Acute Care – case studies

Detailed business case for a shared paediatric critical care service

Chelsea and Westminster Hospital NHS Foundation Trust and Royal Brompton and Harefield NHS Foundation Trust

Overview

Chelsea and Westminster Hospital NHS Foundation Trust (CW) and Royal Brompton and Harefield NHS Foundation Trust (RBH) engaged Attain to develop a detailed business case for a jointly run, shared paediatric critical care service. A shared paediatric critical care service across CW and RBH offered opportunity to ensure population needs are met, encourage more coordination in the provision of specialist paediatric services, and ensure self-sufficient, sustainable service provision…

Paediatric specialist services review

North West London

Overview

The three tertiary providers in North West London came together at the beginning of 2017 to develop a single model of care for paediatric specialised services. A desire to provide improved patient experience, alongside a number of reviews, policies and plan at local, regional and national levels all contributed as drivers for change.

Workforce re-profiling and modelling

Taunton and Somerset NHS Foundation Trust

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Overview

Attain was commissioned by Taunton and Somerset NHS Foundation Trust to help them understand their workforce and assist the Trust to improve productivity and generate financial savings. The project had two main work streams:

  1. A qualitative review and re-profiling of the current workforce, with the aim to helping the Trust find greater economies and efficiencies including optimising the Trust’s IMS Maxims implementation and
  2. A quantitative workforce model to help understand the impact of a range of initiatives.

Strategic business case

Chelsea and Westminster Hospital NHS Foundation Trust and Royal Brompton & Harefield NHS Foundation Trust

Chelsea and Westminster Hospital logo

Overview

We have recently worked across two London acute hospitals, with their executive teams and led by their respective Directors of Strategy, to develop a clinical model, operating model and business case for the development of a new shared service.

Clinical led review of diabetes

Great Western Hospitals NHS Foundation Trust and NHS Swindon CCG

Great Western Hospitals and Swindon CCG

Overview

The GWHFT and Swindon CCG commissioned this review into the Trust’s diabetes service as part of a 2015/16 Commissioning for Quality & Innovation (CQUIN) scheme. The purpose was to get a clearer understanding of diabetes service performance.

Older Adults: Whole Systems Pioneer

NHS West London CCG

West London CCG logo

Overview

In order to realise a transformed, sustainable and fully integrated health and social care system, West London CCG is pioneering a whole systems approach to the delivery of care to its older adult population. In practice this means employing both horizontal and vertical integration of care services in health, social care and the voluntary sector. The West London Whole Systems model is designed to integrate care for those over 65, by transforming primary care, creating a community hub and integration across planned, intermediate, urgent and acute care. Attain has been engaged to support the CCG to design and deliver the programme of work and to support the implementation of a new service.

Healthy Lives, Healthy Futures: a system-wide transformation programme

Northern Lincolnshire Health Community Healthy Lives, Healthy Futures

Healthy Lives Healthy Futures logo

Overview

Attain has been supporting the Northern Lincolnshire Health Community Healthy Lives, Healthy Futures (HLHF) transformation programme since June 2013. HLHF is a review of all health and care services within Northern Lincolnshire, led by North Lincolnshire CCG and North East Lincolnshire CCG, to ensure services are safe and sustainable for the long term.

Urgent Care Quality Improvement

Trust Development Authority (TDA) quality improvement team

Overview

Attain were commissioned as part of a Trust Development Authority (TDA) quality improvement team to provide rapid urgent care improvement support to a challenged East Yorkshire trust. The Trust urgent care performance had been significantly challenged with delivery of the 95% four hour A&E standard for a number of months. Attain provided service improvement, programme management and analytical support to the TDA team.