nte ntio ns 2013/ 14 Co mmissio ning I November 2012
Hounslow CCG – – HCCG who are we? Hounslow CCG HCCG who are we? A first wa ve pa thfinde r, re c o g nise d b y NHS L o ndo n fo r its fo rwa rd thinking • 54 Ho unslo w pra c tic e s • L e d b y 9 lo c a l GPs fro m pra c tic e s in Ho unslo w, Bre ntfo rd, Chiswic k, I sle wo rth a nd F e ltha m • One o f the la rg e st CCGs in L o ndo n, me e ting the ne e ds o f a dive rse po pula tio n o f • a ppro xima te ly 280,000 re g iste re d pa tie nts I n 12/ 13 NHS Ho unslo w's b udg e t is £431m o f whic h 70% (£304m) ha s b e e n de le g a te d to • HCCG. T he HCCG Bo a rd (Go ve rning Bo dy) is ma de up o f 9 GPs, a nurse , a ho spita l c o nsulta nt, • a s we ll a s re pre se nta tive s fro m pub lic he a lth, the L o c a l Autho rity, a L a y me mb e r, a nd L I NK s re pre se nta tive . T he Bo a rd me e ting s a re he ld in pub lic . T he CCG ha s b e e n a sse sse d b y the NHS Co mmissio ning Bo a rd in pre pa ra tio n fo r b e ing a • sta tuto ry b o dy fro m April 2013
What have we done in 12/13? Benefits to patients What have we done in 12/13? Benefits to patients T he imple me nta tio n o f a c o mmo n I T c linic a l syste m in g e ne ra l pra c tic e • o Yo ur dia be tic c o nsulta nt a nd yo ur GP c a n b o th write into yo ur no te s with yo ur pe rmissio n T he suc c e ssful imple me nta tio n o f the urg e nt c a re c e ntre (UCC) a t We st Middle se x • Unive rsity Ho spita l o Yo ur urg e nt c a re ne e ds me t 24/ 7 T he ne w c o nsulta nt le d c o mmunity pulmo na ry re ha b ilita tio n a nd ho me o xyg e n se rvic e • o A re ha b ilita tio n se rvic e fo r pe o ple with COPD T he pro c ure me nt a nd pla nning fo r a 111 se rvic e (no n-e me rg e nc y te le pho ne line ) fo r • la unc h in Ja nua ry 13 o A sing le pho ne c a ll to dire c t yo u to wha te ve r se rvic e yo u ne e d a nd pro vide yo u with a dvic e o ve r the pho ne A mo re e ffic ie nt musc ula r-ske le ta l pa thwa y • o A ne w c o mmunity pa in c linic fo r pa tie nts e xpe rie nc ing c hro nic pa in Ne wly c o mmissio ne d I APT (I mpro ve d a c c e ss to psyc ho lo g ic a l the ra pie s) se rvic e s • o I nc re a sing the numbe r o f c o unse llo rs a nd c o unse lling se ssio ns a va ila ble fo r pe o ple who ne e d psyc ho lo g ic a l suppo rt
Hounslow ʹ s challenges Hounslow ʹ s challenges Ho unslo w fa c e s five sig nific a nt c halle ng e s to de live ring q ua lity c a re : • o He a lth ine q ua litie s o F ina nc ia l c ha lle ng e o Ho spita l o ve r pe rfo rma nc e o I nsuffic ie nt c o o rdina tio n o f c a re o Va ria b ility in prima ry c a re inc luding po o r a c c e ss to GP a ppo intme nts
Getting you involved Getting you involved Our c o mmissio ning inte ntio ns a re info rme d b y the lo c a l po pula tio n he a lth ne e ds • ide ntifie d in the Ho unslo w Jo int Stra te g ic Ne e ds Asse ssme nt (JSNA 2012), a nd re fle c t the ke y he a lth prio ritie s sub se q ue ntly o utline d in the Jo int He a lth a nd We llb e ing Stra te g y. T he L o c a l Autho rity inte ntio ns a re e mb e dde d within the c o mmissio ning inte ntio ns • do c ume nt, a nd ha ve he lpe d de ve lo p a nd info rm the CCG inte ntio ns. Ho unslo w CCG ha s c o mmitte d to impro ve d pa tie nt a nd pub lic e ng a g e me nt in the ir • c o mmissio ning pla ns o n a n o n-g o ing b a sis; o T he se me e ting s will a llo w pa tie nts a nd pub lic to influe nc e o ur c o mmissio ning de c isio ns.
Our intentions – – Phone First Our intentions Phone First Ove ra ll, o ur visio n is; • o to impro ve the c a re pro vide d to pa tie nts, o re duc e he a lth ine q ua litie s a nd o ra ise the q ua lity a nd sta nda rds o f GP pra c tic e while a c hie ving fina nc ia l b a la nc e . With the a dve nt o f 111 the me ssa g e fo r pa tie nts is Pho ne F irst •
The three high priority intentions for 13/14 The three high priority intentions for 13/14 1. E a sy a c c e ss to hig h q ua lity, re spo nsive , prima ry c a re 2. Urg e nt a nd a mb ula to ry e me rg e nc y c a re 3. L o c a lity b a se d inte g ra te d c a re a c ro ss he a lth a nd so c ia l c a re
Easy access to high quality, responsive, primary care Easy access to high quality, responsive, primary care Our pra c tic e s will wo rk in five lo c a lity ne two rks. Co mmunity he a lth, so c ia l c a re , me nta l • he a lth sta ff will a lig n to the se ne two rks a nd thro ug h the me c ha nism o f c a se c o nfe re nc e s a nd c a re pla nning will pro vide mo re c o -o rdina te d a nd pla nne d c a re fo r o ur o ve r 75s a nd pa tie nts with dia b e te s. We will b e e nsuring GP o pe ning ho urs suppo rt the a c c e ss o f urg e nt c a re pa tie nts during • the c o re ho urs Mo nda y to F rida y. HCCG will b e fo c ussing o n the dire c tio n o f pa tie nts to the rig ht pla c e in the syste m first • time . (111) We a re c o nside ring c re a ting a ro ta fo r ‘ in ho urs’ urg e nt prima ry c a re a ppo intme nts fo r • c hildre n e na b ling pa re nts to e a sily a c c e ss prima ry c a re within the GP c o mmunity. We a re e nde a vo uring to I nc re a se in upta ke o f c hildho o d immunisa tio ns. • HCCG will c o ntinue to use the sha re d use o f a c o mmo n I T syste m to ma ke the pa tie nt • re c o rd a va ila b le to a ll he a lthc a re pro fe ssio na ls.
