Extract, Transform, and Load (ETL) is a process in data warehousing that involves
* extracting data from outside sources,
* transforming it to fit business needs (which can include quality levels), and ultimately
* loading it into the end target, i.e. the data warehouse.
This briefing outlines what integration is, examines policies to enable it and gives examples of integration in England. It also looks at the evidence on the challenges of achieving integration and assessing the effectiveness of approaches.
Cambridgeshire and Peterborough NHS Foundation Trust and mental health charity Mind in Cambridgeshire have teamed up to offer a new safe haven for those experiencing a mental heath crisis in Peterborough.
The Sanctuary will open on Monday, 19 September to allow people to get practical and emotional support.
The move marks the start of the latest stage of the Urgent and Emergency Care Vanguard programme in Cambridgeshire and Peterborough.
NHS organisations together with local authorities, police and representatives from the third sector have combined to launch a number of projects aimed at improving the way urgent mental health care is delivered and to reduce the pressures on accident and emergency departments.
The Mental Health Five Year Forward View Dashboard, published in October 2016, is a response to the recommendation in the Five Year Forward View for Mental Health that NHS England create a tool “that will identify metrics for monitoring key performance and outcomes data and that that will allow us to hold national and local bodies to account for implementing this strategy.”
It includes a suite of metrics based on the proposals in the Implementation Plan and is structured around the core elements of the mental health programme
After in-depth and comprehensive analysis of a range of data collected over the ‘Typical Weekend’, which was a four day live observation of how services work now, the upcoming ‘One Trafford Response ’ will see staff from different agencies - including Pennine Care's community health serivces - working in a central ‘hub’ on a range of real cases, as they come in, for action and support, involving: sharing information, supporting and challenging working practices, testing co-location of services, understanding how people access services day and night, and working collaboratively to help people in crisis.
£2.1 billion has been allocated this year to a Sustainability and Transformation Fund (STF), which ministers said would enable the NHS to transform services and meet the ambitions set out in the Forward View. However, £1.8 billion of this funding is being used to reduce deficits among NHS providers, leaving just £300 million to invest in new services this year.
Bradford District Care is opening first overnight service for CYP in crisis - aim is to reduce children with mental health issues presenting at A&E and also to roll out across W Yorks STP area. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
The Redbridge HASS has a greater focus on early intervention and prevention and delivers high quality integrated care.
It has an improved single point of access for people over the age of 18 with community health or adult social care needs and it delivers an integrated service at a local level to the following people:
• vulnerable older people;
• adults with a learning disability and/or on the autistic spectrum;
• adults with a physical and/or sensory disability;
• adults with a mental health issue. We have made it easier to access our services and reduce the number of calls and number of assessments a person has to undergo.
NHS England today (29 September) published details of two more common frameworks for local health and care systems, organisations, communities and patients, wishing to develop and implement new ways of working.
The documents are based on the learning so far from the primary and acute care system (PACS) and enhanced health in care homes vanguards – describing the key ingredients that make up both models.
They demonstrate how the new models can strengthen primary care, improve access, focus on the prevention of ill-health and control costs. They follow on from the multispecialty community provider (MCP) care model framework, which was launched in July.
We are four semi-rural practices on the western edge of the Peak District, separated by Cheshire’s rolling hills. All of us at Team BDP have similar reasons to change, and this was one of our most important steps.
Selected in December 2015, 14 rapid test sites (RTS) have been implementing this new enhanced approach to primary care across England. They are not vanguards but are part of the new care models programme and consistent with the ambitions of the Five Year Forward View.
Health care leaders across Staffordshire and Stoke-on-Trent’s clinical commissioning groups have announced the appointment of Marcus Warnes as their single joint Accountable Officer.
n our new report – Some assembly required: implementing new models of care – we set out ten lessons for local leaders seeking to systematically make changes across services in their area. These are based on first-hand accounts of clinicians and managers from NHS England’s new care models programme vanguard sites, who have developed and tested new ways of joining up health and social care services.
Ten months in, and with STPs being submitted on Friday, now is a crucial time for the system to acknowledge and address some of the potential barriers to making the STP concept a successful reality, as well as considering how local areas can be supported to move from theoretical ambitious planning to realistic delivery programmes.
Yeovil initially trialling this for its own staff but may extend to patients. Virtual GP consultations via Skype. You can request a copy of this article by replying to this email. Please be clear which article you are requesting.
The innovations selected to join the programme include:
EpSMon: an epilepsy self-management tool which enables patients to monitor their well-being and know when to seek medical support
Serenity Integrated Mentoring (SIM): A collaborative model of care that sees a specialist, trained police officer working within community mental health teams to better mentor, encourage and support some of the most challenging, complex and high risk service users.
It is unfortunate that due to the decision by NHS England asking all local teams not to communicate any information about their Sustainability and Transformation Plans (STP), we now see inaccurate reports in the national media.
The STPs have been discussed for several months with health, local government, regulatory bodies and the third sector. The idea has been to collaboratively prepare a credible plan for delivering better services whilst also identifying cost savings. The work around STPs involves the creation of 44 geographical “footprints” across the UK, ours being Shropshire and Telford & Wrekin.
Community pharmacists must be able to routinely prescribe medicines for people with long term conditions and refer them directly to other healthcare professionals to ease the overwhelming demand facing the NHS says the Royal Pharmaceutical Society (RPS) in a new report to be launched at the House of Commons tomorrow.
The number of admissions to hospital are rising steeply and are outstripping increases in the NHS budget, according to new analysis published today by The King’s Fund.
Now our microbiologists, who are infection specialists, visit the wards every day to see every patient who is receiving intravenous antibiotics. Where appropriate, patients are either switched to oral antibiotics and discharged, or switched to the Outpatient Parenteral Antimicrobial Therapy (OPAT) service and discharged.
