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1 To participate in today s discussion download the event App on your tablet or smartphone Search for The King s Fund Events in the App store or Google Play *If you are using an ipad, you need to choose iphone only in the search settings *Available on Android and ios phones only Agenda, presentation slides and more Presentation slides added throughout the day Wi-Fi Network VENUEGUEST Password - CHRISTMAS

2 Enabling allied health professionals to lead and shape new models of care Andrew Walton Executive Chair, Connect AWalton_Connect #kfahps

3 VALUABLE PRODUCTIVITY Cost Patient safety Productivity/ Efficiency Clinical Effectiveness Patient Experience Steve Tolan, CSP Page 3

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5 Aimee Robson National Clinical Manager Connect Guy Pilkington GP & Chair of Newcastle West Clinical Commissioning Group Breakfast Workshop How can AHPs play an active role within multi-specialty community providers? 8 th December 2015

6 What were we trying to change? High prevalence / high morbidity Long waits o Chronicity o Poor experience A B Poor access to physiotherapy Low conversion rates The existing services and pathways were failing people with musculoskeletal complaints AND failing the workforce Page 6

7 What were we trying to achieve? Build a system capable of: Responding within a short time Early advice and treatment to prevent escalating difficulty Access to the appropriate professional o o Right place, right time, right treatment Encourage self management Create alliances between organisations Collective responsibility Shared accountability Page 7

8 How did we initiate change? Careful and thoughtful engagement with hospital clinicians o Establishing shared goals o o Returning to patient perspective and outcome Benefit to clinicians only tangible once pilot went live Measure Strong GP practice involvement in roll-out phase Quick and responsive feedback loops Align Inspire Page 8

9 What was new? It is not the strongest of the species that survives, nor the most intelligent that survives. It is the one that is most adaptable to change. Page 9

10 What was new - patients Altered how patients access service Telephone advice (Physioline) 48 hour waiting time for Physiotherapy Locations in Primary care care closer to home Empowering of patients to self-manage technology and service access Page 10

11 What was new - staff Consultant led clinical triage Patient/family goals and preferences MDT generalist versus specialist Community care skill set o Shared decision making o Care planning Clinical evidence and expertise SDM Biologicial, Sociological & Psychological Context Orthopaedic surgeons in community with direct listing Best use of strengths and abilities Result; effective patient-centred care Page 11

12 What was new - service Chronic Pain service integration to MSK pathway (1 st step of) Leadership for change Spread of innovation SPOA avoid direct hospital referrals (except for exclusions) IT visibility on performance real time data Inter-provider Clinical Leadership facilitate change and improve quality Engagement to mobilise Systems drivers Our shared purpose Transparent measurement Improvement methodology Rigorous delivery Page 12

13 GP referral Referral Management Centre SystmOne PhysioLine Telephone Consultation (48 hrs) Community Physiotherapy Exclusions MSK CATS ESP GPwSI SEM Consultant Orthopaedic Surgeons (direct wait listing) Secondary Care Page 13

14 What were the outcomes? Waiting times Activity secondary care and community therapies Patient experience GP experience Patient outcome measures - PROMs Page 14

15 Waiting times in (days) PhysioLine (telephone) 2 Physiotherapy (face to face) 6 MSK CATS 19 Page 15

16 Service Activity % Variance Orthopaedics * % Rheumatology* % Neurosurgery* % CATS** % Physiotherapy** % Total 2,383 3, % *Hospital SUS data **Connect SystmOne data % assessed in hospital % assessed in hospital Page 16

17 Patient experience (PREMS) Page 17

18 GP Feedback Page 18

19 PROM EQ5D-5L PCT Financial analysis: 6 month saving 42,018 (population 77,424) Page 19

20 Lessons learnt Collaboration with GPs, providers and commissioners Integrated Integrated planning Inter-provider Clinical Leadership facilitate change and improve quality Investment in communications with all stakeholders Quality Effective Timely SPOA Evaluation of quality and cost effectiveness Clinical effectiveness balanced with Operational efficiency Page 20

21 Wi-Fi: Network VENUE GUESTS Password - CHRISTMAS #kfahps Questions and discussion