Case Study

Project: 111 “In Hours” direct appointment booking 

Client: North West London Collaboration of Clinical Commissioning Groups

Digital First Innovations role: Project Management

What we did

The role of Digital First Innovations was to implement a primary care clinical systems upgrade across 8 CCGs and covering 460 practices. 

The objective of the project was to ensure that patients calling 111 could be booked directly into an appointment at their own GP practice, meaning that systems required reconfiguring to support interoperability with 111 providers and urgent care centres.

To ensure successful delivery we built strong relationships with key stakeholders, including but not limited to GP Clinical Leads, practice managers and 111 providers. Fundamental to this was consulting and bringing on board the local LMC to provide the right level of assurance and strategic ownership to ensure success. A communication and engagement strategy was developed, regularly updated and shared with stakeholders throughout the project.

We opted for Agile project management methodology as this was most suited to the organisation’s resources, culture and structure.  As a result, the project was delivered ahead of the delivery date and has started to deliver the intended reduction in attendance to A&E.

Outcome

Practices who used the function saw a 40% reduction in avoidable visits to their surgeries and a reduction in visits to A&E. 

Digital First Innovations

  • Developed a robust communication strategy to bring every stakeholder with us on the journey 
  • Ensured all governance and information sharing agreements were in place 
  • Oversaw the reconfiguration process with third party suppliers 
  • Co-ordinated the testing of the systems 
  • Managed the troubleshooting process 
  • Attended various forums to promote the service
  • Managed the project budget 
  • Managed the project plans 
  • Chaired project meetings

Project: Adult Community Services Tender submission 

Client: Hertfordshire NHS Community Trust 

Digital First Innovations role: Project Management

What we did

In 2017 we supported Hertfordshire NHS Community Trust to bid for a new, Countywide Integrated Community Health and Wellbeing Service. This involved mapping and reviewing existing community health services and pathways in 16 different localities and developing a comprehensive gap analysis against the new specification. 

Digital First Innovations identified new partners in order to transform the traditional approach to delivering community health services in Hertfordshire. This involved all aspects of building commercial relationships including cost setting and negotiating subcontractor agreements, memorandums of understanding and non-disclosure agreements. Digital First Innovations introduced particular attention to community and third sector organisations in order to increase the role they would play in the new contract and in delivering services more cost effectively. This involved a greater emphasis on prevention and early intervention with more services being delivered in community settings compared to secondary care settings. 

The result was an end to end service with a greater emphasis on prevention and living well. 

Outcome

The customer was successful in their bid for the new service.

Digital First Innovations

  • Designed a new integrated Model of Care for adult community services 
  • Created a single point of access for all referrals 
  • Redesigned admission avoidance and early supported discharge arrangements  
  • Established new locations and settings from which to deliver clinical interventions   
  • Established storyboarding, win strategy and gap analysis meetings in addition to a clinical reference group to bring every stakeholder with us on the journey 
  • Ensured enablers such as technology and innovations to support self-help were prominent in the new model 
  • Coordinated the process for managing, asking and cascading responses to clarification questions 
  • Established the links between the vision and the bid writers to ensure timely responses to ITT questions 
  • Worked alongside finance to undertake demand and capacity modelling   
  • Set up clinical reference group    
  • Instigated development of a new organisational IT strategy  to support the new Model Of Care 
  • Completed impact assessments and risk logs and updated these throughout the process 

Client: Croydon Clinical Commissioning Group 

Project: Implementation of Tele-Dermatology 

Digital First Innovations role: Project Management

What we did

Digital First Innovations implemented a Tele-Dermatology pilot at several GP surgeries.  

The objective of the project was to support GP’s and clinicians to test the efficacy of Tele- Dermatology in improving the timeliness of diagnosis and an effective management plan for patients with a skin lesion of diagnostic uncertainty.  

Digital First Innovations supported the GPs in the development of their technical capability in order to, download an encrypted application onto smartphones, upload images and photographs securely to the cloud and download images from the cloud to desktops where it was attached for secure transfer via the electronic referral system (ERS) on EMIS. 

Outcome 

The result was a significant uptake among GP’s in using the new Tele-Dermatology software, a related reduction in demand on Dermatology Consultant time and early test samples suggested a reduction in waiting times from 16 weeks to 5 days. 

Digital First Innovations

  • Worked with the GP IT lead for the CCG 
  • Identified GPs with special interest in dermatology and engaged them in the planning and implementation process. 
  • Identified a supplier whose product met the guidelines of the British Association of Dermatology 
  • Undertook several presentations with GPs to train them on how the product worked