INCREASING C

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INCREASING CB UTILISATION PROGRESS IN YORKSHIRE
AND THE HUMBER 25 January 2006
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Systems reform context

• Improving patient experience
• Enabling 18 weeks
• Using diversity of providers

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Performance targets

• Selbie 6 priorities
• - 90 utilisation through DBS by March 2007
• GP DES
• - Sliding scale (minimum 50 utilisation) based
  on period 1 Sept 06 to 28 Feb 07
• Healthcare commission indicators

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Healthcare Commission indicators

• Provider
• - Availability of slots as shown on CB slot
  utilisation reports
• - Does the trust follow national guidelines on
  clinic types when loading information on DoS
• PCT
• - Performance against utilisation trajectory

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Yorkshire and the Humber Choose and Book Referrals
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Key successes

• Performing relatively well
• - 11 of 14 PCTs on or above national average of
  35
• - 7 of 14 NHS acute providers above national
  average of 34
• Many GPs putting as many referrals as possible
  through CB

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Key successes

• Beginnings of 2ww referrals through CB (but not
  showing on weekly report)
• CASs (mostly single specialty, such as TO)
  supporting GP engagement in CB
• Growing senior interest and commitment
• Sharing practice and experience through early
  adopters exemplar practice exemplar trust for
  full booking YH network

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Key challenges

• 6 of 14 NHS acute providers are IBS
• Impact of current financial pressures
• Systems reliability and responsiveness issues,
  not always CB
• GP systems issues with suppliers training and
  integration with business processes
• Transitional issues for providers including slot
  availability appointment centre capacity

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Key challenges

• Maintaining confidence and engagement of GPs and
  clinicians and persuading remaining GPs to engage
  need for intensive operational support
• Impact of reorganisation on key staff
• Reconciliation of perceived performance with
  weekly reports

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Meeting the challenges

• Plans in place for moves to DBS
• Strong leadership in new PCTs coupled with SHA
  performance regime
• Keeping on keeping on with GPs and clinicians
  possible positive impact of DES
• Joint working in LHCs to address capacity issues
  linked to new contract
• Sharing expertise across YH through network and
  surgeries
• Making use of reports and analysis