Health and Wellbeing Board 15 January 2015 Agenda Chairmans - PowerPoint PPT Presentation

Health and Wellbeing Board 15 January 2015

Agenda • Chairman’s welcome and introduction • Apologies for absence • Minutes • Declarations of Interest

Chairman’s Announcements • Better Care Fund letters

Troubled Families Programme and the Early Help Strategy 2014-2017 Carolyn Godfrey (Corporate Director, Wiltshire Council)

Children's Community Health Services Re-commissioning Project Julia Cramp (Associate Director, Commissioning, Performance and School Effectiveness (joint Wiltshire Council / CCG))

Primary Care Co-Commissioning Jo Cullen (Group Director, Wiltshire CCG)

Community Services Tender Debbie Fielding (Chief Officer, Wiltshire CCG)

Learning Disability and Winterbourne View Update James Cawley (Associate Director, Wiltshire Council) Jacqui Chidgey-Clark (Director of Quality and Patient Safety, Wiltshire Clinical Commissioning Group).

Wiltshire Pharmaceutical Needs Assessment Kate Blackburn Public Health Specialty Registrar

Responsibilities of the Health and Wellbeing Board for PNAs • Health and wellbeing boards must publish their first PNA by 1 April 2015, with a requirement to: – Assess needs for pharmaceutical services in its area, and – Publish a statement of its first assessment and of any revised assessment. – This should be followed by a revised assessment within three years of publication of the first assessment. There is a legal requirement to consult for a minimum of 60 days during the production of a PNA.

Development of Wiltshire’s PNA The Wiltshire PNA was developed by the multi-agency PNA steering group with membership from: • Wiltshire Council Public Health • Wiltshire CCG • NHS England • Swindon and Wiltshire Local Pharmaceutical Committee • Healthwatch Wiltshire

Consultation The required 60 day period of consultation took place between October • 2014 and December 2014 on the Wiltshire Council websites consultation page, as agreed in the PNA project plan. • Responses to the consultation were received from: – Swindon HWB – Gloucestershire HWB – Somerset HWB – Hampshire HWB – Swindon and Wiltshire Local Pharmaceutical Committee – Dorset Local Pharmaceutical Committee – Royal United Hospitals, Bath NHS Foundation Trust – Wessex LMC – NHS Contract and Policy Manager, Rowland’s Pharmacy

Recommendations • PNA steering group continue to meet following publication of the PNA to review areas of development that were highlighted in the needs assessment. • Initial key areas for review should include but not be limited to: – Re-commissioning of a palliative care service on demand. – More integrated working between community pharmacy, community hospitals and acute hospitals. – Mechanism for review relating to the army re-basing and new housing developments within the council’s Core Strategy.

Health and Wellbeing Peer Challenge Cllr Jane Scott OBE (Chair, Health and Wellbeing Board) Dr Steve Rowlands (Vice Chair, Health and Wellbeing Board)

Police and Crime Commissioner Update Angus Macpherson (Police and Crime Commissioner)

Visit www.wiltsmessaging.co.uk

Prioritising messages

Use of Community Messaging • 4,616 members of the public are on the system • Community messaging launched in 22 community areas out of 27 • Will be live across whole of Wiltshire and Swindon by mid-February • Collaboration opportunities with partners

Wiltshire and Swindon Community Messaging Thank you Any questions?

Systems Resilience (Winter Planning) Jo Cullen (Group Director, Wiltshire CCG) Carolyn Hamblett (Associate Director, Wiltshire Council)

WHOLE SYSTEM ACTIVITY: CHRISTMAS AND NEW YEAR PERIOD 14/15 (1 st December to 9 th January) ‘The right healthcare, for you, with you, near you’

NHS111: • Lower A&E referrals on Saturdays despite spikes in calls, huge spike in calls on the day after Boxing day, recent upward trend in A&E referrals. • NHS 111 Calls offered over the same 40 day period are annually up 29% with calls answered up 21%. • Average Ambulance dispatch rate in the 40 day period in 13/14 = 10.57% and in 14/15 increased to 11.45%. Average A&E referral rate in the 40 day period in 13/14 = • 6.65% and in 14/15 decreased to 5.11%. ‘The right healthcare, for you, with you, near you’

