Darent Valley Hospital - DGT - Quality Strategy

Context

Partnership working and population health management Partnership working supports and drives quality improvement. Working with our partners through clinical networks, locally, regionally, nationally and internationally, the Dartford, Gravesham and Swanley Integrated Care Partnership (ICP) and the Kent and Medway (as well as the South East London) Integrated Care System (ICS) supports us to share skills, experience, and expertise in addition to making the best use of scarce resources. We are committed to sharing our learning and successes with other organisations so that they can improve the quality of care they provide. We are committed to learning from others, and will actively seek to understand the quality improvements taking place both in and outside of the NHS, and adopt their successes localising aspects where required. We believe that a fundamental part of delivering high quality is ensuring that our patients receive the most appropriate care, in the most appropriate place, and by the most appropriate professional. Evidence has shown that, for most of our patients, the best place for them is in the place that they call home (their ‘best bed’). We are therefore committed to ensuring that our patients

only access our hospital for acute care and also supporting them to get back to their ‘best bed’ as soon as possible.; in order to achieve this, we are working together with our local communities, partnering and collaborating within the systems that we operate in, to redesign pathways across Primary, Community, Mental Health and Secondary care. We know that by working together, we can remove fragmentation and ensure that pathways and systems are aligned and well-coordinated. We believe that this can make a difference between ‘good’ and ‘outstanding’ care. Further details of proposed pathway improvements across our system can be found in the Clinical Strategy. Population health management The ICP is committed to improving the health of the population we serve. To do this, it will be driven by population health management data to proactively engage with individuals in their health and wellbeing care plan, empowering them to better understand how to manage their condition as well as when, how and where to seek help when needed. This will result in more targeted interventions to prevent ill-health, improve the quality of care (in particular the effectiveness of interventions and patient experience) and improve outcomes. • Coordinated care for those with the most complex needs • A new model of coordinated inpatient care • Rapid discharges of re-integration into community based care • Scaled up and enhanced primary and community care teams • Multi-disciplinary teams for complex service users • Integrated access to specialist advice and treatment • Ongoing care in the community, enabled by technology • Building business intelligence systems and share care record • Tailoring services based on population segmentation • Better population health through community engagement • Supporting self-care and patient activation • Linking people to community assets and services • Proactive approach • Joined-up crisis response services • Integrated access to unplanned, urgent and emergency care services Integrated Care Partnership Care Model

Highest

Ongoing care needs

Urgent care needs

Whole population

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Trust Strategy Summary