Haringey Primary Care Strategy. Investment Plan 2013/14
|
|
- Lambert Clark
- 5 years ago
- Views:
Transcription
1 Haringey Primary Care Strategy Investment Plan 2013/14 1. Introduction The North Central London Primary Care Strategy was developed between August 2011 and January The strategy is set out in Transforming the primary care landscape in North Central London published in January 2012 and the Haringey Primary Care Development Strategy Implementation Programme (January 2013). 2. Localising the Strategy in Haringey 2.1 Haringey CCG s Commissioning Strategic Plan (CSP) for 2013/ /16, highlights how Primary Care has a pivotal role to play in reducing use of secondary care for basic healthcare provision and in improving population health and acknowledges that radical change is required to improve quality, capability and productivity further, and to create capacity within primary care. In Haringey, there are currently 52 General Practices covering a registered patient population of approximately 293,000 patients (at April 2013). 2.2 One of the CCG s key strategic aims is to create a transformation of the health economy by reducing the amount of care in hospital and increasing the provision of community-based care delivered by primary care teams. The first prerequisites are to re-design the care pathways and to prepare the primary care teams to take on an enhanced role. The primary care strategy funding is being used to provide the additional resources required to carry out this work. 2.3 The pathway re-design projects will include a clear statement (ie specifications and protocols) of precisely what General Practice and the wider primary care teams are expected to deliver and the resources required. The next stage is to provide the necessary education and training to equip GPs and other clinicians in practices/networks to respond to the specifications. The investment in primary care provides the resourcing opportunity for practices to choose to work together as providers of more and higher quality community-based services. 2.4 Allied to, but also in addition to the pathway re-design work, there are a number of specific QIPP projects which require pump-priming investment in order to generate subsequent returns. These are grouped under: Admissions avoidance and Integrated Care Urgent and Unscheduled Care GP referral management 2.5 The investment in the delivery of the Primary Care Strategy is therefore an essential enabler to facilitate this transformational change in Haringey and to create a sustainable health economy. As well as the Primary Care Strategy, the whole system transformation includes Integrated Care, Urgent Care, and the BEH (Barnet, Enfield and Haringey) Clinical Strategy. The strategic links with primary care are highlighted in the CSP Plan on a page Page 1 of 12
2 Enable the people of Haringey to live long & healthy lives with access to safe, well co-ordinated & high quality services Needs & drivers for change Significant inequality in male life expectancy with CVD & cancer as main causes 74% of over 65s with LTCs High number of smokers Increase in alcohol related harm High level mental health problems More use of A&E than GP services Increased usage of adult social care High child obesity rates Strategic priorities Prevention Implementation of the H&WB strategy Every child has the best start in life, A reduced gap in life expectancy Improved mental health and well being Primary Care Strategy Integrated Care Establishment of MDT, risk stratification & decision management support, patient monitoring in homes Commissioning primary & community services to support patients with LTC e.g. diabetes Urgent care New models of unscheduled care including UCC at local trusts. Implementation of 111 and OOH service Planned care / care closer to home Implement clinical pathways for alternate non-hospital based provision in cardiology, gastroenterology, urology, T&O Referral & pathway GP education/support for targeted services Reduced inappropriate outpatients referrals Mental health & learning disabilities Aligning plans with the local authority to ensure we commission comprehensive, integrated & personalised services Children and young people Meeting H&WB priorities, minimise hospital admissions for children with disabilities and complex health needs. Re-establishment of the full healthy child programme(0-5) System reconfiguration Acute care Implementation of the BEH Clinical Strategy and Whittington Health ICO Reduced use of acute services Improved acute productivity Integrated primary and community care Services delivered through integrated models, supported by specialist expertise & GP clinical networks. Optimising the use of IT Care closer to patient s home Reduced reliance on hospital based care Greater access to psychological therapies Physical health needs of people with enduring mental health problems improved Strategic aims & outcomes Patient experience & feedback Promoting wellbeing Best use of available resources Reducing health inequalities Improving health outcomes High quality, valued and responsive services Commissioning integrated health & social care Delivering care closer to home Stakeholder engagement & clinical leadership Implementation of key enablers i.e. primary care strategy, prescribing & organisational development Establishment of clinical commissioning e.g. strong leadership, wide clinical engagement, addressing authorisation conditions, CCG collaboration Strategic risks Maintaining financial control through the transition Ensuring quality Ability to implement the required level of transformational change Stability of local providers Financial risks Control of acute over performance QIPP savings under delivering Transitional cost of change to the health system Page 2 of 12
