Pathway teams for multiple exclusion

Size: px
Start display at page:

Download "Pathway teams for multiple exclusion"

Transcription

1 Pathway teams for multiple exclusion GP & Nurse Led Multidisciplinary Care Coordination Teams for Homeless Patients with Complex Needs Dr Nigel Hewett OBE FRCGP London

2 3rd International Street Medicine Conference Houston Texas 2007

3 University College London Hospital

4 Needs Assessment

5 Homelessness is a health problem Homeless patients in England attend A&E 5 times as often as the housed population, are admitted 3 times as often, and stay 3 times as long. This results in unscheduled secondary care costs 8 times that of housed patients. Homeless patients (including hostel dwellers) admitted to hospital in Glasgow with a drug related problem are 7 times more likely to die over the next 5 years than housed patients with the same drug related reason for admission. A 25 year old man living in a Canadian shelter or rooming house has only a 1 in 3 chance of surviving to 75 years old, compared to 2 in 3 for all 25 year old men in Canada. A study of homeless women in 7 cities across England, Canada, Denmark and the US found that the risk of death amongst younger homeless women was 5-30 times higher than amongst their housed counterparts, with no observable effect on mortality of health insurance and therefore access to free health care in the different countries.

6 We are spending a fortune and outcomes are appalling The average age of death for homeless people is just 47 years Crisis. Homelessness: a silent killer. London, Dec 2011 Tri-morbidity characterises homeless acute admissions physical ill health with mental ill health and drug and/or alcohol abuse

7 Simple, replicable, care coordination model Think homeless! 80% of patients referred with 48 hours of admission Homeless nurse practitioner with care navigator supports patient and begins care plan Regular GP led ward rounds coordinate care, advocate for patient and liaise with community agencies Weekly multi-agency care planning meetings Care, connect, understand, advocate

8 Quality You were the only ones that felt my life was worth saving- I am now back with the family I have not seen for 10 years I ve never stayed in hospital as long as this (2wks), I trust you, that s why I am staying The change is tangible,...full confidence that contacting the team will produce results Joint working with housing options has greatly improved customer care..enormous support with complex substance misuse clients at UCH

9 What is different about this approach? Vertical integration specialist primary care reaching in to the hospital to coordinate care Horizontal integration care coordinated across physical ill health, mental ill health and substance misuse teams within the hospital and out into the community

10

11 Hewett et al. A general practitioner and nurse led approach to improving hospital care for homeless people BMJ 2012;345:e5999

12

13

14

15

16

17

18

19

20

21 Steps to the latest service 2010 early evaluation used by Michael Porter of Harvard Business School as a local example of Value based health care delivery funding obtained for needs assessment across Kings Health Partners, new provision proposed steering group uses data to promote the service as a flagship for KHP Oct 13 funding approved, training December 13 and launch January 2014

22 KHP Needs assessment summary Grand total KHP annual secondary care costs for homeless patients 9,241,452 Guy s and St Thomas is the lead provider of unplanned secondary care to homeless patients in London around 5,000 A&E attendances and 1,400 admissions annually Considerable history and expertise particularly 3 Boroughs Health Inclusion Team & START homeless mental health team at SLAM Good relationship with local CCG s and South London CSU

23 A service involving 13 staff Multi-agency Page 23

24

25 RCP Guidance for Secondary Care All shapes and sizes of hospitals can do their bit: Level 1: all hospitals to have a system for identifying potentially vulnerable adults including homeless people (rough sleepers and hostel dwellers). Level 2: a locally-negotiated in-reach housing adviser to work in collaboration with an identified person/ team in the hospital (such as the discharge team). Level 3: for hospitals with significant numbers of homeless patients, a Pathway-type model, with a team to support multiagency care coordination.

26 Next steps for the RCP Leadership role in promoting high standards of patient-centred care for all groups of patients, including the most vulnerable Homeless patients highlighted as an illustrative patient group in Future Hospital report and ongoing programme This work is part of our ongoing commitment to tackling health inequalities and supporting physicians to do the same

Learning Briefing The Croydon Hospital Discharge Project

Learning Briefing The Croydon Hospital Discharge Project Learning Briefing The Croydon Hospital Discharge Project Croydon Hospital Discharge Project learning briefing 1. Overview The Croydon Hospital Discharge Project (hereafter referred to as the CHDP) is run

