Perfect Patient Pathway Sheffield City Region Test Bed Programme - - PowerPoint PPT Presentation

Perfect Patient Pathway

Sheffield City Region Test Bed Programme

www.ppptestbed.nhs.uk @Perfect_Pathway #PerfectPathway

Objectives

• 1. Provide an ongoing platform for testing, refining and scaling-up innovations.
• 2. Re-design pathways, bringing combinatorial technologies and system

transformations to support holistic and personalised care.

• 3. Embed the culture of transformation and improvement in NHS and other

health and care organisations.

• 4. Support co-ordinated decision-making across health and care, informed by

real-time data and predictive analytics.

• 5. Evaluate the combination of new technologies and service re-designs

producing robust and objective results that can be shared and disseminated.

Value proposition Validated unmet need Readiness Access to market Competitors User requirements Synergies (other products, programmes, projects...) Usability Security Regulatory compliance (medical devices, IG) Quality standards Scalability Lab testing Deployment requirements Service redesign Change management Ethics approval Consent form Information sheets Recruitment strategy Public involvement Clinical champions Deployment plan Baseline Data collection Logic model Effectiveness Economic analysis Programme theory

Product Technology Clinical environment Benefits

Evaluation Methodology

Vision

A model supporting holistic and personalised care for people across England to support both physical and mental health needs

Group support Self-management Vigilance Patient empowerment Care primary care secondary care social care mental health community care Data System integration Intelligence Centre Risk analysis Strategic decision support Patient Alerts

Falls prevention People who use insulin to manage their diabetes

Programme Areas of Testing

CareTRx Programme: Adherence to asthma medication Falls prevention

Programme Areas of Testing

Digital Care Home Project Monitoring vital signs to support remote decision making

Progress to Date

• To date, we have recruited or provided a technology-related assessment for

446 patients across all on-going projects.

• Deployed devices within 483 patient-participants’ households or related care

home.

• 11000 care records analysed through analytics to inform project areas.
• Through our digital monitoring platform within care homes, as at Jan 2018 we

have managed to address 135 ‘alerts’ without escalation to A&E through support provided by Sheffield’s Single Point of Access (SPA) service and further GP support.

• The evaluation of these intervention-based projects is on-going with the final

report in July 2018

• Link with Long Term Conditions Board – building the business case across

the ACP to support digitisation of care homes

• Part of Digital workstream of the ICS

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Key Programme Learning to Date

• Agile programme design and implementation: adapted and changed scope on all the projects

to fit the changing needs and commitment of stakeholders and organisational readiness.

• Real world testing: started with problem areas and testing with pathways, not isolated service

elements.

• Methodology: developed approaches from problem identification through to testing and

evaluation framework that can be replicated

• Wide Stakeholder Engagement: currently engaged with over 1000 people through the

programme: primary care, secondary care, community services, care homes, universities, charities, voluntary sector, private sector partners, commercial and non commercial across systems

• Patient Involvement: been real strength in the programme and gained valuable insight and input

from patient groups. Changed approaches and materials as a result of feedback. 69 participants in the PPI group.

• Alignment with Integrated Care System: developing alignment with digital workstream and

building legacy

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Key Programme Learning to Date

• Service evaluation: very challenging to evaluate when the parameters change, scale and

scope change.

• Innovation/product lifecycles: pace of innovation can mean testing products that will be
• vertaken by next version/generation of products
• Failing forwards: important element of learning cycle and to be recognised as part of the

process, testing is vital in any product/service development

• Patient Recruitment Variables:
• Innovator capacity and readiness- this has caused delays and limited the patient cohorts

from the original plans

• Patient readiness – people with long term conditions are in different stages of behaviour

change to try different approaches to greater self management

• Capacity of the staff and time available- there are so many initiatives in place across all

the pathway areas and staff have limited time to adopt and support new projects

• Impact on the evaluation approach – any service/recruitment changes need to be

discussed and agreed with the evaluation team if there is an impact on the methodology

• Interdependencies with other teams/staff- i.e. Falls team has limited capacity to meet

additional demand and revise the service model, SPA team capacity, community nursing team capacity for the Digital Care Home project.

Next Steps

• Evaluation of Wave 1 July 2018
• Bid for Wave 1.5 March 2018 – recommendation for local adoption

Aligns with ACP LTC Board – need to build the case with CCG Care Home Outcomes project for the business case

• Wave 2 EOI April 2018 – bid to be submitted June 20th with start date of

1st Oct 2018 if successful. 156 NHS sites applied 256 Innovators applied 3 or 4 Test Beds nationally

• Developing as part of the ICS
• Strategy for Innovation for the Sheffield region