3 3. Investment 3.1 Based on the strength of the Primary Care Strategy, North Central London Cluster PCT secured pump priming funding of 47m over 3 years from April 2012 to March In Haringey the indicative share was set at 9.9m for that period. As part of the NHS transition from PCTs to CCGs those funds have been included in the Risk Share agreement between the five North Central London CCGs and will be subject to annual review and distribution. 3.2 In the first year of the strategy Haringey invested 1.3m. The initial plan for 2013/14 required 3.7m but the Risk Share agreement for 2013/14 has allocated 2.5m to each CCG including Haringey. An investment prioritisation exercise has been carried out to identify which projects are to be funded and the revised plan was approved by the Haringey CCG Primary Care Investment Panel on 4 th July and by the North Central London CCGs on 11 th July. The final list of projects is included as Appendix The strategy set out 9 investment domains to achieve transformation of primary care: 1. Integration 2. Clinical services 3. Information technology 4. Public health 5. Premises 6. Productivity 7. Workforce, leadership and team development 8. Commissioning 9. Communications Supported by: Contract performance management from NHS England. 4. Progress to date and proposed investments 4.1 Domain 1 Integration Integration is fundamental to the transformation. The long-term aim is to overcome organisational boundaries and to replace them with networks of service delivery along care pathways. There are four identified levels of integration: Practice to practice. Individual GP practices grouped geographically into networks of around 30,000/50,000 registered patients, coterminous with a number of London Borough wards Extended Primary Health Care Teams attached to the GP networks providing the standard range of community services Integration at appropriate population level (based on disease prevalence), with specialist services Integration between health and enhanced self-care and social care. How an integrated care network might look is illustrated in the model: Page 3 of 12
4 4.2 Integration - Progress to date: Clinical leads have been appointed to provide clinical leadership within each of the 4 initial networks, which match the locality collaborative. The clinical leads are supported by 4 network coordinators. The Clinical leads and coordinators also have matrix responsibilities for leading on the other domains. Although the network co-ordinators and clinical leads are in post, the provider networks have not yet been established in their own right. Most activity has been based on working through the existing commissioning collaboratives. The anticipated ongoing development of smaller provider networks will take time to emerge, but with the support now available it needs to happen. The CCG s aim of shifting care from secondary to primary settings will depend significantly on the ability of practices to maximise the opportunity. 4.3 Integration - Investment plan for 2013/14: Having established the infrastructure to support integrated care networks, the 6 month costs in 2012/13 were 324,000, mainly in staff payroll costs. This indicates a full year investment of 650,000 in 2013/ Domain 2 - Clinical Services The strategy describes how the traditional model of primary care has treated individuals in a reactive manner that has often been centred on the clinician rather than the patient and not the population. Haringey GPs and HCCG Commissioners will be able proactively to use practice/network level public health profiles, combined with a risk stratification tool, to address the prevalence gap and any other identified issues for local Page 4 of 12
5 populations. Greater use of targeted diagnostics combined with increased use of near patient testing will be an important feature. 4.5 Clinical Services - Progress to date: During 2012/13 seven projects have been developed: Primary Care Alcohol Hubs Project - Based in four GP surgeries, HAGA s weekly hubs offer residents from any practice, or those without a GP, alcohol specialist interventions. Welfare Advice Hubs - Funding four pilot sites for Citizens Advice Bureau to provide advice in GP surgeries on the new benefit system changes. Active for Life - To increase the physical activity levels of the most inactive adults and those who have the most to gain from making such increases, namely disadvantaged people. Healthcare BP/BMI monitors - Funding of BP/BMI monitors in 27 practices. Clinical Pharmacy Support to Care Homes & Frail Elderly Patients - Funding for a Clinical Pharmacist to provide pharmacy services aimed at improving the pharmaceutical care of nursing home patients and frail elderly patients on high risk medicines. Increasing Medicines Management Support to Collaboratives - Funds two extra Medicine Management Support Pharmacists to enable alignment of support to each of the collaboratives, thus embedding medicine management support within the networks. Primary Care Based Counselling for Those With Alcohol and a Mental Illness 4.6 Clinical Services - Investment Plan for 2013/14 Clinical services project costs in 2012/13 were 191,000, with ongoing forward commitments into 2013/14 on existing projects of 467,000. The priorities for the year are to focus on: Support of 513,000 for: o the development of new care pathways to move more care from secondary to primary and community services o support for the MDT admissions avoidance and integrated care scheme for patients with long term conditions Addressing the Prevalence Gap. Proactively seeking partnerships with local third sector/not-for-profit providers. Improvements within Primary Care clinical services will also require significant investment in training and education of the whole primary care team. This is addressed in the Workforce, leadership and team development domain. Support for redesign projects and MDT, which when added to the ongoing projects makes the total required investment in 2013/14 of 980, Domain 3 - Information Technology IT is one of the domains which were programme-managed by NCL across the five boroughs to achieve economy and efficiency of scale. Additional capital Page 5 of 12
6 funding of 5m across NCL has been made available from NCL IT to cover the majority of capital purchase costs. 4.8 IT - Progress to date: Migration of all practices to a web enabled, inter-operational technology, based on either EMISWeb or Vision 360. It is expected all practices will have migrated by the target date of August Text Messaging. The majority of practices have signed up to IPLATO, a SMS text messaging software. The initial focus will be to use the technology to confirm appointments and to reduce non-attenders. Over time the technology can also be incorporated into specific care pathways. Additional Information Technology equipment such as document scanning and other specialist hardware and software has been offered to all practices and will be provided over the next few months. 