Care Planning Partnership October 2009

Size: px
Start display at page:

Download "Care Planning Partnership October 2009"

Transcription

1 Supported by: Care Planning Partnership October 2009 Benefits of a close working relationship We are continuing to develop our Chronic Obstructive Pulmonary Disease (COPD) services throughout Worcestershire. Recent examples have been the developments in primary care, the expansion of the COPD team (including weekend working) and the new contract with the Acute Trust which has reflected the findings of the national COPD audit. However the dangers of improvement are that they can reveal previously unmet demand. This is certainly the case in COPD where in primary care we are now identifying many more patients with COPD who would benefit from pulmonary rehabilitation. Despite an extraordinary effort by the COPD team we were in danger of developing a long waiting list. By carefully monitoring this we realised that there were no more efficiency savings to be made so we went to practice based commissioners requesting short term investment over the next year. We felt once we had done this the COPD team could cope with the new referrals without also having to treat all the patients who had never had this treatment previously. We successfully bid for funding and are now looking forward to continuing to work with a short waiting list of a treatment which has Grade A evidence of effectiveness. Dementia Care Planning Sub Group The dementia care planning group are delighted to report great progress since the last care planning newsletter was published The group, under new Chair Sandra Rote, Director of Clinical Development and Lead Nurse have expanded with the addition of the Joint Commissioning Unit which is already making significant progress in the development and expansion of services. The group are also lucky to have Professor Dawn Brooker from the Association of Dementia Studies, University of Worcester who is a national figure in dementia and a real asset to the group. We also are delighted to report that we bid for a Department of Health project to become one of the Dementia Demonstrator Sites and were successful, obtaining funding to support two posts for dementia advisor posts around the county, aligned to the developing Early Intervention Service and working across the Local Authority, Voluntary Sector (Alzheimer s Society), University and NHS Worcestershire boundaries. This has produced much media interest around the county and we are proud to be able to say we are taking the issue of dementia seriously. The group have developed a well received draft Worcestershire Dementia Pathway and comprehensive Dementia Strategy to support implementation of the National Dementia Strategy published by the Department in February this year. We would very much like to increase primary care representation on the group so if you think you would like to get involved, please contact kathrine.dale@worcestershire.nhs.uk

2 End of Life and palliative care GP practices are being invited to sign up to deliver a locally enhanced service for end of life and palliative care in primary care. The service specification supported by practice based commissioning and developed by Worcestershire GPs with an interest in palliative care aims to ensure best practice, as advocated in the nationally supported Gold Standards Framework, is adopted across Worcestershire for all patients regardless of diagnosis. The service will commence at the beginning of October and will include training for GPs, district nurses and community matrons to enable them to deliver the enhanced care. The work in primary care is just one part of a whole system approach to improving end of life and palliative care for patients that are being supported by Marie Curie s Delivering Choice Programme and the Worcestershire End of Life and Palliative care network. Examples of other work include improving access to carers 24/7 for patients dying at home, improving access to specialist palliative care, and improving care in acute and community hospital settings. If you are interested in hearing more or supporting any of the working groups please contact Debbie Westwood, Programme Lead for End of Life and Palliative Care, at debbie.westwood@nhs.net

3 Full Steam Ahead for SPA! The Single Point of Access Service (SPA) is celebrating its first birthday this September after a busy and successful year. The SPA service provides professionals with a one stop shop and a referral management service, when requiring access to Intermediate Care and Admission Prevention services. The service is an integrated approach between Worcestershire PCT and Worcestershire County Council and encourages collaborative and flexible working between health and social care professionals; maximising community opportunities for patients who require admission prevention strategies or rehabilitation. The Single Point of Access aims to: To provide a single telephone number for referring professionals to access Intermediate Care and Admission Prevention services To provide an equitable access to Intermediate Care and Admission Prevention services, in line with new Intermediate Care developments within the county To reduce unnecessary admissions to the local A&E and MAU units, by providing community alternatives To encourage patient centred health and social care, within the persons own home, or as close to their home as possible To provide a proactive, timely response to referrals with coordinated joint assessments performed as necessary; improving efficiency and reducing the potential for duplication of assessments To respond within 2 hours for urgent crisis situations To provide a secure referral management system with a simple and efficient process. When SPA launched on the 1st September 2008 the initial pilot phase covered patients registered with a GP in the Worcester City locality, between the hours of 8.30am and 17.00pm. Since then SPA has developed significantly and has moved from strength to strength. SPA has now extended its geographical coverage to the Pershore, Evesham, Broadway, Bredon and Inkberrow localities and more recently has extended operational hours until 8pm in the evening in conjunction with the expressed requirements of local GP s and paramedic crews. The SPA team are very fortunate to be working closely with the Social Care Emergency Duty Team (EDT) during the extended hours period, to ensure optimum health and social care outcomes are achieved for patients referred to them. A further exciting development has been the introduction of a Rapid Response Nursing Team (RRNT) attached to the SPA service. This is a team of qualified nurses, initially established on a temporary basis last Winter, to assist with preventing unnecessary hospital admissions in crisis situations. The SPA Customer Advisors can direct all urgent referrals, requiring contact within 2 hours, to this team if an immediate clinical need is evident, or rapid nursing assessments are required. The Rapid Response Nurses are also available from 8.30 to 8pm and will visit the patient within two hours of the referral and sooner wherever possible, with referrals from paramedics and GP s being prioritised. Due to the success of the RRNT and the positive outcomes achieved for patients, the service has now been extended for a further year. It is envisaged that SPA will become a countywide service in the near future and the team are currently working towards full coverage of the south of the county within the next few months. Once this is completed SPA will then be extending the service to the north of the county too. Alongside this, work is underway to provide the SPA service 7 days a week, 8am to 8pm initially, with the ultimate goal of becoming a 24 hour service very soon. So it s full steam ahead for the SPA team! If you have any questions about the SPA service or require any further information please do not hesitate to contact Jo Poyner at joanne.poyner@worcspct.nhs.uk

