Annual General Meeting 13 September 2018
Our Vision “NHS Corby Clinical Commissioning Group is committed to creating a culture where individuals in Corby are supported to manage their own healthcare - enabling them to live healthier, fuller lives.”
Dr Joanne Watt Clinical Chair Welcome
Northamptonshire’s Health and Social Care Partnership
What is our Health and Care Partnership, why have we created it and what do we hope to achieve?
What is Northamptonshire Health and Care Partnership and why have we created it? Northamptonshire health and care organisations are working together through Northamptonshire Health and Care Partnership (NHCP) We have created the Partnership because we believe that it is only by working together across • We all still exist as our own the various health and care organisations and organisations or working groups providers across the county that we can meet • We are committed to working the service and financial challenges facing health together to ensure our health and and care in the county. care is sustainable and changes to meet our needs now and in the future.
THE SITUATION: Our challenge…and our opportunity Our challenges… How we work How we deliver together care Challenge: • These challenges Escalating Challenge: Systems, staffing, estates, Quality and pathways of reflect the national processes, procedures are health and care are varied picture not always well joined up care needs • We must align local As demand grows we must work together so needs with national Local health and How we manage this does not policy context and wellbeing compromise quality our resources priorities. and outcomes Challenge: Challenge: Growing needs and We have significant complexity of our financial challenges population We are now seizing the opportunity to work together to address these challenges
We need to transform, but where? Our collective mission: Empowering positive futures; choose well, stay well, live well Together we are focusing on areas of care where we can make the most difference to our community when we work together in partnership • Primary, community and social care. • Unifying pathways of care across our acute hospitals • Urgent and emergency care • • • How we commission our services • •
FOR THE PEOPLE WE CARE FOR: What could this feel like? • Better primary and • Unifying how our acute community service services work together so support for patients with you will get the best high risks, so they are less outcomes if you need likely to need urgent care these services • • More ways to support your health and wellbeing in our • community • Better access to GPs, primary and • community care – which will mean we have less pressured emergency and urgent and care services • Working in partner nershi ship to o improve e qualit ity of care e and outcom omes es for our communit nity 9 • • •
Living our values and getting it right How will we work together to do this? Our staff, community and stakeholders all have a role to play in shaping how our health and care will transform. To support us through this we have brought together key groups: • Our Partnership Board - made up of our chief executives and other leads oversees our work • Our Collaborative Stakeholder Forum - made up Our values of key local staff and representatives committed to ensuring that the views of the public, patients, 1. Our patients and our local service users, the voluntary sector and local population come first government inform our work. They advise or 2. We work together in an Board on best practice. open and accountable way • Our Strategic Clinical Group - make sure that our 3. We trust, challenge and work will actually improve patient care support each other • Our Strategic Finance Group - make sure that our 4. We do what we say we work makes best use of the money available. will do.
The story so far… great examples of partnership and local working • Urgent care – productive partnership working to explore and find resolutions for our challenging pressure on the system • Medical interoperability gateway (The MIG) – linking key health care information to joining peoples information together to support care • Perinatal mental health service - much needed, targeted intervention and support for mothers and their families in with mental health needs • Primary care at scale – GPs working together at scale to improve access to local primary care • Stroke services - NHCP partners and key stakeholders including patients and carers, have worked together on redesigning the Northamptonshire stroke pathway 11
How will we know we are doing the right things? We hope that through working together and creating our Partnership, our those in community will have… OUR VISION: Improved Sustainable A community A positive lifetime quality of care services with engaged in and and outcomes of health, balanced proud of their for our wellbeing and care finances health and care community in our community
Reflections 2017/18 Stuart Rees Interim Chief Finance Officer
Key Achievements GP Governing Body Members Dr Sanjay Gadhia and Dr Nathan Spencer
Sleep Apnoea Pilot
Portable diagnostic device Reduction in long waiting times 69 people tested Saved 28 patients time and NHS money Business case to roll-out across Northamptonshire
Pre-Diabetes Healthier You Programme
• All practices identified high risk patients and offered diabetes test • Patients referred onwards to NHS National Diabetes Prevention Programme Pre-diabetic • 378 referrals in Corby patients • 4th of 11 highest rates of referral across the East Midlands
Mental Health
• Psychological Therapies 99% - 18 week treatment 1,910 patients referred Telephone Number Local rate charge • 510 Corby patients self 0300 9991616 referred using NHS Counselling Service
Mental Health Changing Minds IAPT Service with Northamptonshire Healthcare NHS Foundation Trust
Dementia
• Consistent 85% diagnosis and treatment started - against national High target of 66.7% Dementia • Ranked in top ten of 207 CCG’s for this measure Diagnosis Rates
Improving Quality of Care
Improving Quality Of Care • Northamptonshire Healthcare NHS Foundation Trust rated “ Outstanding ” by Care Quality Commission • Northampton General Hospital rated “ Good ” • Kettering General Hospital rated “ Requires Improvement ”
Our Hospitals Kathryn Moody Director of Contracting and Delivery
Six Week Diagnostic Wait – 99% patient access to diagnostic test Performance Not a single patient waited more achievements than 12 hours in A&E for hospital bed
99% of patients requiring Psychological Therapies had treatment completed within 18 weeks, against 95% national standard No cases of Methicillin-Resistant Performance Staphylococcus Aureus (MRSA) achievements Bacteraemia reported across Northamptonshire Significantly reduced number of patients waiting 52 weeks or longer for elective care
A ccident and Emergency four-hour wait - both acute hospitals Delivery of new Ambulance Response Programme waiting times Challenging Continuing the improvement seen in delivery of areas of 62-day waiting time standards at Northampton General Hospital NHS Trust continued focus Ensure Kettering General Hospital FT continue to deliver all cancer performance standards Key Preventing decline in the 18-week Referral to Treatment time for planned care Issues Reducing the number of 52+ week waits for planned care to zero Improving rates of C Diff
Patient Engagement
Patient Engagement • Patient and Public Participation Committee • Patient Participation Group/Chairs Group • Extensive stakeholder database • Intensive engagement throughout 2017/18
Patient Engagement Programme Unprecedented levels of engagement in Corby Targeted stakeholder engagement with clinicians, Patient survey politicians and statutory bodies, including Overview Presence in supermarkets, leisure and Scrutiny Committee facilities, and GP surgeries and Health and Wellbeing Board Engagement with wide range of community groups, including those considered’ hard to reach’ Website and social media content, including Workshops interactive quiz to test Promotion of issues through news people’s ability to make the coverage right choices about which service to access
2017/18 Engagement Numbers • More than 60,000 reached online • More than 50 different venues • More than 2,500 people face to face • 531 responses to Spring 2018 questionnaire about service access and care navigation • Newly created Patient Reference Group – 90 members
Annual Accounts 2017/18 and Finance Update Stuart Rees Interim Chief Finance Officer
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