More information

University College London Hospital Trust: Homeless Care

University College London Hospital Trust: Homeless Care FOR UCLP VALUE IN HEALTH CARE DELIVERY PROGRAM JUNE 2011, LONDON MICHAEL PORTER JENNY SHAND University College London Hospital Trust: Homeless Care University College London Hospital, a leading hospital

More information

Mary Lovegrove OBE Professor Emeritus

Mary Lovegrove OBE Professor Emeritus The importance of support for nurses working in Homeless Health Mary Lovegrove OBE Professor Emeritus Homeless patients can t keep eye drops in a fridge, and can t wash their hands before and after application

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

Inclusion Health Clinical Audit

Inclusion Health Clinical Audit Inclusion Health Clinical Audit 2015-16 Pilot Report Organisational Audit Published: 22 December 2015 Contents Foreword... 3 Executive summary... 4 Summary of organisational findings... 4 Organisational

More information

Homelessness and Health Information Sheet

Homelessness and Health Information Sheet Homelessness and Health Information Sheet Number 4 Hospital Discharge Homelessness and Health Homeless people can face major barriers in accessing health services, while their life circumstances can often

More information

Hospital Discharge Network

Hospital Discharge Network January 2016 Hospital Discharge Network briefing In 2013 the Government invested 10 million in the Homeless Hospital Discharge Fund to improve services for people who are homeless and leaving hospital.

More information

BIRMINGHAM CITY COUNCIL SERVICE REVIEWS GREEN PAPER UPDATE: ADULTS SOCIAL CARE INTRODUCTION THE BUDGET NUMBERS

BIRMINGHAM CITY COUNCIL SERVICE REVIEWS GREEN PAPER UPDATE: ADULTS SOCIAL CARE INTRODUCTION THE BUDGET NUMBERS BIRMINGHAM CITY COUNCIL SERVICE REVIEWS GREEN PAPER UPDATE: ADULTS SOCIAL CARE INTRODUCTION Birmingham City Council is facing a big challenge, having to cut the budget we can control by half over seven

More information

Transition between inpatient hospital settings and community or care home settings for adults with social care needs

Transition between inpatient hospital settings and community or care home settings for adults with social care needs NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Transition between inpatient hospital settings and community or care home settings for adults with social care needs NICE guideline: full version, November

More information

A view from Across the Pond. Dorothy Blundell, Chief Officer & Charlotte Mullins, Director of Sustainable Insights

A view from Across the Pond. Dorothy Blundell, Chief Officer & Charlotte Mullins, Director of Sustainable Insights A view from Across the Pond Dorothy Blundell, Chief Officer & Charlotte Mullins, Director of Sustainable Insights Working with the people of Camden to achieve the best health for all Away from the past

More information

Mental health and crisis care. Background

Mental health and crisis care. Background briefing February 2014 Issue 270 Mental health and crisis care Key points The Concordat is a joint statement, written and agreed by its signatories, that describes what people experiencing a mental health

More information

Islington CCG Commissioning Statement in relation to the commissioning of health services for children and young people 0-18 years

Islington CCG Commissioning Statement in relation to the commissioning of health services for children and young people 0-18 years Islington CCG Commissioning Statement in relation to the commissioning of health services for children and young people 0-18 years Introduction 1. Islington CCG funds a range of health services for children

More information

Haringey and Islington

Haringey 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 information

Integrated Care theme / Long Term Conditions priority

Integrated 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

NHS TRAFFORD CLINICAL COMMISSIONING GROUP GOVERNING BODY 26 th August 2014

NHS TRAFFORD CLINICAL COMMISSIONING GROUP GOVERNING BODY 26 th August 2014 Agenda Item No. 7.0 Part 1 x Part 2 NHS TRAFFORD CLINICAL COMMISSIONING GROUP GOVERNING BODY 26 th August 2014 Title of Report Public Health and CCG Work Plan: 2014/15 Purpose of the Report The purpose

More information

Guideline scope Intermediate care - including reablement

Guideline scope Intermediate care - including reablement NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Guideline scope Intermediate care - including reablement Topic The Department of Health in England has asked NICE to produce a guideline on intermediate

More information

The interface between Western Australian Family Support Networks. and. The Department for Child Protection and Family Support

The interface between Western Australian Family Support Networks. and. The Department for Child Protection and Family Support The interface between Western Australian Family Support Networks and The Department for Child Protection and Family Support Revised November 2015 INTRODUCTION Western Australian (WA) Family Support Networks

More information

Sustainability and transformation plan (STP)

Sustainability 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 information

Independent Investigation Action Plan for Mr L STEIS Ref No: 2014/7319. Report published: NHE to complete

Independent Investigation Action Plan for Mr L STEIS Ref No: 2014/7319. Report published: NHE to complete Independent Investigation Action Plan for Mr L STEIS Ref No: 2014/7319 Statement from Oxleas NHS Foundation Trust The Trust would like to offer sincere condolenses to the family and friends of Mr Parsons.

