We make healthcare
systems work in harmony

We make
healthcare systems
work in harmony

 
 

 

What We do

‘…We don’t just change we transform…’

The challenges facing health and social care are unprecedented;

a growing older population with greater demands and expectations; a need to deliver improvements in the quality, organisation and outcomes of care; an imperative to increase productivity and value whilst ensuring patient safety.

The climate of prolonged financial restraint has resulted in intense financial and service pressures.  Business as usual is not sustainable. As the NHS Forward View highlights, addressing these challenges requires a new approach to developing sustainable models of care that will secure high quality, efficient and effective care for the individual – care that is personalised, better co-ordinated and responsive to changing needs and circumstances. 

 

Whilst the challenges facing our NHS are urgent, the need for transformational change must not be seen as a one-off project, but integral to our way of operating – part of the DNA of our health service, and key to accelerating this comes down to its people, both now and in the future. 

 

 
 
 
 
  1. TRANSFORMING CARE
     

    We focus on working with you to Rebalance the Healthcare System by integrating care around the needs of individuals and communities.

    We apply a range of international, innovative tools and techniques including Clinical Utilisation Reviews (CUR), to identify patients who require Care Coordination and Personalised Care Plans.

    • We work in partnership with you to bring about a health system transformation that:-
    • are supported by evidence-based, international best practice models and interventions
    • promotes a person centered, coordinated and collaborative approach across health and social care
    • provides the right care, in the right place, at the right time, at the right cost, and is delivered by the right people
    • improves the engagement and experience of patients in their care
    • widens the choice of appropriate care for patients and their primary health team
    • places less dependence on acute hospital care
    • focuses on improving outcomes and quality
    • secures better health, care and value for all
     
     
  2. 1. Continuing Healthcare
     

    “The number of people eligible for CHC is to likely increase due to demography, and the risks of not implementing CHC well are too great to ignore.”
    – NHS Confederation briefing

    We work with you to firstly understand the existing state, following which we can then design and deliver a patient-centred, service transformation programme.

    Our offer includes:-

    • Due Diligence Reviews which provide you with a clear description of the key issues, risks, opportunities and gaps
    • A new Target Operating Model that will describe how the service will be delivered
    • A patient-centred transformation programme to address the outputs from the Due Diligence Review
    • CHC Auguro provides the ability to forecast current and future financial risk and demand for strategic planning purposes - an essential requirement for commissioners of CHC, FNC and Complex Care Services
    • Through specialised analytics we can build future cost models that are risk adjusted for your population, providing insight into the future movement of your patients’ CHC needs and associated costs
    • From this intelligence we will work with you to signpost solutions relevant to your local priorities
     
  3. 2. Health System Transformation and Redesign
     

    We work in partnership with you to transform health services that:-

    • are supported by evidence-based, international best practice models and interventions
    • promotes a person centered, coordinated and collaborative approach across health and social care
    • provides the right care, in the right place, at the right time, at the right cost, and is delivered by the right people
    • improves the engagement and experience of patients in their care
    • widens the choice of appropriate care for patients and their primary health team
    • places less dependence on acute hospital care
    • focuses on improving outcomes and quality
    • secures better health, care and value for all
     
     
  4. 3. RIS ACG’s (Risk Stratification and Predictive Modelling)
     

     

  5. 4. Care Co-ordination and Case Management
     

    How we assist with care co-ordination

    We provide a holistic, evidence-based care co-ordination and case management programme that encompasses capacity and impact assessments, training and mentorship in care co-ordination and case management to health care and NHS organisations. Case management and care co-ordination supports the effective management of long-term conditions for patients in a primary health care setting.

    • Understand your capacity requirements

    We firstly identify the current local staffing resources and undertake a skills set assessment against our care co-ordination competence framework.

    • Training in care coordination

    We provide a flexible training package supported by Johns Hopkins University followed by an internationally recognised accreditation assessment at the end of the course.

    • iRIS© a predictor of 30-day readmissions
    • iRIS© supports clinical audit by care coordinators and GP practices. This is critical to securing economic benefit
    • iRIS© outcomes reporting function and impact assessment a set of KPIs incorporating CQUIN measures
    • iRIS© creates an integrated care planning database tailored to the each patient
    • iRIS© underpins equitable resourcing for CCGs commissioning primary care
    • iRIS© supports CCGs with the challenges of continuing health care, identifying patients at risk of nursing home services, and identifying the associated financial risk
     
     

    Our Model of Support

  1. Effective Decision Making
     

    We work with you to create a vision for ‘excellence in business intelligence’ by demonstrating the capabilities, informatics, tools and techniques which will help you achieve the business needs of your organisation.

