Ealing CCG Annual General Meeting 17/18 19 September 2018
Agenda 5.45 pm Welcome & Introduction Vijay Tailor 5.50 pm Local Achievements Tessa Sandall 6.00 pm Working in Collaboration across NWL Mark Easton 6.10 pm Quality and Safeguarding Diane Jones 6.15 pm Annual Accounts 2017/18 Neil Ferrelly 6.20 pm 2018/19 Priorities Tessa Sandall 6.25 pm Questions All 6.45 pm Close
Local Achievements
2017/18 Local Achievements
Ealing CCG Care Coordination Service
Care Coordination Service – Referrals to the Service
Care Coordination – Bringing care into your home
Care Coordination – Assessors for Home Aids
Care Coordination Service can help patients access services from: • Occupational Therapy • Social Services • District Nursing service • Befriending services • COSIE (Cold Weather Support in Ealing) • Carer assessments • IAPT (Improving Access to Psychological Therapies) • Day centres and activities • Dementia Concern And many more…
Care Coordination Service - Patient satisfaction
Care Coordination Service – Case Study Michael
Care Coordination Service – Feedback “Our patients have been extremely impressed with the quality and responsiveness of the team. I have found the Care Coordinators to be professional and helpful. They add an extra dimension to primary care; speaking directly with social workers, coordinating appointments, acting as patient advocates in a range of circumstances and referring to the voluntary sector of which they have an extensive knowledge .” (Feedback from Nurse Practitioner, Cuckoo Lane Surgery) Contact Details: Ealing CCG Care Coordination Service Email: EALCCG.CareCo-ordinatorReferrals@nhs.net Tel: 020 8280 8110 or 020 8280 8098
Implementation of The Ealing Standard Key principle to the investment in general practice is that patients in Ealing should expect to access a consistent set of services anywhere across the borough Equality of access Consistency of service Consistent quality of care 13
Improvements for Patients Improved access for patients by: All practices being open from 8am – 6.30 pm from Monday to Friday Access to 3 access hubs across Ealing (Elmbank Surgery in Greenford, Florence Road Surgery in Ealing and Sunrise Medical Centre in Southall) from 6.30pm to 8pm Monday to Friday, Saturday, Sunday and all Bank Holidays 8am to 8pm. This is an additional 94 hours per week across 3 hubs on top of the core opening times of 8am to 6.30pm for all practices. Improved health outcomes by: Early identification through screening and health checks Improved care co-ordination for patients with complex health needs Reduction in variability by: Minimum standards across a range of therapy areas, including respiratory conditions, musculoskeletal conditions, cardiovascular disease and diabetes. Key performance indicators across all services
Improving Health Outcomes for Ealing: Cancer Cancer Screening - we spearheaded a new approach bowel screening to increase the number of people in Ealing who are screened.
Improving Health Outcomes for Ealing: Cancer Early Detection - We are currently diagnosing 53% of cancer at Stage One and Two. Treatment Standards - We have been working in partnership with our hospitals to make sure that people who are referred by their GP with a suspected cancer get access to the diagnostics and treatment that they need as quickly as possible and as set out by the National Cancer Waits Standards.
Improving Health Outcomes for Ealing: Cancer Cancer Survival - We have more people under the age of 75 surviving cancer than both the England and London average. In addition, 74% of Ealing residents survive for the first 12 months after diagnosis, this is 2% higher than the national average.
Improving Health Outcomes for Ealing: Mental Health This year has been a year of refining and improving upon work streams for previous years - some updates: • Dementia: Dementia Link workers established, waiting times for initial assessment reduced. We continue to work with health and social care partners to provide post diagnostic support • Improving Access to Psychological Therapies (IAPT) and Long Term Conditions (LTC): Work continues across NW London to improve IAPT access for those with LTC, especially Diabetes • Ealing Standard (ES): all practices are now supporting patients with MH needs; key focus is to ensure annual physical health checks to prevent, identify and manage physical health issues. • Primary Care Mental Health Team (PCMHT): The team continues to embed within primary care, increase links with more practices to support the ES • Child and adolescent mental health services (CAMHS): o Recruitment of more Children & Young People (CYP) workers o The Eating Disorders service has just been evaluated and quote from the paper to Transformation Board: “CEDS continues to work well and is viewed in a very positive light by a range of key stakeholders. Internally the service has just been short-listed for a Quality Award.” • Parity of Esteem: The CCG achieved its Parity of Esteem standard for Mental Health for 2017/18. This means that the CCG increased its spending on mental health services by at least the percentage increase it received in the allocation. For Ealing, this means spending 2.1% more on mental health in 2017/18 than in 2016/17.
Collaborative Working
Collaborative working – working together • An exciting time for NW London, the eight CCGs in NWL have agreed to work together where it benefits patients • We are now working towards a single joint leadership structure and committee across our eight CCGs in NW London • When in place this means our eight clinical commissioning groups can, in designated areas, make decisions that apply to all of NW London once rather than eight times through each CCG. 20
Collaborative working – What does it mean for residents? We want to provide better access to care round the clock and better outcomes for our patients We know that the best way to achieve this is to work together where appropriate and avoid unnecessary duplication Taking a joint approach to certain decisions will provide the CCGs with a stronger negotiating power Importantly it will therefore help reduce the variation in care for patients meaning equal access to the same high quality services wherever you live in NW London. 21
Collaborative working What does it mean in practice? A single Accountable Officer and Finance and Quality Directors that sit on each governing body with local teams. We do once across NWL the things best done at that level. • NWL Strategy and STP interface • Acute Commissioning • Acute mental health Joint Committee of CCGs with delegated powers once revised constitutions are agreed. CCGs remain as sovereign statutory bodies. 22
Collaborative working – What does success look like? We can achieve so much more working together so far though our joint working across NW London we have….. Improved maternity and children's care in our hospitals c ontrolled more patients’ diabetes than ever before through our award winning diabetes programme supported 1000s of patients to get home from hospital up to two days earlier, thanks to home support programme ‘Home First’ a dedicated 24/7 mental health crisis line, that anyone can call for support, every month this service receives 8000 calls developed a radiology career framework, a national first to train and keep radiographers in NW London……………… plus many more programmes 23
Quality and Safeguarding
Quality healthcare Patient Safety Patient Experience and Equalities Combined Report including: Open and transparent SI oversight / governance Weekly SI panels with robust review and challenge • Patient Experience Revised National SI Framework pending • Complaints Collaboration & Partnership • Equality report System working across interfaces between primary / secondary commissioning Equality Impact Analysis / Assessments Maintaining productive relationships with Trusts 4 Year Equality Objectives Driving quality improvement Quarterly thematic reviews and deep dives for Public Sector Equality Duty Annual shared learning Report Programme of quality assurance visits Responding to CCG delegation / devolved responsibilities Collaborative development of a quality assurance framework for primary care Developing work stream for 2018/19 Reducing variation / increasing efficiency Integration of Patient Safety Teams Live work stream for 2018/19
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