Welcome NHS Hounslow CCG Annual General Meeting 18 September 2019 - PowerPoint PPT Presentation

Welcome NHS Hounslow CCG Annual General Meeting 18 September 2019

Agenda Item Lead Time 1 Introduction 12.00 – 12.05 1.1 Welcome Dr Annabel Crowe 2 Minutes of the previous meeting 12.05 – 12.10 2.1 Minutes of the previous meeting, 19 September 2018 Dr Annabel Crowe 3 Our work in 2018/19 12.10 – 12.20 3.1 Reflections on the past year Dr Annabel Crowe 12.20 – 12.30 3.2 North West London Commissioning Reform Case for Change Mark Easton 12.30 – 12.40 3.3 Quality & Performance Diane Jones 12.40 – 12.50 3.4 Annual Report and Accounts 2018/19 Paul Brown 12.50 – 13.00 3.5 Our Journey to Integrated Care Mary Clegg 13.00 – 13.10 3.6 LIFE Programme Mark Blomfield/James Hearn Social Prescribing/Self-Care: Patients ’ experiences 13.10 – 13.20 3.7 Beata Malinowska/Camille Pegus 13.20 – 13.30 3.8 Priorities for 2019/20 Mary Clegg 4 Questions and discussion 13.30 – 13.55 Dr Annabel Crowe 5 Close Dr Annabel Crowe 13.55 - 14.00 2

Introduction to the CCG We commission A membership hospital care, Working with organisation of GP community services, Hounslow Council Practices mental health services Governing Body of GPs, Developing Primary lay members, carer Care to support new representatives, ways of working for Healthwatch and CCG patients officers 3

Minutes of the previous meeting Dr Annabel Crowe, Chair

Previous Meeting 19 September 2018, The Debenture Lounge, Twickenham Stoop Stadium What we covered: • Priorities for 2018/19, including working towards a Hounslow health system which is integrated by 2022 and offers better outcomes for residents and clinicians. • Programme for the future of technology and how can this be accessed and used in Hounslow. • Quality and safeguarding. • Annual report and accounts for 2017/18.

Reflections on the past year Dr Annabel Crowe, Chair

Local influence, local knowledge Capturing Patient GPs involved in patient representation decision making experience Patient & public Our partners engagement programme

Achievements across the patch: Start Well • Hounslow was named a “trailblazer” for new school-based mental health teams. These teams will be implemented over the next two years with the aim of getting mental health help to young people in their schools • The Digital Healthy Schools • We have achieved a significant Programme was launched, improvement in the waiting times a free programme providing for autism assessments. schools with information and support via smartphones to help students and their parents understand digital health.

Achievements across the patch: Live Well • Hounslow being 2nd highest in London in achieving physical health checks for people with long-term MH needs • The Transforming Care Programme • Diabetes: Hounslow in top gives patients with learning 10% in country for disabilities support through improvement in blood community based placements pressure, sugar control and cholesterol for people with • National Cancer screening diabetes. programme: Improvement in 18/19 following support from GP Practices • Extended GP access: work and RM partners has continued to ensure that there are appointments available from 8am-8pm across NW London

Achievements across the patch: Age Well • Enhanced care in care homes - ‘Is my resident well?’ training programme has empowered care home staff to identify deterioration earlier • The Home First programme helps people home from hospital, assessing patients for on-going • With partners, we set up support in their own home. the Dementia Steering Group (DAG) which has helped to improve services and awareness of dementia within the community.

Case for Change – Commissioning reform across North West London CCGs Mark Easton, Chief Officer

Commissioning reform in NW London – our journey and process On 29 May 2019 we published a document setting out our case for changing how we organise the commissioning of health services in NW London . This was in response to the recommendation in the NHS long term plan that the number of CCGs should be significantly reduced to align with the number of emerging integrated care systems (ICSs) across the country. This would imply a single CCG for NW London. Engagement closed 24 August. The CCG Chairs have agreed to recommend the following to governing bodies: Timeline • We will work to establish a single CCG from 01 April 2021, not April 2020. We are already aligned as a commissioning collaborative and will recommend A single CCG that the merger should cover all eight CCGs, creating one NW London CCG. 2020-21 as a • Concentrate on financial recovery, development of a single way of working across transitional all CCGs. year • The development of integrated care and Primary Care Networks at local level Focus on our and building closer working relationships with our local authorities. priorities 12

Why do we want to change? To work more effectively for our patients as a single statutory body. To reduce health inequality and improve healthcare quality by addressing unnecessary duplication and variation in health outcomes. To deliver joined up care for our population. To implement an effective, joined up care system across NW London and deliver our clinical strategy to benefit patients. To align with what is happening across London. All parts of London are going through a similar process in line with the “London Vision”. 13

Quality & Performance Diane Jones, Chief Nurse and Director of Quality

Patient Safety Patient Safety is monitored in a variety of ways Local quality meetings with providers • Clinical Quality Review Groups • Attendance at provider quality and patient safety meetings • Attendance at provider mortality review meetings • Assurance visits led by CCG Deputy Director and Assistant Directors of Quality Contracted quality indicators scrutinised at CCG/Provider contractual meetings • NHS Service conditions • Core Quality Schedule – for example infection control, safeguarding, workforce quality monitoring • Local Quality Schedule – local indicators for example, maternity, stroke, cancer quality monitoring Annual reports and accounts • Review and CCG response to provider annual Quality Accounts Trends and themes of reported serious incidents • The CCGs review all the serious incident investigations from the commissioned providers. Where trends and themes are identified, the CCGs have held sharing the learning workshops with providers Working with key stakeholders • Where there have been concerns identified, such as CQC inspection findings, working in close partnerships with NHS England./Improvement, Health Education England and the CQC to identify how the system can support monitoring and improvements. • Close working relationships with Healthwatch.

Safeguarding Working across the system • Development of a Designates Sustainability Transformation Plan Group • Working together to support and assure primary care (Section 11 audit) Working across the lifespan • Contract monitoring performed via the Safeguarding Health Outcome Framework Priorities for Children and Young People • New Safeguarding Partnerships – CCG statutory member • Child Death process being reviewed • Continued oversight of the School Nursing and Health Visiting Priorities for Adults • Changes to the Deprivation of Liberty Safeguards • Support the LeDeR Review process • Started the work to standardise adult safeguarding training in line with the intercollegiate document • Significant levels of support given to domiciliary care and residential providers

Patient Experience Patient Experience is monitored and reported in a variety of ways Patient stories are at the heart of the work we do; each Governing Body begins with a patient story. Scrutiny of provider patient experience reports which include data and learning on; • Complaints and concerns • Friends and family test response rate and percentage recommending the service • National Patient Survey’s • PLACE assessments CCG monitoring of complaints and concerns raised directly to the CCG and provider Quality Alerts • Concerns shared with commissioners to review commissioned services linked to the concern raised. This allows us to review pathways to ensure they are meeting the expected contracted standards. CCG Patient and Public Engagement Meetings • These meetings review the CCG’s service developments in terms of whether the patient and public engagement has been considered and is meeting the statutory requirements. • The meetings also review the equality impact assessments associated with the service development.