More information

17. Updates on Progress from Last Year s JSNA

17. 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 information

ACORN HOUSE Initial Referral Pack

ACORN HOUSE Initial Referral Pack ACORN HOUSE Initial Referral Pack Please read this pack carefully and complete each section in full Eligibility The organisation s philosophy of support is to give each individual to whom we offer a service

More information

Transforming Primary Care

Transforming Primary Care Transforming Primary Care Co-commissioning - a new local way for designing and providing Primary Care Services What will it mean for me and my family? Croydon, Kingston, Merton, Richmond, Sutton and Wandsworth

More information

Sutton Homes of Care Vanguard Programme

Sutton Homes of Care Vanguard Programme Sutton Homes of Care Vanguard Programme An Innovative End of Life Care model for care homes Kings Fund Conference 6 th December 2016 Corinne Campion, Clinical Nurse Specialist, Supportive Care Home Team

More information

Healthcare for the Homeless Homelessness is bad for your health

Healthcare for the Homeless Homelessness is bad for your health Healthcare for the Homeless Homelessness is bad for your health Contents Foreword 1 Executive summary 2 Part 1. The extent and healthcare costs of homelessness 3 Part 2. The policy, funding and commissioning

More information

Council of Members. 20 January 2016

Council 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 information

Visiting Professional Programme: Obstetric Medicine

Visiting Professional Programme: Obstetric Medicine Visiting Professional Programme: Obstetric Medicine Visiting Professional Programme Obstetric Medicine 1 Introduction The Guy s and St Thomas NHS Foundation Trust Obstetric Medicine Visiting Professional

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

Suffolk Health and Care Review

Suffolk Health and Care Review Suffolk Health and Care Review Update on Health and Social Care System Redesign and Re-commissioning of GP Out of Hours, 111 and Community Healthcare services An Insight into the Health and Social Care

More information

JOB DESCRIPTION. Pharmacy Technician

JOB 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 information

Newham Borough Summary report

Newham Borough Summary report Newham Borough Summary report March 2013 Prepared on 18/03/13 by Commissioning Support team Finance and Activity Millions Apr-11 Jun-11 Aug-11 Oct-11 Dec-11 Newham Headlines March 2013 Feb-12 Apr-12 Jun-12

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

Equality Act 2010 Public Sector Equality Duty. Annual Compliance Report on the CCG s Four-Year Equality Objectives.

Equality Act 2010 Public Sector Equality Duty. Annual Compliance Report on the CCG s Four-Year Equality Objectives. Equality Act 2010 Public Sector Equality Duty Annual Compliance Report on the CCG s Four-Year Equality Objectives 28 January 2016 1. Introduction and Context Introduction NHS Southwark Clinical Commissioning

More information

Newham Borough Summary report

Newham Borough Summary report Newham Borough Summary report April 2013 Prepared on 17/04/13 by Commissioning Support team Apr-11 Jun-11 Aug-11 Oct-11 Dec-11 Feb-12 Apr-12 Jun-12 Aug-12 Oct-12 Dec-12 Feb-13 GREE N Finance and Activity

More information

Plans for urgent care in west Kent:

Plans 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 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

The use of Slough Walk In Centre at Upton Hospital by vulnerable people

The use of Slough Walk In Centre at Upton Hospital by vulnerable people The use of Slough Walk In Centre at Upton Hospital by vulnerable people May 2016 1 Contents About Healthwatch... 2 Background.. 2 The Slough Walk In Centre...3 Patient consultation..4 Views on Slough Walk

More information

Haringey 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 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 information

Improving Quality of Life of Long-Term Patient - From the Community Perspective

Improving Quality of Life of Long-Term Patient - From the Community Perspective Improving Quality of Life of Long-Term Patient - From the Community Perspective Dr Caz Sayer, Camden CCG Chair Working with the people of Camden to achieve the best health for all Context The Health and

