Schedule 1 West Cheshire Approach

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Schedule 1 - West Cheshire Approach

• Developmental dont try to commission all
  services in detail 3 year plan
• Structured
• Section 1 - Generic principles of service
  provision and agreed care pathways
• Section 2 - Key Performance Indicators
• Section 3 - Modernisation Plan

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Schedule 1 - West Cheshire Approach

• Section 1 - Development of Care Pathways
• Trust provides descriptor for all current
  services (pathway based)
• HCC Standards used to measure quality and
  outcomes
• Performance Framework developed to monitor
  adherence to standards

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Schedule 1 - West Cheshire Approach

• Pathway Improvement
• Focus for development will be influenced by
• Comparative hospitalisation rates (Practice
  Radar) national comparator
• Significant event reporting via Clinical
  Governance Forum
• Agreement of annual modernisation/re-design plan

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Schedule 1 - West Cheshire Approach

• Section 2 - Key Performance Indicator Monitoring
• Thresholds and trajectories for most areas of
  activity
• Specific targets include caps e.g follow up to
  new ratio, emergency re-admissions

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Schedule 1 - West Cheshire Approach

• Section 3 - Modernisation Plan
• Developed in conjunction with COCH
• Based mainly on peer hospitalisation rates West
  Cheshire over use of 2nd care (Practice Radar)
  demo Cheshire West Practice Radar
• Issues identified through clinical governance
  also included e.g completeness of discharge
  letters (link between Schedule 3 and Schedule 1)
• Use existing tools/evidence base e.g Utilisation
  Management (UM) and Milliman Care Guidelines to
  agree pathways

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Schedule 1 - West Cheshire Approach
Schedule 1 development cycle
Issues Identified (Variation in demand/CG events)
Annual Modernisation Plan
Performance Framework
Care Pathways (underpinned by HCC Standards) Sch
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