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Delivering Data-led Care By Mark Singleton
Acting Associate Director of IM&T
@m4rksingleton
Who is Wrightington Wigan and Leigh NHS Foundation Trust?
Key Statistics
320,000 Population of Wigan Borough (the biggest in GM!)
5 Sites700 Inpatient Beds
80,000 Inpatient Admissions90,000 A&E Attendances500,000 Outpatient Appointments
4,800 Employees£310m Turnover
Wrightington: Centre of Excellence for Specialist
Orthopaedics
Wigan: General District Hospital with Emergency Services
Leigh: Diagnostic & Treatment Centre
Data Literacy
• Only 17% of UK workers considered
to be “data literate”.
– This is just 13% within
healthcare!
• 30-40% feeling overwhelmed in
data
The Challenge
Data Literacy
• 60% of people that don’t consider
themselves to be “data literate”
would be keen to learn & upskill
• 76% of workers who are data
literate saying they are
performing very well at work
Opportunity
WWL’s journey in providing Data-led Care.
Our journey in developing data-led care…
2009
• Purchased Qlikview
for SLR
Our journey in developing data-led care…
2009
• Purchased Qlikview
for SLR
2012-13
• Quality Champions• Staff Engagement
Programmes
Our journey in developing data-led care…
2009
• Purchased Qlikview
for SLR
2012-13
• Quality Champions• Staff Engagement
Programmes
2013
• First game changing app, Devolved
Financial Management (DFM) launched
Devolved Financial Management (DFM)
Developed: 2011-2013,
Re-developed: 2015-2016
Use: To provide timely and in-
depth access to budgets, income, activity & workforce
intelligence.
Usage: Average of 650
sessions per month / 370 users
Outcome: An improvement of 11% in its first year for budget
management.
Financial Return: Estimated
saving of £5m since its introduction.
Recognition:
Our journey in developing data-led care…
2009
• Purchased Qlikview
for SLR
2012-13
• Quality Champions• Staff Engagement
Programmes
2013
• First game changing app, Devolved
Financial Management (DFM) launched
2014-17
• Restructured the BI Team
• Started developing apps for other areas
of the Trust
Collaborative Development
Dr Stephen Gulliford, Consultant
Diane, Head of Nursing
Amanda, Matron
Michael, Developer
Robbie, Development
ManagerGill, Head of Patient Flow
Joe, Head of Unscheduled Care
Joan, Analyst
Business Intelligence working
side by side with the clinical
services on designing and
developing the apps.
Accident & Emergency (A&E)
Aim: To remove the unpredictability
from Accident & Emergency, to aid
their forward planning,
understanding and real-time
decision making.
Outcome: Helped WWL become
the 4th best A&E in the country and
reduced patient waiting times by 30
minutes
Currently one of the Top Performing
Trusts in Greater Manchester for
it’s A&E Performance!
Financial Return: Has helped
save the Trust over a million
pounds so far by reducing its use of
agency staff and contract penalties.
Collaborative Development
We promote our analysts & developers
to understand:
• the services,
• what information the service
currently uses
• what they do with it
• what they really need
Surgical Operating Theatres
Developed: 2015-2016
Aim: To improve the
effectiveness & patient
experience of our surgical
operating theatres
Outcome:
✓ Helped increase
utilisation of theatres
by 8%.
✓ Reduced Patient
Waiting Times
✓ Reduced Late Starts &
Finishes
✓ Improved both Patient
& Staff Satisfaction
The Ward app / CREWS
Developed: 2017-2018
Aim: To improve the effectiveness
& patient experience on our
inpatient wards.
Designed & Developed By:
Nursing Directorate
Outcome: Underpins new internal
ward assessment & accreditation
process.
Our journey in developing data-led care…
2009
• Purchased Qlikview
for SLR
2012-13
• Quality Champions• Staff Engagement
Programmes
2013
• First game changing app, Devolved
Financial Management (DFM) launched
2014-17
• Restructured the BI Team
• Started developing apps for other areas
of the Trust
2015
• Touchscreens
Visibility & Accessibility…
Comm-Cells
AppsTouchscreens With Touchscreens & Qlik apps,
services now get:
✓ Instant Answers
✓ Instant Decisions
✓ Instant Action!
