Championing prevention in the Health & Care Partnership Jon Develing SRO Prevention and Eileen O’Meara Lead DPH 9 th July 2018
Health and Care Partnership • 1 Purpose • 4 Strategic Themes • 10 At Scale / Task and Finish Programmes • 9 Place Based Care Systems • 4 Enabling Programmes
18/19 Scope At Scale Delivery Place based care Systems Strategic Programmes 1. Whole System Integration SRO : Mel Pickup Urgent Care (A&E Delivery Boards, Resilience Place Based & Winter Delivery) 2. Acute Sustainability Programme Board Andy Davies SRO : Tracy Bullock Care Systems Women and Children's Partnership Out of Hospital Models Simon Banks Programme Board 3. Mental Health & LD of Care Cancer 5YFV Sustainability Andrew Cannell Cancer Alliance Primary Care SRO : Sheena Cumiskey Development Right Care & Getting It Right First Time and GP 5YFV Ann Marr / Jan Ledwood Programme Board 4. Carter at Scale Placed-based Care SRO : Tony Chambers Neurosciences Models Facilitation & SRO : Steve Warburton (Diag) Stuart Moore Programme Board Support CVD 5. Prevention at Scale Jane Tomkinson Programme Board Documentation Jon Develing Diabetes Network Sarah O`Brein Programme Board Palliative / End of Life Care Estates & Infrastructure Financial Sustainability Aidan Kehoe SRO Sam Simpson SRO : Sam Simpson Programme Board Enabling Learning Disabilities Digital Revolution Workforce Hazel Richards Transforming Care Board SRO : Karen Howell SRO : TBC Communications & Public and Partner Engagement
Prevention • 1 Purpose • 3 Strategic Themes • Strategic themes supported by a delivery approach e.g. MECC • Clear benefit and impact on the at scale delivery programmes
Prevention at Every level Alcohol admission and Attends in A&E • Urgent Care Alcohol related to Domestic Violence • Hypertension leading to A&E Admissions • Community Three Place Based Care Obesity in Children • Women & Resilience Strategic Themes Smoking and Hypertension in Pregnancy • Systems Children's Gestational Diabetes • Best use of “ Seek to build upon the local work being undertaken in High Blood Pressure Smoking - Lung / Head & Neck Cancers • Cancer partnerships the Place Based Care Obesity - Bowel Cancer The most prevalent • Alcohol - Gastro Cancers / Breast Cancer Systems • condition in Cheshire Includes MECC Support for and Merseyside Antibiotic Prescribing • GIRFT/Right Tackling high blood Voluntary High antibiotic use in Upper Respiratory • Care pressure through Tract and Urinary tract Infections Sector Alcohol Harm community pharmacies Quality education for high A key priority for Hypertension - Vascular Dementia • Neuroscience Hypertension (undiagnosed) cause of Stroke Social blood pressure • every Health and Alcohol related to Vascular Dementia • Stewardship of AMR via Prescribing Well Being Board dedicated community Hypertension in relation to Stroke • Cardio Vascular microbiologist and med Alcohol in relation to Stroke Developing • Antimicrobial Disease management support Smoking - with CVD Heart Disease. M.I. • environmental Resistance and economic Is the greatest Obesity - Type 2 Diabetes epidemic • Diabetes Alcohol - High calorific content and obesity approaches • threat to global Workforce Staff Training/E-learning health, is a Public Asset mapping Chronic Disease Management Health England • Palliative / End Patient Centred Care • of Life Care Digital priority. Care Planning / Digital Care Planning • Pt Portal / Care Records Developing workforce Obesity - poor health and well being • Learning Finance Smoking - poor health and well being • Disabilities skills Evaluation & ROI Poor physical health •
Prevention Priorities Original priorities: • Hypertension is the most prevalent condition/ risk factor in C&M. • Reducing harm from alcohol has been identified as the key priority in every H&WB. • AMR is PHE’s highest priority and is of global importance. Newer priorities: • MECC at scale • Mental health • Physical activity
Progress on Reducing High Blood Pressure has been covered by Muna
Progress on Reducing Harm from Alcohol • Led by Dr Paul Richards & Julie Webster • Board established and baseline audit completed • C&M alcohol care pathway to be developed and alcohol harm reduction dashboard. • Aim to create common competency and staff training programme for alcohol harm reduction across C&M. • Linked to Liverpool City Region and Cheshire and Warrington sub regional work on licensing, campaigns and minimum unit price.
Progress on AMR • Dr Sam Ghebrehewet is the Clinical Lead • AMR Board and Task Groups established • AMR Activities Mapping Exercise completed • Monthly AMR Bulletin published • 3 newly funded consultant microbiologists recruited • 3 GP Champions to support implementation in primary care being recruited • Engagement with CCGs to increase Medicines Management input for AMR commenced
Progress on MECC • Joint Champs/SCN post to co-ordinate MECC programme • Successful Systems Leadership workshop (April 2018) • Key next steps identified from the workshop to inform the new MECC Partnership Board and strategic framework • Successful HEE LWAB bid for £120K • Task and finish groups for: Training, Evaluation and Communication and Engagement are being established • MECC training framework being created and network of trainers and champions • C&M MECC pledge in progress and engaging with all partner organisations to sign up
Population Health Framework • Provide evidence based guidelines on best practice for population health in a range of settings. • They are not prescriptive • We recognise that each system is in a different place • Provides a framework that each place can adapt and interpret to fit their requirements • Can be used in lots of ways - Midlands have used their guidelines for sector level improvement. • North East have used them as a whole systems pledge • They fit with the new NHSE and GP Practice MoU on person centred care
Population Health Framework • Well received by HCP Senior Management Board • FAQ’s to be developed on each guideline • To be shared with C&M Health and Wellbeing Boards • Workshop to align cross cutting themes planned
Recommend
More recommend