Your Comments and Ideas Your Comments and Ideas
Urgent care and one day emergency care Urgent care and one day emergency care Ho unslo w CCG is fo c usse d o n de ve lo ping a ra pid re spo nse to urg e nt c a re so tha t fe we r • pa tie nts ne e d to a c c e ss ho spita l A&E c a re . T he UCC linking it to 111 a nd to Ge ne ra l Pra c tic e o ut o f ho urs se rvic e a re the ma in fo c us • fo r urg e nt c a re in 2013. A ne w a mb ula to ry e me rg e nc y c a re (o ne da y e me rg e nc y c a re fo r pe o ple with lo ng te rm • c o nditio ns who b e c o me ill) se rvic e tha t will c o -o rdina te c a re o f pa tie nts who re q uire a n e me rg e nc y re fe rra l will b e c o mmissio ne d a t WMUH. We will b e e nsure this se rvic e ha s a c c e ss to a nd use s the c o mmo n I T syste m • We a im to a c hie ve a re duc tio n in a lc o ho l re la te d a dmissio ns thro ug h a re vie w o f the • drug s a nd a lc o ho l c a re pa thwa y a t WMUH. We a re pla nning to a g re e a ne w spe c ific a tio n fo r psyc hia tric lia iso n se rvic e s fo r the • WMUH. We ne e d to e nsure a mb ula nc e tra nsfe r to a nd fro m ho spita l is time ly to suppo rt the • a dmissio n a vo ida nc e a ims.
Your Comments and Ideas Your Comments and Ideas
Integrated care ICO (Joint intentions) Integrated care ICO (Joint intentions) Curre ntly the re is a fe a sib ility stud y unde rwa y fo r a n inte g ra te d c a re • o rg a nisa tio n fo r Ho unslo w a nd Ric hmo nd. Ho unslo w CCG is wo rking with thre e o the r CCGs o n a who le syste ms • inte g ra te d c a re mo de l whic h will info rm the fe a sib ility study; o Suppo rting e a rly disc ha rg e pa rtic ula rly fo r pe o ple with ne uro lo g ic a l disa b ility inc luding stro ke o T o use the I CRS se rvic e to re duc e the numb e r o f fa lls re la te d a dmissio ns. A ne w te a m fo rme d fro m the L o ndo n Bo ro ug h o f Ho unslo w a nd the • re ha b ilita tio n te a m fro m HRCH will pro vide c o -o rdina te d he a lth a nd so c ia l c a re suppo rt fo r pa tie nts a t ho me . We a re e sta b lishing five lo c a lity ne two rks a c ro ss Ho unslo w g ro ups o f GP • pra c tic e s, whic h will wo rk to g e the r with the ir lo c a l c o mmunity he a lth a nd so c ia l c a re te a ms, suppo rte d b y a le a d c o nsulta nt to ide ntify a nd re vie w pa tie nts a t risk o f b e c o ming ill. We wish to inve st in two mo re Co mmunity Ma tro ns b ring ing it to five – o ne fo r • e a c h lo c a lity We wo uld like to e xpa nd the I nte g ra te d Co mmunity Re spo nse Se rvic e te a m. • A ne w ro le o f Ca re Na vig a to rs will b e intro duc e d. • A stro ke a nd re ha b ilita tio n pa thwa y ha ve b e e n de ve lo pe d •
Managing long term conditions Managing long term conditions We a re pla nning to sc a le up c a pa c ity o f the I CRS te a m to suppo rt c o mple x pa tie nts a fte r • disc ha rg e with pa rtic ula r e mpha sis o n stro ke pa tie nts We will b e I mpro ving the disc ha rg e pa thwa y fo r pa tie nts with ne uro -disa b ility • A ne w te a m will b e fo rme d fro m the re -a b le me nt te a m fro m L o ndo n Bo ro ug h o f • Ho unslo w a nd the re ha b ilita tio n te a m fro m HRCH (Ho unslo w a nd Ric hmo nd Co mmunity He a lthc a re ), pro viding c o -o rdina te d he a lth a nd so c ia l c a re suppo rt fo r pa tie nts a t ho me T he y will ha ve a pa rtic ula r fo c us o n stro ke s a nd fa lls Adult le d tra nsitio n te a m up to 25 ye a rs fo r c hildre n a nd yo ung pe o ple with disa b ility a nd • lo ng te rm c o nditio ns (who le life pla nning ), inc luding impro ving use o f se lf-ma na g e me nt a nd prima ry c a re input to pre ve nt ho spita l a dmissio ns a nd A&E a tte nda nc e . E sta b lish a vie w a nd syste m fo r the imple me nta tio n o f pe rso na l b udg e ts b y 2014. •
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