IPC Outcomes and Evaluation Emma Rowse and Laura Wheeler
Overview • Outcomes for the IPC programme • Our evaluation partnership • What and why – our outcomes framework • How - data collection and evaluation process • Tools and support • What else…?
IPC Outcomes 1. People with complex needs and their carers have better quality of life and can achieve the outcomes that are important to them and their families through greater involvement in their care, and being able to design support around their needs and circumstances 1. Better integration and quality of care, including better user and family experience of care Prevention of crises in people’s lives that lead to unplanned 2. hospital and institutional care by keeping them well and supporting self-management – so ensuring better value for money
Our evaluation partnership AHSN SW evaluation University of group Plymouth SW IPC Evaluation NHS England SW evaluation Commissioning team Support Unit Individual site skills and expertise
Improvement projects in SW Mul ultiple Prim ime Min inisters Ch Chal allenge Fun Fund Regi egion wid ide system Som Somerset pr programmes: initiatives ini interoperability in - Vanguard South Somerset - Test & Learn Sites in 3 Localities Integrated Car are Ex Exeter (I (ICE) E) Regio ional l Socia ial l Investment - SPQS (Somerset Practice Quality Scheme) - Defined population within Exeter Fun und pr proje oject Wes estbank Nei eighbourhood Fr Friends: - GP & acute led identification of those at requiring additional support Pathway cos osting Nei eighbourhood Hea ealth Watch: Region wide, to - Volunteer led model demand, provide linked data Kernow Integrated Car are Pio ioneer set for analysis and Programme: local service - Living Well Pioneer programme development South Wes Sou est Qu Quality Primary Car are Workforce Sus ustainability Improvement and and - Mapping new models of care Patient Sa Safety - Sharing and learning repository Col ollaborative - Primary Care capacity - Pharmacy Bes est Practice res esearch pr projects Sou South De Devon and and Torbay Integrated Car are Pio ioneer: Ind ndustry led led Integrated Per ersonal al Commissi sioning g (I (IPC): - Newton Abbott Frailty Hub inn innovations - Hele & Watcombe Family Hub - Regional Collaborative
What – our outcomes framework
Pre-IPC Intervention Agree which IPC cohort you are working with Define and document any sub- selection criteria Identify 5-10 people to work with Approach person to offer IPC conversation/phone/ letter
Offer IPC site lead liaise declined IPC site lead Conversation with Practitioner with partner data and person completed: begins and IG leads to Experience reason agree cost/activity inputting data - Care plan completed baseline survey data required, when with goals and action captured capture and how data will plan defined captured spreadsheet be transferred - Consent form to share information signed - Baseline Wellbeing, IPC site lead Experience and PAM agrees data captured information - Informal carer sharing identified if appropriate agreement and get all partners to sign Identify Identify budget/allocati budget/allocati on and agree on and agree access method access method Send Wellbeing, IPC site lead Experience and sends data Send Wellbeing, Send Wellbeing, care plan baseline capture sheet Experience and Experience and care paperwork data for care plan baseline for central plan baseline central inputting paperwork data for paperwork data for inputting central inputting central inputting
Site lead and Get practitioners Review - 3 Months CSU sends team together for pseudonymissati interviewed to facilitated on database to learning session capture each provider in a and case study site with data learning and specification capture lessons Data provider sends pseudonymised data by secure email to CSU CSU link pseudonymised data and send to AHSN and IPC finance lead for analysis Experiential/Early IPC site lead 3 month check evaluation sends data on financial from conversation capture sheet for captured at the learning impact event and practitioner central inputting case studies
Review - 6 Undertake Undertake PERSON'S 6 Months CARERS 6 month: month: - Care plan review CSU sends - Wellbeing - Wellbeing IPC site lead and pseudonymisation - Experience - Experience team Undertake 2nd database to each - PAM - Capture case interviewed to Practitioners provider in a site - Capture case study cature learning survey study with data and lessons specification Send Send Data provider paperwork paperwork sends data for data for pseudonymised central central data by secure inputting inputting email to CSU CSU link pseudonymised data 6 6 and send to AHSN month/Interm 6 month/Interm and IPC finance lead ediate month/Intermedi ediate for anaylsis Evaluation ate Evaluation Evaluation carried out by carried out by carried out by University of University of University of Plymouth 6 month/Intermediate Plymouth Plymouth Experiential/Ear analysing all Evaluation carried out analysing all data analysing all ly evaluation data and by University of and providing data and Plymouth analysing all providing from site regional report providing data and providing regional interviews regional report regional report report
Review - 12 Months Send out Send out Person's POET Carers POET Questionnaire questionnaire Key Final 12 Final 12 IPC site lead month month Operational practitioners evaluation evalaution Information/finance practitioners in site partner carried out by carried out by organisations University of University of IPC evaluation team Plymouth Plymouth
Tools and support • Outcomes framework • Data collection process and checklist • Information governance advice, toolkit and templates • Measurement tools • Site data collection sheets • Financial analysis • Secure data pseudonymisation and linkage • Facilitating local conversations
Discussion • What do you need to do in your site to agree outcomes and data collection processes? • What information governance issues do you need to address? • What else can we do to support you on the ground?
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