-15

Jul-1

5O

ct-1

5Ja

n-16

Apr-12: First three IH&SC teams go live

Projected ‘do nothing’ baselineLeeds total

First three IH&SC teams

Apr-13:All teams operational

Assessing the impact of integration: Emergency admissions to hospital for Leeds-registered patients aged 65 year and over

9

Whole system approach to ‘one source of truth’

10

Leeds Care Record - Take Up

11

‘virtual wards’ and patient lists

12

Caroline Lockie, Community Matron “I have 9 case managed patients who are registered at an EMIS practice. LCR access lets me see what is happening with these patients so I’m no longer going blind”

Emma Seabourne, Occupational Therapist “Being able to see an EDAN so easily

saves time in wards photocopying documents.”

Gary Schofield, Social Worker “ This is REALLY good! Enables

me to see information in other systems so I aren’t going in blind”

Chris Woods, District Nurse “ I was able to use this whilst working on a weekend when I couldn’t call the GP”

Angela Kier, NT Co-ordinator “This will save me time phoning round wards and chasing GPs for summaries”

Kiera Pagdin, Staff Nurse “It enabled me to see what had happened to a patient who had been hospitalised, meaning I

didn’t make a wasted journey to see them”

And what do users think?

13

Leeds approach to Communications and Patient Engagement

14

The Ripple effect

15

OpenInnovateCollaborate

Leeds Academic Health Partnership

16

17

Pioneering approach to health and wealth

“Nowhere else has the potential of Leeds to lead the world in the use of data to drive health and wellbeing outcomes” Sir Alan Langlands and Sir Alex Markham

Leeds – Data City

18

19

Kaiser

Permanente

Virginia Mason

LEEDS?

JönköpingInter-mountain

Aravind Eye Care

Institute for Healthcare Improvement

So what will Leeds be known for?