care services Welcome Housekeeping Fire exits and facilities - PowerPoint PPT Presentation

Developing plans for your local health and care services

Welcome Housekeeping • Fire exits and facilities • Please silence your mobile phones during the session • Meeting will last around two hours

Agenda • Buckinghamshire CCGs’ Buckinghamshire, Oxfordshire federation and what it and Berkshire West means for you Sustainability & Transformation Plan • The role of your localities Bucks CCGs • Developing our local NHS Plans Developing our local NHS plans • How this fits into the wider Your locality context of Sustainability and Transformation Plans 7 Localities across • Q&A Buckinghamshire

Buckinghamshire CCGs Federation Aylesbury Vale and Chiltern Clinical GP Member Practices Commissioning Groups have federated, we now have one Executive and one Governing Body meeting in common Grouped into Seven Localities We commission general hospital across Buckinghamshire care, community healthcare services, mental health, learning disability services, NHS 111 and ambulance services One Clinical Executive Clinical decision making by local GPs remains at the heart of our organisation. Governing Body in Common

Your CCG Localities Sharing best practice Local influence and patients ’ over local experiences services Robust local knowledge

Plans are based on feedback from public, patients and stakeholders: Continuous Joint process via Strategic multi-agency Needs development Assessment group Consulting now 8 public /staff on refreshed engagement events, priorities 183 attendees Public Discussions with local Primary Care Strategy engagement Boards/partners events, focus groups, online, Buckinghamshire plans Healthy Bucks Leaders CCG meetings, Group, HASC, HWB, County for local health and GP surveys Council etc care services Input from 300+ survey Thames Valley responses, Clinical Senate 275 people at and Academic workshops Health Science Network

Developing our local NHS Plan • Our challenges and our strategy • What we have done • What we need to do next • How you can help

Our local Challenges An ageing A growing population population New demands cost Evolving healthcare the NHS at least an needs, such as the extra £10bn a year increase in obesity and diabetes

Our Strategy: We need to put care in the best place If we do nothing to meet these challenges, our costs will exceed our funding by about £107million over the next four years across the Buckinghamshire health system. Current balance of spend Future balance of spend Low dependency Living, Ageing and Staying Well levels Living, Ageing and Staying Well Prevention & Early Intervention Prevention & Early Fast Response & Reablement Intervention Care in Fast Response hospital & Reablement and care Care in homes hospital and care homes High dependency levels

For example… Shifting the focus of care Managing urgent and emergency care Integrating health and social care Redesigning GP-led care Developing new models of care

Examples in your locality Chiltern CCG Southern Relationship building Developing better relations with Heatherwood & Wexham Park and Frimley Health Foundation Trust to help reduce patient waiting times, outpatient appointments and ensure more effective sharing of appropriate information. Care & Nursing Homes - Training Working with local Care and Nursing homes, including more efficient sharing of information and facilitation of training and knowledge sharing. Care & Nursing Homes – Pharmacist Support Development and implementation of a Care Home Pharmacist role to support care homes to review and monitor their medicines usage in order to reduce wastage and ensure that medication remains appropriate for the residents current condition. Patient Education Education and signposting to ensure that patients receive the right care in the right place at the right time.

Examples in your locality AV CCG North Locality Over 75s The over 75s teams based in North locality practices continue to work with multi agency partners to support the care at home of vulnerable older patients in line with the Frail Older Person Strategy. While aiming to prevent unplanned hospital admissions as much as possible, when these are necessary the teams work to ensure that these are managed in the best possible way for the patient Lifestyle and Prevention We will continue to work with Public Health to influence the design of services that affect our population and continue to promote self-referral to the Live Well Stay Well programme.

Examples in your locality Chiltern CCG: Amersham and Chesham Dementia Friendly Surgeries • Improving diagnosis rates for dementia: aiming for 67% of predicted prevalence • Identifying a Dementia Lead for each surgery • 80% of each practice to attend dementia awareness training • An action plan for each practice to become dementia friendly Carers Clinics • Delivered in all 9 locality practices, with a dedicated resource providing 1:1 clinics for all carers identified in each practice • In the year that the service has been running, we’ve seen 374 carers (114 of whom are new / previously unidentified carers) • This service will continue into 17/18

Examples in your locality AV CCG: South Over 75s • Working with partners to care for vulnerable older patients in their own homes, in line with the Frail Older Person Strategy • Aim to prevent unplanned hospital admissions wherever possible; but when hospital is necessary, the teams work to manage this in the best possible way for the patient Airedale • Technology so care homes can contact a doctor 24/7 via video link to a hospital in Airedale, Yorkshire • Less need for residents to be taken from care homes to doctors’ appointments and fewer A&E admissions (45% lower in other areas) South Central Ambulance Service • The locality is funding a specialist paramedic to provide care for patients at home, following triage by a GP, over the winter months

Examples in your locality Chiltern CCG: Wooburn Green Improving care for frail older people, with more support for people in their own homes • Paramedics visiting older housebound patients • Helps to avoid hospital admissions for these patients and ensure that they get quick access to the care and services they need • Feedback to practices on the types of services that these patients need = improved information for planning future services Managing “clinical pathways” • All GP practices engaged in reviewing referral rates to key services • Comparisons between the various surgeries mean we can share and adopt best practice in terms of clinical pathways and referrals • Focus on using community services where possible, to ensure “right care first time” for the patient

Examples in your locality AV CCG: Central Urgent Care The Central Locality has worked in partnership with DLS (Digital Life Services) to introduce a GP access call centre hub which will manage the level of phone calls into practices; effectively improving patient access to “on the day” GP triage. This provides for the more effective use of the available resources whilst reducing inappropriate use of Out of Hours and A&E attendance. Over 75s The over 75s teams based in central locality practices continue to work with multi agency partners to support the care at home of vulnerable older patients in line with the Frail Older Person Strategy. While aiming to prevent unplanned hospital admissions as much as possible, when these are necessary the teams work to ensure that these managed in the best possible way for the patient

Examples in your locality AV CCG: Central Lifestyle and Prevention We will continue to work with Public Health to influence the design of services that affect our population and continue to promote self-referral to the Livewell/Staywell programme. Population Growth A predicted and steady growth of housing development has been earmarked for Aylesbury Vale by 2033. The increase in population will put a huge burden on local primary care services and the CCGs continue to work closely with the Local Authorities, Planners and Locality Members. The 3 largest developments affecting Central Aylesbury are Berryfields, Kingsbrook and Hampden Fields. The CCGs’ policy is to support existing practices to meet the needs for primary care services arising through these developments, as well as supporting all member practices in estates transformation

Examples in your locality Chiltern CCG: Wycombe Black and Minority Ethnic Communities Dementia project - ‘My Life, My Memories’ Pilot launched in Wycombe in September 2016. The project aims to increase the awareness of dementia in BME communities and of the support services available. Continued focus on improving dementia identification rates to adhere to national target rate of 67% Utilisation of Live Well Stay Well A community based service using a combination of psychological therapies and digital technologies to: – improve health and social outcomes for patients with Long Term Conditions (LTCs) – reduce the number of people at risk of developing LTCs Locality Integrated Team project Continued focus on the Locality Integrated Team project piloted in Wycombe to support our most vulnerable and high risk adult patients.