Case Study:
Oxfordshire-led Partnership (ongoing)
Introduction
LSE Innovation project with the Oxfordshire-led partnership
Timescale: Ongoing
Funder: LSE Regional Innovation Fund
Partnership: Project led by Dr Michela Tinelli (CPEC, LSE) in collaboration with localities across the UK, led by Daniel Leveson, Executive Director for Oxfordshire - NHS Buckinghamshire, Oxfordshire and Berkshire West Integrated Care Board.
The Oxfordshire Integrated Care Board (ICB) operates three step-down facilities designed for clients referred from hospitals, including those with complex case histories requiring varied forms of support to help them achieve independent living.
The CQE team collaborated with the Oxfordshire ICB during evaluation of the Out of Hospital Care Models Programme, funded by the government. The Programme aimed to reduce street discharges, readmissions, unplanned hospital visits, and homelessness while enhancing health and well-being.
The project's evaluation concluded that improved data processing—encompassing recording, analysing, and visualising data—holds significant potential for enhancing care quality. Consequently, LSE and Oxford formed a partnership with other ICBs, local authorities, charities and service providers to develop and test in real settings a customised suite of tools to further this goal across a number of localities in the UK.
Objectives
Improving Data Quality in Care Facilities
A recurring issue in care provision facilities is poor data quality. Even when relevant data is recorded and stored—though this is not always the case—the processes are often outdated and inefficient. Data is sometimes recorded on paper forms and manually entered into Excel spreadsheets, which are non-standardised, prone to being overwritten, and analysed only periodically by project managers with numerous other responsibilities.
Our main objective is to address this issue by developing a streamlined, real-time, custom online data platform. This platform will not only resolve existing data quality problems but also unlock several positive externalities. Over time, as multiple localities report similar metrics, data collection could become standardised. Access to data across different localities will enable benchmarking between services and facilitate advanced predictive modelling, ultimately helping service providers enhance the quality of care.
Methods
We are undertaking various steps to achieve our main objective.
Platform Onboarding
We successfully onboarded Oxford onto the platform. With Oxford being one of our initial stakeholders, we applied multiple iterations of demo versions to fully customise the data flow tailored to Oxford's needs.
Enhancing Functionality
We added requested functionalities, such as capacity calculation, to minimise staff workload, map client flows, and identify blockages effectively.
Real-time Monitoring
We have tracked the service delivery in real time which allows for efficient performance monitoring enabling immediate identification of issues and improvements.
Consistent Data Collection
We have used our standardised questionnaires for consistent data collection.
Benchmarking
By comparing Oxford’s performance metrics against national benchmarks and targets, we were able to identify areas of improvement.
Data Visualisation
Our dashboards employ interactive charts and graphs to visualise data, making it easy to identify trends. Users can filter and customise data presentation based on specific criteria, such as time periods, type of service provision, or specific locations.
Key Comments
We are currently testing the CQE platform as a management and operational tool in collaboration with interested localities. If you want to know more about the current work and possibly join the collaboration, please contact the team.
The project aims to adapt manually operated dashboards built for the OOHCM programme by incorporating new data and metrics. The goal is to ensure continued relevance and usefulness for local service providers, their managers, and ICB commissioners.
Integrated management dashboards serve as a management tool for both local stakeholders—service providers, local commissioners from ICBs, local authorities, NHS trusts—and national stakeholders, including DHSC, other government departments, arm's-length bodies, and national charities.
The platform offers care providers the flexibility to choose the data sets they wish to collect, ensuring that staff experience no additional administrative burden.
Peter Moore
Programme Manager, Oxford City Council Out of Hospital Care Model