This model is not designed to be a performance management tool. This new tool will seek to identify actions which delay, divert or prevent the need for acute hospital and statutory care, and instead increase focus on maximising peopleвЂ™s independence and helping to keep them well in their usual place of residence. This is being developed by national partners as a separate good practice tool. Respondents to the review also asked for the model to extend to cover admissions avoidance and other preventative actions. The change is focused on what is needed in terms of the вЂliving environmentвЂ™ in order to enable a safe and effective discharge. The new change was created in response to feedback about the importance of home-based support in facilitating discharge, and includes the use of effective housing, home adaptations and assistive technology services. housing and related services (the new change).monitoring and responding to system demand and capacity.The original model identified eight changes which will have a significant impact on effective transfers of care we have added an additional change in the refresh these are: It can be used to self-assess how local care and health systems are working now, and to reflect on, and plan for, action they can take to improve flow throughout the year. It offers a practical approach to supporting local health and care systems to manage the individualвЂ™s journey and discharge. The Managing transfers of care HICM aims to focus support on helping local system partners to improve health and wellbeing, minimise unnecessary hospital stays and encourage them to consider new interventions. New sector research, quick guides and guidance.Work of partner organisations and various regional projects underway to develop HICM support and collate good practice at a more local level.Performance and reporting data, such as on implementation of the tool from BCF quarterly reports.Online questionnaire asking for reflections on the model, completed by 44 respondents.Feedback from nine consultation events in each local government region, gathering reflections of over 550 colleagues from across health and local government.This included a review of a wide range of materials, as well as consultation events to invite views from those using the tool. Advice on measuring and monitoring success.Дў019 review of the Managing transfers of care - a High Impact Change ModelДЄs the model has been in use for several years, it was felt a refresh of its effectiveness was appropriate.Expanded links to supporting materials, including up-to-date case studies and fuller papers on certain changes.The maturity levels are more focused on outcomes for both the system and people: these will not all match every system, but are intended to reflect what the changes should feel like.Tips for success: in addition to the outcomes in the maturity matrix and are often key principles.

I and We statements: these expand on the impact of the changes from the perspective of the person or worker supporting them these were chosen from Think Local Act PersonalвЂ™s Making it Real framework, and their usage is supported by the National Coproduction Advisory Group.The resulting refresh therefore consists of a number of additional components including: Respondents asked for more clarity, a strengthening of focus on the person, and greater emphasis on the key Home First and discharge to assess policies. The 2019 review broadly endorsed the High Impact Change Model (HICM) as a positive tool to support the continued reduction of delays in transferring people home from hospital. The refreshed model for Managing transfers of care The model is endorsed by Government through its inclusion in the Integration and Better Care Fund (BCF) policy guidance. Throughout implementation of the model, achieving the right outcomes for people is key, enabling them, with the right information and advice to make the best decisions about their ongoing care. While acknowledging that there is no simple solution to creating an effective and efficient care and health system, this model signals a commitment to work together to identify what can be done to improve current ways of working. It builds on lessons learnt from best practice and promotes a new approach to system resilience, moving away from a focus solely on winter pressures to a year-round approach to support timely hospital discharge resulting in quality outcomes for people.

Night changes key