How digital services can help CCGs meet assessment targets

Yorkshire & Humber Academic Health Science Network (AHSN) would like to invite NHS stakeholders to an information session, which is being held in conjunction with IEG4, a company that has developed a fully digital system for Continuing Healthcare.

IEG4Held exclusively for NHS stakeholders, the event will be held between 10am and 1pm on 17th January 2018 at Horizon, Leeds.   Further details may be found below, and the link to registration is here.

Yorkshire & Humber AHSN and SBRI Healthcare have been supporting IEG4’s development efforts to create a fully digital service for Continuing Healthcare.

This complex NHS service interacts with many organisations and is prone to delays and lack of communication between organisations.  Over the last year, IEG4 has been working with CCGs serving the Cheshire area and with Harrogate & District NHS Foundation Trust and its CCGs to develop a solution that:

  • eliminates the need for paper and the consequential paper-based delays in the Continuing Healthcare assessment processes;
  • provides workflow validation to increase the speed, efficiency and auditability of the Continuing Healthcare assessment processes; and,
  • enables all the assessment information, together with confirmation of process steps taken, so that Multi-Disciplinary Team (MDT) recommendations can be verified as soon as they are presented.

The meeting will focus on the development of IEG4’s fully digital service for Continuing Healthcare, work that it has done with CCGs in the region, and how it can be utilised by other CCGs for the delivery of their Continuing Healthcare plans.

Meeting the 80% standard For 28 day completion of full assessments.

In order to meet the above target, an efficient software tool that underpins the Continuing Healthcare assessment processes will be vital.

One Foundation Trust found that at least 15 days of delay were in-built into their hospital-based assessment processes.  This delay came about through waiting for paper administration and transmission.    IEG4’s solution, CHC2DST eliminates the need for paper within the process by digitising the nationally adopted Checklist and Decision Support Tool (DST) forms.

CHC2DST allows for assessments to be developed collaboratively by Multi-Disciplinary Teams, speeding up the collation of information for the recommendation.  These Multi-Disciplinary Needs Assessments (MDNAs) feed into the creation of a Recommendation recorded in an electronic Decision Support Tool (e-DST).

Scheduling meetings as part of the assessment workflow and, the ‘instantaneous’ transmission of forms to the appropriate stakeholders, dramatically speeds up the overall assessment process.

CHC2DST keeps a log of activities performed, allowing verification of the recommendation and the work-steps undertaken to reach it to be performed quickly and easily.

Automation and digitisation of the process means that transmission to the next step can be done at the push of a button.  No paper is transmitted. No evidence lost in transmission.  Records can be easily found in future.

Only through digitisation and automation will CCGs be able to transmit information reliably to conduct daily verification meetings and report successfully on meeting the ‘two day recommendation verification’ target.

Meeting The ‘< 15% Full Assessments Conducted In Acute Setting’ standard

CHC2DST supports the collaborative and remote working required in ‘Discharge To Assess’ strategies.  Discharge to Assess would allow assessments to be conducted in non-acute settings with CHC2DST managing the communication of assessment findings back to an assessment manager.

Conducting the entire assessment process more swiftly will make a significant contribution to reducing the Delayed Transfer of Care (DTOC) numbers.  In-built paper delays in hospital settings will simply disappear.

An independent economic assessment of the digital service was undertaken by Dr Jonathan Besley on behalf of the SBRI funders and is available for interested CCGs, by request, via


The agenda for the meeting will include key stakeholders from across the region who are involved in Continuing Healthcare and the wider improvement of healthcare services.  Talks include:

  • Introduction and importance of transforming CHC for the Yorkshire and Humber region – Dr Neville Young, Commercial Director, Yorkshire & Humber AHSN
  • National Improvement programme – Paul Young/Martin Ware, Programme Director/Business Change and Delivery Lead, NHS England CHC Strategic Improvement Programme
  • Transforming Continuing Healthcare – On the ground – Tracey Cole, Head of Continuing Healthcare, Cheshire and Wirral NHS CCGs
  • Digital service development – Charles MacKinnon/Jackie Gill – IEG4Please feel free to circulate this information to NHS colleagues who may be interested in attending.

Should you have any queries, please contact Sophie Bates via email at