More information

London Councils: Diabetes Integrated Care Research

London 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 information

Admission Avoidance (Rapid Response Team) Presenter: Karen Derrick Commissioning Manager Integrated Care team Camden Clinical Commissioning Group

Admission Avoidance (Rapid Response Team) Presenter: Karen Derrick Commissioning Manager Integrated Care team Camden Clinical Commissioning Group Admission Avoidance (Rapid Response Team) Presenter: Karen Derrick Commissioning Manager Integrated Care team Camden Clinical Commissioning Group Admission Avoidance (Rapid Response Team) Background The

More information

What matters to Me Supporting the health and wellbeing of our older population

What matters to Me Supporting the health and wellbeing of our older population What matters to Me Supporting the health and wellbeing of our older population The new way of working for health and social care across the Western bay region What we will do 1. We will focus on the needs

More information

LAMBETH LOCAL MEDICAL COMMITTEE (LMC)/BOROUGH STANDING JOINT LIAISON COMMITTEE MEETING (BSJLC)

LAMBETH LOCAL MEDICAL COMMITTEE (LMC)/BOROUGH STANDING JOINT LIAISON COMMITTEE MEETING (BSJLC) LAMBETH LOCAL MEDICAL COMMITTEE (LMC)/BOROUGH STANDING JOINT LIAISON COMMITTEE MEETING (BSJLC) PART II To be held at 2.45 pm on Tuesday 26 June 2012 at Room ST01 & 2 ground floor 2-8 Gracefield Gardens,

More information

Stage 2 GP longitudinal placement learning outcomes

Stage 2 GP longitudinal placement learning outcomes Faculty of Life Sciences and Medicine Department of Primary Care & Public Health Sciences Stage 2 GP longitudinal placement learning outcomes Description This block focuses on how people and their health

More information

Report to Governing Body 19 September 2018

Report 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 information

Equality & Rights Action Plan

Equality & Rights Action Plan Equality & Action Plan 2013-17 This document outlines the actions we will take to work towards our Equality & Outcomes. Outcomes not processes An outcome is an end result, for example having staff who

More information

Outcome 1: Improved health and well being The council is performing: Excellently

Outcome 1: Improved health and well being The council is performing: Excellently Annual Performance Assessment Report 2008/2009 Adult Social Care Services Council Name: Croydon This report is a summary of the performance of how the council promotes adult social care outcomes for people

More information

Appendix 2: Public Health Contracts transferring to the London Borough of Barnet from 1 st April 2013 and contracting approach.

Appendix 2: Public Health Contracts transferring to the London Borough of Barnet from 1 st April 2013 and contracting approach. Appendix 2: Public Health Contracts transferring to the London Borough of Barnet from 1 st April 2013 and contracting approach. 1. Contract Values The table below shows the total value of contracts to

More information

The New NHS What does this mean for the patient pathway?

The New NHS What does this mean for the patient pathway? The New NHS What does this mean for the patient pathway? Jesme Fox In general, Patients haven t noticed yet! Much anxiety / suspicion about quality of NHS care (Mid Staffs etc...) Focus should be on clinical

More information

MERTON CLINICAL COMMISSIONING GROUP PRIMARY CARE COMMISSIONING COMMITTEE. Purpose of Report: For Note

MERTON 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 information

HomeFirst. Most importantly, we patients prefer and hope to be at home not in hospital, so I think this service is the way of the future.

HomeFirst. Most importantly, we patients prefer and hope to be at home not in hospital, so I think this service is the way of the future. Most importantly, we patients prefer and hope to be at home not in hospital, so I think this service is the way of the future. HomeFirst I felt I was looked after at home much better than I would have

More information

Mapping of specialist primary health care services in England for people who are homeless

Mapping of specialist primary health care services in England for people who are homeless Mapping of specialist primary health care services in England for people who are homeless Maureen Crane, Gaia Cetrano, Louise Joly, Sarah Coward, Blánaid Daly, Chris Ford, Heather Gage, Jill Manthorpe

More information

Newsletter. In this issue

Newsletter. In this issue Newsletter Our Health Sat Nav mobile app uses GPS (Global Positioning System) to signpost people to nearby services including GP surgeries, pharmacies and walk-in centres, as well as informing them where

More information

North West London Sustainability and Transformation Plan Summary

North West London Sustainability and Transformation Plan Summary North West London Sustainability and Transformation Plan Summary Being well, living well: a sustainability and transformation plan for North West London November 2016 Have your say We want to hear your

