Outcome Metric How will this be Achieved Risks Mitigations Current Performance A cross city taskforce has been Independent Sector capacity Additional funding from have currently been reduced Outcome Metric How will this be Achieved Risks Mitigations Current Performance Reducing the Improve patient flow in the LOS (< 4 Days) has been DTOCs to be reduced Winter Pressures will System wide winter identified specialities by rolling out reduced by 0.4 on average in the overwhelm supporting resiliency plan the Excellence in Emergency Care 5 identified specialities. services both within the programme: Supporting initiatives to hospital and wider health Creating the Room” support system resiliency as “Vital and social care system. A Reducing LOS Reduction in the community within the STH a whole e.g. Weekly Flow lack of responsiveness could on spells less average LOS across to improve cross-speciality Group meetings and Newton have a significant impact on than 4 days in 5 the 5 identified working Europe work the ability of these pathways identified specialities to function effectively specialities Introduction of the SAFER 10 Flow principles onto wards initiatives such as it a Go Week” to “Give encourage new ways of working assembled and initiatives identified during winter Local Authority during to 62 as of the last weekly report to reduce DTOCs via a number of winter (historically in Sheffield this would methods across the system. The be over 100 consistently). The initiatives have been grouped into expectation is that the target of 50 number of 3 separate workstreams each led will be achieved by September Delayed to 50 by September by a city organisation executive. 2017 Transfers of 2017 and beyond This work is being supported by Care (DTOCs) Newton Europe who have a deep level of experience in improving the performance of health and social care system systems
Outcome Metric How will this be Achieved Risks Mitigations Current Performance Reducing LOS on spells less than 4 days in 5 identified specialities Reduction in the average LOS across the 5 identified specialities Improve patient flow in the identified specialities by rolling out the Excellence in Emergency Care programme: Creating the “Vital Room” community within the STH to improve cross-speciality working Introduction of the SAFER 10 Flow principles onto wards initiatives such as “Give it a Go Week” to encourage new ways of working Winter Pressures will overwhelm supporting services both within the hospital and wider health and social care system. A lack of responsiveness could have a significant impact on the ability of these pathways to function effectively System wide winter resiliency plan Supporting initiatives to support system resiliency as a whole e.g. Weekly Flow Group meetings and Newton Europe work LOS (< 4 Days) has been reduced by 0.4 on average in the 5 identified specialities. Outcome Metric How will this be Achieved Risks Mitigations Current Performance Reducing the number of Delayed Transfers of Care (DTOCs) DTOCs to be reduced to 50 by September 2017 and beyond A cross city taskforce has been assembled and initiatives identified to reduce DTOCs via a number of methods across the system. The initiatives have been grouped into 3 separate workstreams each led by a city organisation executive. This work is being supported by Newton Europe who have a deep level of experience in improving the performance of health and social care system systems Independent Sector capacity during winter Additional funding from Local Authority during winter have currently been reduced to 62 as of the last weekly report (historically in Sheffield this would be over 100 consistently). The expectation is that the target of 50 will be achieved by September 2017
Sheffield%20Final%20BC%20Narrative%20Plan%2017_19.docx