The National CHC Framework. It automates workflow and communications securely across multiple stakeholders, reducing workloads and delays.
By eliminating non-value adding activities, it boosts productivity and improves service quality. The digitisation of paper results in a smarter and more transparent process that puts CCGs in control of their assessment activities and the decision timetable.
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“CHC Professionals have been working with the paper-based national framework for so long, they’ve accepted that this is how it has to be. IEG4’s intelligent application of technology changed our understanding of the state of the possible and will help us digitally transform the CHC assessment process”Simon Meers, Senior CHC Commissioning Manager NNHS Dorset CCG
CHC2DST Case Studies
Five CCGs across Cheshire and The Wirral worked with IEG4 to create a digital software
solution to underpin the Continuing Healthcare Assessment process.
Since co-developing with IEG4, the Cheshire CCGs went ‘live’ with CHC2DST in September 2017. From this point, each new case has been digitally processed and within the first year 250 authorised users from the CHC stakeholder community have contributed to over 2,500 cases. 500 eligibility decisions have been made and 3,000 case notes have been written with around 20,000 documents electronically uploaded. Becoming paperless enables quicker, more efficient retrieval. Bracknell Forest’s director of adult social care, health and housing Gill Vickers says: “Everything is online. People can track their benefits just like a parcel and it covers all of the transactions that were previously done on the phone. People were calling us asking when their money would be going out but now they can see this information themselves. We looked at the data to see when people called and what they called about, and put the top 10 questions online so that people could find the answer to their questions without calling in.”
CHC2DST has driven up productivity and has put CCGs in control of their workload, making it easier to implement CHC policy consistently and providing a reference point for training. Only authorised users can submit a CHC case for referral thereby improving data quality. Instant communications across stakeholders means that in many cases, GP summaries are
received back in hours allowing an initial referral to be checked for admin quality and by an experienced clinician to eliminate unnecessary tasks. Local Government professionals use the same solution to upload their assessments and record comments or disagreements under the patient case.
Cheshire management schedule work from a hub across five localities, whilst the solution ensures that assessors focus on the assessment tasks in their work queue. The results have seen increased productivity amongst administrators and assessors and control over workload. Elimination of paper handling tasks by using the system have also increased staff morale.
Performance against the National KPI’s has improved significantly, having worked down a backlog of over two hundred cases, Cheshire do not see a backlog returning and expect to continue to drive down the time it takes to reach and communicate a CHC decision.
Sunderland CCG attended a CHC Digital Transformation event hosted by Yorkshire & Humberside AHSN in Leeds and according to CHC Commissioning Manager, David Britton, “We listened to health professionals from Cheshire & Wirral CCGs tell their digital transformation story and knew the journey was right for us.”
“The transformation in assessment capability over the existing process was clear, as was the importance of supportive technology. It’s impressive to see how, in many cases, a checklist referral could be completed and submitted online and assessed for eligibility, with the result communicated to stakeholders within hours.”
Sunderland CCG have used the technology to bring control over the CHC process back in-house. The greater transparency that the technology provides will help accelerate decision making and ensure that those people who are eligible for CHC receive notification on a timely basis. Those who are not eligible will be directed to the appropriate care funding pathway.
Faster identification of eligibility and ineligibility provides the CCG with better control of care package spend, whilst at the same time improving the quality and transparency of services to patients.
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