More information

Summary annual report 2014/15

Summary annual report 2014/15 1 Summary annual report 2014/15 2 Annual Report Summary 2014/15 3 St Thomas Hospital Guy s Hospital CATHEDRAL CHAUCER GRANGE RIVERSIDE ROTHERHITHE SURREY DOCKS Key facts about Southwark GP practices in

More information

Engagement Summary. North London Partners Urgent and Emergency Care Programme. Camden Barnet Enfield Haringey Islington

Engagement Summary. North London Partners Urgent and Emergency Care Programme. Camden Barnet Enfield Haringey Islington Engagement Summary North London Partners Urgent and Emergency Care Programme Camden Barnet Enfield Haringey Islington Introduction This report summarises a year-long programme of engagement undertaken

More information

TITLE OF REPORT: Looked After Children Annual Report

TITLE OF REPORT: Looked After Children Annual Report NHS BOLTON CLINICAL COMMISSIONING GROUP Public Board Meeting AGENDA ITEM NO: 13 Date of Meeting:..27 th October 2017.. TITLE OF REPORT: Looked After Children Annual Report 2016-2017 AUTHOR: Christine Dixon,

More information

NHS Trafford Clinical Commissioning Group (CCG) Annual General Meeting(AGM) 26th September

NHS Trafford Clinical Commissioning Group (CCG) Annual General Meeting(AGM) 26th September RIGHT CARE RIGHT TIME RIGHT PLACE NHS Trafford Clinical Commissioning Group (CCG) Annual General Meeting(AGM) 26th September 2017 Introduction Matt Colledge Chair Introduction Trafford Clinical Commissioning

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

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

Westminster Homeless Health Action Group Meeting Minutes. 8th December, 11.30am 1pm

Westminster Homeless Health Action Group Meeting Minutes. 8th December, 11.30am 1pm Westminster Homeless Health Action Group Meeting Minutes Venue: Westminster City Hall 24 Attendees 8th December, 11.30am 1pm 1. Online CHAT: The online CHAT needs to be completed with all new clients within

More information

Finance Committee. Draft Budget Submission from North Ayrshire Community Planning Partnership

Finance Committee. Draft Budget Submission from North Ayrshire Community Planning Partnership Finance Committee Draft Budget 2012-13 Submission from North Ayrshire Community Planning Partnership 1. To what extent has preventative spending been embedded within the CPP s work so that it focuses on

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

Mental Health Crisis and Acute Care: NHS England s national programme

Mental Health Crisis and Acute Care: NHS England s national programme Mental Health Crisis and Acute Care: NHS England s national programme Mental Health Crisis Care Concordat: Royal College of Psychiatrists Alternatives to admission problem solving workshop 8 July 2016

More information

Healthy London Partnership. Transforming London s health and care together

Healthy 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 information

UCLPartners and Health Education North Central and East London (HE NCEL) Members and Stakeholders Council Thursday 23 May 2013

UCLPartners and Health Education North Central and East London (HE NCEL) Members and Stakeholders Council Thursday 23 May 2013 UCLPartners and Health Education North Central and East London (HE NCEL) Members and Stakeholders Council Thursday 23 May 2013 Welcome and introduction Sir Cyril Chantler, Chairman, UCLPartners Agenda

More information

A new mindset: the Five Year Forward View for mental health

A new mindset: the Five Year Forward View for mental health A new mindset: the Five Year Forward View for mental health Paul Farmer Chief Executive mind.org.uk Five Year Forward View for Mental Health Simon Stevens: Putting mental and physical health on an equal

More information

NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING CASE FOR CHANGE - CLINICAL SERVICES REVIEW

NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING CASE FOR CHANGE - CLINICAL SERVICES REVIEW NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING CASE FOR CHANGE - CLINICAL SERVICES REVIEW Date of the meeting 19/03/2014 Author Sponsoring Board Member Purpose of Report Recommendation

More information

Paediatric Assessment Unit (PAU) Workshop

Paediatric Assessment Unit (PAU) Workshop Healthy London Partnership Children & Young People s Programme Paediatric Assessment Unit (PAU) Workshop 4 th March 2016 01 Professor Russell Viner Clinical Director Healthy London Partnership Children

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

Prime Minister s Challenge Fund (PMCF): Improving Access to General Practice. Innovation Showcase Series Effective Leadership