    We support your decision-making process and help you to develop robust strategic and operational plans. By ensuring your strategic objectives are aligned across the health and social care economy, and are designed around the needs of your population, we then help you to demonstrate the impact of your changes through rigorous economic and financial support.

    We underpin this with a robust programme for delivery, and embed a strategic management process that ensures alignment of your business objectives to your strategic vision.

  2. 1. Health Economics & Operational Research
     

    Decision making made simpler with health economic and operational research

    We support your decision making process and help you to demonstrate the impact of your changes using evidence based health economics and operational research in the health sector:

    • We design and undertake economic evaluations of new service interventions or transformations to identify and quantify the costs and benefits to support business cases
    • We develop simulation models underpinned by statistical and mathematical rigour to allow decision makers to examine the impact of system change before implementation
    • We undertake econometric evaluation of the impact of programmes of change to identify attributable benefits after they have been implemented
     
     

    Our Offering

  3. 2. Healthcare Business Intelligence
     

    Our consultants have many years experience working with NHS data and advanced analytics that support your business needs. We work together to provide intelligence and insight including:-

    • Review your existing capability and business intelligence needs to meet the requirements of your business
    • Develop the vision for business intelligence that will enable you to achieve your goals
    • Tailor a business intelligence ‘deep dive’ to a particular service area / programme to make your business intelligence come to life
    • Identify the tools and approaches you need as a commissioner or provider which fit your business
    • Some examples of our business intelligence tools and technologies include:
      • Health needs assessment and burden of disease studies
      • Clinical Utilisation Reviews
      • iRIS – (Johns Hopkins Adjusted Clinical Groups System® for risk stratification and predictive modelling)
      • Analytical tools
      • Visualisation approaches, work flows and interfaces
     
     

    Our Offering

  4. 3. Strategic Planning
     

    Our approach to strategic management and planning

    We will help you to develop robust strategic and operational plans and ensure you understand the impact of demographic and disease pattern change:

    • We ensure your strategic plans and objectives are aligned across the health economy and are designed around the needs of your population
    • In addition to traditional, largely epidemiological approaches to Health Needs Assessment, our bespoke population risk profiling and risk stratification tool – iRIS iRIS (Integral Risk Intelligence Solution) offers greater detail and more timely, local estimates of specific health care needs
    • We apply the use of econometric modelling and forecasting techniques so you understand the impact of your planned change/s
    • We demonstrate the impact of your proposed changes, in terms of health outcomes and costs / savings (allocating resources to those areas where maximum benefit is derived across the whole health economy)
    • We apply a ‘Systems Thinking’ approach that enables you to see the system as a whole rather than its component parts
    • We help you to understand the barriers that prevent change and help you to deliver business improvements through behaviour based training and coaching solutions

    System Thinking Approach

    We apply a ‘Systems Thinking’ approach to Strategic Planning.

    • System thinking considers the system as a whole. It enables complex interactions to be framed and analysed
    • The underpinnings of systems thinking makes it extremely effective in considering linked systems: In particular, those involving complex issues, high degrees of interdependence, and where coordination among each component part is necessary for the system to perform effectively
    • The approach uses a range of different diagramming techniques to help gain understanding. The‘system dynamic’ type diagraming approach is used to explain a number of business archetypes, built up from just two fundamental behaviours: reinforcing behaviours, and balancing behaviours
     
     
     

    The Building Blocks of Strategic Planning

  1. QUALITY& VALUE
     

    We offer a complete solution to NHS / healthcare commissioners and provider organisations to improve the quality and productivity of health and social care across your local community.

    We provide expert support to commissioners (CCGs and NHS England) and to provider organisations.

    By applying best practice tools and techniques -such as Clinical Utilisation Review tools - we ensure a focus on quality, patient safety and improved outcomes of care.

    We have expertise in addressing the challenges of System transformation, Continuing Health Care, Specialised Services, financial strategy, planning costing and pricing.

    Our team are national experts with an unrivalled reputation and extensive experience in specialised commissioning including secure mental health services.

  2. 1. Support for Commissioning & Contracting
     

    Working in partnership with NHS commissioning and provider organisations, we assist you throughout the commissioning and contracting cycle, providing:

    • Service activity analytics
    • Service/system (re)design and specifications
    • Support for Performance Improvement including the development of key performance indicators, outcome measures and incentives
    • Contract formulation including contract negotiation and robust contracting levers
    • Innovation in contracting, including alliance contracts to incentivise integrated care
    • Contracting incentives leading to improved demand and better utilisation management through embedding Clinical Utilisation Review tools
    • Single-lead provider models
    • Contracting for outcomes
     
     

    Our Offering

  3. 2. Quality, Patient Safety and Productivity
     

    We help you to improve the quality, productivity and performance (QIPP) of the services you commission and provide by:-

