21st International Conference of the

TOC Practitioners Alliance - TOCPAwww.tocpractice.com 11 November 2015, UK

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Significant and sustained

results in a healthcare setting

Tim Broadley

Derbyshire Community Health Services NHSFT

England

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21st International Conference of the

TOC Practitioners Alliance - TOCPAwww.tocpractice.com

Tim Broadley

Associate Director of Strategy

Derbyshire Community HealthServices Foundation Trust

timbroadley@nhs.net

Place for the photo of the

presenter

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21st International Conference of the

TOC Practitioners Alliance - TOCPAwww.tocpractice.com

DCHS

• Our vision is to be the best provider of local healthcare and

a great place to work

• We touch the lives of more than 4,000 patients every day

• We provide services from 133 sites including 13 community

hospitals and 28 health centres across

• We provide services across Derbyshire, Derby City and into

Leicestershire

• We employ more around 4500 people and our budget is

c£180m

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21st International Conference of the

TOC Practitioners Alliance - TOCPAwww.tocpractice.com

Where to begin

• Recognise you have a problem

• Do something about it

• Engage the experts

• Own the solution

• Influence the system

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21st International Conference of the

TOC Practitioners Alliance - TOCPAwww.tocpractice.com

“ Nobody involved in the treatment of each patient really knew how their overall care was being managed or had a clear view of what needed to be achieved in order to prepare patients for discharge.”

Tracy Allen Chief Executive

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21st International Conference of the

TOC Practitioners Alliance - TOCPAwww.tocpractice.com

The QFI approach

• Build

• Capitalise

• Sustain

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21st International Conference of the

TOC Practitioners Alliance - TOCPAwww.tocpractice.com

Build

• Executive engagement

• Introducing ToC

• First phase

• The early results

• Broadening the scope

• Engaging with partners

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21st International Conference of the

TOC Practitioners Alliance - TOCPAwww.tocpractice.com

Capitalise

• Length of Stay

• Reasons for Delay – real evidence

• Care quality improvements – patient experience

• Staff engagement improvements

• System changes - investment

• Supporting financial management

• Supporting future plans

• Effective relationships with partners

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21st International Conference of the

TOC Practitioners Alliance - TOCPAwww.tocpractice.com

Capitalise

• Bed numbers have fallen from 525 beds in

2008 to 206 today

• Average length of stay reduced from 65 days

to 21, with some wards down to 17

• Excess bed days have been reduced by 70%

• DCHS has been able to return over £2m in

excess bed day payments

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21st International Conference of the

TOC Practitioners Alliance - TOCPAwww.tocpractice.com

Sustain

• Jonah is “the way we do things around here”

• Underpinned Foundation Trust success

• Embedded within 5 year plan

• Part of the health community plan

• Ongoing engagement with academic and

other healthcare organisations

• Community Jonah

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21st International Conference of the

TOC Practitioners Alliance - TOCPAwww.tocpractice.com

“The Jonah approach is firmly embedded in the way we do things, and that is why we have been able to sustain and build on the progress we’ve made.”

Tracy Allen Chief Executive

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21st International Conference of the

TOC Practitioners Alliance - TOCPAwww.tocpractice.com

Key messages

Its about people first

&

systems second