4 Innovative Practitioner Programme and IAPT The Improving Access to Psychological Therapy (IAPT) short term mental health service user initiative is being developed by the Programme Lead for IAPT as part of the Innovative Practitioner Accreditation Programme run by the National Institute of Innovation. The prototype project for submission will be undertaken during September, but the initiative will be ongoing and we would welcome contact from service users who wish to be involved. Project proposal The initial prototype stage will involve the recruitment of 4 or 5 short-term mental health service users who have been involved in Primary Mental Health Care services. The service users will be invited to complete a semi structured interview to record their experiences within the primary care service and they will also be encouraged to consider creative writing and other techniques to illustrate their experiences. The experiences will be used to inform the IAPT project using an experience based design model. The initiative will then pilot a short term service user group as a subgroup of the IAPT Consultative Group to continue the experienced based design approach. It is hoped this will become a sustainable approach to inform the IAPT project. For more information or to be involved in the initiative please contact Susan Pinfold-Brown at susan.pinfold-brown@ worcestershire.nhs.uk Improving the care of patients with COPD and Type II Respiratory Failure The management of Chronic Obstructive Pulmonary Disease (COPD) and Type II Respiratory Failure has improved throughout the West Midlands Region following partnership work with NHS Worcestershire and Worcestershire Acute Hospitals NHS Trust. A clinical audit was undertaken in October 2008 to examine the management of patients with COPD and also other conditions that increase the risk of retaining carbon dioxide by the West Midlands Ambulance Service (WMAS) and Worcestershire Acute Hospitals NHS Trust (WAHT). A meeting was arranged by Nisha Sankey, Programme Lead for Clinical Development, in November 2008 where WMAS and WHAT were invited to attend the meeting to present the findings of their audits. The findings of both audits indicated that patients were receiving higher than required levels of oxygen and that this practice may lead to complications in this patient group. Matthew Ward, Regional Head of Clinical Services for WMAS, developed and released guidance for staff based on the new British Thoracic Society Guidance for the emergency administration of oxygen. The guidance was released to all WMAS clinicians through the Trusts internal publication; the Clinical Times. The practice of oxygen administration was re-audited in March 2009 and the results have demonstrated a considerable improvement in the appropriate management of patients with chronic respiratory illness. Matthew Ward, Regional Head of Clinical Services said, the results indicate that the change in practice is not only in Worcestershire but across the rest of region. Patients are receiving more appropriate care, and this is due to the partnership work with NHS Worcestershire and Worcester Acute Hospital NHS Trust.

5 The Family Education Group A stroke is a life changing event not only for the person but for their families as well. Those who have had a stroke should receive rehabilitation but it is equally important that the families of those affected are provided with the opportunity to understand what has happened and what this will mean for the future. This is strongly advocated by the National Stroke Strategy (Department of Health 2007) and National Clinical Guidelines for Stroke, 3rd Edition (Royal College of Physicians 2008). The aim of this project, initiated as part of an MSc in Neurological Occupational Therapy, was to develop and implement a family education group to provide equal access to relevant information and practical support for those who care for someone after a stroke. The programme focuses on educating carers, identifying sources of social support, and developing personal coping strategies and practical skills for daily living. The programme is made up of 4 weekly evening teaching sessions: Session one - Information & Education Aims to help family members to understand exactly what a stroke is, what the consequences of stroke are and what is actually meant by the term rehabilitation Session two - Emotional Adjustment Designed to teach strategies to manage personal feelings during this challenging time, and enable family members to identify sources of social support to help them along the way Session three - Looking after Yourself Aims to help family members to identify and develop their own coping skills in order to manage stress and deal with change and new challenges Session four - Practical Coping Skills for Daily Living Family members learn where to find specialist advice for things like dealing with financial matters and claiming benefits. They are also taught strategies on how to prepare for and support their relative once home. Problem-based (PBL) and social learning theories (SLT) have been adopted to enable carers to take control of their learning, and these form the basis upon which the programme is structured. The programme was recently piloted on the Willows Stroke Rehabilitation Unit and the feedback received from the participants was extremely positive. The teaching activities used within the group, including brain puzzles, pop quizzes and board games were well received. It is now the intention for every family to be given the opportunity to attend the group during their relative s rehabilitation. Ongoing developments include the addition of a carers workbook to accompany the course and development of a suitable outcome measure to assess the useful of the programme for family members.

6 Elaine invited to present in Vienna Elaine Bevan-Smith has been invited to fly the flag for Worcestershire the next meeting of the European Respiratory Society in Vienna. Elaine will be attending the conference to present three topics: Validation of motivation measures for use in pulmonary rehabilitation programmes Factors relating to motivation within the context of pulmonary rehabilitation A focus group about end of life care in COPD. The conference attracts international professors of respiratory medicine, and is an excellent opportunity for sharing research and best practice methods. Elaine hopes to come back with plenty of new information about COPD research, in addition to putting Worcestershire on the map along the away! Find out how Elaine got on in Vienna in the next CPP newsletter. NICE Clinical Guideline No.88: Low back pain Physiotherapists have a wide range of treatment methods at their disposal in Worcestershire including exercise, advice, ice, electrotherapy, acupuncture, mobilisations and manipulations. NICE Clinical Guideline no.88 contains recommendations regarding the use of three specific interventions for the treatment of non-specific low back pain. These are: Structured exercise Manual therapy Acupuncture. NICE recommend that one of these treatment options should be offered to all patients, taking patient preference into account. If the chosen treatment does not result in satisfactory improvement, another of the treatment options should be considered. Physiotherapy services in Worcestershire are able to provide manual therapy, acupuncture and structured exercise programmes as methods of treatment. Acupuncture is more often used as part of a patient s treatment rather than in isolation, as a step up to reduce pain and enable patients to self manage, rather than a treatment in its own right. Manual therapy is commonly used in conjunction with a structured exercise programme. GPs should therefore continue to refer patients to physiotherapy for assessment and treatment of non specific low back pain rather than refer for the provision of acupuncture in isolation.