    • Applying best practice tools and techniques that focus on improving quality, outcomes of care and patient safety such as:- clinical utilisation review (CUR) tools. These tools ensure: right care, in the right place, at the right time, delivered by the right people.
    • Effective demand management of unplanned hospital use
    • Preventing admissions through effective case management, improving quality of care and productivity
    • Ensuring that workforce productivity and planning is congruent with business objectives
    • Re-design of Continuing Healthcare, Funded Nursing Care and Complex Care services ensuring a patient-centred approach
    • Designing reward systems that are based on optimising value not maximising volume
    • Highlighting innovation that puts research into best practice and is delivering in the UK health system
     
     

    Our Offering

  4. 3. NHS Financial Planning and Re-design
     

    Working in partnership with NHS commissioning and provider organisations, we assist you in the production of your strategic and operational financial plans. This includes the following:-

    • Assessment of the alignment of system-wide strategic and operational financial plans
    • Development of 3-5 year strategic plans (organisational and system-wide)
    • Development of 1-2 year operational plans including:
      • Financial and activity modelling
      • Development of financial scenarios and modelling of assumptions
      • Identifying financial risks and developing associated mitigation strategies
    • Development of QIPP and Cost Improvement Programmes
    • Developing financial reporting tools to support effective operational and Board decision making
     
     

    Our Offering

  1. SUSTAINABLE IMPROVEMENT
     

    Our Organisational Development programme will leave you with a legacy of sustainable improvement:

    • We build capacity and capability within your organisation to deliver lasting benefit and leave you with a legacy of sustainable improvement
    • We will be with you from start to finish, embedding the behavioral change and culture of improvement required to make the changes stick
    • We help you to understand the barriers that prevent change and help you to deliver business improvements through behaviour based training and coaching solutions, ensuring the changes are embedded across all partner organisations
    • Our Portfolio, Programme and Project Management approaches are based on industry standards. They include the provision of resources, tools, methodology and capabilities that drive the delivery of system and service transformation. We ensure that integration, co-ordination and critical paths are visible and all the activities are aligned to the agreed vision, objectives and outcomes
  2. 1. System Leadership
     

    Given the complexity of our healthcare systems, and the need to increase quality for patients and drive for efficiencies, there is a requirement to work outside of traditional organisational boundaries, to form new partnerships and collaboration across whole systems.

    We will support you in developing shared purpose across the health system to ensure a unified vision and objective is maintained throughout your change programmes.

    Through individual coaching, creation of shared narrative, and working with approaches such as complexity theory, we can help you to establish cohesive leadership to deliver large scale change.

     
     
  3. 2. Portfolio and Programme Management
     

    Our Portfolio, Programme and Project Management approaches are based on industry standards. They include the provision of resources, tools, methodology and capabilities that drive the delivery of system and service transformation. We ensure that integration, co-ordination and critical paths are visible and all the activities are aligned to the agreed vision, objectives and outcomes

    We provide a tailored programme management approach that:-

    • Provides you with the tools, methodology and capability, which can be tailored to individual projects, programmes & portfolios
    • Supports you achieving your strategic aims and objectives
    • Combines our change leadership expertise with the business and subject expertise of clients' own teams
    • Will enable you to roll out the framework across your organisation, so avoiding duplication and wheel reinvention
    • Maintains continuity throughout the programme whilst flexing the precise involvement as the programme evolves

    Working with commissioners and providers, we help you to understand the barriers that prevent change and help you to deliver business improvements by improving the quality, productivity and performance of your services.

    The key elements of our approach to workforce planning and redesign include:

    • Experience across all NHS / healthcare organisations including acute, mental health, primary and community care;
    • Expertise in all clinical staff groups including specialist medical staff, nursing, diagnostic services, primary care teams;•We link staff planning and productivity to service and process design;
    • Scope for change analysis and current staffing assessments based on both current “best performance” benchmarks and best practice standards such as the Royal ‘Medical’ Colleges and the RCN;
    • Staff productivity and business activity linked at all levels in the organisation from individual department to provider-aggregates and even whole system;
    • National leading edge consultancy on workforce re-design and interdisciplinary practitioner and assistant practitioner roles in all types of NHS and healthcare provider organisations.
    • Established modelling tools and techniques such as NHS capacity planning, demand management and workforce planning together with a track record in developing bespoke tools for NHS specialist services and NHS providers
     
     
     
  4. 3. Behaviour & Culture Change
     

    We believe
    that it is your people that create your business success. We understand the difficulties that can be created through lack of a common objective, mis-communication and imbalance in team dynamics.

    It is important therefore that people can work well together to deliver challenging agendas. We have a proven track record in supporting organisations, teams and individuals to deliver tangible growth, re-shaping of culture, and sustainable improvement through managed change.