Prime Minister s Challenge Fund (PMCF): Improving Access to General Practice. Innovation Showcase Series Effective Leadership Prime Minister s Challenge Fund (PMCF): Improving Access to General Practice Innovation Showcase Series Effective Leadership July 2015: Showcase Seven About PMCF In October 2013, the Prime Minister announced

More information

Mental Health Crisis Pathway Analysis

Mental Health Crisis Pathway Analysis Mental Health Crisis Pathway Analysis Contents Data sources Executive summary Mental health benchmarking project (Provider) Access Referrals Caseload Activity Workforce Finance Quality Urgent care benchmarking

More information

Job Description Health IDVA (Independent Domestic Violence Adviser)

Job Description Health IDVA (Independent Domestic Violence Adviser) Job Description Health IDVA (Independent Domestic Violence Adviser) Job Title: Female* Health IDVA Responsible to: Programme Manager Contract: Fixed-Term Contract until 31 st March 2020 Salary: From 26,000

More information

PARTICULARS, SCHEDULE 2 THE SERVICES, A Service Specification. 12 months

PARTICULARS, SCHEDULE 2 THE SERVICES, A Service Specification. 12 months E09/S(HSS)/b 2013/14 NHS STANDARD CONTRACT FOR VEIN OF GALEN MALFORMATION SERVICE (ALL AGES) PARTICULARS, SCHEDULE 2 THE SERVICES, A Service Specification Service Specification No. Service Commissioner

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

Report on Call for Evidence: Elderly Hospital Care, Hospital Discharge & Dementia Identification

Report on Call for Evidence: Elderly Hospital Care, Hospital Discharge & Dementia Identification Report on Call for Evidence: Elderly Hospital Care, Hospital Discharge & Dementia Identification Healthwatch Sunderland October 2014 Elderly People are not always thoroughly assessed in hospital. This

More information

Mental Health Crisis and Acute Care: NHS England s national programme

Mental Health Crisis and Acute Care: NHS England s national programme Mental Health Crisis and Acute Care: NHS England s national programme Bobby Pratap, Project Manager, Crisis and Acute Mental Health Care, NHS England Sarah Khan, Deputy Head of Mental Health, NHS England

More information

Mental Health URGENT CARE AND ASSESSMENT Business Case. CCG Summary paper

Mental Health URGENT CARE AND ASSESSMENT Business Case. CCG Summary paper 1. Purpose of this paper Mental Health URGENT CARE AND ASSESSMENT Business Case. CCG Summary paper This paper sets out the rationale for investment in new more effective urgent care pathways for people

More information

Mortality Report Learning from Deaths. Quarter

Mortality Report Learning from Deaths. Quarter Mortality Report Learning from Deaths Quarter 3 2017 Introduction In December 2016 the CQC report Learning, Candour and accountability: A review of the way NHS Trusts review and investigate the deaths

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

Neurology A new approach for London Delivering integrated care

Neurology A new approach for London Delivering integrated care Neurology A new approach for London Delivering integrated care For those with a long term neurological condition December 2016 Acknowledgements The London Neuroscience Clinical Network is grateful to all

More information

Luton Psychiatric Liaison Service (PLS) Job Description & Person Specification

Luton Psychiatric Liaison Service (PLS) Job Description & Person Specification Luton Psychiatric Liaison Service (PLS) Job Description & Person Specification Job Title: Psychiatric Liaison Nurse Practitioner Grade: Band 6 Hours: Responsible To: Accountable To: Location 37.5 Hours

More information

LEARNING FROM THE VANGUARDS:

LEARNING FROM THE VANGUARDS: LEARNING FROM THE VANGUARDS: STAFF AT THE HEART OF NEW CARE MODELS This briefing looks at what the vanguards set out to achieve when it comes to involving and engaging staff in the new care models. It

More information

Source Question Summary response Action Proposal to set up a review of community services:

Source Question Summary response Action Proposal to set up a review of community services: NHS Lambeth CCG Public forum 1 st March 2017 tes Source Question Summary response Action Proposal to set up a review of community services: In light of the Primary Care Trusts transfer to CCGs in 2013

More information

Frequent Callers. Darzi Fellowship Project

Frequent Callers. Darzi Fellowship Project Frequent Callers Darzi Fellowship Project Bio Paramedic HEMS Paramedic Advanced Practitioner Management Consultant Darzi Fellow NICE Expert Member Clinical Leader 3 Frequent Caller Darzi Fellowship The