The patients recruited to OPAT are provided with an information leaflet and changed to intravenous antibiotics that can be given once per day. They then come to hospital daily as outpatients and hospital transport can be arranged, if required. The OPAT Clinic is a patient-friendly area where patients can relax in comfortable chairs, whilst receiving their treatment. The microbiology team clinically lead the service, direct the antimicrobial treatment and refer to other specialists when appropriate. As the service is infection specialist-led, a wider range of infectious diseases can be accepted for treatment.
As Birmingham and Solihull join the Integrated Personal Commissioning Programme (IPC), John Short explains why he believes IPC will work well for people with enduring mental health needs, as a way to offer people the flexibility they need to find their own route to recovery.
Transforming how health and care services are delivered can be both exhilarating and fiendishly difficult. The recent publication of some sustainability and transformation plans (STPs) has now brought both these issues to the fore. The plans reveal considerable ambitions to integrate services, embrace population-based healthcare and bite the bullet on painful service reconfigurations.
Practices which offered additional appointments showed a reduction in the number of their patients attending emergency departments (also known as A&E) for minor conditions. There was no overall reduction in emergency visits. Costs were reduced for emergency departments but by less than the cost of the additional appointments. The study did not evaluate whether or not this is cost saving to the health service as a whole nor if health outcomes were improved.
IPC is about making “five key shifts” in how health and social care systems and professionals deliver care, so that in addition to personal budgets, people also have access to more peer support and local community resources, with greater connections made between statutory services and the voluntary and community sector.
In Hampshire we are working to deliver IPC, locally known as “My Life, My Way”, for disabled children and adults, as well as young people who are in transition from children to adult services. We aim to ensure that over 1,000 people locally have a personal health budget or integrated personal budget by 2018.
We want our young people who are moving on to adulthood to be able to say “Transition, what transition?” and we believe that IPC offers a clear, innovative and comprehensive framework to deliver that ambition.
Following a review, including patient and carer experiences, four objectives were formed. First, there should be a fully integrated person-centred care pathway. Second, that early diagnosis should be made by a specialist memory clinic, with a clear referral pathway and a person-centred, ‘One Stop’ approach. Third, all GPs should be made able to make a diagnosis in the moderate to later stages of the illness. Fourth, that all patients should have consistent access to evidenced-based interventions wherever they were diagnosed
The redesign process was at all times in consultation with patients and carers, GPs, the voluntary sector and with reference to best practice. Project groups of clinicians from each organisation and locality were set up to design and deliver the new integrated service which was implemented across Devon nine months later.
As part of the vanguard, we’ve been working with colleagues from Nova, a local strategic infrastructure third sector organisation, on a very exciting project. West Wakefield have funded Nova to design and test the delivery of a small grants, micro-commissioning programme.
This is for grassroot voluntary and community sector groups, to develop services that provide a non-clinical activity in direct support of GP practices and their patients.
We have today issued a special edition of our Putting Patients First Newsletter.
This edition focuses on our Sustainable Services Programme and provides a greater level of detail around the preferred option.
A ground-breaking healthcare project pioneered by The Royal Wolverhampton NHS Trust (RWT) continues to grow with another GP practice joining the pilot scheme, Vertical Integration (VI), which aims to deliver better care for patients.
Patients and members of the public can now apply to join Staffordshire and Stoke-on-Trent Sustainability and Transformation Plan (STP) patient reference groups. The creation of the patient reference groups are the next stage in the STP following the series of ten "Conversation Staffordshire" and "Conversation Stoke-on-Trent" events, hosted by both local Healthwatch organisations during November and December 2016, which were attended by more than 200 people.
In the latest in a series blogs focusing on Sustainability and Transformation Plans (STPs), Ed Smith, Chair of NHS Improvement, explores some of the key questions that need be asked in order to take the right approach to planning.
New models of care, including the work of the vanguards, are key to the delivery of sustainability and transformation plans (STPs) which are being developed across the country. Transforming health and care services requires a valued and engaged workforce and in this blog, Dr Nav Chana, Clinical Adviser for Workforce Redesign – part of NHS England’s New Care Models Programme, shares five ways to approach this.
In the face of increased demand for care and constrained finances, while the Better Care Fund, the principal integration initiative, has improved joint working, it has not yet achieved its potential. The Fund has not achieved the expected value for money, in terms of savings, outcomes for patients or reduced hospital activity, from the £5.3 billion spent through the Fund in 2015-16.
This paper presents NHS bed data from across the UK in one place. The data demonstrates the increasing pressures on the system in each nation. It provides evidence of the underlying cracks within the NHS.
The STP has been updated recently to build on our earlier progress and it takes account of feedback we have received from many of our key stakeholders.
As the new care models programme begins its third year, people working across the programme, both nationally and locally have been exploring how they can ensure the success of the new care models are spread across health and care services.
Samantha Jones, director of the new care models programme recently shared her top tips for vanguards and others developing new models of care on how they might help do this.
The Primary Care Home (PCH) programme is delivering a range of benefits for patients, staff and the wider health system, according to a new report released today (Friday 31 March).
The Leeds Mental Health Flow aims to deliver radical, system-wide, sustainable change to improve quality of care for patients, improve patient experience and improve the system that supports this. We started this improvement journey in September 2016 with a four day rapid improvement event with around 40 clinicians, health workers and managers from across the Leeds health and social care system.
We heard that the UK government is seeking to improve the working systems between primary care and Accident and Emergency teams in England to help reduce pressure on services and cut waiting times for patients.
So we thought you might like to hear about our experiment that has been coproduced between patients, primary care staff, ambulance staff and emergency room (ER) staff in Jönköping County Region. Our scheme is the first of its kind in Sweden.