4.9 IT - Investment Plan for 2013/14 Haringey IT priorities will be delivered by a service level agreement with the CSU: To technically enable GP Practices with web enabled clinical systems bybuilding on the successful migrations to EMIS Web or Vision 360 systems To develop change management projects to exploit the functionality of their web enabled clinical systems for the purposes of sharing patient data. Implementation of the remaining GP practices without Docman and upgrading all practices with Docman 7, intellisense and EDT by August 2013 To develop plans and identify change management projects for data sharing and information governance post Aug 2013 The revenue investment of 289,000 charged to Haringey was less than the budgeted 473,000, but was supplemented by 1,000,000 of NCL capital expenditure making an in year investment of 1,289,000 on IT. The proposed investment for 2013/14 is 104,000, to cover the costs of the above service level agreement with the CSU Domain 4 - Public Health Profiles To enable Primary Care to proactively address the health needs of their population, practices have been provided with Practice level profiles of public health demographic data and long term conditions prevalence Public Health Profiles - Progress to date Practice profiles are being launched during July. Haringey GPs and HCCG Commissioners are now able proactively to use the profiles, combined with a risk stratification tool, to address the prevalence gap and any other identified issues for local populations Public Health Profiles - Investment Plan for 2013/14 There is an annual contract in place with LBI to provide an ongoing service. However, as a result of the later than anticipated launch, the investment prioritisation programme has assumed that there will be no investment required for the remainder of 2013/14. Page 6 of 12
7 4.13 Domain 5 - Premises The Primary Care Strategy highlights that while the strategy will not be premises led, the quality and suitability of premises icontributes to the delivery of high quality care and an improved patient experience. During 2012/13 this is one of the domains which were programme-managed by NCL across the five boroughs to achieve economy and efficiency of scale Premises - Progress to date During NCL commissioned two different surveys for all practices: 6 Facet Survey. Reviewed the condition, suitability and performance of the premises against the NHS Estate code. Many Haringey practices were surveyed in 2010, with only 7 required in this latest batch. CQC Readiness surveys. Although the responsibility for CQC compliance rests with individual practices, the strategy has funded these surveys to give practices the opportunity to rectify non-compliant facilities. 15 bids were submitted for Improvement Grants to fund minor works during 2012, of which 11 were approved at an anticipated cost of 151,000, but only 9 were completed at a final cost of 102,000. It is important to note that these Improvement Grants were administered under the governance of North Central London Cluster of PCTs Premises - Investment Plan for 2013/14 A working assumption was made that a similar amount would be required for an Improvement Grant funding programme, primarily to address CQC-related issues. Practices have been invited to bid for funding on this assumption. However, NHS England have just issued guidance to confirm that, unlike their predecessor PCTs, CCGs do not have any responsibility for GP premises, and are therefore not allowed to invest in Improvement Grants or any other premises projects. Any such investment would breach governance rules and be viewed as a direct conflict of interests. Haringey CCG are seeking urgent clarification from NHS England on whether they will offer Improvement Grant funding and provide the investment required by practices to help them achieve CQC compliance. This situation may take some time to resolve, but it is now very clear that the CCG will not be able to make any investment in premises in 2013/ Domain 6 Access and Productivity Improving access to primary care is of high importance to patients and the CCG. The Ipsos-Mori Patient Survey reports widespread dissatisfaction amongst patients with access to general practice in Haringey Access and Productivity - Progress to date A pilot has been completed in one Practice, working with Productive Primary Care (PPC, Dr. First) to review current demand and capacity and to redesign their practice processes and realign their capacity to more effectively meet the demand. One of the important lessons from this pilot is that the diagnostic and capacity planning phase is essential and fundamental to success. Page 7 of 12
8 4.18 Access and Productivity - Investment Plan for 2013/14 There is a strong case to invest heavily in projects to address access issue across Haringey. It is a CCG priority and links significantly to other strategic aims, including A&E attenders. We are planning to offer to programmes practices to review and redesign their systems. This will be the PPC programme, but other programme providers, such as Xytal Productive General Practice Programme are being introduced. There is also a growing view that peer group learning and support could address many identified issues. There may also be the need for some targeted bespoke facilitation to practices to enable certain practices to address more complex organisational issues. The planned investment for 2013/14 is 50, Domain 7 - Workforce, Leadership, Team Development, Education This domain is an enabler for many of the other domains, ensuring that Primary Care Teams are equipped to contribute to achieving the strategic aims of the Primary Care Development Strategy and of Haringey CCG. It is in effect the personal development plan of the strategy Progress to date Provision in 2012/13 has included: HCA apprenticeships - 20 HCA apprenticeships have been funded and recruited. Nurses Training. - The provision of a menu of nurse training courses to improve practice nurse knowledge and capacity to deliver best practice. Two courses per month are being provided during 2013 Sexual Health in Practice (SHiP training): - Improving sexual health outcomes and access to contraception services in general practice through improving the knowledge and skill of primary care. Fourteen modules will be run throughout 2013/14. QIPP Primary Care Education - A three month project to develop an educational strategy that supports the delivery of Quality Innovation Productivity and Prevention strategy. Practice Manager and Practice Nurse Forums - Development of forums in each of the 4 networks and a single Borough wide forum 4.21 Investment Plan for 2013/14 An overarching CCG Education and Training Strategy is being developed. Until the strategy is finalised, it is difficult to quantify the total requirements for the next 12 months. A Primary Care Education and Training programme for 2013/14 is being developed and will be completed in August. This programme will require an investment of 289,000 in 2013/14, an increase from the 185,000 in 2012/13. Page 8 of 12
