integrated personal commissioning south west collaborative january 2015 contact the sw ipc...
DESCRIPTION
Improved carers quality of life Improved experience of people Improved quality of life Improved mental wellbeing People with complex needs and their carers have better quality of life and can achieve the outcomes that are important to them and their families through greater involvement in their care, and being able to design support around their needs and circumstances Patient Experience of PCCC (M-LTC6) Warwick-Edinburgh Mental Wellbeing Scale Practitioner Experience of delivering PCCC (M-Person-Centred Health Care for Older Adults Survey) New Better integration and quality of care, including better user and family experience of care Talking Mats Care plan - % goals and aspirations achieved Carers Outcome Star Improved experience of carers/family Improved experience of practitioners Practitioner understanding and skill Continuous improvement process Talking Mats Adapted Southern Health NHS experience questionnaire Site leads interview Practitioner focus groups Prevention of crises in people’s lives that lead to unplanned hospital and institutional care – so ensuring better value for money practitioner case studies/video Carer case studies/video People case studies/video Activity and Cost Acute CommunityGP Mental HealthVoluntary Sector Overview: SW IPC Evaluation Framework Baseline, plus 3, 6, 12 months Outcomes Experience Activity & Cost Social Care PAM optionalTRANSCRIPT
Integrated Personal CommissioningSouth West CollaborativeJanuary 2015
Contact the SW IPC Evaluation Team:Laura Wheeler:[email protected]
Emma Rowse:[email protected]
Louise Witts:[email protected]
About the SW IPC Collaborative:the geography and the team
• SW Collaborative IPC Evaluation Team:Emma Rowse, Core IPC TeamLaura Wheeler, SW AHSNHelen Davies-Cox, IPC LTC LeadRay Heal, IPC LTC LeadCorine Koppenol, IPC Children’s LeadHelen Lloyd, Senior Research Fellow, PenCLAHRCSarah Day, Core IPC TeamLouise Witts, SW AHSN
• Cohorts:
LTC & Frailty, Complex Children & Young People, Mental Health and Learning Disabilities
• Evaluation Partners:SW CSUIndividual sitesNHSE Evaluation TeamPenCLAHRCUniversity of Plymouth
Improved carers quality of life
Improved experience of people
Improved quality of life
Improved mental wellbeingPeople with complex needs and their carers have better quality
of life and can achieve the outcomes that are important to them and their families through
greater involvement in their care, and being able to design
support around their needs and circumstances
Patient Experience of PCCC
(M-LTC6)
Warwick-Edinburgh Mental Wellbeing Scale
Practitioner Experience of delivering PCCC
(M-Person-Centred Health Care for Older Adults Survey)
New
Better integration and quality of care, including better user and
family experience of care
Talking Mats
Care plan - % goals and aspirations achieved
Carers Outcome Star
Improved experience of carers/family
Improved experience of practitioners
Practitioner understanding and skill
Continuous improvement process
Talking Mats
Adapted Southern Health NHS experience questionnaire
Site leads interview
Practitioner focus groups
Prevention of crises in people’s lives that lead to unplanned
hospital and institutional care – so ensuring better value for
money
practitioner case studies/video
Carer case studies/video
People case studies/video
Activity and Cost Acute
Community GP
Mental Health Voluntary Sector
Overview: SW IPC Evaluation Framework Baseline, plus 3, 6, 12 monthsO
utco
mes
Expe
rienc
eAc
tivity
& C
ost
Social Care
PAM optional
What evaluation questions are we asking?
Summative/Outcome• Did people achieve the outcomes that were important to
them?• Did people’s experience of care and support improve?• How did people’s use of resources change as a result of the
intervention?
Formative/Process• What resources did the intervention take to implement?• How has the practice of practitioners changed?• How was the change achieved and what challenges/solutions
did we find?
Metrics – principles around choice
• Balance:• Tap required outcome• Not too burdensome• Limit number of ‘things’ we are measuring:
process & outcomes• Consistency across IPC sites, but also across other person
centred initiatives in SW
Process measures and Qualitative interviews to capture:
• Unmet need - where people have had to compromise on how they used their budget• Practitioner & people interviews
• Number of people who declined, and reason why
• System impact – as broad a view
• Characterisation – narrative from the practitioner about the nature of the complexity ‘can IPC benefit a wider group?’
Information Governance Tools
• Consent model and patient letters
• Information sharing leaflets
• Information sharing agreement
• Privacy impact assessment
Evaluation process
• Explicit consent model
• Secure data pseudonymisation and linkage by SW Commissioning Support Unit
• Financial analysis and modelling by SW AHSN
• Embedded researchers in areas to capture qualitative/formative data
• Share learning and solutions through Action Learning Sets
• Final evaluation report by University of Plymouth
• Leading the way nationally