A SNAPSHOT OF SUCCESS Highlights of 2014/15 Sun Sat Fri Thu Wed - PDF document

A SNAPSHOT OF SUCCESS Highlights of 2014/15

Sun Sat Fri Thu Wed Tue Mon Over 96% of We opened 40 40 people with new intermediate suspected care beds cancer were in Eltham receiving their Community fi rst consultant Hospital providing appointment care for patients within closer to home two weeks Patients received The Care Home their cancer Support Team diagnosis and has been commenced extended into their fi rst mental health treatment to improve care within for frail elderly patients 31 days Improved the Reduced the diagnosis rate for emergency dementia to caesarean 69% section rate and launched the and are now in direct access and the process of online booking improving the service ‘Call services provided the Midwife’ to support people for pregnant who have received women this diagnosis There were no ‘Never Events’ reported in the last nine months of 2014/15 at Lewisham and Greenwich NHS Trust NB: Never Events are serious, largely preventable, patient safety incidents that should not occur if the available preventative measures have been implemented.

CONTENTS WELCOME 4 WHO WE ARE 5 WHAT AFFECTS LOCAL HEALTH 6 HOW THIS IS REFLECTED IN OUR PLANS 7 QUALITY CONTROL 9 HOW WE DO BUSINESS 10 CARBON REDUCTION 12 HOW WE HAVE INVOLVED YOU 14 KEY ACHIEVEMENTS 16 BUILDING FOR THE FUTURE 21 OUR MEMBERS 23

4 WELCOME Welcome to NHS Greenwich Clinical Commissioning • Our 41 practices have now formed four Group’s second integrated report. geographically aligned groups, known as ‘syndicates’. These all have an elected GP as a syndicate lead. In my first year as Chair I have been delighted to be A ‘pathfinder’ fund enabled the practices in each a part of the team that has opened a brand new syndicate to work together and support projects community hospital in Eltham. This wonderful modern around improving prescribing, introducing more health facility is enabling us to provide excellent care closer to checks to identify risk factors for people in respect of home and is a real asset for local people in Greenwich. long term conditions, and to improve and harmonise You can read all about it on Page 20 and there is a data coding in practices, so that people with ongoing film on our website www.greenwichccg.nhs.uk health needs can be followed up appropriately Working with our partners in the Royal Borough of • We have provided protected learning time for all Greenwich (RBG), we have also seen a reduction in our practice staff, running four half day education the number of people dying from smoking related events. In addition to clinical themes the sessions have illness. This is due to the hard work that has gone on included subjects such as customer care, data, IT and across the borough to help people give up smoking. care navigation. The CCG is an active participant in We have gone from one of the worst boroughs in the emerging community education provider network London for smoking to one of the best, which is really (CEPN) which has funds from Health Education good news for local people. You can read more about England to develop a workforce fit for the future. We the borough’s innovative approach and what this has are also a member of the Institute for Integrated Care achieved on page 17. with the University of Greenwich and Oxleas NHS Foundation Trust. These are particularly important as Another partnership success story is the award- we work to provide more and more services in the winning approach of Greenwich Coordinated Care. community. This successful integration of health and social care services has been achieved through joint working with I am excited about the RBG, Oxleas NHS Foundation Trust, Lewisham and future. I believe we have put Greenwich NHS Trust, GPs and the voluntary sector. many of the building blocks It has reduced hospital admissions, improved delayed in place this year to ensure discharges from hospital, and helped more people to we can meet the challenges stay in their own home, or be cared for in a short-term ahead and continue to residential facility in the community when they need a provide excellent high little extra support. The resulting reduction in hospital quality care for our local admissions means that our performance now features community. in the top 10% of all CCGs nationally. This was a ‘test and learn’ pilot and we are now evaluating the results Dr Ellen Wright and seeing what is the best way to take this work Chair forward. As a GP, I am particularly proud of the support we have provided to our GP members this year:

5 WHO WE ARE WHO WE WORK WITH NHS Greenwich Clinical Commissioning Group was established on 1 April 2013 as a result of the Health and Social Care Act 2012. It is a membership organisation made up of all 41 GP practices across the We buy services for you from borough. It is responsible for commissioning hospital, a number of hospitals: community and mental health services for the local population of Greenwich. Its aim is to secure the best Lewisham and Greenwich NHS Trust possible healthcare services for people in Greenwich, specifi cally in community settings and in hospitals as King’s College Hospital necessary. NHS Foundation Trust Oxleas POPULATION NHS Foundation Trust Guy’s and St Thomas’ NHS Foundation Trust and to integrate and improve your services we work with a number of key partners: King’s Health Partners – one of only fi ve Academic Health Sciences Centres in England, formed of a partnership between King’s College London, Guy’s and St. Thomas’ NHS FT, King’s College Hospital NHS FT and South London and Maudsley NHS FT. 282,550 Greenwich Residents 50.4% female & 49.6% male In 2010 Greenwich was ranked the 19th most deprived Local Authority in England. In January 2015 around 282,094 people were registered with Greenwich GPs, 95% of which are Greenwich residents. Greenwich has a greater proportion of children and young people under the age of 19 and a higher population of aged 45+ males with fewer age 45+ females than other London and deprivation comparators. The white ethnic group is the largest at 62.5%. Of the BME group Black Africans are the largest at 13.8%. Other white accounts for the next largest at 8.3% attributable to in- migrants from the A8 nations of Eastern Europe. NHS England (NHSE) – which commissions specialised hospital services, and most primary care services, including GP services and dentistry. From April 2015 we are moving to new co-commissioning arrangements for GP services with NHSE.

6 WHAT AFFECTS PEOPLE’S HEALTH IN GREENWICH? Working with our partners and using a broad range of data from a number of sources, we have looked at the health needs of local people and the challenges they face. The two diagrams show the headlines from the Greenwich Joint Strategic Needs Assessment and the key factors that impact the health of people in Greenwich. High Burden Life Expectancy (M/F) Obesity (Children & Adults) Preventable Mortality (CVD, COPD) Preventable Mortality Smoking Prevalence (Cancer, Liver Disease) Excess Mortality in those with Serious Physical Inactivity Mental Health Variation in LTC Clinical Excess Winter Deaths Outcomes & Undetected Disease Slope index of inequality in LE Slope index of inequality in LE (Male) (female) Improving Worsening Infant Mortality Population Vaccination Coverage (HPV) Childhood Immunisation Rates Treatment Completion for TB Suicide Rate Low Burden