Out of Hospital (OOH) Strategy and Draft Commissioning Intentions Draft Commissioning Intentions 2014/15
Hounslow serves 288,000 patients Hounslow is planning significant improvements CCG boundary GP practices: Hounslow to its OOH care <3,000 288,000 patients Locality boundary 54 practices § Hounslow fully authorised as a CCG since July 2013, three 3,000-7,500 Hubs remaining conditions on since April 13 have been removed >7,500 Other clinics by NHS England Brentford & § Hounslow has two key objectives in its operating plan; Isleworth delivery of the Out of Hospital Strategy and Improving the 56,300 patients Quality of Primary Medical Services (GP) 10 practices § Hounslow CCG plan to spend £31m (11%) of their 2013/14 4 budget on community health services providing easy Great West access to high quality; responsive primary care; high quality Road 4 4 elective (planned) care and well understood planned care elective (planned) care and well understood planned care 52,264 patients 1 pathways; rapid response to urgent needs; health and 10 practices 6 social care working together, and appropriate time in hospital. 6 2 § Hounslow’s out of hospital plans are focused on delivering 2 these objectives from 2013/14, including new community Chiswick 5 3 and primary care services, ambulatory emergency care 41,132 patients services and the integration of care. 8 practices § Joint working is central to this. For example Hounslow CCG are working with the local and neighbouring authorities as well as the Hounslow and Richmond Community Healthcare NHS Trust and Richmond CCG to develop an Integrated Care Organisation (ICO) programme. Feltham Heart of 65,263 patients Hounslow 14 practices 63,046 patients 11 practices Source: CCG Prospectus
Hounslow will progress its OOH strategy Hounslow plans, and is currently implementing, several major Hounslow is developing its estate to deliver this, programmes to deliver its OOH strategy including enhancing three hubs CCG boundary GP practices: Hospitals Planned initiatives 2013/14 and 14/15 <3,000 Local Hospitals LH Locality boundary Easy access Primary care mental health services will be enhanced to § 3,000-7,500 to high Hubs enable more people with a severe mental illness to be quality, A effectively supported by their GP and reduce the need for >7,500 Other clinics responsive secondary care – Shifting Settings of Care (650 patients) care 4 7 Review of a number of pathways, diagnostics and procedures § Simplified to improve community provision and potentially re- 4 4 planned commission services 1 1 B care Heart Failure § 6 Community Respiratory pathways § 6 6 Sleep Apnoea § 2 2 2 111 and UCC improvements have been delivered as part of 2 § Rapid NW London-wide developments. 5 3 response LAS and Heart Failure link to UCC 3 § 5 C to urgent Expanded the Integrated Community Response Service § needs Implementation of ‘Co-ordinate My Care’ (CMC) for end of life § Integrated patients care Whole systems integrated care – ICO No. Potential OOH Hub § D for LTC 1 Heston Health Centre and elderly Stroke Association advisors § 2 Heart of Hounslow Centre for Health A new role of care navigators to ensure patients find the right § 3 Meadows Centre for Health service and are linked into the local voluntary sector and can build networks and social support 4 Brentford Health Centre Dementia services will be improved through improved advice 5 Feltham Centre for Health § and information for patients and their carers, training for 6 West Middlesex Hospital carers of patients with dementia, and integration with local authority services 7 Chiswick Health Centre Source: DMBC
We agreed quality standards for primary and community services 1 Individual empowerment and self-care 2 2 Access, convenience and responsiveness 3 Care planning and multi-disciplinary care delivery 4 Information and communication
Improving the quality of Primary medical services • GP Access – Local Priority • Appointments audit being carried out in practices • Procurement for GP Out of Hours • Working with NHS England to agree standards about opening hours, the number of appointments, supporting people to manage their long term condition condition • Locality networks • Reduction in unscheduled admissions • Improvements in the quality of referrals • Improvements in the quality of care • Delivery of cost effective and evidence based medicines • GP Assurance Framework
We have worked to understand peoples’ priorities from general practice, and developed a programme in response Understanding peoples’ priorities from General Practice We surveyed over 1,000 service users, representative of the NWL population, about their priorities for General Practice. Improved quality & reduced The top three priorities were: variation 1. I can quickly get an emergency appointment when I need one 2. I have enough time in my appointment to cover 2. I have enough time in my appointment to cover everything I want to discuss Timely, 3. I can rely on getting consistently good service at my appropriate GP surgery care We learned that access is a complex issue because Better Flexible what patients want depends on overall health needs and integrated access the immediacy of their presenting condition, rather than services demographic or other determinants. We are clear that delivering these three priorities will require new ways of delivering primary care, it cannot be a case of more of the same. In response, we developed a programme to improve primary care across NWL.
Draft Commissioning Intentions 2014/15 Easy access to high quality responsive care Diagnostics, radiology and pathology • • Reduce medicines related harm • Transport • • High quality nursing home care High quality nursing home care Simplified planned care pathways • Musculoskeletal – Trauma and Orthopaedics • Mental health programme • Reduction of alcohol related admissions • Management of Tuberculosis • CAHMS Tier 2 (Children and Adolescent Mental Health Services)
Commissioning Intentions 2014/15 contd. Rapid response to urgent needs Night nursing • • Fast track continuing care • Ambulatory Care Integrated care for LTC and elderly Remodel the care pathway for patients with diabetes • • End of Life Care • Dementia • Stroke Advisors, stroke pathway after hospital discharge • Additional children’s disability health provision Joint Commissioning and the Social Care Integrated Fund Integrated model including mental health (Integrated Care Org ) •
Health and Wellbeing Board Comments and Additions to Commissioning Intentions Commissioning Intentions
Recommend
More recommend