7 The EASY project The Early Access to Stroke Unit Your brain heals quicker (EASY) project is a countywide project running until 2010 which looks at one aspect of the acute pathway with the National Stroke Improvement team. National data recommends best practice is that 90% of patients spend 90% of their time in a stroke unit. This fits with national targets of quality markers seven, eight, and nine in the National Stroke Strategy and also with NICE and Royal College of Physicians guidance. The project is being undertaken in order to: Improve high quality patient care to provide the best clinical outcomes in a timely manner Optimise the utilisation of staff through training, ensuring competence and developing new ways of working to meet the needs of stroke patients. Maximise the use of health economy resources by using efficient processes to meet National and local stroke targets. Our objective is that all patients with a suspected stroke go directly to a stroke unit from their point of entry. We started the project with figures of about 20% and are now around 40%. Our aim is to reach 70% by the end of the year. Everyone has worked incredibly hard to facilitate getting the right patients in the stroke beds. We have a number of exciting developments that will help to achieve the target for the project: The appointment of a stroke nurse to co-ordinate the movement of patients at the Alexandra hospital Redditch Monies secured to appoint a stroke nurse which will help with the co-ordination at Worcester Two protected ring-fenced beds for stroke patients at Worcester bringing the total number of beds up to eleven A plan to ensure that all minor strokes are admitted to the acute stroke unit so that throughput can be maintained An escalation policy so that patients as far as possible can bypass MAU and go directly from A&E to the acute stroke unit. Those breaching this policy who end up on outlying wards are flagged up with senior managers Work is planned to look at the patient pathway and process map. This will hopefully identify any particular bottlenecks or problems within systems We have started coding our own notes so that we have data which reflects the current activity. For further information, please contact Elaine Stratford, Stroke Specialist Nurse, on NHSW000020_Sept 2009

Integrated heart failure service working across the hospital and the community

Integrated heart failure service working across the hospital and the community Integrated heart failure service working across the hospital and the community Lynne Ruddick Professional Lead (South) British Heart Foundation 31st October 2017 Heart Failure is an epidemic. NICE has

More information

You said We did. Care Closer to home Acute and Community Care services. Commissioning Intentions Engagement for 2017/18

You said We did. Care Closer to home Acute and Community Care services. Commissioning Intentions Engagement for 2017/18 Commissioning Intentions Engagement for 2017/18 You said We did Care Closer to home Acute and Community Care services Top three priorities were: Shifting hospital services into the community Community

More information

Shaping the best mental health care in Manchester

Shaping the best mental health care in Manchester Clinical Transformation Plans Manchester Shaping the best mental health care in Manchester Meeting the needs of our communities Improving Lives OUR SHARED WAY AHEAD... Clinical Service Transformation in

More information

Community Health Services in Bristol Community Learning Disabilities Team

Community Health Services in Bristol Community Learning Disabilities Team Community Health Services in Bristol 2014 Community Learning Disabilities Team This provides specialist community based services for adults with learning difficulties and help to promote equal access to

More information

Integrated Health and Care in Ipswich and East Suffolk and West Suffolk. Service Model Version 1.0

Integrated Health and Care in Ipswich and East Suffolk and West Suffolk. Service Model Version 1.0 Integrated Health and Care in Ipswich and East Suffolk and West Suffolk Service Model Version 1.0 This document describes an integrated health and care service model and system for Ipswich and East and

More information

End of Life Care. LONDON: The Stationery Office Ordered by the House of Commons to be printed on 24 November 2008

End of Life Care. LONDON: The Stationery Office Ordered by the House of Commons to be printed on 24 November 2008 End of Life Care LONDON: The Stationery Office 14.35 Ordered by the House of Commons to be printed on 24 November 2008 REPORT BY THE COMPTROLLER AND AUDITOR GENERAL HC 1043 Session 2007-2008 26 November

More information

Care of Adults with Long-Term Conditions Care of Children & Young People with Diabetes

Care of Adults with Long-Term Conditions Care of Children & Young People with Diabetes Care of Adults with Long-Term Conditions Care of Children & Young People with Diabetes Worcestershire Health Economy Visit Date: 18 th 22 nd March 2013 Report Date: July 2013 Images courtesy of NHS Photo

More information

ANEURIN BEVAN HEALTH BOARD Stroke Delivery Plan Template for 2009/2010

ANEURIN BEVAN HEALTH BOARD Stroke Delivery Plan Template for 2009/2010 ANEURIN BEVAN HEALTH BOARD Stroke Delivery Plan Template for 2009/2010 Objective Action Desired Output / Monitor and manage all those at risk of stroke and, refer as appropriate to smoking cessation services,

More information

Integrated respiratory action network for patients with COPD

Integrated respiratory action network for patients with COPD Integrated respiratory action network for patients with COPD In this Future Hospital Programme case study Dr Helen Ward describes how a team from The Royal Wolverhampton NHS Trust established a respiratory

More information

Clinical Strategy

Clinical Strategy Clinical Strategy 2012-2017 www.hacw.nhs.uk CLINICAL STRATEGY 2012-2017 Our Clinical Strategy describes how we are going to deliver high quality care in response to patient and carer feedback and commissioner

More information

Health and care services in Herefordshire & Worcestershire are changing

Health and care services in Herefordshire & Worcestershire are changing Health and care services in Herefordshire & Worcestershire are changing An update on a five year plan to provide safe, effective and sustainable care in our area www.yourconversationhw.nhs.uk Your Health

More information

15. UNPLANNED CARE PLANNING FRAMEWORK Analysis of Local Position

15. UNPLANNED CARE PLANNING FRAMEWORK Analysis of Local Position 15. UNPLANNED CARE PLANNING FRAMEWORK 15.1 Analysis of Local Position 15.1.1 Within Renfrewshire unplanned care spans the organisational boundaries of acute and primary care services and social work services

More information

SERVICE SPECIFICATION

SERVICE SPECIFICATION SERVICE SPECIFICATION Service Rotherham Hospice Lead Gail Palmer Provider Lead Paula Hill / Mike Wilkerson Period 21 st July 2010 20 th July 2013 1. Purpose This specification describes the services which

More information

End of Life Care Commissioning Strategy. NHS North Lincolnshire - Adding Life to Years and Years to Life

