21st International Conference of the

TOC Practitioners Alliance - TOCPA

www.tocpractice.com

11 November 2015, UK

Significant and sustained

results in a healthcare setting
Tim Broadley
Derbyshire Community
Health Services NHSFT
England

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Tim Broadley
Associate Director of Strategy
Derbyshire Community Health
Services Foundation Trust

Place for the photo of the

presenter

timbroadley@nhs.net

www.tocpractice.com

21st International Conference of the

TOC Practitioners Alliance - TOCPA

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DCHS

Our vision is to be the best provider of local healthcare and

a great place to work
We touch the lives of more than 4,000 patients every day
We provide services from 133 sites including 13 community
hospitals and 28 health centres across
We provide services across Derbyshire, Derby City and into
Leicestershire
We employ more around 4500 people and our budget is
c180m

www.tocpractice.com

21st International Conference of the

TOC Practitioners Alliance - TOCPA

Where to begin

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Recognise you have a problem

Do something about it
Engage the experts
Own the solution
Influence the system

www.tocpractice.com

21st International Conference of the

TOC Practitioners Alliance - TOCPA

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Nobody involved in the treatment of

each patient really knew how their

overall care was being managed or had
a clear view of what needed to be
achieved in order to prepare patients
for discharge.
Tracy Allen
Chief Executive

www.tocpractice.com

21st International Conference of the

TOC Practitioners Alliance - TOCPA

The QFI approach

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Build
Capitalise
Sustain

www.tocpractice.com

21st International Conference of the

TOC Practitioners Alliance - TOCPA

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Build

Executive engagement
Introducing ToC
First phase
The early results
Broadening the scope
Engaging with partners

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21st International Conference of the

TOC Practitioners Alliance - TOCPA

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Capitalise

Length of Stay
Reasons for Delay real evidence
Care quality improvements patient experience
Staff engagement improvements
System changes - investment
Supporting financial management
Supporting future plans
Effective relationships with partners

www.tocpractice.com

21st International Conference of the

TOC Practitioners Alliance - TOCPA

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Capitalise

Bed numbers have fallen from 525 beds in

2008 to 206 today
Average length of stay reduced from 65 days
to 21, with some wards down to 17
Excess bed days have been reduced by 70%
DCHS has been able to return over 2m in
excess bed day payments

www.tocpractice.com

21st International Conference of the

TOC Practitioners Alliance - TOCPA

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Sustain

Jonah is the way we do things around here

Underpinned Foundation Trust success
Embedded within 5 year plan
Part of the health community plan
Ongoing engagement with academic and
other healthcare organisations
Community Jonah

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21st International Conference of the

TOC Practitioners Alliance - TOCPA

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The Jonah approach is firmly embedded

in the way we do things, and that is
why we have been able to sustain and
build on the progress weve made.
Tracy Allen
Chief Executive

www.tocpractice.com

21st International Conference of the

TOC Practitioners Alliance - TOCPA

Key messages

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Its about people first

&
systems second

www.tocpractice.com

21st International Conference of the

TOC Practitioners Alliance - TOCPA