9 4.22 Domain 8 - Commissioning This is the important strategic link within the CCG between GPs as commissioners and as providers. The strategy describes it as: It is clearly understood that primary care contracting and performance management will be the responsibility of the new NHS Commissioning Board. However, Clinical Commissioning Groups (CCGs) will have a role to play in primary care commissioning, when as the strategic commissioners, they will want to define their expectations of primary care services. This will include decisions on specifying Local Enhanced Services (LES) to be contracted by the NHS Commissioning Board. It is also likely that CCGs will want to shift the provision of some services from hospital to a community setting and will seek bids from primary care contractors to provide parts of, or whole, new pathways. In this way, with CCG leadership, investment will be redirected from secondary to primary care. In Haringey, given that one of the CCG s strategic aim is to create a transformation of the health economy by reducing the amount of care in hospital and increasing the provision of community-based care delivered by primary care teams, the first pre-requisites are to re-design the care pathways and to prepare the primary care teams to take on an enhanced role. The primary care strategy funding is being used to provide the additional resources required to carry out this work. This investment should be viewed together with the investment proposed in Domain 2, Clinical Services Commissioning - Progress to date 60,000 was invested in 2012/13. Work has commenced on the pathway redesign, engaging GP leadership and secondary care providers in a series of development workshops Investment Plan for 2013/14 The ongoing work on pathway re-design in 2013/14 will require an investment of 180,000 to the end of September. NB. The proposed service redesign projects will be funded from Domain 2, Clinical Services Communications It is vital that the strategy and its implementation are effectively communicated to all stakeholders to ensure engagement of practices and uptake of new opportunities and services that the strategy delivers. It is a good news story for patients, practices and CCG commissioners. It is therefore important that this is widely communicated Communications - Progress to date The Primary Care Strategy Investment Plan for 2012/13 allocated an investment of 23,000 to enable effective communication of the strategy. A part time dedicated communications expert was seconded from NCL to raise the profile of the strategy with member practices and wider stakeholders and to ensure delivery is effectively communicated. This has included promoting the new Page 9 of 12
10 services available from the approved business cases under an easily identifiable image: 4.27 Communications - Investment Plan for 2013/14 As part of the investment prioritisation it has been decided not to allocate specific funding. To continue to ensure effective communication of the strategy, the new initiatives and services funded through the strategy will be publicised through the CCG communications team. 5. Central Programme Costs There are no central programme management costs in 2013/ Programme Management and Governance Arrangements The decision to close the central Programme Board means that each Borough CCG has now made their own governance arrangements. The funding allocation will be managed through the Risk Share agreement. In Haringey, the investment approval governance process will be through: - Haringey Primary Care Strategy Implementation Steering Group - Haringey Primary Care Investment Panel - Haringey Finance Committee. 7. Conclusions Haringey CCG is clear in its key strategic aims to create a transformation of the health economy by reducing the amount of care in hospital and increasing the provision of community-based care delivered by primary care teams. The investment in the delivery of the Primary Care Strategy is therefore an essential enabler to facilitate this transformational change in Haringey and to create a sustainable health economy. The total Investment Plan for 2013/14 in Haringey is 2,500,000 including a new project contingency of 100,000. Page 10 of 12
11 Appendix 1 HARINGEY CCG PRIMARY CARE STRATEGY INVESTMENT PROJECTS 2013/14 PCS DOMAIN / PROJECT Details Investment 2013/14 000's 1 Integrated care networks Payroll and other team costs to establish and support GP provider networks and implement PCS programme Clinical services HA01 Primary Care Alcohol Hubs Project HAGA Counselling service in 4 GP centres 76 HA08 Active for Life 1:1 support (brief interventions and participation in an exercise programme) to people from disadvantaged 42 communities to increase their physical activity levels to improve health outcomes. HA15 IT Equipment Telemedicine consumables 8 HA17 Medicines Management Clinical Pharmacy Support to Care Homes & Frail Elderly 74 Patients HA18 Medicines Management Increasing Medicines Management Support to all GP 120 Practices HA20 PC Counselling MH/Alcohol HAGA Counselling service for patients with dual diagnosis, 47 provided in 4 GP centres HA21 Minor Ailments Scheme Enhancement of existing scheme to introduce 100 "prescription passports" MDT Community Matrons service to support patients identified at risk of acute admissions 243 through MDT teleconference and risk stratification HA29 Rapid Response Service On call HCA/Social care support for patients at home 106 to avoid acute admissions HA25 O/Night DN Extension of DN service 116 HA25 Daytime Catheter Enhanced DN service 48 TOTAL - Clinical Services Information Technology CSU SLA Public Health - Practice Profiles 0 Page 11 of 12
12 PCS DOMAIN / PROJECT Details Investment 2013/14 000's 5 Premises Relocation/re-development support 0 Improvement Grants 0 TOTAL - Premises 0 6 Access & Productivity HA05 - PPC (Dr First) / Productive GP External programme providers to address GP access, organisation and productivity issues TOTAL - Access & Productivity 50 7 Workforce, leadership and team development HA04 Nurse Forums, Practice Manager Forums and general training HA12 - HCAs salary reimbursement HA14 Nurse Education HA16 Haringey GP Education & Training Education and Training Programmes for clinical and non-clinical staff Training and subsidised employment costs for 20 HCAs Specific/targeted clinical training and education programmes to upskill practice nurses Clinical pathway redesign/training workshops TOTAL Workforce, leadership and team dev't Commissioning HA19 Clinical pathway re-design HA24 Urgent Care LES HA26 Follow ups in general practice Additional Time Limited Project Resources to Accelerate Delivery of Improvement and Redesign Project Delivery Costs associated with the Urgent Care LES planning and implementation Costs associated with GP referral follow up LES TOTAL Commissioning Communications and Misc 0 Contingency for new projects 100 TOTAL INVESTMENT 2013/14 2, Page 12 of 12
Developing primary care in Barnet
Developing primary care in Barnet Introduction In January 2012, the Joint Boards of NHS North Central London (NCL) approved a NCL Primary Care Strategy, which describes development of the primary care
