NHS Calderdale CCG - Right Care, Right Time, Right Place - Programme Support

In its report to the Secretary of State regarding the proposed future arrangements for hospital and community health services in Calderdale and Greater Huddersfield, the Independent Reconfiguration Panel (IRP) identified that clarity on the programme of changes in out of hospital services and the likelihood of achieving the targeted reduction in demand for hospital care was required.

The report identified that this clarity was required for both hospital capacity planning and to address the question of how in practice, over an extended period of implementation, the delivery of out of hospital care that enables the proposals for changing hospitals will meet the fifth test for service change - that services will be in place before changes to bed numbers are made.

Aim: To be able to clearly quantify the impact of interventions in primary and community care on reducing demand in acute settings, by being more rigorous about: which interventions work; how we could standardise their application; and the utilisation of underpinning data driven modelling to give confidence in delivery.

Objectives a) Determine the measures/currency to be used to quantify the impact of schemes in relation to the 18% reduction in admissions. b) Confirm the starting activity baseline against which to measure the schemes, identify the projected increase in activity over a five year period, based on national trends and local demographics. c) Group the existing planned schemes in a way that pulls schemes of a similar type together to provide a collective impact across settings of care. d) Identify the potential impact of each scheme, group into categories of hospital avoidance, hospital efficiency and hospital alternative.

Provide the underlying analysis and assumptions to support the activity numbers (or estimate within a range) produced. e) Show the likely delivery timescale for each of the schemes over a five year period.

Identify the risks and issues that will need to be addressed and potential mitigation. f) Calculate the impact on activity shift over a five year period taking into account the stepped nature of reducing beds in acute settings.

Identify any critical pre-requisites that would have to be in place and the expected impact on quality and cost (transition and post-delivery). g) Identify any additional investment that would be required in hospital, primary and community care to enable delivery the schemes h) Identify additional schemes if there is a residual gap between impact of proposed schemes and the reduction in demand required. i) Provide an analysis of the risks should the OOH model not be delivered.