Welcome Choose

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WelcomeChoose Book Increasing Utilisation
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• Welcome and Introductions
• The aim of the event is to update attendees of
  National and Local progress on the Choose and
  Book Programme
• Where are we now with department policy and CfH
  implementation
• Provide a forum for discussion with an expert
  panel, to answer key questions/concerns.
• Enable networking in a peer group environment
• Agree implementation and recovery plans

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• Agenda for the day
• National team Department of Health and
  Connecting for Health
• NHS South Central - Update on local key
  challenges and success
• Case study Milton Keynes PCT
• Workshops with local and national teams
• Roundtable discussion
• Confirmation of roles and actions for SHA
• Summary of event

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Increasing the use of Choose and Book in NHS
South CentralRachel WakefieldHead of Delivery
and Decision Support

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• Where are we now
• Where do we want to be
• What can be done
• Who can do it
• Beyond March 2007

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• Where are we now- Key Success
• 75 GP practices trained and technically enabled
• 100 NHS provider organisations on DoS IBS/DBS
• All PCTs have approved Choice menus
• High of CAB utilisation in some PCTs (up to
  55)
• Most providers offering routine and urgent (2ww
  rollout is beginning at Basingstoke and North
  Hampshire Hospital FT)

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(No Transcript)
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• Where do we want to be?
• All PCTs not achieving their trajectory have been
  asked to produce recovery plans to achieve the
  90 level of referrals made by CAB by March 2007.
• For most PCTs these means increasing utilisation
  by 60 based on the November figures to achieve
  the target.

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How do we ensure that we hit the target ! but not
miss the point
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How do we manage expectation!
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• What Can Be Done - 2 PCTs in NHS South Central
  are above their planned trajectory at November.
  What can we learn from them and others who are
  achieving-
• IT infrastructure and registration in place
  90 of GP practices able to use CAB for 1st OP
  appt
• Good Project Manager and Choose and Book Team
• A clearly owned pathway and delivery plan.
• Practice Engagement Plan.
• Making CAB the only referral route into the
  Trust.
• Slot Availability

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• Who can make it happen -
• CEO leadership (SRO for CfH implementations in
  each PCT in line with NLOP)
• PCTs own team supported by SHA CFH team Rebecca
  Lester (South) Jane Willson (north)
• Local Champions
• Practice Acute Trust engagement
• National Support todays event
• CfH team local support

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• Main challenge change working environment
• Treat Electronic Booking as a new way of working
  not a target
• Realise Benefits and Streamline approach to using
  a national system

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• Beyond March 2007
• Extended choice
• Increasing Choice in all areas
• 18 Weeks
• NHS Contract
• PBC
• Moving from IDB to DBS

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• What?
• Who?
• How?
• Timescales
• 30 minutes feedback top 3

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• Jane Willson jane.willson_at_oxfordshire.nhs.uk
  07887844290
• Rebecca Lester rebecca.lester_at_southcentral.nhs.uk
  07810884380
• Jag Mundra performance capacity tools
• Jagveer.mundra_at_dh.gsi.gov.uk
• 07980767878

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• Commissioned activity meets demand in provider
  trust (who pC) asap
• Cab needs to be expanded to provide more service
  as per Johns slide (who pC)
• Service selection guidance and AG and development
  of CAS
• Continue to communicate with AHP/PCT

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• Sensible Service Management
• User Group local and national and local meetings
• Rejection data with detail included processes
• Generic email enquiry added to Dos for
  queries/issues with Dos (int ans ext comm)

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• Lack of leadership in HPCT
• Teams and resources
• Dependencies of achieving target (inc all LHC)
• Will IT (loc and Nat) be able to cope with
  increase
• Simplify latest CEO newsletter to interpret what
  counts as CAB referral

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• Cfh deployment user group meeting initially
  focused on CAB
• Would like to see Dos from GP side
• Explore idea of all referrals coming via CAB
• DES case to treasury to extend into 07/08
  intention to extend dependant on negotiations
  with nhs employers and gpc

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• High level leadership
• GP engagement at higher level (on a regular
  basis)
• Review plans
• Consider moving back to WBR to reduce IT issues
• Prepare providers to receive increase utilisation

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• Collate and feedback roundtable discussions
• Get Choice and CAB on the CEO forum agenda
• Help develop/implement PCT recovery plans
• Identify local Clinical leadership and champions
• Identify LHC teams with SHA leads

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• Set-up localised CAB support/planning groups (may
  include UG/leads/policy)
• Develop system to inform leads of national
  reporting for Choice results and CAB
• Initially liaise with IP and ISTC to establish
  relationships within SHA (engage PCTs to develop
  these relationships)

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• Support/facilitate increase utilisation of CAB
• Share DH implementation tools
• Develop process for robust service management
  with DH support
• Investigate referral method approaches and
  timescales for full electronic booking
• Re-visit local User Groups
• Share good practice