Job Title Pay Band Hours Contract Type Base Employing organisation Directorate Responsible to Accountable to Benefits Manager Budget 300-360 per day negotiable for the right candidate 6 month contract 5 days per week for 1 st month - negotiable 3 days per week for 5 months Temporary East Cheshire NHS Trust and Mid Cheshire NHS Foundation Trust Eastern Cheshire Clinical Commissioning Group on behalf of the Cheshire Care Record Implementation Board Transformation Cheshire Care Record Programme Manager Caring Together and Connecting Care Cheshire Care Record Implementation Project Board 1. The Project 1.1 Strategic context Cheshire Care Record Cheshire is making steady headway towards the vision of a fully integrated care system that will deliver high quality health and social care for all, now and for future generations. To achieve this there is a need to establish an infrastructure that enables the flow of high quality, comprehensive and up to date information between care professionals. Having access to the right information at the right time enables excellence. It helps professionals document handovers accurately and makes it easier to share information quickly across multi-disciplinary teams and with other providers. Transforming the management of long-term conditions, securing the delivery of sevenday services and ensuring we retain world class emergency services for the future, all require the best quality information and insight to be available at the point of care. Liberating and integrating the data that is held by different organisations across the social and health spectrum for the patient and those who care for them, will allow Cheshire to deliver safer and more efficient care in partnership with patients who can better manage their own care. It provides the opportunity to improve the patient pathway, regardless of organisational boundaries and reduce the amount that separate care providers operate in silos. This is becoming increasingly essential for our elderly populations, many of which has complex conditions and are seen by multiple agencies providing a complex web of care. Digital care records provide the ability to synthesize insights about a patient s health status produced, for example, by observation, vital signs monitoring and diagnostic testing. Activities undertaken by professionals, in different organisations at different points in time will produce a more complete record of care. Interpreting that information and combining it with the social care record and the patient s insight produces real benefits for clinical and social workflows and service design. The Project will extend the West Cheshire IDCR (WCCR) to the rest of the Cheshire Integrated Care and Support Pioneer footprint; one of 14 areas across England, that are leading in delivering better joined up health and social care.
The Cheshire Pioneer covers the Health and Wellbeing Boards in Cheshire East and Cheshire West and is supported by the local authorities of Cheshire West and Chester and Cheshire East, along with the constituent Clinical Commissioning Groups of Eastern Cheshire, South Cheshire, Vale Royal, and West Cheshire who combined have 90 GP practices serving a population of 750,000. A number of provider organisations exist within the Cheshire Pioneer including Countess of Chester Hospital NHS FT (CoCH), East Cheshire NHS Trust, Mid Cheshire NHS FT, Cheshire and Wirral Partnership NHS FT, who together provide a comprehensive range of acute, community and mental health services. This Project is endorsed by the Cheshire Pioneer Panel who have given assurances that they will oversee the provision of the funding for the project. In addition a successful bid was submitted to the NHS England Integrated Digital Care Fund (IDCR) (Tech Fund 2) to secure a proportion of the funding ( 1.07m) required. 1.2 Project Aims & Objectives Project Aim: The Project aim is to deliver a Cheshire IDCR for use by all health and social care organisations within the geographic area, to support effective decision making in relation to the delivery of high quality, safe, effective and efficient care. Phase 1: A proven solution month Apr Dec Objective 1: Cheshire IDCR record established and tested with secure read only, summary health social care data, presented and viewable in a useful format by 31 st December 2015. Phase 2: Meet Information Governance requirements month Jul - Sept Objective 2: Deliver the Information Governance required to enable live use of the Cheshire IDCR that satisfies legal requirements and gains approval by 30 th September 2015. Phase 3: Operational Pilots month Dec Mar Objective 3: Complete pilots in primary, acute, social, community and tertiary care to demonstrate the usability of the solution and deliver benefits to clinicians by 3 1st March 2016. Phase 4: Benefits Realisation October 2016 onwards Objective 4: Deliver a return on investment of 1.73 (Benefits of 5.3m over 4 years) as committed within the Tech Fund bid. 2. Job Summary A Benefits Realisation Manager is required to identify and quantify benefits and set up the mechanism to provide on-going benefits tracking. It is a requirement of the NHS England funding provision that a return of investment in excess of 1:1.5 is achieved and the Benefits Managers will lead in identifying how this can be achieved within all partner organisations across Cheshire. The Benefits Manager will report to the Cheshire Care Record Programme Manager at Eastern Cheshire CCG. 2.1 Specific responsibilities will include: To compile an interim report for the Implementation Project Board on 16 th March 2016 2
