NAIC Wales logoWelcome to the NAIC Wales 2016 webpage 

 

Background to the NAIC

To meet the challenge of an ageing population, we need to understand how best to support older people at vulnerable times; particularly when they are at risk of hospital admission or being discharged from hospital. Intermediate Care provides alternative, community based services to better meet the needs of older people and enable more efficient patient flows through the health and social care system.

The NAIC aims to take a whole system view of the effectiveness of intermediate care, to develop quality standards and patient outcome measures and to assess local performance against the agreed, national standards. Identification of potential productivity gains in intermediate care and linked potential cost savings in secondary care are key outputs of the project.  The NAIC is complimented by a large and highly innovative service user element containing standardised outcome and patient reported experience measures.  

The NAIC provides a unique assessment of progress in community services aimed at maximising independence and reducing use of hospitals and care homes. The audit provides a comprehensive analysis of the models and performance of services that support, typically older, frail people with high levels of need and complex co-morbidities, after leaving hospital or at risk of being sent to hospital or long term care. The audit looks at four service categories: crisis response, home based intermediate care, bed based intermediate care and re-ablement services.

The NAIC in Wales 2016

Project Management - The Welsh Government and NHS Wales are working with the NHS Benchmarking Network to undertake NAIC in Wales during 2016. A Project Group has been formed with representatives from both Health Boards and Local Authorities across Wales, the Welsh Government and the programme team, to steer the project.

Audit content - The audit has a number of components to enable a whole health and social care economy perspective of intermediate care to be taken:-

  • Commissioner / strategic level – this covers governance, strategy, participation, pathways and performance management. In addition, the scope of intermediate care services is covered, commissioning / funding arrangements, access criteria, funding and activity. 
  • Provider / operational level – providers of intermediate care services have been asked to categorise their services into functions based on a set of definitions (crisis response services, home based services, bed based services and re-ablement services). Different organisational level data is requested from each of these four functions to reflect their differing nature. The provider / operational level audit covers service models, activity, finance and workforce. Outcomes are collected for bed, home and re-ablement services via the following two additional elements of the audit:- 
    • Service user questionnaire (SUQ) – a questionnaire is completed by the intermediate care clinician and is used to capture information on admission and again on discharge from the intermediate care service. Crucially, a standardised outcome measure is utilised, permitting comparisons between services.
    •  Patient Reported Experience Measure (PREM) – this has been developed and validated with the University of Leeds. It is handed to the service user / carer on discharge form the intermediate care service, together with a freepost envelope, for them to complete on their experiences of using the intermediate care service. It is to be used in home, bed and re-ablement services, but not in crisis response services due to their short-term nature.

Audit timescales – the Project Group will continue to meet throughout the duration of the project. Other key timescales to note are as follows:-

  Action

When

Identification of intermediate care services in Wales

During September 2016

Service user audit data collection

From w/c 10th October to 31st December 2016

NAIC Wales 2016 Stakeholder Workshop

Tuesday 25th October 2016

Organisational level data collection

31st October to 2nd December

Data validation

During December 2016

NAIC Wales 2016 Findings Workshop

end February 2017

NAIC Wales 2016 outputs:

2nd March 2017

Audit outputs – there will be a desktop toolkit made available for every participant in NAIC Wales 2016. There will also be a Summary Report which outlines the key findings for Wales. Each participant in the project will also receive a bespoke dashboard report which outlines their position against a range of metrics.

Summary of resources

 *to access these resources please email jessica.grantham@nhs.net

Further information about NAIC Wales 2016 can be found by contacting:-

Jessica Grantham, Project Manager, NHS Benchmarking Network:-

E-mail: Jessica.grantham@nhs.net

Tel: 0161 266 1909

Tracey Williams, Assistant Director, National Programme for Unscheduled Care, National Collaborative Commissioning Unit

E-mail: tracey.williams21@wales.nhs.uk

Tel: 029 2033 6282