Wigan BoroughRisk Stratification

Wayne Sanders Jonathan Kerry

Aims of Session• Wigan Borough Overview• The Challenge• Risk Stratification Tool• The Approach• How Information is being used• Positive Outcomes• Future Direction

Wigan Borough Overview

Key Organisations

The Challenge

Risk Stratification Tool

18,694 A&E Attendances

59% > 60 years old

14,665 Emergency Admissions

48,179OutpatientAppointments

10,063 Elective Episodes

48,781 NEL bed days at WWL

4776 Residents have risk score >30%4776 Residents have risk score >30%

Most Common Non Elective Admission

for the Cohort is UTIs

1.5% of the Population1.5% of the Population

The Approach

Population Mapping

Cohort Monitoring

Cohort Monitoring

GP Pathway Selected

Supporting the Strategy

Positive Outcomes for Patients

                                                                                                                                                                                             Inpatient

Admission

OutpatientsA&E

attendances

Inpatient Admissions

(NE)

Data: Apr-Nov 13/14 v Apr-Nov 14/15

Positive Outcomes for the Patients“I don’t have a problem with the sharing of information at all.  If that sharing of information means I will get better or my health will improve faster then that’s OK.  If that means my information needs to be shared between professionals then that is fine by me.”

Bill Greenwood, Patient

Future Direction

• Additional Data Flows– Primary Care– Community Health– Mental Health– Social Care

• Wider Risk Stratification Views to support usage• SharetoCare rollout • Access to Risk Stratification for INTs

Future Direction

*NOTE: initial cut of data – some caveats apply

What we think makes us different• We don’t see Information Governance as a

barrier to progress

• We work collaboratively as a Borough to make a difference

• We are working to support a wide range of information requirements to make a difference with patients, frontline staff and managers

Thank You

Any Questions?