More informationIntegrated 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 informationWELCOME. To our first Annual General Meeting (AGM) Local clinicians working with local people for a healthier future
WELCOME To our first Annual General Meeting (AGM) AGM agenda 1:00pm TIME ITEM LEAD Welcome and Governing Body introductions Liz Wise, Chief Officer 1:05pm 1:25pm 1:35pm 1:50pm Presentation of the Annual
More informationMilton Keynes CCG Strategic Plan
Milton Keynes CCG Strategic Plan 2012-2015 Introduction Milton Keynes CCG is responsible for planning the delivery of health care for its population and this document sets out our goals over the next three
More informationStrategic overview: NHS system
Strategic overview: NHS system Dr Keith Ridge, Chief Pharmaceutical Officer 1 November 2016 A collaborative approach Five Year Forward View Oct 2014 NHS planning guidance, Dec 2015: Every health and care
More informationThe North Central London Sustainability and Transformation Plan. and. Camden Local Care Strategy. Caz Sayer Chair, Camden CCG
The North Central London Sustainability and Transformation Plan and Camden Local Care Strategy Caz Sayer Chair, Camden CCG About the Sustainability & Transformation Plan (STP) N C L North Central London
More informationReducing Variation in Primary Care Strategy
Reducing Variation in Primary Care Strategy September 2014 Page 1 of 14 REDUCING VARIATION IN PRIMARY CARE STRATEGY 1. Introduction The Reducing Variation in Primary Care Strategy should be seen as one
More informationStrategic Risk Report 4 July 2016
Strategic Report 4 July 20 Haringey CCG Register Introduction The Strategic Report (historically known as the Board Assurance Framework) evidences Haringey Clinical Group s control over the delivery of
More informationUpdate on NHS Central London CCG QIPP schemes
Update on NHS Central London CCG QIPP schemes NHS Central London CCG has identified circa 11m for QIPP during 2013/14. Commissioning Intentions approved by the governing body included transformational
More informationReport to Governing Body 19 September 2018
Report to Governing Body 19 September 2018 Report Title Author(s) Governing Body/Clinical Lead(s) Management Lead(s) CCG Programme Purpose of Report Summary NHS Lambeth Clinical Commissioning Group (CCG)
More informationDraft 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 informationBristol 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 informationLondon Councils: Diabetes Integrated Care Research
London Councils: Diabetes Integrated Care Research SUMMARY REPORT Date: 13 th September 2011 In partnership with Contents 1 Introduction... 4 2 Opportunities within the context of health & social care
More informationSCOTTISH 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 informationIntegrated 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 informationWelcome. PPG Conference North and South Norfolk CCGs June 14 th 2018
Welcome PPG Conference North and South Norfolk CCGs June 14 th 2018 Housekeeping Packed Agenda! Quick feedback on the national patient participation conference Primary care general update and importance
More informationCCG authorisation: the role of medicines management
May 2012 The NHS medicines bill for 2010 was 12.9 billion, of which secondary care costs accounted for 32%. Prescribing inflation in 2010 ran at 4.8% and it is estimated that around 14% of total CCG budgets
More informationDRAFT 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 informationStrategic Risk Report 12 September 2016
Strategic Report September 20 Haringey CCG Register Introduction The Strategic Report (historically known as the Board Assurance Framework) evidences Haringey Clinical Commissioning Group s control over
More informationSustainability and transformation plan (STP)
Sustainability and transformation plan (STP) David Bowen-Cassie, Harrow CCG Alex Dewsnap, London Borough of Harrow Sanjay Dighe, Lay Member, Harrow CCG About Harrow A population of more than 239,000 people
More informationImproving General Practice for the People of West Cheshire
Improving General Practice for the People of West Cheshire Huw Charles-Jones (GP Chair, West Cheshire Clinical Commissioning Group) INTRODUCTION There is a growing consensus that the current model of general
More informationThis paper explains the way in which part of the system is changing to become clearer and more accessible, beginning with NHS 111.
Unscheduled care in Haringey 1. Introduction There have been many changes to urgent, unscheduled and unplanned care over recent years. To begin with Casualty departments became Accident and Emergency departments,
More informationWestminster 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 informationWorcestershire Public Health Directorate. Business plan 2011/12
Worcestershire Public Health Directorate Business plan Public Health website: www.worcestershire.nhs.uk/publichealth 1 Worcestershire Public Health Directorate Business Plan Vision 1. The Public Health
More informationDudley Clinical Commissioning Group. Commissioning Intentions Black Country Partnerships NHS Foundation Trust
Appendix 3 Dudley Clinical Commissioning Group Commissioning Intentions Black Country Partnerships NHS Foundation Trust 2013/2014 1 Strategy and Context Our Commissioning Intentions indicate to our current
More informationAppendix 5.5. AUTHOR & POSITION: Jill Shattock, Director of Commissioning CONTACT DETAILS:
Appendix 5.5 MEETING: Haringey Clinical Commissioning Group Governing Body Meeting DATE Wednesday, 30 July 2014 TITLE: North Central London (NCL) NHS 111 and GP Out of Hours LEAD GOVERNING Jill Shattock,
More informationCity 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 informationJOB DESCRIPTION. Pharmacy Technician
JOB DESCRIPTION Pharmacy Technician Issued by AT Medics Primary Care Pharmacy Technician Job Description Job Title: Reporting to: Location: Salary: Job status: Contract: Notice Period: Primary care pharmacy
More informationGeneral Practice 5 Year Forward View Operational Plan Leicester, Leicestershire and Rutland (LLR) STP
Leicester City Clinical Commissioning Group West Leicestershire Clinical Commissioning Group East Leicestershire and Rutland Clinical Commissioning Group General Practice 5 Year Forward View Operational
More informationHealthy London Partnership. Transforming London s health and care together
Healthy London Partnership Transforming London s health and care together London-wide transformation In 2014, two publications set out London s transformation priorities NHS Five Year Forward View Better
More informationKingston Primary Care commissioning strategy Kingston Medical Services
Kingston Primary Care commissioning strategy Kingston Medical Services Kathryn MacDermott Director of Planning and Primary Care Kathryn.macdermott@kingstonccg.nhs.uk kmacdermott@nhs.net 1 Contents 1. Introduction...
