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