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The Digital Health & Care Approvals Process

Brian Donnelly MScChief Executive, CECOPS CIC

©CECOPS 2017 www.cecops.org.uk | info@cecops.org.uk | +44 (0) 1494 863398

@cecops

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Digital Health & Care CONTEXT

supply market

qualityskills standards

financial climateevidence

social careinformation

dataregulation

leadership safety

stakeholders

commissioning

innovation

workforce

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Digital Health & CareKEY STAGES

Plan Procure Deliver Outcome

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Digital Health & CareTHE MARKETPLACE

DEMAND

SUPPLY

Sustainable? X

Effective? X

• Policy• Infrastructure• Planning• Organisational

readiness• Procuring /

commissioning

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Digital Health & CareORGANISATIONAL

READINESS

Systems & Processes

Leadership, Culture & Resources

Information & Governance

Measure Service

Impact: How?

Understanding Need &

Planning

Policy Alignment

HOW READY ARE YOU?

It is essential for organisations to be ready before engaging with technology. This is important for shaping the market, realising benefits, achieving outcomes and ensuring sustainability.

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Digital Health & Care

“An apocryphal (but probably not wildly out) statistic suggests that 80% of technology-supported change projects in health and social care fail. We all know that’s because they’re complex. It’s time to unpack what that complexity is all about – because failed technology projects are costly, wasteful and potentially harmful at both human and system level.”

Professor Trish Greenhalgh (University of Oxford)

APPROVING QUALITY, SAFETY AND EFFECTIVENESS IN A COMPLEX AND FAST-CHANGING SYSTEM

HOW?

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Digital Health & Care

> Independent, not for profit, certification & accreditation body for assistive technology services e.g digital health, telecare, wheelchair services

> Have developed various outcomes-based Codes of Practice for procurement and provision of services

> Widely used (UK) and officially supported by regulators and professional bodies – a regular feature in tender specifications

> Offers Strategy & Delivery Unit, Support Software and Approved Training

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About CECOPS

International Outcome-based & End-to-end Quality

Framework for Procurement & Provision of Technology

Enabled Care Services (TECS)

Available: www.cecops.org.uk

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ISBN: 978 0956909 527

ISBN: 978 0956909 534

(Hard Copy)

(eBook)

> Strategic Planning and Preliminary Considerations> Involvement of Stakeholders, Users and Carers> Partnerships, Joint Working and Integration> Governance and Risk Management> Business Case Development> Investment and Funding> Procurement> Service Requirements and Specifications

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Areas covered by TECS Code:

Planning & Commissioning

> Contractual Arrangements> Eligibility Criteria and Self-funding> Legal & Regulatory Obligations and Standards> Information Technology and Information Management> Marketing and Promotion> Implementation > Performance Management and Continuous Improvement> Measuring and Evaluating Service Impact

> Governance, Risk and Ethics > Legal & Regulatory Obligations and Compliance with Standards > Managing Referrals & Assessments> Procuring Technologies, Equipment and Services > Implementation of New Technologies and Services > Trialling, Assembling, Installing & Demonstrating Technologies & Equipment > Involving Service Users and Carers in Decision Making> Management of Medical Devices/Technologies

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Areas covered by TECS Code:

Service Provision

> Management of Assets and Inventory > Monitoring and Alerts > Quality Management Systems > Health and Safety Management > Staff Competence > Information Technology, Management & Governance > Collaborative Working > Third Party Contractors > Marketing and Promotion > Contract & Performance Management, & Continuous Improvement > Measuring and Demonstrating Service Impact

• Safe & good quality service• Needs met/satisfied patient• Alignment with wider policies & strategies• Prevention of secondary conditions & costs

• User involvement• Holistic, anticipatory &

timely assessments (including fast-tracking)

• Equipment selection• Logistics

• Readiness• Governance & risk • Funding/activity relationship • Performance & contract mngt• Joint working/integration• Competent workforce with

adequate staffing levels• IT & IMngt

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Approval of Systems STRUCTURE>PROCESS>OUTCOME

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Outcome-based Standards

The outcome is ultimately what is to be achieved. If services were assessed, the outcome is what is looked at. Having an outcome focus, gives providers more flexibility to meet the standard and it encourages innovation.

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Clauses

Strategic Planning and Preliminary Considerations

The clauses set out suggested ways of meeting the overall outcome. Meeting the outcome in a different way is also acceptable

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Digital Health & CareAPPROVALS PROCESS

An assessment of services is undertaken by our external ISO Qualified Assessment Team, HLS Healthcare.

Assessments are risk-based, with different levels of ‘Non-conformities’.

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iCOPS® Self-assessment & Continuous Improvement Software Tool

(1)Planning & Commissioning(2) Service Provision

Digital Health & Care

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iCOPS® helps to identify the areas that need to be developed / improved.

Assessing organisational readiness

Digital Health & Care

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Change Management Action Plan (Extract from iCOPS report):

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Assessing ReadinessManaging Contracts &

Driving Continuous Improvement

iCOPS® has a continuous improvement focus

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AREA 1 AREA 2 AREA 3 AREA 4 AREA 5 AREA 6

Overlay Feature

• Share good practice across organisations, wider regions & countries• Community building (bottom-up) approach• Accelerate to a state of readiness within a quality framework• Save significant time and cost, with improved outcomes• Helps to shape the marketplace by balancing demand & supply

Digital Health & CareSCALING UP

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Support for CECOPS

‘CECOPS provide the framework for the thorough review of standards and systems

throughout the accreditation cycle, supporting continuous system improvement in

the provision of high quality, safe and effective services for our service users. The (6)

North West London CCGs have benefitted from the experts in the team who have

supported us to commission services that deliver improved and sustainable

outcomes. We would recommend CECOPS for all commissioners of assisted

technology services.’

Mona Hayat, Director of Programmes, NHS West London Clinical Commissioning Group

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Establish an Infrastructure

Develop the Marketplace

Improve Outcomes

Help to Assess Readiness

Drive Continuous Improvement Provide a Quality Benchmark

Support the Planning of Services

Ensure Safe & Effective Provision

Encourage Innovation

Simplify Procurement of

Services

Manage Contracts & Performance

Skill the Workforce

The CECOPS Standards, Tools and

Approvals Process

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“Organisations, in demonstrating their preparedness toadopt new technologies and innovations, and to keeppace with their rapid developments, need to be awareof CECOPS’ standards and tools to enable rapid and safeimplementation of patient and service user assistiveservices.

Prof. Mike Bewick (CECOPS Chairman & Former Deputy Medical Director, NHS England)

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Thank you

www.cecops.org.uk

brian@cecops.org.uk

Mob: 07511 667 330

@cecops