More informationApprove Ratify For Discussion For Information
NHS North Cumbria CCG Governing Body Agenda Item 2 August 2017 10 Title: General Practice Update Report August 2017 Purpose of the Report This is the first report on General Practice since the CCG boundary
More informationGeneral Practice Commissioning Strategy Development
General Practice Commissioning Strategy Development Katharine Denton (Wandsworth CCG) 3 December 2014 Version 5. 03.12.2014 1 1. Introduction Strong General Practice is at the heart of any high quality
More informationPlans for urgent care in west Kent:
Plans for urgent care in west Kent: Introduction and background A summary of our draft strategy NHS West Kent Clinical Commissioning Group (CCG) is working to improve urgent care services and we would
More informationYour 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 informationBirmingham Solihull and the Black Country Area Team
Birmingham Solihull and the Black Country Area Team A summary of the Five Year Primary Care Strategy: High quality care for all now and for future generations 1 NHS England The Birmingham, Solihull and
More informationNational Primary Care Cluster Event ABMU Health Board 13 th October 2016
National Primary Care Cluster Event ABMU Health Board 13 th October 2016 1 National Primary Care Cluster Event - ABMU Health Board Introduction The development of primary and community services is a fundamental
More informationA meeting of Bromley CCG Primary Care Commissioning Committee 22 March 2018
A meeting of Bromley CCG Primary Care Commissioning Committee 22 March 2018 ENCLOSURE 7 PROPOSAL FOR ENHANCED MEDICAL SUPPORT TO BROMLEY CARE HOMES SUMMARY: Bromley CCG gained agreement at the CCG Clinical
More informationThe future of Primary Care in Camden? Mansur Quraishi, Primary Care Programme Team Manager
The future of Primary Care in Camden? Mansur Quraishi, Primary Care Programme Team Manager Towards the Vision Establishing a strategic framework and improved offer to patients Strategic Commissioning Framework
More informationAgenda 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 informationCouncil of Members. 20 January 2016
Council of Members 20 January 2016 Feedback on election process: Council of Members Chair and Deputy Chair Malcolm Hines, Chief Financial Officer Minutes of last meeting: 14 October 2015 Dr. Richard Proctor,
More informationThis 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 informationReview of Local Enhanced Services
Review of Local Enhanced Services 1. Background and context 1.1 CCGs are required to prepare for the phasing out of LESs by April 2014 by reviewing the existing LES portfolio and developing commissioning
More informationMERTON CLINICAL COMMISSIONING GROUP PRIMARY CARE COMMISSIONING COMMITTEE. Purpose of Report: For Note
Date of Meeting: 23 rd March 2017 MERTON CLINICAL COMMISSIONING GROUP PRIMARY CARE COMMISSIONING COMMITTEE Agenda No: 7 Attachment: 6 Title of Document: Primary Care Strategy Update Purpose of Report:
More informationNorth 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 informationDELIVERING THE LEFT SHIFT IN ACUTE ACTIVITY THE COMMUNITY MODEL
DELIVERING THE LEFT SHIFT IN ACUTE ACTIVITY THE COMMUNITY MODEL 1. Introduction The Strategic Outline Case (SOC) and subsequent developing Outline Business Case (OBC) for the reconfiguration of acute hospital
More information21 March NHS Providers ON THE DAY BRIEFING Page 1
21 March 2018 NHS Providers ON THE DAY BRIEFING Page 1 2016-17 (Revised) 2017-18 (Revised) 2018-19 2019-20 (Indicative budget) 2020-21 (Indicative budget) Total revenue budget ( m) 106,528 110,002 114,269
More informationNorth Central London Medicines Optimisation Network. Terms of Reference. North Central London Medicines Optimisation Network 1 of 8
North Central London Medicines Optimisation Network Medicines Optimisation Committee Terms of Reference North Central London Medicines Optimisation Network 1 of 8 Document control Date Version Amendments
More informationNHS Norwich CCG Operational Plan and
NHS Norwich CCG Operational Plan 2017-18 and 2018-19 Commissioning NHS care for the people of Norwich 1 Release: V17 Final Date: 2016.01.11 Table of Contents Page 1 Introduction 4 2 National Background
More informationStrategic Framework for Primary Care Delivering accessible, proactive and coordinated high quality primary care services for the people of Barnet
Barnet Clinical Commissioning Group Strategic Framework for Primary Care Delivering accessible, proactive and coordinated high quality primary care services for the people of Barnet April 2016 Document
More informationAppendix 1: Croydon Clinical Commissioning Group Risk Register and Board Assurance Framework - 9th April 2013
Appendix 1: Croydon Clinical Register and Board Assurance Framework - 9th April 2013 Principal to Delivery Key Assurance on we have in in our are 1. To achieve financial sustainability in three years (2013-2014
More informationStrategic Risk Report 1 March 2018
Strategic Report 1 March 2018 Haringey CCG Register Introduction The Strategic Report (historically known as the Board Assurance Framework) evidences Haringey Clinical Commissioning Group s control over
More informationMid and South Essex Success Regime Overview and next steps. Andy Vowles, Programme Director. 18 April 2016
Mid and South Essex Success Regime Overview and next steps Andy Vowles, Programme Director 18 April 2016 What s in this briefing Part 1 overview Background to the Success Regime Action to date The challenge
More informationLonger, healthier lives for all the people in Croydon
D R A F T Croydon Clinical Commissioning Group Prospectus 2013/14 Longer, healthier lives for all the people in Croydon (Version TL) 1 Contents Foreword from the chair 3 Introduction 4 Who we are our Governing
More informationPRIMARY CARE COMMISSIONING COMMITTEE
PRIMARY CARE COMMISSIONING COMMITTEE 1. Date of Meeting: 2. Title of Report: Western Avenue Medical Centre Personal Medical Services (PMS) Reinvestment Report 3. Key Messages: The Personal Medical Services
More informationThe Bedfordshire CCG and Bedford Borough Council Better Care Plan Executive Summary: Our approach to Better Care planning
DRAFT Version 16 19 March 2014 The Bedfordshire CCG and Bedford Borough Council Better Care Plan Executive Summary: Our approach to Better Care planning Bedford Borough and Bedfordshire CCG s Better Care
More information04c. Clinical Standards included in the Strategic Outline Care part 1, published in December 216
0c Clinical s included in the Strategic Outline Care part, published in December 6 Clinical standards The following clinical standards were included in the Strategic Outline Case part (SOC), published
More informationEXECUTIVE SUMMARY... 1 HEALTH AND WELLBEING STRATEGY VISION... 2 ULTIMATE AIM... 3 DELIVERING THE VISION AND THE PRIORITIES... 4 FOCUS...
