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The following actions were taken forward in May:
- Six Goals Programme investment business cases were approved, covering a range of projects and investments across the breadth of the goals intended to secure better outcomes, experience and value. Products that will now be commissioned to support local improvement include:
- Agreement in principle for the Getting It Right First Time (GIRFT) emergency medicine team to undertake supportive work with every Emergency Department in Wales;
- NHS Benchmarking Network reviews and related products focused on:
- Frailty
- Same Day Emergency Care
- A first draft dashboard containing measures for improvement for the Six Goals portfolio was prepared by DHCW and presented to the Six Goals Board. The dashboard continues to be developed with input from all six goal action groups to ensure the right measures are captured to enable understanding of the impact of interventions on patient care;
- All health boards have been asked to nominate a communications lead and a Six Goals Programme Communication Plan is under development;
- Richard Bowen, Programme Director for NHS 111 Wales, has been appointed as the National Programme Director for the Six Goals Programme.
Key milestones for Q1 2022/2023:
- Health Boards to establish local Six Goals governance arrangements by end of May 2022;
- Health Boards to submit Six Goals programme plans (including investment plan for 2022/2023) by end of Q1.
During May, the Minister for Health and Social Services visited Princess of Wales Hospital Emergency Department and Ambulatory Emergency Surgery Unit which provides same day emergency care. This visit recognised and raised the profile of the positive impact of same day emergency care on improving patient experience and outcomes, reducing waiting times for surgery, reducing unnecessary admissions which supports wider patient access and flow.
Consultant Surgeon, Mr Simon Weaver described the improvements to the BBC: noting "We've managed to get rid of most of that unnecessary waiting,"
- The service turns around 80% of patients in less than three hours.
- The service has reduced the number of admissions from the patients seen from 35% to 10%.
- In the first year, the service saw 2400 patients and the team estimates they avoided around 300 unnecessary admissions to hospital.
Did you know that the Six Goals Programme team have now created an Easy Read version of the Six Goals for Urgent and Emergency Care Handbook.
The guide is for all organisations who provide health and care services and for people who receive these services.
Easy read document
This month’s ‘Goals in focus’ are Goal 5 – Optimal Hospital Care and Goal 6 – Home First and Reducing the Risk of Readmission
Adele Gittoes, Director of Transformation (NHS Wales Delivery Unit) and Senior Responsible Owner/ Lead Director for the programme comprising goals five and six provided the Board with an in-depth description of the objectives, milestones and outcomes of the work programme.
Goal 5 – Optimising Hospital Care key developments include:
- Review of the use of SAFER principles, red to green days and discharge to recover then assess (D2RA) pathways across Wales, which has identified mixed practice across teams responding and scope for improvement.
- Improvement Cymru has facilitated implementation of real time demand and capacity across three pilot sites in Wales.
- All-Wales urgent and emergency care demand and capacity assessment is underway to assess hospital based service demand.
Some of our priorities for goal 5 are:
- Undertaking workshops following SAFER, Red/green days and D2RA review to consider next steps for an all-Wales framework building on existing evidence-based practices and good practice occurring.
- Developing information systems to enable the capture of demand and capacity information for hospital-based urgent and emergency care services at both national and site level.
Goal 6 – Home First and Reducing the Risk of Readmission achievements include:
- Development of a D2RA training package which will be launched shortly.
- Links made with the Regional Integration Fund structures and communities of practice to ensure alignment.
- Working to develop reporting and framework for patient pathways which will replace the former delayed transfer of care (DToC) reporting.
Other priorities include:
Task Force – Increasing Community Capacity
- Supporting the autumn plan for increased capacity of patient flow through the Health and Social Care system.
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The Strategic Programme for Primary care (SPPC) programme of work is being delivered in partnership with the Welsh Government Six Goals for Urgent and Emergency Care programme.
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The Spring SPPC newsletter has been published, this quarterly update provides an overview of the team, the primary care model for Wales (PCMW) and access to the Accelerated cluster development toolkit.
The SPPC end of year update is also available to provide an overview of progress from April 2021 to October 2021, notes the work of the National Leads and then provides a look ahead for our programme of work into 2022
If you would like to receive this bulletin in Welsh, please email SixGoals.UrgentAndEmergencyCare@gov.wales
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