End of Life Care Commissioning Strategy. NHS North Lincolnshire - Adding Life to Years and Years to Life End of Life Care Commissioning Strategy NHS North Lincolnshire - Adding Life to Years and Years to Life END OF LIFE CARE 1. Background NHS North Lincolnshire End of Life Care Commissioning Strategy The

More information

Our community nursing roles

Our community nursing roles Our community nursing roles Community Nursing Services provide nursing care to house-bound patients within the community. Our aim is to help patients to remain healthy and independent for as long as possible,

More information

Guidelines for the appointment of. General Practitioners with Special Interests in the Delivery of Clinical Services. Respiratory Medicine

Guidelines for the appointment of. General Practitioners with Special Interests in the Delivery of Clinical Services. Respiratory Medicine Guidelines for the appointment of General Practitioners with Special Interests in the Delivery of Clinical Services Respiratory Medicine April 2003 Respiratory Medicine This General Practitioner with a

More information

South Warwickshire s Whole System Approach Transforms Emergency Care. South Warwickshire NHS Foundation Trust

South Warwickshire s Whole System Approach Transforms Emergency Care. South Warwickshire NHS Foundation Trust South Warwickshire s Whole System Approach Transforms Emergency Care South Warwickshire NHS Foundation Trust South Warwickshire s Whole System Approach Transforms Emergency Care South Warwickshire NHS

More information

We need to talk about Palliative Care. The Care Inspectorate

We need to talk about Palliative Care. The Care Inspectorate We need to talk about Palliative Care The Care Inspectorate Introduction The Care Inspectorate is the official body responsible for inspecting standards of care in Scotland. That means we regulate and

More information

This SLA covers an enhanced service for care homes for older people and not any other care category of home.

This SLA covers an enhanced service for care homes for older people and not any other care category of home. Care Homes for Older People Service Level Agreement 2016-2019 All practices are expected to provide essential and those additional services they are contracted to provide to all their patients. This service

More information

Our five year plan to improve health and wellbeing in Portsmouth

Our five year plan to improve health and wellbeing in Portsmouth Our five year plan to improve health and wellbeing in Portsmouth Contents Page 3 Page 4 Page 5 A Message from Dr Jim Hogan Who we are What we do Page 6 Page 7 Page 10 Who we work with Why do we need a

More information

NHS North Yorkshire and York

NHS North Yorkshire and York CASE STUDY NHS North Yorkshire and York Managing long term conditions through redesigning the care pathways and integrating telehealth North Yorkshire and York The challenge Strategic plans NHS North Yorkshire

More information

COLLABORATIVE SERVICES SHOW POSITIVE OUTCOMES FOR END OF LIFE CARE

COLLABORATIVE SERVICES SHOW POSITIVE OUTCOMES FOR END OF LIFE CARE Art & science The synthesis of art and science is lived by the nurse in the nursing act JOSEPHINE G PATERSON COLLABORATIVE SERVICES SHOW POSITIVE OUTCOMES FOR END OF LIFE CARE Jennifer Garside and colleagues

More information

Hospital Discharge and Transfer Guidance. Choice, Responsiveness, Integration & Shared Care

Hospital Discharge and Transfer Guidance. Choice, Responsiveness, Integration & Shared Care Hospital Discharge and Transfer Guidance Choice, Responsiveness, Integration & Shared Care Worcestershire Mental Health Partnership NHS Trust Information Reader Box Document Type: Document Purpose: Unique

More information

Bristol CCG North Somerset CGG South Gloucestershire CCG. Draft Commissioning Intentions for 2017/2018 and 2018/2019

Bristol CCG North Somerset CGG South Gloucestershire CCG. Draft Commissioning Intentions for 2017/2018 and 2018/2019 Bristol CCG North Somerset CGG South Gloucestershire CCG Draft Commissioning Intentions for 2017/2018 and 2018/2019 Programme Area Key intention Primary and community care Sustainable primary care Implement

More information

SERVICE SPECIFICATION

SERVICE SPECIFICATION SERVICE SPECIFICATION Service NEIGHBOURHOOD CARE TEAM Lead KAREN RICHARDSON Provider Lead JO EVANS Period 2009/10 1. Purpose 1.1 Aims The aim of the Neighbourhood Care Teams (NCTs) is to provide multi-disciplinary,

More information

Draft Commissioning Intentions

Draft Commissioning Intentions The future for Luton s primary care services Draft Commissioning Intentions 2013-14 The NHS will have less money to spend over the next three years. Overall, it has to make 20 billion of efficiency savings

More information

Stockport Strategic Vision. for. Palliative Care and End of Life Care Services. Final Version. Ratified by the End of Life Care Programme Board

Stockport Strategic Vision. for. Palliative Care and End of Life Care Services. Final Version. Ratified by the End of Life Care Programme Board Stockport Strategic Vision for Palliative Care and End of Life Care Services Final Version Ratified by the End of Life Care Programme Board on 8 th February 2012 Clinical Commissioning Pathfinder Contents

More information

End of Life Care Strategy

End of Life Care Strategy End of Life Care Strategy 2016-2020 Foreword Southern Health NHS Foundation Trust is committed to providing the highest quality care for patients, their families and carers. Therefore, I am pleased to

More information

Rapid Response. Crisis Team. Anne Williams Alison Dalley

Rapid Response. Crisis Team. Anne Williams Alison Dalley Rapid Response Health and Social Care Health and Social Care Crisis Team Anne Williams Alison Dalley Salford the context Population 220,000 Long history of joint working across Council/PCT Provide range

More information

THE EMERGING PICTURE OF NEW CARE MODELS IN THE ENGLISH NHS

THE EMERGING PICTURE OF NEW CARE MODELS IN THE ENGLISH NHS THE EMERGING PICTURE OF NEW CARE MODELS IN THE ENGLISH NHS ICCHNR SYMPOSIUM University of Kent at Canterbury 15 th -16 th September 2016 Dr John M Ribchester GP Chair and Clinical Lead for Encompass MCP

More information

Changing for the Better 5 Year Strategic Plan

Changing for the Better 5 Year Strategic Plan Quality Care - for you, with you 5 Year Strategic Plan Contents: Section 1: Vision and Priorities for Change 3 Section 2: About the Trust 5 Section 3: Promoting Health & Wellbeing and Primary Care 6 Section