Comm-Cells (short for Communication
Cells) allow services to:
• reflect on their quality & performance
• sharing their recent experiences &
opinions
• get involved in decision making,
especially on where & how
improvements can be made
Our journey in developing data-led care…
2009
• Purchased Qlikview
for SLR
2012-13
• Quality Champions• Staff Engagement
Programmes
2013
• First game changing app, Devolved
Financial Management (DFM) launched
2014-17
• Restructured the BI Team
• Started developing apps for other areas
of the Trust
2016
• Single Version of the Truth
2015
• Touchscreens
Single Version of the Truth
Patients
Partners,
Commissioners & Regulators
Executives,
Non-Executives & the Public
Staff
Our journey in developing data-led care…
2009
• Purchased Qlikview
for SLR
2018
• Demand vs Supply
• Qlik Sense
2012-13
• Quality Champions• Staff Engagement
Programmes
2013
• First game changing app, Devolved
Financial Management (DFM) launched
2014-17
• Restructured the BI Team
• Started developing apps for other areas
of the Trust
2016
• Touchscreens
• Single Version
of the Truth
2015
• Collaborative Development
2017, Supply & Demand
3 x Developers
Developed
18 Weeks / Elective List ManagementAccident & Emergency
Activ ity SummaryClinical Variation
Command CentreConsultant Productivity
Cost ImprovementData Quality
Dev olved Financial ManagementFinance BI
HIS TrackerHospital Live
OutpatientsPlan Track
Programme TrackerPULSE
Serv ice Level ReportingSite Status @ a Glance
SLAM Drill throughTheatres
Top 10%Trust Board Perf ormance Report
Unscheduled Care User Stats
VTEWard App / Crews
Apps Not Yet Developed
ACS & Long term conditionsBed Management
BI Serv ice DeskClinical Coding
CommunityConsultant Productivity v2
DiagnosticseRef errals
FBI v 2Incident Management
IT Serv ice DeskMandatory Training
Market ShareMaternity
Metrics Explorer?Mortality
Pharmacy / BiosimilarsPlanTrack v 2
Procurement v2Re-admissions
Risk ManagementRisk Stratification
Staf f EngagementSubject Access Requests
Sy stem Wide Board ReportTheatre Analy tics
User Stats v2Workf orce
and more…
2017, Supply & Demand
3 x Developers
Developed
18 Weeks / Elective List ManagementAccident & Emergency
Activ ity SummaryClinical Variation
Command CentreConsultant Productivity
Cost ImprovementData Quality
Dev olved Financial ManagementFinance BI
HIS TrackerHospital Live
OutpatientsPlan Track
Programme TrackerPULSE
Serv ice Level ReportingSite Status @ a Glance
SLAM Drill throughTheatres
Top 10%Trust Board Perf ormance Report
Unscheduled Care User Stats
VTEWard App / Crews
Apps Not Yet Developed
ACS & Long term conditionsBed Management
BI Serv ice DeskClinical Coding
CommunityConsultant Productivity v2
DiagnosticseRef errals
FBI v 2Incident Management
IT Serv ice DeskMandatory Training
Market ShareMaternity
Metrics Explorer?Mortality
Pharmacy / BiosimilarsPlanTrack v 2
Procurement v2Re-admissions
Risk ManagementRisk Stratification
Staf f EngagementSubject Access Requests
Sy stem Wide Board ReportTheatre Analy tics
User Stats v2Workf orce
and more…
a suite of additional extensions such as
extra visualisations / f ilters / containers etc.
+
“w rite-back” functionality so Qlik apps can
also quickly & easily capture data!
+
Allows us to provide information on mobile devices for roaming and mobile staff.
Our journey in developing data-led care…
2009
• Purchased Qlikview
for SLR
2018
• Demand vs Supply
• Qlik Sense
2012-13
• Quality Champions• Staff Engagement
Programmes
2013
• First game changing app, Devolved
Financial Management (DFM) launched
2014-17
• Restructured the BI Team
• Started developing apps for other areas
of the Trust
2016
• Touchscreens
• Single Version
of the Truth
2015
• Collaborative Development
The A&E App predicts how many patients will come through the doors of A&E. We use this to plan our staffing levels.
Andrew, CEO
A&E is often the barometer of the hospitals performance, that’s why I use the A&E app the most.
Dan, Directorate Manager for Surgery.
The Theatre app helps us identify any gaps in our theatres utilisation.
Joanne, Directorate Manager for Specialist Services
The 18 W eek app helps us monitor and manage our performance against the national 18 Week target.
Karen, Deputy Quality Manager
The W ard app help Wards understand how they are performing and where they can improve.
Martin, Consultant Paediatrician & CCIO
Data & Analytics is key to reducing variation in our care to ensure its consistently high.
Robert, Chairman
The Trust Board Report provides us with assurance on the level of care we are providing our patients.
Mary, Director of Operations & Performance
I can use Qlik Sense on my mobile to see what’s
happening wherever I am
Has it been worth it?
Financial Benefits / Return on Investment (ROI)
Costs Annual Cost / Saving
BI Resource £900k per year
Qlik Support & Maintenance £100k per year
Savings
Example 1: Increased Theatre Utilisation by 7% £2m
Example 2: Penalty Avoidance £3-5m
Example 3: Improved Budget Management Approx. £5m
Example 4: Improved Procurement £0.5m
etc.
How we fair against the rest of the NHS?
Its all about our patients!
We make data easy so our staff can do what they do best…
Thank you for listening to our journey!
For more information on our
journey please contact:
@m4rksingleton
or
@wwlnhs