Wandsworth CCG Operating Plan 2015/16 (Draft April 2015) A Response to “The Forward View into Action: Planning for 2015/16”
Contents Introduction – Wandsworth Population and Strategic Priorities 1. Delivering Outcomes Improving Health – Commissioning Programmes 2. 3. Reducing health inequalities 4. Quality - Responding to Francis, Berwick and Winterbourne View 5. Constitution Standards 6. Operational resilience 7. Alignment with the Local Health Economy (LHE) 8. Empowering Patients 9. BCF - Extending the integrated community model 10. Delivering value – QIPP 11. Finance 12. Planning Assumptions Wandsworth Clinical Commissioning Group 2
Wandsworth - Our Population Wandsworth has 50% more 20 to 40 year olds, but 33% fewer older people than other South West London Boroughs. However, the older population in Wandsworth is more likely to have poor health, and live in deprivation, than in other areas of SW London. Population in Wandsworth compared to the rest of South West London 1 85+ 1% Wandsworth SW London 80-84 1% 75-79 2% 70-74 2% 65-69 3% 60-64 3% 55-59 4% 50-54 5% 45-49 6% 40-44 7% 35-39 10% 30-34 14% 25-29 15% 20-24 7% 15-19 4% 10-14 4% 5-9 5% 0-4 7.07% Wandsworth Clinical Commissioning Group 3 Source: 1 Estimates of resident population (2011 Census based) from ONS.gov.uk, 2 PCT registered list of patients (Extracted from Exeter System September 2011) from HSCIC, 3 JSNA leaflet 2001, What are the health and care needs for Wandsworth?
Wandsworth Population – key JSNA messages Health Inequalities The difference in life 6.8 8.7 expectancy between years years most and least lower lower deprived areas • Wandsworth has 50% more 20 to 40 year olds, but 33% fewer older people than other South West London Boroughs. However, the older population in Wandsworth is more likely to have poor health, and 49 % live in deprivation, than in other areas of SW London • The resident population is projected to reach 363, 256 by 2025 • There were 375,000 patients registered with Wandsworth GP practices at 31 December 2014 • The population is remarkably young – nationally Wandsworth has the highest proportion of population aged 30-44 and second highest aged 25-29 • Transient – Wandsworth has the third highest annual migration from all London boroughs at 25% between 2012 and 2013 • The majority of working age adults are comparatively affluent, well educated, healthy and in work • However, there are areas of significant deprivation – around 30% of children come from deprived households and 25% of over 60s are in receipt of pension credits Wandsworth Clinical Commissioning Group 4
Wandsworth Strategic Priorities • Doing core business well – delivering better care and a healthier future for Wandsworth through our clinical leadership, robust commissioning processes and excellent staff, focussed on delivering quality services and improved outcomes for patients. • Transforming primary care – optimising impact and outcomes for patients through delivery of excellent primary care to all people registered with a Wandsworth GP. • Commission prevention and social care services – where it will generate an increased health benefit for our population. • Reducing health inequalities – the CCG will commission differentially to address specific population need where it will reduce health inequalities. Wandsworth Clinical Commissioning Group 5
Wandsworth - Strategic Priorities into Commissioning Programmes 2014/15 2015/16 Preventing Ill Health Improving services, outcomes and value for money Older People WCCG Response: • Planning All Care Together enhanced primary Learning Disabilities care contract • Transforming Community Adult Health Planned Care Services – seven day service • Integrating health and social care Primary Care Working Age Adults CCG Response: • Sexual health clinical lead Children • Joint commissioned alcohol liaison services • Increased investment in IAPT Mental Health Children CCG Response • Redesigned CAMHS services Older People • Pilot project on admission avoidance Urgent Care Wandsworth Clinical Commissioning Group 6
1. Delivering Outcomes (2015/16) Seven Five Domains – Delivered through Intervention Outcome Ambitions National Outcome Frameworks (NOFs) • Out of Hospital Strategy Domain 1 – Preventing people from dying 1. Securing Additional Years of Life for • Integrated Falls Service prematurely treatable illness (E.A.1) • Integrated Carers Service 2. Improve Quality of Life for people with • Transformation of Adult Community Services LTCs (E.A.2) Domain 2 – Enhance Quality of Life for people (Care for Doris) with Long Term Conditions (LTC) 3. Reducing the amount of time people • Rapid Response Care Packages spend avoidably in hospital (E.A.4) • Out of Hospital Strategy • Integrated Falls Service 4. Increase older people living Domain 3 – Help people to recover after ill health • Transformation of Adult Community Services independently (post discharge) (E.A.S.3) • Rapid Response Care Packages • Clinical Reference Groups/patient 5. Improve patient experience in hospital engagement programmes (E.A.5) Domain 4 – Ensuring patients have a positive • Transformation of Adult Community 6. Improve LTC patient experience in all experience of care Services care settings (E.A.7) • Care Homes Programme • 7. Eliminate avoidable deaths in hospital Domain 5 – Ensure a safe environment, protect Quality Strategy • (E.A.8) from harm Clinical Quality Review Meetings
1.1. Ambitions for Improving Outcomes E.A.1 Potential Years of Life Lost (PYLL) from Causes Considered Amenable to Healthcare Supporting Commissioning Programmes & Clinical Reference Groups Mental Health Children Learning Disability Cardio Vascular Disease (CVD) Chronic Obstructive Pulmonary Disease (COPD ) Substance Misuse Cancer WCCG in comparison to England Better Worse Orange Bar = Current Position Wandsworth Clinical Commissioning Group
1.2. Ambitions for Improving Outcomes E.A.2 Improving Health Related Quality of Life for People with Long-Term Conditions Supporting Commissioning Programmes & Clinical Reference Groups Telehealth Cardio Vascular Disease (CVD) Chronic Obstructive Pulmonary Disease (COPD ) Neuro-Rehab Dementia WCCG in comparison to England Falls & Bone Health Mental Health End of Life Care Dementia Self Management Learning Disability Community Services Transformation Worse Orange Bar = Current Position Better Wandsworth Clinical Commissioning Group
1.3. Ambitions for Improving Outcomes E.A.4 (Better Care Fund Metric 4) Avoidable Emergency Admissions Supporting Commissioning Programmes & Clinical Reference Groups Out of Hours Telehealth Cardio Vascular Disease (CVD) Chronic Obstructive Pulmonary Disease (COPD ) Neuro-Rehab Dementia Falls & Bone Health WCCG in comparison to Mental Health England End of Life Care Dementia Supporting Initiatives Out of Hospital Better Orange Bar = Current Position Worse Community Services Transformation Better Care Fund Wandsworth Clinical Commissioning Group
1.4. Ambitions for Improving Outcomes E.A.5 Increasing the Proportion of People Having a Positive Experience of Hospital Care Supporting Commissioning Programmes & Clinical Reference Groups Out of Hours Mental Health End of Life Care Children’s CQRG (St Georges WCCG in comparison to England Better Orange Bar = Current Position Worse Wandsworth Clinical Commissioning Group
1.5. Ambitions for Improving Outcomes E.A.7 Increasing the Proportion of People Having a Positive Experience of Care Outside Hospital Supporting Commissioning Programmes & Clinical Reference Groups Out of Hours Mental Health End of Life Care Children’s WCCG in comparison to England Better Orange Bar = Current Position Worse Wandsworth Clinical Commissioning Group
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