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Using ChiMat: Shaping the structure of supply

A useful summary of recent information and evidence relevant to my work area”

Commissioner



Look at ways ChiMat can help you to explore gaps in current service and work with current and potential providers to develop services in the future.

ChiMat tools and data

  • Look at a range of data to identify opportunities to improve secondary care while placing this in context of wider issues
    QIPP resource packs - available for child health and maternity.

  • Monitor conditions contributing to high emergency bed days and model high impact interventions
    Disease Management Information Toolkit (DMIT) - Model likely impact of commissioning options at local level, available for asthma, diabetes and epilepsy.

  • Assess progress against national standards to identify areas of provider development and track progress of policy implementation
    Self-Assessment Tools - available for acute paediatric services, infant mortality, NICE Neonatal Standards and young people's mental health transitions.

  • Understand current service configuration and provision
    Service snapshots - available for child and adolescent mental health services (CAMHS), disability, infant mortality, maternity, obesity, teenage pregnancy and vaccination and immunisation.

  • Identify priorities for investment and target resources to tackle inequalities in your area
    Child health profiles - including Local Authority Child Health Profiles (pdf), Child Health Profiles, Healthy Schools Profiles, Infant Mortality Profiles and Breastfeeding Profiles.

  • Get support
    Local specialists tailored training and mentoring to support local needs.

Using ChiMat case study

Identifying the problem

  • ChiMat began work with a Yorkshire health community in spring 2010 as analysis using DMIT showed that it was one of the worst areas in the country for admitting children with diabetes as emergency patients.
  • Following a meeting between key organisations locally including the PCT and hospital to explore these findings, an action plan was created. A degree of initial investment was needed but would soon be repaid by the improvements.

Taking action

  • Children between 16 and 18 who were in transition to adult services were found to fare particularly badly so the service was reviewed.
  • Working with the wider community, including the council, children with diabetes and their families are receiving advice and support about managing the condition and avoiding admission to hospital.

Seeing benefits locally

  • Fewer children are admitted to hospital as an emergency because of their diabetes: a real improvement for them and their families.
  • Looking at more recent data, using an updated version of DMIT, clear improvement can be seen in performance; it is now no longer significantly different to the England average. The number of bed days per 100,000 has decreased, freeing up resources for reinvestment.

For more information see Using ChiMat's resources in practice: Shaping the structure of supply.


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