NHS111 (Wilts & BaNES) Calls Ambulance Referral % A&E Referral % 2000 16% 1800 14% 1600 12% 1400 10% 1200 1000 8% 800 6% 600 4% 400 2% 200 0 0% 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st 1st 2nd 3rd 4th 5th 6th 7th 8th 9th Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Jan Jan Jan Jan Jan Jan Jan Jan Jan Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri ‘The right healthcare, for you, with you, near you’

OUT OF HOURS • OOHs – Saturdays busier than Sundays, for advice calls and PCC attendances. • Increased number of GP advice Saturday 27 th Dec ‘The right healthcare, for you, with you, near you’

Telephone Advice Calls PCC Attendances Home Visits OOHs Calls 375 350 325 300 275 250 225 200 175 150 125 100 75 50 25 0 Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri 1st Dec 2nd Dec 3rd Dec 4th Dec 5th Dec 6th Dec 7th Dec 8th Dec 9th Dec 10th Dec 11th Dec 12th Dec 13th Dec 14th Dec 15th Dec 16th Dec 17th Dec 18th Dec 19th Dec 20th Dec 21st Dec 22nd Dec 23rd Dec 24th Dec 25th Dec 26th Dec 27th Dec 28th Dec 29th Dec 30th Dec 31st Dec 1st Jan 2nd Jan 3rd Jan 4th Jan 5th Jan 6th Jan 7th Jan 8th Jan 9th Jan ‘The right healthcare, for you, with you, near you’

ACCESS TO CARE steady upward trend in ATC calls and recent rise in ATC referrals. ‘The right healthcare, for you, with you, near you’

OOHs - Access to Care One number ATC calls ATC Referrals 350 300 250 200 150 100 50 0 Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st 1st 2nd 3rd 4th 5th 6th 7th 8th 9th Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Dec Jan Jan Jan Jan Jan Jan Jan Jan Jan ‘The right healthcare, for you, with you, near you’

AMBULANCE • Upward trend in number of incidents now looks to be reversing to predicted levels ‘The right healthcare, for you, with you, near you’

SWAST Incidents Red (1&2) Incidents Total Incidents 275 250 225 200 175 150 125 100 75 50 Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri 1st Dec 2nd Dec 3rd Dec 4th Dec 5th Dec 6th Dec 7th Dec 8th Dec 9th Dec 10th Dec 11th Dec 12th Dec 13th Dec 14th Dec 15th Dec 16th Dec 17th Dec 18th Dec 19th Dec 20th Dec 21st Dec 22nd Dec 23rd Dec 24th Dec 25th Dec 26th Dec 27th Dec 28th Dec 29th Dec 30th Dec 31st Dec 1st Jan 2nd Jan 3rd Jan 4th Jan 5th Jan 6th Jan 7th Jan 8th Jan 9th Jan ‘The right healthcare, for you, with you, near you’

AMBULANCE CONVEYANCE Trust trends do not move in parallel. ‘The right healthcare, for you, with you, near you’

GWH RUH SFT SWAST (2) - ED Conveyance 85 80 75 70 65 60 55 50 45 40 35 30 25 20 15 10 Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri 1st Dec 2nd Dec 3rd Dec 4th Dec 5th Dec 6th Dec 7th Dec 8th Dec 9th Dec 10th Dec 11th Dec 12th Dec 13th Dec 14th Dec 15th Dec 16th Dec 17th Dec 18th Dec 19th Dec 20th Dec 21st Dec 22nd Dec 23rd Dec 24th Dec 25th Dec 26th Dec 27th Dec 28th Dec 29th Dec 30th Dec 31st Dec 1st Jan 2nd Jan 3rd Jan 4th Jan 5th Jan 6th Jan 7th Jan 8th Jan 9th Jan ‘The right healthcare, for you, with you, near you’

A&E CONVERSION: ATTENDANCE TO ADMISSION Increased rate of A&E conversion at all 3 Acutes. ‘The right healthcare, for you, with you, near you’