CONTENTS EXECUTIVE SUMMARY... 1 HEALTH AND WELLBEING STRATEGY VISION... 2 ULTIMATE AIM... 3 DELIVERING THE VISION AND THE PRIORITIES... 4 FOCUS... 6 WHAT WE WILL CONTINUE TO ACHIEVE THROUGH THE HEALTH
More informationMKCCG Estates Statement January 2015
MKCCG Estates Statement January 2015 This statement should be read in conjunction with the Milton Keynes CCG Primary Care Strategy and Care Closer to Home Strategy. Background Milton Keynes CCG (MKCCG)
More informationHaringey CCG Commissioning Intentions for
Haringey CCG Commissioning Intentions for 2016-17 What are commissioning intentions? Commissioning intentions are developed every year. They describe the changes and improvements to healthcare that the
More informationSouth Powys Cluster Plan
South Powys Cluster Plan 2016-17 The Cluster Network Development Domain with the Quality & Outcomes Framework supports medical practices to work collaboratively to: Understand local health needs and priorities
More informationNHS 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 informationNHS North West London
NHS North West London Shaping a Healthier Future Pre-Consultation Business Case Volume 6 Appendices A1 & A2 Edition: 1 20 June 2012 Page 1 of 29 APPENDIX A1 Programme Governance A.1.1 Key governance principles
More informationWest Wandsworth Locality Update - July 2014
Attach 5 West Wandsworth Locality Update - July 2014 1) Introduction The West Wandsworth Locality covers the areas of Roehampton and Putney, and the nine practices that lie in these areas. The 2013 GP
More information17. Updates on Progress from Last Year s JSNA
17. Updates on Progress from Last Year s JSNA 3. The Health of People in Bromley NHS Health Checks The previous JSNA reported that 35 (0.5%) patients were identified through NHS Health Checks with non-diabetic
More informationBetter 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 informationCCG Operational Plan including Commissioning Intentions
CCG Operational Plan including Commissioning Intentions 2017-2019 Context Intent to move towards multi-year, placed planning and delivery our system Intentions Deliver the Five Year Forward View and local
More informationHalton. Local system review report Health and Wellbeing Board. Background and scope of the local system review. The review team
Halton Local system review report Health and Wellbeing Board Date of review: 21-25 August 2017 Background and scope of the local system review This review has been carried out following a request from
More informationClinical Pharmacists in General Practice March 2018
Clinical Pharmacists in General Practice March 2018 1. Background Following a successful national pilot programme, the General Practice Forward View committed over 100million to support an extra 1,500
More informationIntegrated 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 informationDARLINGTON CLINICAL COMMISSIONING GROUP
DARLINGTON CLINICAL COMMISSIONING GROUP CLEAR AND CREDIBLE PLAN 2012 2017 Working together to improve the health and well-being of Darlington May 2012 Darlington Clinical Commissioning Group Clear and
More informationSummary two year operating plan 2017/18
One Trust - serving our local communities Summary two year operating plan 2017/18 & 2018/19 www.lewishamandgreenwich.nhs.uk Summary two year operating plan: 2017/18 and 2018/19 1. Introduction This summary
More informationNorthumberland, Tyne and Wear, and North Durham Draft Sustainability and Transformation Plan A summary
Northumberland, Tyne and Wear, and North Durham Draft Sustainability and Transformation Plan A summary This summary has been prepared to aid understanding of the draft STP technical submission. Copies
More informationHaringey Better Care Fund Community Event Let s talk about Staying Well 13 th April Evaluation Report
Haringey Better Care Fund Community Event Let s talk about Staying Well 13 th April 2016 Evaluation Report Approximately 50 participants attended the Haringey Better Care Fund (BCF) Community Event which
More informationUsing information and technology to transform health and care
Using information and technology to transform health and care Welcome to NHS Digital We are the national information and technology partner to the health and social care system. We re at the forefront
More informationThree Year GP Network Action Plan North Powys GP Network
Three Year GP Network Action Plan 2017-2020 North Powys GP Network Introduction In the context of local management arrangements within Powys Teaching Health Board, the GP Cluster Network Development Domain
More informationNHS 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 informationINTEGRATION TRANSFORMATION FUND
MEETING DATE: 12 December 2013 AGENDA ITEM NUMBER: Item 6.6 AUTHOR: JOB TITLE: DEPARTMENT: Caroline Briggs Director of Commissioning NHS North Lincolnshire Clinical Commissioning Group REPORT TO THE CLINICAL
More informationParticulars 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 informationEnclosures Appendix 1: Annual Director of Public Health Report 2015 Rachel Wells Consultant in Public Health
Title Health and Wellbeing Board 21 January 2016 The Five Ways to Mental Wellbeing in Barnet: The Annual Report of the Director of Public Health (2015) Report of Director of Public Health Wards All Status
More informationSeven day hospital services: case study. South Warwickshire NHS Foundation Trust
