Detailed Clinical Review of the Pilot Camden Integrated Care Service (CICS

Tender description

1. Background; The Camden Integrated Care Service (CICS) was set up in April 2012 as a pilot with the aim of addressing system challenges. These challenges highlight the need for; - Different health and social care services need to be designed to be delivered in an integrative collaborative manner in order to maximise health outcomes - More patient focussed methods of delivery - Delivery of specialist and more integrated support in the community CICS aims to provide patients with access to secondary care clinicians in a community environment. Central to the service model are clinics bringing specialist clinicians to treat patients in a community setting and weekly MDT meetings specifically for COPD patients. CICS aims to offer practices and patients a responsive service that can be locally tailored to patient needs with the potential to manage co-morbidities in the same location and at the same time, with cross cutting services on site to further support individual needs. CICS referrals can be made for patients with: • Chronic kidney disease (CKD) • COPD (and COPD MDT) • Heart failure • Frailty • Memory • Epilepsy 2. The Clinical Review; The aim of the clinical review is to; - Understand whether the services within CICS are meeting the needs of the patients and outcomes anticipated of CICS - Identify the challenges and benefits of delivering integrated service and services in the community - Highlight the relevant trends (to include service delivery and impacts on local health economy) - Identify learning and best practice to inform the Camden Local strategy and other transformation projects - Make recommendations to inform the future commissioning of each of the CICS services and utilisation of the centre space. - Gather and assess views of clinicians and patients on the service 3. Approach / Methodology It is expected that the review will use the following information/ data sets • Community EMIS data gathered from internal reports, including monthly outcomes dashboards and progress reports and reviews/research • Secondary Care data ‘linked to GP registered populations SUS activity data – inpatient and outpatient activity • GP referral data • Community services data • Care Pathways per service • Estimated cost of existing services using relevant activity data from secondary care and community care (e.g. Community Respiratory Team) • Service specifications and service level agreements • Budget and spend for CICS project • Overview of local strategies and other transformation projects which may have some interdependences • Provider Quality Report – Quality Reporting of Camden Commissioned Services to the Quality and Safety Committee.