More information

North Central London Sustainability and Transformation Plan. A summary

North Central London Sustainability and Transformation Plan. A summary Sustainability and Transformation Plan A summary N C L Introduction Hospitals, local authorities, GPs, commissioners, and mental health trusts across north central London have all come together to transform

More information

Re-designing Adult Mental Health Secondary Care Services through co-production and consultation. 1 Adult Mental Health Secondary Care Services

Re-designing Adult Mental Health Secondary Care Services through co-production and consultation. 1 Adult Mental Health Secondary Care Services 2016 Re-designing Adult Mental Health Secondary Care Services through co-production and consultation 1 Adult Mental Health Secondary Care Services Contents Forward Vision & Values Introduction Adult Mental

More information

Services for People with Stroke (Acute Phase) & TIA

Services for People with Stroke (Acute Phase) & TIA West Midlands Partnership of Cardiac and Stroke Networks Services for People with Stroke (Acute Phase) & TIA West Midlands Overview Report Report Date: March 2011 Visit Dates: May to November 2010 Images

More information

City and Hackney Clinical Commissioning Group Prospectus May 2013

City and Hackney Clinical Commissioning Group Prospectus May 2013 City and Hackney Clinical Commissioning Group Prospectus May 2013 Foreword We are excited to be finally live as a CCG, picking up our responsibilities as commissioners for the bulk of the NHS. The changeover

More information

Wolverhampton CCG Commissioning Intentions

Wolverhampton CCG Commissioning Intentions Wolverhampton CCG Commissioning Intentions 2015-16 * Areas of particular focus and priority CI Ref Contract Provider Brief CI001 CI002 CI003 Child Protection Information Sharing Implement the new Child

More information

Information. for patients and carers

Information. for patients and carers Information for patients and carers Welcome to St Richard s Hospice Having a life-limiting illness - such as cancer or another serious condition - should not mean that a person cannot live their lives

More information

Evaluation Tool* Clinical Standards ~ March 2010 Chronic Obstructive Pulmonary Disease** Services

Evaluation Tool* Clinical Standards ~ March 2010 Chronic Obstructive Pulmonary Disease** Services Evaluation Tool* Clinical Standards ~ March 2010 Chronic Obstructive Pulmonary Disease** Services *Formerly known as Self-Assessment Framework ** Chronic Obstructive Pulmonary Disease (COPD) Standard 1:

More information

SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN

SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN Appendix-2016-59 Borders NHS Board SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN Aim To bring to the Board s attention the Scottish

More information

NICE guideline Published: 22 September 2017 nice.org.uk/guidance/ng74

NICE guideline Published: 22 September 2017 nice.org.uk/guidance/ng74 Intermediate care including reablement NICE guideline Published: 22 September 2017 nice.org.uk/guidance/ng74 NICE 2017. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-ofrights).

More information

Westminster Partnership Board for Health and Care. 21 February pm pm Room 5.3 at 15 Marylebone Road

Westminster Partnership Board for Health and Care. 21 February pm pm Room 5.3 at 15 Marylebone Road Westminster Partnership Board for Health and Care 21 February 2018 4.30pm - 6.00pm Room 5.3 at 15 Marylebone Road Agenda Item # Item and discussion points Lead Papers Timing 1 Preliminary business Welcome

More information

STATEMENT OF PURPOSE August Provided to the Care Quality Commission to comply with The Health & Social Care Act (2008)

STATEMENT OF PURPOSE August Provided to the Care Quality Commission to comply with The Health & Social Care Act (2008) 1. Trust Profile STATEMENT OF PURPOSE August 2015 Provided to the Care Quality Commission to comply with The Health & Social Care Act (2008) 1.1 Worcestershire Acute Hospitals NHS Trust was formed on 1

More information

TOPIC 9 - THE SPECIALIST PALLIATIVE CARE TEAM (MDT)

TOPIC 9 - THE SPECIALIST PALLIATIVE CARE TEAM (MDT) TOPIC 9 - THE SPECIALIST PALLIATIVE CARE TEAM (MDT) Introduction The National Institute for Clinical Excellence has developed Guidance on Supportive and Palliative Care for patients with cancer. The standards

More information

Serious Medical Treatment Decisions. BEST PRACTICE GUIDANCE FOR IMCAs END OF LIFE CARE

Serious Medical Treatment Decisions. BEST PRACTICE GUIDANCE FOR IMCAs END OF LIFE CARE Serious Medical Treatment Decisions BEST PRACTICE GUIDANCE FOR IMCAs END OF LIFE CARE Contents Introduction... 3 End of Life Care (EoLC)...3 Background...3 Involvement of IMCAs in End of Life Care...4

More information

For details on how to order other Age Concern Factsheets and information materials go to section 9.

For details on how to order other Age Concern Factsheets and information materials go to section 9. Factsheet 76 December 2010 Intermediate care About this factsheet This factsheet explains intermediate care a range of health and social care services that can be offered in order to avoid unnecessary

More information

Emergency admissions to hospital: managing the demand

Emergency admissions to hospital: managing the demand Report by the Comptroller and Auditor General Department of Health Emergency admissions to hospital: managing the demand HC 739 SESSION 2013-14 31 OCTOBER 2013 4 Key facts Emergency admissions to hospital:

More information

Mental Health Crisis Care: The Five Year Forward View. Steven Reid Consultant Psychiatrist, Psychological Medicine CNWL NHS Foundation Trust

Mental Health Crisis Care: The Five Year Forward View. Steven Reid Consultant Psychiatrist, Psychological Medicine CNWL NHS Foundation Trust Mental Health Crisis Care: The Five Year Forward View Steven Reid Consultant Psychiatrist, Psychological Medicine CNWL NHS Foundation Trust Overview Parity of esteem What are the challenges for people

More information

Appropriate Care Pathway

Appropriate Care Pathway Appropriate Care Pathway Karen Titchener MSc NMP RGN Deputy Head Nursing Guys and St Thomas NHS Foundation Trust Jaqualine Lindridge MA, PG Cert, MCPara Consultant Paramedic London Ambulance Service NHS