Seven day hospital services: case study South Warwickshire NHS Foundation Trust March 2018 We support providers to give patients safe, high quality, compassionate care within local health systems that
More informationAny Qualified Provider: your questions answered
Any Qualified Provider: your questions answered September 8, 2011 These answers cover a range of questions about the detail of Any Qualified Provider on integrated care, competition and procurement, liability
More informationMental Health Social Work: Community Support. Summary
Adults and Safeguarding Commitee 8 th June 2015 Title Mental Health Social Work: Community Support Report of Dawn Wakeling Adults and Health Commissioning Director Wards All Status Public Enclosures Appendix
More informationContract Award Recommendation for NCL Direct Access Diagnostics Service Tim Deeprose/Leo Minnion
Appendix 5.4 MEETING: Haringey Clinical Commissioning Group Governing Body Meeting DATE: Wednesday, 26 March 2014 TITLE: LEAD DIRECTOR/ MANAGER: CLINICAL LEADS AUTHORS: CONTACT DETAILS: Contract Award
More informationGOVERNING BODY MEETING in Public 27 September 2017 Agenda Item 5.2
GOVERNING BODY MEETING in Public 27 September 2017 Paper Title Report Author Neil Evans Turnaround Director Referral Management s Contributors John Griffiths Date report submitted 20 September 2017 Dean
More informationCommunity and Mental Health Services High Level Market Research PROSPECTUS
and Mental Health Services High Level Market Research PROSPECTUS February 2014 Supporting people in Dorset to lead healthier lives NHS DORSET CLINICAL COMMISSIONING GROUP PROSPECTUS FOR COMMUNITY AND MENTAL
More informationBedfordshire, Luton and Milton Keynes. Sustainability and Transformation Plan. Central Brief: February 2018
Bedfordshire, Luton and Milton Keynes Sustainability and Transformation Plan Central Brief: February 2018 Issue date: February 2018 News Transforming care closer to home Our ambition is to build high quality,
More informationCare Home support and medicines optimisation: Community Pharmacy National Enhanced Service
Care Home support and medicines optimisation: Community Pharmacy National Enhanced Service 1 1. Introduction Back in 2006 the National Service Framework for Older People in Wales 1 highlighted the problem
More informationBedfordshire, Luton and Milton Keynes Sustainability and Transformation Plan. October 2016 submission to NHS England Public summary
Bedfordshire, Luton and Milton Keynes Sustainability and Transformation Plan October 2016 submission to NHS England Public summary 15 November 2016 Contents 1 Introduction what is the STP all about?...
More informationNHS England (London) Assurance of the BEH Clinical Strategy
NHS England (London) Assurance of the BEH Clinical Strategy NHS England (London) Assurance of the BEH Clinical Strategy Status Report 8 th September 203 - Version.0 2 Contents. Overview & Executive Summary
More information15. 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 informationTitle: Climate-HIV Case Study. Author: Keith Roberts
Title: Climate-HIV Case Study Author: Keith Roberts The Project CareSolutions Climate HIV is a specialised electronic patient record (EPR) system for HIV medicine. Designed by clinicians for clinicians
More informationGOVERNING BODY REPORT
GOVERNING BODY REPORT Date of Governing Body Meeting: Title of Report: Key Messages: Finance, Performance and Commissioning Committee Report At the end of September 2017 we have reported an inyear deficit
More informationGP Cover of Nursing, Residential, Extra Care and Intermediate Care Homes. Camden Clinical Commissioning Group. Care Home LES Spec v1
Local Enhanced Service Clinical Lead Commissioner Reporting Mechanism/Frequency Payment Frequency Payment Contact This Version GP Cover of Nursing, Residential, Extra Care and Intermediate Care Homes Dr
More informationThe PCT Guide to Applying the 10 High Impact Changes
The PCT Guide to Applying the 10 High Impact Changes This Guide has been produced by the NHS Modernisation Agency. For further information on the Agency or the 10 High Impact Changes please visit www.modern.nhs.uk
More informationHaringey and Islington
Haringey and Islington Wellbeing Partnership Who we are Thoughts on system leadership and on leading within complex systems Observations from our experience Recognising where we are seeing and showing
More informationFive year strategy for Leeds A view from the Leeds Unit of Planning June submission.
Five year strategy for Leeds A view from the Leeds Unit of Planning June submission. Background - Leeds Leeds has an ambition to be internationally renowned for its excellent health and social care economy
More informationInvestment Committee: Extended Hours Business Case (Revised)
PAPER 06 Investment Committee: Extended Hours Business Case (Revised) OVERALL STRATEGY 1. SaHF Care Closer to Home This Extended Hours Business Case is developed within the context of Shaping a Healthier
More informationCentral Lancashire Local Delivery Plan 2016/ /21
Central Lancashire Local Delivery Plan 2016/17 2020/21 1 Contents 1. Introduction and context 2. Our priorities 3. The health and wellbeing gap 4. The care and quality gap 5. Financial challenges, gap
More informationIntegrated Care theme / Long Term Conditions priority
Integrated Care theme / Long Term Conditions priority Professor Ruth Chambers OBE Clinical lead for LTC priority/clinical lead for Flo telehealth exemplar of Integrated Care WMAHSN Integrated Care & other
More information