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

Cheshire & Merseyside Sustainability and Transformation Plan. People and Services Fit for the Future

Cheshire & Merseyside Sustainability and Transformation Plan. People and Services Fit for the Future Cheshire & Merseyside Sustainability and Transformation Plan People and Services Fit for the Future 2 The Challenge for the NHS As a nation we are fortunate to have a National Health Service that is free

More information

Commissioning for Value: Integrated care pathways

Commissioning for Value: Integrated care pathways Commissioning for Value: Integrated care pathways February 2015 NHS England Publications Gateway ref: 03066 Contents 2 Introduction: What is Commissioning for Value? Supporting planning and transformation

More information

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

Seeking your views on transforming health and care in Bedfordshire, Luton and Milton Keynes. March 2017

Seeking your views on transforming health and care in Bedfordshire, Luton and Milton Keynes. March 2017 Seeking your views on transforming health and care in Bedfordshire, Luton and Milton Keynes March 2017 Agenda 1. STP update October submission, feedback so far, about the March 2017 Discussion Paper 2.

More information

NHS Performance Statistics

NHS Performance Statistics NHS Performance Statistics Published: 8 th March 218 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official

More information

Outcomes Based Commissioning Improving the health and independence of older people in Croydon

Outcomes Based Commissioning Improving the health and independence of older people in Croydon Wednesday 24 June 2015 Outcomes Based Commissioning Improving the health and independence of older people in Croydon 1 Purpose of this meeting 1. To review why we re looking at these services 2. To share

More information

Team Leader. Post Information Pack. Service. Location. Resilience. Windsor & Maidenhead

Team Leader. Post Information Pack. Service. Location. Resilience. Windsor & Maidenhead Team Leader Post Information Pack Service Location Resilience Windsor & Maidenhead Cranstoun is a charity empowering people to live healthy, safe and happy lives. Our skilled and compassionate teams work

More information

The 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 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 information

The rise in the use of the MHA to detain people in England. Summary Introduction... 5

The rise in the use of the MHA to detain people in England. Summary Introduction... 5 Mental Health Act The rise in the use of the MHA to detain people in England January 2018 Contents Summary... 2 Introduction... 5 What we found... 9 1. The impact of changes in mental health service provision,

More information

Mapping of specialist primary health care services in England for people who are homeless

Mapping of specialist primary health care services in England for people who are homeless Mapping of specialist primary health care services in England for people who are homeless Summary of findings and considerations for health service commissioners and providers Maureen Crane, Gaia Cetrano,

More information

PLEASE PRINT THESE OFF and READ BEFORE STARTING YOUR APPLICATION

PLEASE PRINT THESE OFF and READ BEFORE STARTING YOUR APPLICATION Guidance notes for completing the online application form New Beginnings Fund PLEASE PRINT THESE OFF and READ BEFORE STARTING YOUR APPLICATION These are guidance notes to help you complete some of the

More information

NHS Greater Glasgow and Clyde Emergency Department. Gender Based Violence Policy. February 2015

NHS Greater Glasgow and Clyde Emergency Department. Gender Based Violence Policy. February 2015 NHS Greater Glasgow and Clyde Emergency Department Gender Based Violence Policy February 2015 Lead Manager: Head of Nursing Responsible Director: Director of ECMS Approved by: ECMS Clinical Governance

More information

Our mission. Our values. Our aims. Our strategic objectives

Our mission. Our values. Our aims. Our strategic objectives Our mission To ensure that the health services we manage for the people of Trafford are provided at the right place and at the right time, and that services are safe, of a high quality and are value for

More information

Healthy London Partnership Children & Young People s Programme Launch Event

Healthy London Partnership Children & Young People s Programme Launch Event Healthy London Partnership Children & Young People s Programme Launch Event 1 01 Healthy London Partnership: Transforming services for Children and Young People across London Martin Wilkinson Senior Responsible

More information

Supplementary Materials: Improving Health Care Management in Primary Care for Homeless People: A Literature Review

Supplementary Materials: Improving Health Care Management in Primary Care for Homeless People: A Literature Review Supplementary Materials: Improving Health Care Management in Primary Care for Homeless People: A Literature Review Maeva Jego 1,2, *, Julien Abcaya 2, Diana-Elena Ștefan 3, Céline Calvet-Montredon 2 and

More information