More information

Birmingham Adult Mental Health Services Locality Network Brief. April 2014 update. Commissioning 2014 /15

Birmingham Adult Mental Health Services Locality Network Brief. April 2014 update. Commissioning 2014 /15 Birmingham Adult Mental Health Services Locality Network Brief April 2014 update Commissioning 2014 /15 Negotiations with providers of mental health services are continue, with the status as of April as

More information

Agenda Item 3.3 IMPLEMENTATION OF SETTING THE DIRECTION - WHOLE SYSTEMS CHANGE PROGRESS UPDATE

Agenda Item 3.3 IMPLEMENTATION OF SETTING THE DIRECTION - WHOLE SYSTEMS CHANGE PROGRESS UPDATE FOR INFORMATION UHB Board Meeting: 17 January 2012 IMPLEMENTATION OF SETTING THE DIRECTION - WHOLE SYSTEMS CHANGE PROGRESS UPDATE Report of Paper prepared by Executive Summary Director of Public Health

More information

Improving the quality of diagnostic spirometry in adults: the National Register of certified professionals and operators

Improving the quality of diagnostic spirometry in adults: the National Register of certified professionals and operators Improving the quality of diagnostic spirometry in adults: the National Register of certified professionals and operators September 2016 Improving the quality of diagnostic spirometry in adults: the National

More information

Discharge from hospital

Discharge from hospital Page 1 of 9 Discharge from hospital for patients, carers and relative Introduction Welcome to our Trust. This leaflet is about planning to leave hospital (also known as discharge from hospital). Please

More information

6: What care is available?

6: What care is available? 6: What care is available? This section identifies and explains the types of care on offer at end of life and who is involved. The following information is an extracted section from our full guide End

More information

Powys Teaching Health Board. Respiratory Delivery Plan

Powys Teaching Health Board. Respiratory Delivery Plan Powys Teaching Health Board Respiratory Delivery Plan 2016-17 CONTENTS 1. BACKGROUD AND CONTEXT 1.1 The Vision 1.2 The Drivers 1.3 What do we want to achieve? 2. ORGANISATIONAL PROFILE 2.1 Overview 3.

More information

Report to the Board of Directors 2016/17

Report to the Board of Directors 2016/17 Attachment 8 Report to the Board of Directors 2016/17 Date of meeting 30 September 2016 Subject Report of Prepared by Purpose of report Previously considered by (Committee/Date) Local A&E Delivery Board

More information

Scottish Ambulance Service. Our Future Strategy. Discussion with partners

Scottish Ambulance Service. Our Future Strategy. Discussion with partners Discussion with partners Our values Glossary of terms We will: put the patient at the heart of everything we do. treat each and every person well, with respect and dignity. always be open, honest and fair.

More information

Home ward. Integrated intermediate care service

Home ward. Integrated intermediate care service Ealing Home ward Integrated intermediate care service Extra support for people to recover from illness or injury and remain well at home, without unnecessary stays in hospital. Home ward Ealing is a service

More information

REPORT 1 FRAIL OLDER PEOPLE

REPORT 1 FRAIL OLDER PEOPLE REPORT 1 FRAIL OLDER PEOPLE Contents Vision f-3 Principles / Parameters f-4 Objectives f-6 Current Frail Older People Model f-8 ABMU Model for Frail and Older People f-11 Universal / Enabling f-12 Specialist

More information

Better Care, Closer to Home

Better Care, Closer to Home Better Care, Closer to Home Our three-year strategy for coordinated, high quality care out of hospital 2012 2015 V0.3 17.05.2012 Ealing Clinical Commissioning Group Foreword Ealing Clinical Commissioning

More information

SOUTH CENTRAL AMBULANCE SERVICE NHS FOUNDATION TRUST

SOUTH CENTRAL AMBULANCE SERVICE NHS FOUNDATION TRUST SOUTH CENTRAL AMBULANCE SERVICE NHS FOUNDATION TRUST CLINICAL SERVICES POLICY & PROCEDURE (CSPP No. 19) STROKE CARE POLICY AND PROCEDURES September 2016 DOCUMENT INFORMATION Author: Dave Sherwood Assistant

More information

Working together for better patient care

Working together for better patient care A Strategic Framework for our people, patients and partners Working together for better patient care 2010-2015 Scottish Ambulance Service National Headquarters, Tipperlinn Road, Edinburgh EH10 5UU Tel:

More information

Quality Accounts: Corroborative Statements from Commissioning Groups. Nottingham NHS Treatment Centre - Corroborative Statement

Quality Accounts: Corroborative Statements from Commissioning Groups. Nottingham NHS Treatment Centre - Corroborative Statement Quality Accounts: Corroborative Statements from Commissioning Groups Quality Accounts are annual reports to the public from providers of NHS healthcare about the quality of services they deliver. The primary

More information

Review of Stroke (Acute Phase) & TIA Services

Review of Stroke (Acute Phase) & TIA Services West Midlands Partnership of Cardiac and Stroke Networks Review of Stroke (Acute Phase) & TIA Services Report Date: June 2011 Visit Dates: May to November 2010 Images courtesy of The Stroke Association,

More information

DRAFT. Rehabilitation and Enablement Services Redesign

DRAFT. Rehabilitation and Enablement Services Redesign DRAFT Rehabilitation and Enablement Services Redesign Services Vision Statement Inverclyde CHP is committed to deliver Adult rehabilitation services that are easily accessible, individually tailored to

More information

Psychological Therapies for Depression and Anxiety Disorders in People with Longterm Physical Health Conditions or with Medically Unexplained Symptoms

Psychological Therapies for Depression and Anxiety Disorders in People with Longterm Physical Health Conditions or with Medically Unexplained Symptoms Psychological Therapies for Depression and Anxiety Disorders in People with Longterm Physical Health Conditions or with Medically Unexplained Symptoms Guide for setting up IAPT-LTC services 1. Aims The