Identifying benefits for Mid Cheshire NHS Foundation Trust and East Cheshire NHS Trust for the Cheshire Care Record Project and establishing what % contribution to the total benefit target each partner will contribute Gaining strategic commitment from each Partner to the quantifiable benefits identified Ensuring that the Project hits its overall target of a return on investment of 1:1.73 by identifying sufficient quantifiable benefits across all partner organisations Reviewing the Statement of Planned Benefits derived from the West Cheshire Care Record Project and quantifying the benefits for Mid Cheshire NHS Foundation Trust and East Cheshire NHS Trust Identifying additional benefit areas through consultation with clinicians and service managers Undertaking process reviews to identify areas where processes can be streamlined to save staff time and improve patient pathways. Categorising benefits as cash releasing, cash avoidance or qualitative Working with Finance colleagues to calculate cash values for benefits wherever possible Undertaking audits to establish a baseline position for all benefits identified Identifying likely pilot areas in conjunction with the Project Manager, that will maximise early benefits return Setting up measurements to monitor achievement of benefits Reporting to the Cheshire Care Record Programme Manager on benefits by completing the standard benefits tracking templates. 2.2 Skills required Track record in gathering benefits for IT related projects Ideally experienced in gathering benefits in a health setting with knowledge of the acute setting and how hospitals operate. Know how to quantify and track benefits Have used methodologies to support benefits gathering Have process mapped workflows Familiar with the use of spreadsheets to capture and quantify benefits Ability to liaise with care professional staff across all levels of primary, acute and social care including nurses and doctors. 3. Organisational Chart: Benefits Manager will be responsible for working with Cheshire Care Record Project Managers and Benefits Managers for Cheshire Care Record and relevant staff employed by Mid Cheshire Hospital NHS FT (MCH) and East Cheshire NHS Trust (EC) The following organisations are participating in the Project: East Cheshire Council South Cheshire CCG Vale Royal CCG Eastern Cheshire CCG Mid Cheshire Hospitals NHS FT (MCH) 3
East Cheshire NHS Trust (EC) The Christie NHS FT West Cheshire CCG Cheshire & Cheshire Partnership (CWP) Countess of Chester NHS FT (CoCH). The Project is to develop an Integrated Digital Care Record (IDCR) incorporating data from all of the above organisations and linking to the existing West Cheshire Care Record, which already includes data from the following organisations: Primary Care (37 GP Practices) Acute Care (Countess of Chester Hospital NHS FT) Mental Health (Cheshire & Cheshire Partnership NHS FT) Community (Cheshire & Cheshire Partnership NHS FT) Social Care (Cheshire West & Cheshire Council) Tertiary (Clatterbridge Cancer Centre NHS FT). 4.0 The Project 4.1 Strategic context Cheshire Care Record Cheshire is making steady headway towards the vision of a fully integrated care system that will deliver high quality health and social care for all, now and for future generations. To achieve this there is a need to establish an infrastructure that enables the flow of high quality, comprehensive and up to date information between care professionals. Having access to the right information at the right time enables excellence. It helps professional s document handovers accurately and 4
makes it easier to share information quickly across multi-disciplinary teams and with other providers. Transforming the management of long-term conditions, securing the delivery of sevenday services and ensuring we retain world class emergency services for the future, all require the best quality information and insight to be available at the point of care. Liberating and integrating the data that is held by different organisations across the social and health spectrum for the patient and those who care for them, will allow Cheshire to deliver safer and more efficient care in partnership with patients who can better manage their own care. It provides the opportunity to improve the patient pathway, regardless of organisational boundaries and reduce the amount that separate care providers operate in silos. This is becoming increasingly essential for our elderly populations, many of which has complex conditions and are seen by multiple agencies providing a complex web of care. Digital care records provide the ability to synthesize insights about a patient s health status produced, for example, by observation, vital signs monitoring and diagnostic testing. Activities undertaken by professionals, in different organisations at different points in time will produce a more complete record of care. Interpreting that information and combining it with the social care record and the patient s insight produces real benefits for clinical and social workflows and service design. The Project will extend the West Cheshire IDCR (WCCR) to the rest of the Cheshire Integrated Care and Support Pioneer footprint; one of 14 areas across England, that are leading in delivering better joined up health and social care. The Cheshire Pioneer covers the Health and Wellbeing Boards in Cheshire East and Cheshire West and is supported by the local authorities of Cheshire West and Chester and Cheshire East, along with the constituent Clinical Commissioning Groups of Eastern Cheshire, South Cheshire, Vale Royal, and West Cheshire who combined have 90 GP practices serving a population of 750,000. A number of provider organisations exist within the Cheshire Pioneer including Countess of Chester Hospital NHS FT (CoCH), East Cheshire NHS Trust, Mid Cheshire NHS FT, Cheshire and Wirral Partnership NHS FT, who together provide a comprehensive range of acute, community and mental health services. This Project is endorsed by the Cheshire Pioneer Panel who have given assurances that they will oversee the provision of the funding for the project. In addition a successful bid was submitted to the NHS England Integrated Digital Care Fund (IDCR) (Tech Fund 2) to secure a proportion of the funding ( 1.07m) required. 