National Telecare Development Programme

1
National Telecare Development Programme

• Assessment What Next?
• Tony OSullivan

2
More Assessment?

• Sadly, yes!
• Always expected to be the case
• Not surprising given short timescales to date
• Important to keep it proportionate and focused

3
Keeping it Focused

• Ministers established the programme on condition
  that benefits from the programme would be
  measured
• Some (not all) of these benefits are required to
  take the form of efficiency savings
• Specifying and monitoring benefits (in the form
  of outcomes) is therefore essential
• Recognising and managing risk also important

4
Stage 1 Assessment showed

• Partnerships anticipate a clearly defined range
  of benefits of specific type will arise, mostly
  relating to
• Reductions in hospital admissions/readmissions
• Facilitated discharge and a reduction of time in
  hospital
• Reductions in care home admissions and time spent
  within them
• However partnerships have not typically attempted
  to think through the amount of efficiency savings
  likely to arise
• Nor have they typically quantified benefits in
  terms of expected outcomes
• Partnerships have not yet addressed monitoring
  issues
• Little attention has been given to various risk
  issues

5
Keeping it Proportionate

• We think it should be possible to specify
• Some core outcomes that all partnerships will
  deliver
• Some core efficiencies that all partnerships can
  expect
• A monitoring framework that will facilitate
  reporting against these outcomes/efficiencies
• This will be sufficient to meet Ministers
  requirements
• This does not imply that partnerships might not
  have additional interests locally, or that local
  monitoring is therefore unnecessary

6
Developing the next stage

• We will draft some core outcome statements and
  core efficiency statements, and an associated
  monitoring form for partnerships to use
• We will then consult partnerships on these
• To facilitate this, we are looking to set up a
  small working group from within the partnerships

7
From here to Eternity (April 2007)

• We will continue to work with individual
  partnerships on locally specific issues already
  raised through stage 1 assessment
• We will draft outcome/efficiencies/monitoring
  forms and convene and meet with the working group
  in mid February, to consider and amend these
• The finalised forms will then be circulated to
  all partnerships before the end of February
• Partnerships will then be required to complete
  the outcome and efficiencies forms (by
  quantifying them locally and submitting them
  before the end of March)

8
Stage 2 Assessment will therefore involve

• Confirmation that stage 1 issues are resolved
• Confirmation that a partnership has suitably
  completed and returned a core outcomes form
• Confirmation that a partnership has also suitably
  completed and returned a core efficiencies form
• Receipt of written agreement from a partnership
  that the quarterly core monitoring form will be
  regularly completed in a full and timely manner
• Confirmation of partnership agreement to accept
  risk management support that JIT will arrange
  over the summer

9
What might Core Outcomes look like?

• Reduce the number of delayed discharges from
  hospital by X pa from a 2006 baseline figure of
  Y
• Increase the number of persons able to maintain
  themselves at home (with support) by X by 2008
  from a baseline figure of Y

10
What might Core Efficiencies involve?

• Number of hospital admissions avoided in 2008
• Number of hospital bed days saved from people
  ready for discharge
• Number of nights sleepover care saved