Spotlight Session 1

11:15 - 12:30

Near-Time Data Service- Creating Insights Supporting a Whole System Approach 

The Near-Time Data Service has been set up as part of Scotland’s strategic approach to data-driven care and in response to priorities identified in the Winter 2023/24 Preparedness Plan. 

In this collaboration between PHS, NSS and the Scottish Government, a range of system indicators have been made available to support strategic and tactical decision-making.  

In this session those involved explain how a joint approach allowed them to implement, in four months, the Near-Time Data Service’s first two products: The Whole System and Winter Dashboard and the Social Care & Delayed Discharge Dashboard.  

They will demonstrate how these dashboards work and show how they are already supporting 800 users across more than 50 partner organisations with 60 up-to-date indicators. These are indicators that give users the insight to make decisions that that can build resilience into the health and social care system. 

After this presentation delegates will: 

Understand how lessons learned from previous winter responses and the pandemic have informed the ‘whole system approach’ and that the tools developed give insight into how best to free up capacity where it is needed; 

Understand how Seer, NSS’s innovative data & analytics platform, makes data-driven insights available and accessible to decision-makers across organisations; 

Understand how the Near-Time Data Service is addressing the priorities identified in the Winter 2023/24 preparedness plan with future planning grounded in lessons learned. 

Speakers

Nils Krichel

Service Delivery Manager for Data & Analytics, NHS National Services Scotland


Nils is a Service Delivery Manager for Data and Analytics in NSS Digital and Security’s Data Services team.

Rebecca Brouwers

Operational Research Analyst, Scottish Government


Rebecca Brouwers is a Operational Research Analyst within Whole System intelligence Analysis (WSIA).

How Teamwork Triumphed - Improvement through Collaboration

A strong relationship between the Edinburgh Health and Social Care Partnership (EHSCP) and Western General Hospital (NHS Lothian) staff and a clearly defined aim to reduce delayed discharges has produced excellent results. 

In this session those involved will share how they used a quality planning approach to build collaboration and create a forum for honest and constructive discussion around what seemed like an insurmountable challenge. 

Their aim was to reduce the bed occupancy rate of Medicine of the Elderly (MoE) patients from Edinburgh - who were delayed in the Western General Hospital (WGH) - by 50% by March 2023. 

Using the Scottish Government’s Best Practice Discussion Paper, which introduced the Discharge without Delay (DwD) Programme, to underpin their change ideas and improvement activities, they adopted a whole system approach. 

This had three priority areas:  

Planned date of discharge (PDD);  

Timely discharge processes; 

Improved multi-disciplinary team (MDT) working.  

They will explain how data from Phase 1 of the project has shown excellent results including a sustained general downward trend in Occupied Bed Days (OBDs) lost to delays. The expected seasonal increase also remained significantly lower than previous winters.  


After this presentation, delegates will: 


Understand the importance of integrated collaborative working to achieve a shared system-level aim; 

Have access to the tools to successfully implement DWD across their site, including ‘roles and responsibilities’ action cards; 

Better understand the value of health and social care partnership staff becoming part of the acute ward’s multidisciplinary team. 

Speakers

Lyndsay Cameron

General Manager, Medicine, Western General Hospital, NHS Lothian


Lyndsay has over 10 years operational experience in a variety of Acute Hospital management and leadership roles.

Jill Gillies

Associate Director of Quality, NHS Lothian


Jill is the Associate Director of Quality for NHS Lothian, where she provides leadership to enable the application of a quality management system with a focus on patient safety and reducing avoidable harm.

Home First Models in Lanarkshire – A Whole System Approach 

Delayed discharges remain a significant issue across Scotland and add to additional pressures on hospital beds during periods of peak demand, detrimentally affects patient flow through the health and social care system and ultimately is not in the best interest of the patient.   

Early supported discharge and Home First models have been locally developed and led by Health & Social Care Partnerships (HSCPs) and Acute sector colleagues and contribute to whole system working by maximising integrated working between the partnerships, local authorities and third/independent sectors. 

All HSCPs are committed to ensuring that people are enabled to live longer healthier lives at home or in a homely setting and the successful implementation of Home First strategies are having a positive impact on hospital flow but also and importantly, this approach ensures a focus  on enabling people to go on to live independent lives.   

This presentation will showcase how this approach has been developed in Lanarkshire across two HSCPs on a whole system basis; highlighting stages of implementation across three acute hospitals and will present evidence of improved outcomes for people in a more cost effective and sustainable way.  

After this presentation, delegates will: 

Have a greater understanding of Early Supported Discharge/Home First models and be assured that these models are safe, effective and person centred; 

See evidence of how these models result in improved length of stay/reduced delayed discharge and how successful implementation of these models has resulted in lower packages of care being prescribed which is both cost effective and enables people to live more independently; and 

Be aware of the need to change prevailing culture of overprescribing of support due to expectations on provision of maximum levels of care. 

Speakers

Morag Dendy

Head of Planning, Performance and Quality Assurance, North Lanarkshire University Health and Social Care Partnership


Morag is Head of Planning, Performance and Quality Assurance in the North Lanarkshire Health and Social Care Partnership.

Claire Rae

Head of Health and Social Care, South Lanarkshire University Health and Social Care Partnership


Claire holds the position of Head of Health and Social Care within the South Lanarkshire University Health and Social Care Partnership.

Trudi Marshall

Interface Director, NHS Lanarkshire


Recently taken up post as Interface Director in NHS Lanarkshire but for past 5 years was Nurse Director within Health & Social Care North Lanarkshire leading on frailty and care home support.