5. Other: carry out other tasks, commensurate with the seniority of the post, which will be allocated over the duration of the contract of employment, dependent on the needs of the CCG and the development of the post holder participate fully in the CCG team briefing system, professional and personal development activities and promote a commitment to continuous development and improvement participate fully in the CCGs appraisal process and work to achieve agreed set objectives contribute to the shared aims and ambitions of the CCG with enthusiasm, tenacity and professionalism maintain confidentiality at all times and comply with the Data Protection Act when handling sensitive and personal information e.g. through general enquiry emails or media enquiries. This list of duties is not intended to be exhaustive, but indicates the main areas of work and may be subject to change after consultation with the post-holder to meet the changing needs of the Eastern Cheshire CCG and Cheshire Care Record Implementation Board. 5
5.1 Generic Clauses to ensure own actions contribute to the maintenance of a quality service provision. to be responsible for the self-development of skills and competencies through participation in training and development activities and to maintain up to date technical and professional knowledge relevant to the post. to participate in the CCG s Performance and Development Review and to undertake any identified training and development related to the post. to undertake statutory and mandatory training as deemed appropriate by the CCG to develop and maintain effective working relationships with colleagues. to adhere to all CCG policies and procedures act in a way that is complaint with Standing orders and Standing Financial Instructions in the discharge of budget management responsibilities constantly strive for value for money and greater efficiency in the use of the budget to ensure they operate in recurrent financial balance. 5.2 Confidentiality all CCG staff and contractors working for the CCG have both a common law duty and a statutory duty of confidentiality to protect patient (and indeed any personally identifiable) information and only use it for the purposes for which it was intended. The disclosure and use of confidential patient information needs to be both lawful and ethical. 5.3 Information Governance CCG staff must keep up-to-date with the requirements of information governance and must follow CCG policies and procedures to ensure that CCG information is dealt with legally, securely, efficiently and effectively. Staff must appropriately manage the records they create or hold during the course of their employment with the CCG, making the records available for sharing in and confidentiality policies, procedures and guidelines (e.g. Freedom of Information Act 2000, Caldecott guidelines). 5.4 Safeguarding Children and Adults The CCG has a zero tolerance approach to the abuse of children, young people and vulnerable adults. All staff must ensure they adhere to the CCGs safeguarding children and adults policy and comply with the Local Safeguarding Children and Adult Board procedures. They must be mindful of their responsibility to safeguard children and adults in any activity performed on behalf of the CCG in line with the requirements of statutory guidance and legislation. Staff must keep up to date with safeguarding knowledge and skills by undertaking mandatory safeguarding training as specified in the CCG safeguarding policies, which includes understanding and recognising the signs of abuse and knowing how to raise concerns when those signs of abuse are noticed in a person. 5.5 Health & Safety all staff have a duty to ensure the health and safety of themselves and others whilst at work. Safe working practices and health and safety precautions are a legal requirement. ALL accidents must be reported to your manager and in line with the general philosophy of the CCG; you must participate in accident prevention by reporting hazards and following relevant policies and procedures including Moving and Handling guidelines. 6
5.6 Risk Management you are required to contribute to the control of risk and use the incident reporting system to alert the CCG of incidents or near misses that may compromise the quality of services. 5.7 Equality & Human Rights: the CCG will ensure that job applicants and prospective and current employees are treated solely on the basis of their merits, abilities and potential without any unjustified discrimination on grounds of age, gender, gender reassignment, sexual orientation, disability, family circumstances, race, colour, nationality, ethnic origin, religion or belief, trade union activity & social and economic status. 5.8 Codes of Conduct and Accountability: You are required to comply with the CCG codes of conduct and accountability and codes of conduct which are relevant to this post. 7