IPC Outcomes and Evaluation

Emma Rowse and Laura Wheeler

• Outcomes for the IPC programme

• Our evaluation partnership

• What and why – our outcomes framework

• How - data collection and evaluation process

• Tools and support

• What else…?

Overview

1. People with complex needs and their carers have better quality of life and can achieve the outcomes that are important to them and their families through greater involvement in their care, and being able to design support around their needs and circumstances

1. Better integration and quality of care, including better user and family experience of care

2. Prevention of crises in people’s lives that lead to unplanned hospital and institutional care by keeping them well and supporting self-management – so ensuring better value for money

IPC Outcomes

SW IPC Evaluation

AHSN

University of Plymouth

SW Commissioning

Support Unit

Individual site skills and expertise

NHS England evaluation

team

SW evaluation group

Our evaluation partnership

Kernow Integrated Care Pioneer Programme:

- Living Well Pioneer programme

Somerset programmes: - Vanguard South Somerset - Test & Learn Sites in 3 Localities - SPQS (Somerset Practice Quality Scheme) Integrated Care Exeter (ICE)

- Defined population within Exeter

Westbank Neighbourhood Friends: - GP & acute led identification of those at requiring additional support

Neighbourhood Health Watch: - Volunteer led

South Devon and Torbay Integrated Care Pioneer: - Newton Abbott Frailty Hub - Hele & Watcombe Family Hub

Integrated Personal Commissioning (IPC): - Regional Collaborative

Primary Care Workforce Sustainability - Mapping new models of care - Sharing and learning repository - Primary Care capacity - Pharmacy

Multiple Prime Ministers Challenge Fund initiatives

South West Quality Improvement and Patient Safety Collaborative

Region wide system interoperability

Pathway costing Region wide, to model demand, provide linked data set for analysis and local service development

Regional Social Investment Fund project

Best Practice research projects

Industry led innovations

Improvement projects in SW

What – our outcomes framework

Agree which IPC cohort you

are working with

Identify 5-10 people to work with

Approach person to offer IPC

conversation/phone/

letter

Define and document any sub-selection criteria

Pre-IPC Intervention

Offer declined

and reason

captured

Conversation with person completed:

- Care plan completed with goals and action

plan defined

- Consent form to share information signed

- Baseline Wellbeing, Experience and PAM

data captured

- Informal carer identified if appropriate

Identify budget/allocation and agree

access method

Identify budget/allocation and agree

access method

Practitioner Experience

baseline survey captured

Send Wellbeing, Experience and

care plan baseline paperwork data for

central inputting

Send Wellbeing, Experience and

care plan baseline paperwork data for

central inputting

Send Wellbeing, Experience and care

plan baseline paperwork data for

central inputting

IPC site lead liaise with partner data

and IG leads to agree cost/activity

data required, when and how data will

be transferred

IPC site lead begins

inputting data capture

spreadsheet

IPC site lead agrees

information sharing

agreement and get all partners

to sign

IPC site lead sends data

capture sheet for central inputting

Get practitioners together for

facilitated learning session and case study

capture

CSU sends pseudonymissation database to

each provider in a site with data specification

Site lead and team

interviewed to capture

learning and lessons

Experiential/Early evaluation

from conversation captured at the learning event and practitioner

case studies

IPC site lead sends data

capture sheet for central inputting

3 month check on financial

impact

Data provider sends

pseudonymised data by secure email to CSU

CSU link pseudonymised data and send to

AHSN and IPC finance lead for

analysis

Review - 3 Months

Undertake PERSON'S 6

month:

- Care plan review

- Wellbeing

- Experience

- PAM

- Capture case study

Undertake CARERS 6

month:

- Wellbeing

- Experience

- Capture case study

Undertake 2nd Practitioners

survey

CSU sends pseudonymisation database to each provider in a site

with data specification

IPC site lead and team

interviewed to cature learning

and lessons

Data provider sends

pseudonymised data by secure email to CSU

CSU link pseudonymised data and send to AHSN

and IPC finance lead for anaylsis

6 month/Intermediate Evaluation carried out

by University of Plymouth analysing all

data and providing regional report

Experiential/Early evaluation

from site interviews

6 month/Intermedi

ate Evaluation carried out by University of

Plymouth analysing all data

and providing regional report

Send paperwork

data for central

inputting

Send paperwork

data for central

inputting

6 month/Interm

ediate Evaluation

carried out by University of

Plymouth analysing all

data and providing

regional report

6 month/Interm

ediate Evaluation

carried out by University of

Plymouth analysing all

data and providing regional report

Review - 6 Months

Send out Person's POET Questionnaire

Send out Carers POET

questionnaire

Final 12 month

evaluation carried out by University of

Plymouth

Final 12 month

evalaution carried out by University of

Plymouth

Key

IPC site lead

Operational practitioners

Information/finance practitioners in site partner

organisations

IPC evaluation team

Review - 12 Months

• Outcomes framework

• Data collection process and checklist

• Information governance advice, toolkit and templates

• Measurement tools

• Site data collection sheets

• Financial analysis

• Secure data pseudonymisation and linkage

• Facilitating local conversations

Tools and support

• What do you need to do in your site to agree outcomes and data collection processes?

• What information governance issues do you need to address?

• What else can we do to support you on the ground?

Discussion