TOCICO

Following this presentation the participant will be able to- Identify the main injections and benefits; Explain how the 5 steps apply to this environment; and Discuss how buffer management supports integration in this environment. This presentation focuses on community health and social care in a region of the UK where the TOC approach has been applied through QFI Consulting over a period of more than 5 years. The research involves a combination of case and action research over three distinct cycles. The first cycle concerns the use of TOC based discharge management across the 12 community hospitals in the region. This is followed by 2 cycles extending the TOC application into community outpatient care over the last 18 months. The presentation is structured around these three cycles and in each case the process of analysis, design and implementation is presented together with the results and issues associated with building the capability then capitalising and sustaining it. These cycles are then discussed in relation to the 5 focusing steps with particular reference to the use of buffer management. The presentation concludes with a reflection on how the inherent simplicity of this complex environment relates to the other TOC applications.