Strategy – case studies

Our Strategy team works with customers to create evidence-based, deliverable strategies and equip them to be able to deliver these.

Click on the links below to download PDFs of some of our case studies.

Find out more about our Strategy services.

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

#

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.

Mental health performance mapping for shared outcomes model

West Yorkshire Urgent and Emergency Care Vanguard

WYUEC Vanguard logo

Overview

In 2015 NHS England assigned West Yorkshire as an Urgent and Emergency Care Vanguard site to develop new care models. Vanguard sites are expected to act as future blueprints to the rest of the NHS and provide motivation in advancing the Five Year Forward View. Key aims of this programme were to create new approaches to improve the coordination of services between sectors and reduce pressure on Accident and Emergency (A&E) departments.

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.

STP development

NHS

Overview

We are working across several Sustainability and Transformation Plan (STP) footprints to support the development of coherent and achievable Sustainability and Transformation Plans. This includes – Somerset, Suffolk and North East Essex, Norfolk and Waveney, South Yorkshire, West Yorkshire and Coast, Humber and Vale.

Modelling Future Care

NHS Wigan Borough CCG

Wigan Borough CCG logo

Overview

In July 2015 NHS Wigan Borough CCG (WBCCG) commissioned Attain to determine current capacity in the borough by bed type, to establish “as-is” provision across health and social care (phase one). In response Attain delivered a comprehensive bed stock take spanning acute, mental health and LD, intermediate, residential and nursing, extra care housing and home-based care.

Following the success of this work, Attain were invited back to deliver phase two: the development of dynamic scenario model to enable future demand, capacity and expenditure to be estimated by care setting.

Healthy London Partnership (NHS England) Primary Care Workforce Simulation Modelling

NHS England

NHS England

Overview

As part of Transforming Services Together, a strategic transformation project across three East London CCGs, Attain developed a simulation model that linked primary care demand, complexity and activity type to model the subsequent workforce need across the area. Healthy London Partnerships, an NHS England initiative, commissioned Attain to develop this model for their pan-London workforce workstream to inform the upcoming Sustainability and Transformation Plans (STPs).

The model was driven by a recognition that there is a national shortage of GPs and nurses, combined with an ageing workforce that increasingly works part time resulting in a need to diversify the roles to meet future demand in primary care.

In/out of hospital project

NHS Wigan Borough CCG

Wigan Borough CCG logo

Overview

Attain were engaged to support the development of NHS Wigan Borough CCG’s Commissioning Strategy. The project identified indicative savings of circa £50 million over a five year transition period. Attain were tasked with delivering three key work streams:

  • Review of the acute contract and identification of potential activity shifts from an acute to a community setting
  • Analysis of the impact of identified shifts on activity and both finance and estates
  • Provision of a bespoke commissioner training programme to support business planning and transformational redesign and implementation of initiatives identified.

Barking, Havering and Redbridge Urgent Care Vanguard Workforce Baseline Modelling

NHS England

NHS England

Overview

Attain was commissioned by Barking, Havering and Redbridge (BHR) Urgent Care Vanguard which aims to create a simplified, streamlined urgent care system delivering intelligent, responsive urgent care for 750,000 residents in one of most the most challenged health economy in the country. To support BHR achieve its ambition, Attain was commissioned to help them understand and the workforce landscape in the region, focusing both on existing resources and gaps.

Primary and urgent care system model

A North of England CCG

Overview

A CCG in the North of England approached Attain wanting to build a simulation model of their health system to save time and money on pilot programmes and test initiatives.

Performance dashboard development

NHS North East Essex CCG

North East Essex CCG logo

Overview

North East Essex (NEE) CCG wanted to build upon its current performance dashboard reporting system and develop a new dashboard for 2013/14. NEE CCG wanted to ensure that it had access to up-to-date information on performance at a variety of levels for multiple audiences within the CCG. NEE CCG decided to bring in external expertise to support the project. The CCG decided to use Attain to develop a pilot dashboard that uses the business intelligence software tool Qlikview.

Organisational development

NHS West Kent CCG

West Kent CCG logo

Overview

Attain was engaged by West Kent CCG in December 2012 to support to determine its organisational development (OD) needs and a OD plan for the future.

Integration model development

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.

Strategic planning partner

NHS Wiltshire CCG

Wiltshire CCG

The project

Following a competitive process Attain was appointed on a multi-year contract as NHS Wiltshire CCG’s strategic planning partner.
Attain works with the CCG to undertake a range of activities including horizon scanning, benchmarking, financial analysis and scenario planning as part of developing both strategic and operational plans.

Designing and implementing the strategy has involved deep stakeholder engagement with patient groups, co-commissioners, Wiltshire County Council, health providers and the voluntary sector. This has resulted in Wiltshire’s new model of care which is driving the CCG’s policy of, where appropriate, delivering care at or close to home.

Governance review and organisational development plan

NHS Windsor, Ascot and Maidenhead CCG, NHS Bracknell and Ascot CCG and NHS Slough CCG

Overview

Windsor, Ascot and Maidenhead, Bracknell and Ascot and Slough CCGs have federated to deliver in partnership some commissioning services and manage relationships with key providers. Ahead of authorisation, the CCGs were keen to understand if their governance arrangements were appropriate and were being managed effectively. Attain was engaged by East Berkshire Federation to review its governance arrangements. Subsequent to this work, we were engaged to review the OD needs of the CCGs and develop a coherent and cohesive OD plan.

Main provider contract review

NHS Wigan Borough CCG

Wigan Borough CCG logo

Overview

As part of the review of performance of their main mental health provider, Wigan Borough CCG asked Attain to help them to understand: how the organisation benchmarks against its peer group across services; current demand and anticipated future demand for the services provided; and required acute bed capacity to meet current and future demand.

Organisational development

NHS North East Essex CCG

North East Essex CCG logo

Overview

Attain were engaged to undertake a review of North East Essex (NEE) CCG’s organisational development needs to design and deliver an Organisational Development (OD) Programme that would facilitate the CCG to become an outward facing, patient-focused, listening organisation that has strong relationships with its partners and strong internal capability and culture.

Clinical-led review of diabetes

Great Western Hospitals NHS Foundation Trust and NHS Swindon CCG

Great Western Hospitals NHS FT and Swindon CCG

Overview

Great Western Hospitals NHS Foundation Trust and NHS 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. Specific requirements of the review were:

  • To assess existing and projected demand and capacity
  • To build a spreadsheet model that would enable GWHFT to test various scenarios and their impact on demand and capacity
  • To review the current financial situation
  • To review best practice models
  • To provide recommendations on improving the service.