Urgent Care TransportInnovative Solutions – Supporting Commissioners
www.365response.co.uk
Dr Chris JonesIAA Annual ConferenceApril 2nd, 2014
The current problem
• Increasing demand & complexity• National variation in quality, efficiency and delivery• Increase in system redesign and impact on ambulance
activity• Unintended impact of 8 minute target for first 75 out of
100 people • Need to innovate whilst in the eye of the storm of
delivery• System impact of new commissioning landscape• Scale, costs and length of multiple procurements
www.365response.co.uk
What we set out to do
• Be clear on the problem to solve • Focus on a very small cohort of activity to test
innovation• Start with a blank sheet of paper• Clinically driven, experience led and • Designed from the view of the patient not to meet a
target
www.365response.co.uk
What is it?
• A clinically led – national standard for quality urgent care transport
• A fully procured, managed framework of accredited providers
www.365response.co.uk
An end to end service for professionals
• A localised response with a national quality standard• Creation of a different ‘front door’ • Ring-fenced ambulance capability that does not get
diverted • Focused on the needs of the patient group and
professionals• Fully procured, independently managed, totally
overseen
www.365response.co.uk
Same day GP Urgent
Mental healthtransport
End of life transfers
Inter-hospital& discharges
Out of contractECRs
PersonalBudgets
Renal patients
The framework explained
• Framework led and Hosted by NHS SBS • UK wide • Procured once, applicable everywhere • Broad base of CQC registered providers • Single, quality led specification and standards • Using the framework as a springboard for local
flexibility and best value• Standard NHS Contract between provider and CCG • Focus on Quality, Compassion and Innovation
www.365response.co.uk
Standards
• NHS England Compassion in Practice 6 C’s
www.365response.co.uk
Standards
• High standard of staff skills, experience and training• Mental Health Act and Code of Practice training• Care standards at pickup, in transit, handover• Vehicle standards• Differing mobility requirements• Booking process & notifications• Record keeping• Monitoring & reporting• Confidentiality and IG• KPIs• National Quality Standards• Safeguarding policies
www.365response.co.uk
Benefits for the patient
• Dedicated service booked by their referring clinician • Supporting different treatment pathways – ‘collect,
wait and return’• Condition specific transport that is personalised to
need • Reduction in delays • Earlier attendance at hospital or earlier discharge
www.365response.co.uk
Benefits for the commissioner
• Rapid access to pre established managed framework• Full market testing and price ceiling with minimum
savings identified • Platform to test and innovate for clinical areas and
service plans • Support for QIPP plans • No volume commitment• Reduced contact management overhead• Quality governance oversight from NHS WSYBCSU • Personalised, localised service
www.365response.co.uk
Benefits to providers• Accreditation against a national quality led standard for
urgent care transport: Apply once• Part of a fully procured process that will give you access
to a wide range of commissioners and providers • Opportunities to innovate and get new ideas to market • A fully managed service that helps to grow your services
for the benefit of patients • A market tested, compliant way to deliver services
reducing your costs of multiple tender responses • Provide services directly not as a subcontractor
www.365response.co.uk
Will it destabilise existing services?
No.• Optional• Aimed at growth or small cohort of activity• No patient access• Not PTS• Not 999• Designed to support where there are challenges• Should support emergency services• No need to decommission
www.365response.co.uk
Agents of change and innovation
• 365 are clinically led, social entrepreneurs • focused on creating innovation and impact for patients • Want to see the best of public and private sector
collaboration • Niche commissioning support in line with current
national thinking • Supports the gap in contract management and quality
oversight • Help to generate the conditions for testing new ways of
working
www.365response.co.uk
Our careful approach
• Start small, grow where needed • Support new pathway development • Use technology to drive our entire end to end service • Year 1 is about niche support, learning and
supporting • To be fully available when needed:
• Winter, system pressure, redesign, quality issues and cost pressures
www.365response.co.uk
Where we are now
• Framework is live• 30 lots across the UK• 42 providers signed up & keen to innovate• Official launch this week• 13 CCGs in pipeline with variety of needs• Available to support QIPP now with a focus on
Quality & Innovation
www.365response.co.uk
Our joint approach
www.365response.co.uk
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