Project Description

Performance Improvement and Model development within IUC

Yorkshire and Humber


Attain were commissioned to provide support across three main areas within the region covering 23CCGs, 3 STPs and specialist commissioners.

This involved;

  • Development of a clinical specification (for procurement) of the new NHS111 and Clinical Advice Service (CAS) to meet the national Integrated Urgent Care Specification.
  • This included establishing KPIs, Clinical Governance and the appropriate delivery model

  • The implementation of NHS111 Online Across Yorkshire and Humber

  • Strategic and operational support to the three STPs to support with the development of IUC and make the necessary immediate performance improvements to meet the required KPIs

What we did

Our support included;

  • Supporting and running a series of workshops and project groups to support the development of the IUC service specification.
  • Dedicated resource was also made available to each STP to support each STP to progress

  • Strategic support was also provided to the programme to enable a coordinated response across a large number of stakeholders and partners.

  • This also included expert procurement advice to enable the region to enter a formal procurement process (also supported by Attain) as planned.

  • Dedicated project management was provided for the implementation of NHS111 Online which enabled the region to go live with the service

Our impact

Our results have included;

  • Implementation of NHS111 Online across Yorkshire and Humber. Attain are subsequently supporting the national roll out with NHS Digital
  • Identification of opportunity for immediate performance improvement through appropriate collaboration between providers of 10-15% against clinical advice and direct booking KPIs

  • Agreement of an innovative virtual CAS model across the region allowing for a higher quality care while controlling cost growth

  • Sign off across the region of a service specification for IUC which allowed formal procurement to start as planned

  • Identified opportunity for a change in service across 111 to reduce the conveyances to A&E

Find out more about Urgent & Emergency Care

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