Working closely with the team at CLCH, Field Dynamics modelled an alternative appointment allocation model.
Creation of new boundaries
Location plays a key part in this model – before appointments are even assigned the health visitors are now allocated geographic zones.
These were typically based upon their historic caseload but additional considerations were also taken into account. These considerations included staff’s local knowledge and the demands of the diverse population needs of inner London where there are pockets of deprivation.
How the new appointment allocation model works
When a new appointment is now referred, the patient is first allocated to a zone, based upon where they live, and then allocated to a clinician, who works within that zone, and then to a session. This new process focuses patients in the same area onto the same health visitor via the newly allocated boundary. Because the staff work within a much smaller area, they travel less and gain the significant operational advantages from knowing this area.
Roll-out of model across four London boroughs
This model was first piloted across Westminster. The pilot included the provision of a stand-alone operational tool for its ongoing management. Following the pilot’s successful completion, the model was rolled out across Hammersmith and Fulham, Kensington and Chelsea and Barnet. CLCH now plans to roll out this initiative to other departments within Children Services and across the wider organisation.