Haringey CCG Meeting Dr Will Zermansky GP Highgate Group Practice - PowerPoint PPT Presentation

Haringey CCG Meeting Dr Will Zermansky GP Highgate Group Practice

Glossa ssary y of Ac Acro ronym yms  STP Sustainability and transformation plan  CHIN Closer to home integrated network  QIST Quality Improvement Support Team  NCL North Central London

Fro rom the ST STP to to CHINs Ns  NHS 5 year plan  Sustainability & transformation plans across 44 area (footprints) in England 2016-2021  NCL has developed North Central London Plan – Haringey, Camden Islington Barnet & Enfield  Key to plan  Localised Health, quality of care , leadership and efficiency

Sustainability & Transformation Plan continued …. NCL Sustainability and Transformation Plan Plans to build health and social care around the needs of the local population. Opportunity to transform the way services are provided. Aspirations • Better health outcomes for the population • Equity in both the offer and outcomes • Financial balance One Priority • Health and Care Closer to Home • Improving access to Primary Care • Care Closer to Home Integrated Networks (CHINs) • Quality Improvement Supported Teams (QISTs) 4

What is a CHIN? Multi-Disciplinary Team – GPs, community , social care, voluntary Health community – prevention focus Strong local network Healthy community – prevention focus Self-Management Based on local needs Min 50,000 population coverage Quality improvement focus Virtual & Physical 5

Driving made good …

How might the future look followin ing the implementatio ion of CHINs? Future state Current state Mater Mater LTC LTC nity nity Socia Mental Socia Mental Acute Acute l care Health l care Health Patient Patient presentations presentations QIST Social Care Communit y Nursing Diagnostics Mental Health GP Specialist Services OP in the Referral community Allied Voluntary Health Extend sector Profession ed als CHIN Access Referral Mental Allied Secondary Communit Social Care Diagnostics Health Health care y Nursing Service Profession services High tech s als Secondary diagnostics 1. Primary Care Home: A unique model of care (napc) 2016 care services 8

CHINs s in Haringey HARINGEY West Central N East S East CHIN CHIN CHIN CHIN Care Frailty Blood Diabetes Home & Gyms Pressure

Vari riati tion across s Haringey  Ethnicity  Diseases  Provision of Care  Hospitals  Social services  Community services  Language  Diet  Socioeconomic diversity

Based on local need Diabetes 11

Based on local need Older people 12

Based on Local Need Serious mental illness 13 13

Quality Improvement Support Teams Clinical and non-clinical QIST team working across the CHIN (GPs, nurses, pharmacist, practice manager, analyst coordinator) Analysts assess variation Team work together to identify priorities and set plans Practices supported to adopt best practice Clinical sessions in practices improve access and meet quality goals 14

Summary  CHINs are networks of services reacting and aligning care at a local level  QIST is a team that is working to identify variations in health care and respond positively  The objective is to be able to respond to local needs providing better care, reducing disease and extending life