More information

Integrated Care in North Central London

Integrated Care in North Central London Integrated Care in North Central London 5 th July 2012 Sylvia Kennedy AD Strategy & Planning Strategic context Many of our frailest and sickest groups receive care in a fragmented and disorganised way

More information

Efficiency in mental health services

Efficiency in mental health services the voice of NHS leadership briefing February 211 Issue 214 Efficiency in mental health services Supporting improvements in the acute care pathway Key points As part of the current focus on improving quality,

More information

care PROactive Personalised Preventative Targeted Integrated one two three four five six seven eight

care PROactive Personalised Preventative Targeted Integrated one two three four five six seven eight three four five six seven Personalised Preventative Targeted Integrated NHS Crawley Clinical Commissioning Group NHS Horsham and Mid Sussex Clinical Commissioning Group Sussex Community NHS Trust Sussex

More information

WOLVERHAMPTON CCG. Governing Body Meeting 9 th September 2014

WOLVERHAMPTON CCG. Governing Body Meeting 9 th September 2014 WOLVERHAMPTON CCG Governing Body Meeting 9 th September 2014 ` Agenda item:12 TITLE OF REPORT: REPORT PRESENTED BY: Title of Report: Purpose of Report: Commissioning Committee Summary Kamran Ahmed Update

More information

DRAFT Service Specification GP-led Urgent Treatment Centre (UTC) Service

DRAFT Service Specification GP-led Urgent Treatment Centre (UTC) Service DRAFT Service Specification GP-led Urgent Treatment Centre (UTC) Service Executive summary: The Cornwall Sustainability and Transformation Plan known as Shaping our Future will describe a new model of

More information

Urgent and Emergency Care Review update: from design to delivery

Urgent and Emergency Care Review update: from design to delivery The Kings Fund September 2015 Keith Willett Director of Acute Care Urgent and Emergency Care Review update: from design to delivery What does the experience and data from recent winters tell us? Surge

More information

End of Life Care A Single Point of Access

End of Life Care A Single Point of Access End of Life Care A Single Point of Access Stakeholder meeting report Oct 2014 Single Point of Access project Stakeholder meeting report V2.1 FINAL Page 1 1. Background End of life care is about caring

More information

North West COPD Report Nov 2011

North West COPD Report Nov 2011 North West COPD Report Nov 2011 Working together to improve respiratory care in the North West 1 Contents Introduction foreword by NW Respiratory Leads... 3 4 reasons why COPD is important in the North

More information

Urgent and emergency mental health care pathways

Urgent and emergency mental health care pathways Urgent and emergency mental health care pathways Initial guidance for improving data quality in the Mental Health Services Dataset (MHSDS) Published August 2018 Copyright 2018 NHS Digital Contents Who

More information

Belfast ICP Pathways. Dr Dermot Maguire GP Clinical Lead North Belfast ICP

Belfast ICP Pathways. Dr Dermot Maguire GP Clinical Lead North Belfast ICP Belfast ICP Pathways Dr Dermot Maguire GP Clinical Lead North Belfast ICP QOF Disease Register & NHAIS Global Sum Findings 2013. ICP Area No of practices & patients Frail Elderly -over 65 Resp COPD Diabetes

More information

Connected Palliative Care Partnership End of Year Report

Connected Palliative Care Partnership End of Year Report where everyone matters Sandwell and West Birmingham Hospitals NHS Trust Connected Palliative Care Partnership End of Year Report 2016 2017 Sandwell and West Birmingham Clinical Commissioning Group Contents

More information

Utilisation Management

Utilisation Management Utilisation Management The Utilisation Management team has developed a reputation over a number of years as an authentic and clinically credible support team assisting providers and commissioners in generating

More information

NHS Bradford Districts CCG Commissioning Intentions 2016/17

NHS Bradford Districts CCG Commissioning Intentions 2016/17 NHS Bradford Districts CCG Commissioning Intentions 2016/17 Introduction This document sets out the high level commissioning intentions of NHS Bradford Districts Clinical Commissioning Group (BDCCG) for

More information

Ambulatory Emergency Care A Flexible Approach to Ambulatory Care at Pennine Acute Hospitals. The Pennine Acute Hospitals NHS Trust

Ambulatory Emergency Care A Flexible Approach to Ambulatory Care at Pennine Acute Hospitals. The Pennine Acute Hospitals NHS Trust Ambulatory Emergency Care A Flexible Approach to Ambulatory Care at Pennine Acute Hospitals The Pennine Acute Hospitals NHS Trust A Flexible Approach to Ambulatory Care at Pennine Acute Hospitals The Pennine

More information

THE VIRTUAL WARD MANAGING THE CARE OF PATIENTS WITH CHRONIC (LONG-TERM) CONDITIONS IN THE COMMUNITY

THE VIRTUAL WARD MANAGING THE CARE OF PATIENTS WITH CHRONIC (LONG-TERM) CONDITIONS IN THE COMMUNITY THE VIRTUAL WARD MANAGING THE CARE OF PATIENTS WITH CHRONIC (LONG-TERM) CONDITIONS IN THE COMMUNITY An Economic Assessment of the South Eastern Trust Virtual Ward Introduction and Context Chronic (long-term)

More information

This will activate and empower people to become more confident to manage their own health.

This will activate and empower people to become more confident to manage their own health. Mid Nottinghamshire Self Care Strategy 2014-2019 Forward The Mid Nottinghamshire Self Care Strategy will be the vehicle which underpins our vision to deliver an increased understanding of and knowledge

More information

Particulars Version 22. NHS Standard Contract 2018/19. Particulars Enhanced Homeless Health

Particulars Version 22. NHS Standard Contract 2018/19. Particulars Enhanced Homeless Health NHS Standard Contract 2018/19 Particulars Enhanced Homeless Health 1 SCHEDULE 2 THE SERVICES A. Service Specifications Service Specification No. Service OOHS_011 Enhanced Homeless Health Commissioner Lead

More information

Report to Patients. A summary of NHS Norwich Clinical Commissioning Group s Annual Report for 2014/15. Healthy Norwich. Patient

