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Jeremy Griffith, Director NHS Wales Delivery Unit, provided an overview of the two-week national system reset implemented at the beginning of March at the request of Directors of Nursing as a product of the national health and social care risk summit held on 15 February 2022.
In preparation for the reset, health and social care system leaders agreed a small number of key local objectives, focussing on reducing the numbers of those who are medically fit for discharge in acute and community hospitals, with a view to reducing risk and improving outcomes by unlocking flow across the wider system.
A range of local actions were undertaken as part of the reset and next steps will see the Delivery Unit continue to work with health boards to gather learning and support them to embed and align these actions to drive delivery against the six goals.
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An investment plan and detail of allocations in respect of the use of the £25m Six Goals for Urgent and Emergency Care Programme budget was endorsed by the Board.
Details of the level of investment available to organisations to support delivery of national programme priorities has been communicated as part of Six Goals Planning and Implementation guidance for 2022/2023.
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The guidance will be reviewed in time for the publication of the next iteration of IMTP guidance in 2022/2023.
The majority of the £25m budget will be made available to Health Boards. The investment methodology is intended to enable more local flexibility in recognition of the need to develop integrated urgent and emergency care models of care with clear priorities in respect of developing Urgent Primary Care Centres and Same Day Emergency Care Services to support delivery of Goal 3 – clinically safe alternatives to admission, and the policy vision for right care, in the right place, first time. Health Boards will also have the opportunity to access further funding for interventions aligned to delivery of any of the six goals as part of robust local investment plans.
Health Boards will be required to implement robust governance as part of local six goals programme arrangements, and investment will only be released on evidence of spend.
Proposals for Six Goals for UEC ‘Improvement Triumvirate Teams’ had been endorsed following further opportunities for feedback from Health Board leaders.
A final Six Goals ITT framework has now been shared with Health Boards with the offer of funding to recruit:
- Clinical / professional leadership
- Senior programme management; and
- Support from new data analytical resources.
The Six Goals ITTs are intended to enable local headroom in the development and implementation of Six Goals plans, and will be offered opportunities to connect nationally through learning and sharing networks.
A Six Goals DHCW team has been established to enable progression of national data and information priorities.
The Board supported the following nationally coordinated information priorities for 2022/2023:
- NHS 111 Wales – a work package to improve data capture across web and telephony activity, and improve understanding of presenting complaints
- A work package to assess and enable the integration of the new WAST electronic patient care record with other urgent and emergency care systems
- Capturing activity, patient experience and other data at Urgent Primary Care Centres
- Developing and implementing the Welsh Emergency Care Data Set
- Developing a consistent approach to capturing data from Same Day Emergency Care services
- Developing information systems to support a ‘Healthy Days Spent at Home’ measure
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This month’s ‘Goal in focus’ is Goal 2: Signposting to the right place, first time for people with urgent care needs. |
Goal Lead/Director: Richard Bowen (Richard.Bowen@wales.nhs.uk) supported by Dr Stephen Bassett
- Following the implementation of the 111 service in Cardiff & Vale UHB on 16 March 2022, Wales now has a national 111 service in place. The service can now be accessed online at 111.wales.nhs.uk or by telephone calling 111, which will give people up-to-date health advice and guidance on which service is right for them.
- The NHS 111 Wales website also includes more than 65 fully updated symptom checkers for the public plus information on local services, and should be everyone’s first port of call before making a phone call. A further 10 symptom checkers will be added over the next 6-8 weeks.
- Expect to see some additional social media messaging and communications around the NHS 111 Wales service ahead of Easter. It is proposed that a national communication campaign will follow later in the year, to encourage behaviour change amongst the public. This will promote NHS 111 Wales as the first port of call for free and trusted health information and advice throughout Wales.
- In the interim of a national campaign, we are working with all Health Boards to produce a series of branded 111 digital assets to help promote awareness of the 111 service, including:
Priorities
Our priorities over the next 12 months are as follows:
- Ensure we have a consistent core offering for the public 24/7.
- Begin to roll-out a bespoke 111 ‘press 2’ service for crisis mental health patients
- Expand the range of symptom checkers on the 111 website for the public (*circa 75) – ahead of the rollout of a new integrated system in early 2023.
- Provide senior GP and Pharmacist to support the 111 Service via three Regional Clinical Support Hubs in the SE, SW and North Wales. These will increasingly look to also offer more seamless care between 111 and in-hours GMS and local out-of-hours service.
- National 111 Communications Campaign to support the above (note: we will be removing all reference to the premium rate 0845 number which historically was used by patients to access NHS Direct)
- Improve Directory of Service content for patients via the website.
- Work with Goal 3 leads on a truly integrated urgent primary care model for NHS Wales – 24/7
- Re-introduce the Peer Reviews for all LHB Urgent Primary Care Services for the sharing of best practice and mutual joint learning!
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The countdown is on for the Six Goals for urgent and emergency care event taking place later this month, Wed 27 April 10:00 – 12:30.
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The event is set to include a key note address by the Minister for Health and Social Services and Nick Wood, Deputy NHS Chief Executive, along with a section of the agenda devoted to workshops to enable you to engage further with the programme and provide your feedback in support of implementation.
Over 200 people have registered for the event so far, to confirm your place at the event, please use the links below to register:
https://www.liveeventstream.online/six-goals-landing-page (English)
https://cy.liveeventstream.online/six-goals-landing-page (Cymraeg)
If you would like to receive this bulletin in welsh please email SixGoals.UrgentAndEmergencyCare@gov.wales
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