CCMI and Mental Health Enhanced Service
Introduction
The Confederation, Hillingdon CIC, aimed to enhance the quality of information provided to Primary Care Networks (PCNs) in the borough. They identified Primary Care IT to assist practices in delivering their Enhanced Services and IIF targets for the PCN DES, leveraging its specialist industry knowledge of EMIS and wider systems integration. Despite facing complex business rules, particularly in CCMI/Mental Health Enhanced Service delivery, Primary Care IT successfully overcame these challenges through a suite of services, including setting up practice alerts and providing templates within the practice’s clinical systems.
Background/Challenge
As part of a partnership working arrangement, the objectives were to:
- Provide a gateway for timely, accurate, and complete CCMI/Mental Health business intelligence for 2022/23.
- Provide single-user web portal access for clinicians and non-clinicians with relevant NDH information 24 hours a day.
- Provide data quality assurance for coding and templates against complex NHS England business rules standards.
- Installation of user-friendly resources and tools, in particular, CCMI/Mental Health Enhanced Service templates to PCN and practices to optimize patient care.
- Provide education and training operational 365 days a year.
- Be the vehicle to help PCNs achieve value money for public funds for 2022/23.
Solution
Primary Care IT implemented a suite of services to address the project’s challenges:
- Setting up practice alerts and providing templates within clinical systems.
- Developing innovative practice dashboards on the OneAnalytics platform.
- Providing facilitators to assist PCNs in platform navigation and plan development.
Outcome
The project yielded several outcomes:
- On average, 4 weeks earlier performance reporting allowing earlier decision-making to optimize patient care.
- SMI:
- The PCNs completed physical health checks in 83% of patients compared to 57% across NW London ICS practices, benefitting an additional 596 patients.
- Were the same benefits to be seen across the ICS, an additional 6621 patients could have health checks that currently haven’t.
- Given that completed annual reviews were associated with lower primary care (£9), mental health care (£30), and total costs (£34), this improvement led to:
- £5,360.51 of primary care savings.
- £17,868.38 of mental health savings.
- £20,250.83 of total savings.
- If the same approach were to be applied to the entire ICB, this would lead to:
- £59,584.61 of primary care savings.
- £198,615.38 of mental health savings.
- £225,097.43 of total savings.
- CCMI:
- The PCNs completed physical health checks in 82%% of patients compared to 62% across NW London ICS practices, benefitting an additional 210 patients.
- This resulted in wider ICS objectives for NDH being met.
- High provider satisfaction against contract requirements in 2023/23.
- Practice-by-practice performance report forecasting the end-of-year position which improved planning and resource allocation.
Conclusion
The successful collaboration between Hillingdon CIC and Primary Care IT demonstrates the effectiveness of partnership working in improving patient care and achieving NHS objectives. The project’s outcomes highlight the importance of data-driven decision-making and innovative solutions in enhancing healthcare delivery within the community. Moving forward, continued investment in such partnerships and technologies will be crucial for sustaining and furthering these achievements.