Report to Patients. A summary of NHS Norwich Clinical Commissioning Group s Annual Report for 2014/15. Healthy Norwich. Patient Report to Patients A summary of NHS Norwich Clinical Commissioning Group s Annual Report for 2014/15 Healthy Norwich GP Care Patient Quality YourNorwich The work of the CCG, what it has achieved for patients,

More information

Redesign of an Integrated Community Pain Service. Homerton Locomotor Service

Redesign of an Integrated Community Pain Service. Homerton Locomotor Service Redesign of an Integrated Community Pain Service Homerton Locomotor Service Elizabeth Slee Clinical specialist physiotherapist in chronic pain Twitter @QIhomerton www.homerton.locomotor Issues relating

More information

Improving Mental Health Services in Bath & North East Somerset

Improving Mental Health Services in Bath & North East Somerset Improving Mental Health Services in Bath & North East Somerset Andy Sylvester Executive Director of Operations Welcome & Introductions Housekeeping Format of the day Presentations Questions and answers

More information

Healthwatch Kent - September 2017 Discharge from Hospital in West Kent

Healthwatch Kent - September 2017 Discharge from Hospital in West Kent Healthwatch Kent - September 2017 Discharge from Hospital in West Kent Foreword We hear from people about their experience of being discharged from hospital all over Kent. We ve recently done a large project

More information

Seven Day Services Clinical Standards September 2017

Seven Day Services Clinical Standards September 2017 Seven Day Services Clinical Standards September 2017 11 September 2017 Gateway reference: 06408 Patient Experience 1. Patients, and where appropriate families and carers, must be actively involved in shared

More information

National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care in England. Core Values and Principles

National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care in England. Core Values and Principles National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care in England Core Values and Principles Contents Page No Paragraph No Introduction 2 1 National Policy on Assessment 2 4 The Assessment

More information

The Board is asked to note the report and to support the delivery of the Operational Plan and associated work programmes during 2017/18 and 2018/19.

The Board is asked to note the report and to support the delivery of the Operational Plan and associated work programmes during 2017/18 and 2018/19. Subject: Reason for briefing note: Responsible officer(s): Senior leader sponsor: Windsor, Ascot & Maidenhead CCG Operating Plan 2017-19 Refresh To present the WAM CCG Operating Plan Refresh information

More information

Your Care, Your Future

Your Care, Your Future Your Care, Your Future Update report for partner Boards April 2016 Introduction The following paper has been prepared for the Board members of all Your Care, Your Future partner organisations: NHS Herts

More information

Westminster Partnership Board for Health and Care. 17 January pm pm Room 5.3 at 15 Marylebone Road

Westminster Partnership Board for Health and Care. 17 January pm pm Room 5.3 at 15 Marylebone Road Westminster Partnership Board for Health and Care 17 January 2018 4.30pm - 6.00pm Room 5.3 at 15 Marylebone Road Agenda Item # Item and discussion points Lead Papers Timing 1 Preliminary business Welcome

More information

THE SERVICES. A. Service Specifications (B1) Ian Diley (Suffolk County Council)

THE SERVICES. A. Service Specifications (B1) Ian Diley (Suffolk County Council) THE SERVICES A. Service Specifications (B1) Service Specification No. Service Early Supported Discharge for Stroke Patients v5.0 Commissioner Lead Dr Mark Lim, T Woor (Suffolk Stroke Review Project Board)

More information

Developing out of hospital care: Update on community hubs pilot April 2017 August 2017

Developing out of hospital care: Update on community hubs pilot April 2017 August 2017 Developing out of hospital care: Update on community hubs pilot April 2017 August 2017 Contents Heading 1 Executive summary 3 2 Developing out of hospital care: what we have done 5 3 How have we improved

More information

SYMPHONY. The Extensivist. A new role for GPs and Physicians. Dr Ian Wyer and Dr Jo Cummings South Somerset Symphony Vanguard

SYMPHONY. The Extensivist. A new role for GPs and Physicians. Dr Ian Wyer and Dr Jo Cummings South Somerset Symphony Vanguard SYMPHONY PERSON-CENTRED, CO-ORDINATED CARE The Extensivist A new role for GPs and Physicians Dr Ian Wyer and Dr Jo Cummings South Somerset Symphony Vanguard The Need A need for preventative care to avoid

More information

NHS England London Southside 4th Floor 105 Victoria Street London SW1E 6QT. 24 th July Dear Daniel, Fiona and Louise. Re: CCG Annual Assurance

NHS England London Southside 4th Floor 105 Victoria Street London SW1E 6QT. 24 th July Dear Daniel, Fiona and Louise. Re: CCG Annual Assurance NHS England London Southside 4th Floor 105 Victoria Street London SW1E 6QT 24 th July 2014 Dear Daniel, Fiona and Louise Re: CCG Annual Assurance Many thanks for meeting with us on 6 th June 2014 to discuss

More information

Quick guide: planning for increased seasonal demand in respiratory illness

Quick guide: planning for increased seasonal demand in respiratory illness Quick guide: planning for increased seasonal demand in respiratory illness Published by NHS England and NHS Improvement December 2017 The British Thoracic Society is pleased to endorse this quick guide,

More information

Worcestershire Acute Hospitals NHS Trust

Worcestershire Acute Hospitals NHS Trust Worcestershire Acute Hospitals NHS Trust Worcestershire Royal Hospital Quality Report Charles Hastings Way Worcester WR5 1DD Tel: 01905 763333 Website: www.worcsacute.nhs.uk Date of inspection visit: 12,

More information

DRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8

DRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8 DRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8 West London Clinical Commissioning Group This document sets out a clear set of plans and priorities for 2017/18 reflecting West London CCGs ambition

More information

Redesign of Front Door

Redesign of Front Door Redesign of Front Door Transforming Acute and Urgent Care Strategic Background and Context Our Change and Improvement Programme What have we achieved and how? What did we learn? Ian Aitken, General Manager

More information

Integrated Care Systems. Phil Richardson NHS Dorset CCG

Integrated Care Systems. Phil Richardson NHS Dorset CCG Integrated Care Systems Phil Richardson NHS Dorset CCG Integrated care system? ICS were previously called accountable care systems Take the lead in planning and commissioning care for their populations

More information