Hammersmith and Fulham Clinical Commissioning Group. Annual Business Plan 2017/18

Transcription

1 Hammersmith and Fuham Cinica Commissioning Group Annua Business Pan /18 Objective CCG Priorities Project tite & description NWL/CW Radicay upgrading prevention and webeing Enabing peope to stay heathy Managing ong term conditions to enabe peope to sef-care and avoid unnecessary cinica interventions Impementation of digita appications to aow peope to access care and support at times convenient to them Impementation of that maintain menta we being and reducing socia isoation NWL NWL Responsibiity Outputs Date RAG Achievement to Engagement to Ro out of digita diabetes prevention programme Ro out of persona heath budgets Impement tri-borough tissue viabiity service 20% of registered GP patients signed up for on ine Teemedicine in dermatoogy introduced Apri 17 Apri 17 Oct/No v 17 Transfer of PHBs from LA and first payments made New service impemented from Apri This has been recommended to be incuded with the Network Pan for 17/18 to support attainment. Procurement commenced, new service commencement panned for 1 st Nov MC Babyon Q Workshop with Babyon to gauge opportunity - Cross sector cinica workshop Range of appropriate heath appications introduced Piot Age of Loneiness appication Review socia prescribing piots and consider onger term impications and impacts Review current advocacy, befriending day service and peer support and recommission as Sept 17 Green Three apps currenty being pioted providing structured education and support for patients with diabetes June 17 A Successfu piot. Working with vountary sector coeagues to review socia prescribing approaches for frequent users of heath care. Individua engagement with cients who hod PHBs Network meetings in Apri, Primary Care Engagement session on 11 th Apri, Governing Body Seminars 4 th and 11 th Apri. -GP survey Oct 16 -Cinica seminar Dec 16 -PRG Jan 17 -Patient survey Oct 16 - Digita PRG - Buiding on UCC review ed by WL CCG Engagement on piot evauation with PRG in December

2 Objective CCG Priorities Project tite & description NWL/CW Responsibiity Outputs Date RAG Achievement to Engagement to appropriate Eiminating unwarranted variation and improving ong term condition management Ensure peope have equitabe access to quaity Impementation of strategic change in primary care to ensure that peope are abe to access at times and ocations that are convenient to them and which ensures the deivery of cost effective, safe and efficient primary care Impementation of programmes and service change that ensure that chidren get the best start in ife Deveopment of oca primary care strategy with agreed impementation pan/timeine Review primary care cinica systems to identify patients that coud come to harm and consider recommendations Increase the uptake of chidhood immunisation Chid heath deveoped that meet popuation needs within a mutidiscipinary mode Targeted schemes to reduce chidhood obesity in pace Deveop and impement a primary care strategy H&F Strategy drafted, agreed and timeine for impementation approved Undertake reconfiguration of primary care networks in order to deveop the Primary Care Home concept H&F Networks reconfigured in ine with agreed proposas May 17 Ongoing Ongoing May th Septem ber A PCS being deveoped ocay Work with pubic heath and the Loca Authority as part of the H&F Immunisation Network. It is proposed that there is a Commissioning Intention to support greater Chidhood Immunisations up incuded within the Network Pan and through using the PMS reinvestment avaiabe from the PMS Review Recruitment of 7 oca GPs who are undertaking a programme of education to become chid heath eads to oca networks of popuation. Externa support brought in to work with the CCG and GP Federation to draft up Primary Care Strategy. Part of Strategy work; it is proposed that work to be undertaken to achieve geographica network Network meetings in Apri, Primary Care Engagement session on 11 th Apri, Governing Body Seminars 4 th and 11 th Apri. 2 Board to Board sessions and Initia strategy discussed at Cinica Seminar 18 th Apri; Counci of members meeting panned for 27 th Apri to discuss Loca Startgy with wider membership. Network meetings in Apri, Primary Care Engagement session on 11 th 2

3 Objective CCG Priorities Project tite & description NWL/CW Impement arrangements for deegation of primary care H&F Responsibiity Outputs Date RAG Achievement to Engagement to A arrangements in pace with agreed review points to ensure systems and processes are effective Undertake PMS review H&F Review competed and outcomes impemented Provide support and education to primary care to ensure reduction in eves of diagnostic tests requested Continued impementation of the OOH programme CWHHE/H &F Education pan deveoped and roed out XX% reduction in requested diagnostic tests at year end Improved access to for patients at a oca eve Apri 17 In year to be impem ented from 1 st Octobe r January and ongoing Ongoing reconfiguration is incuded with the Network Pan for 17/18 Deegation approved Commissioning Intentions proposed for Year 1 and Year 2. Network Pan for 17/18 to be used as the commissioning vehice for CIs. PMS Practice to be paced on 4 year transition pathway to support decrease in premium funding. Transition option which woud dictate the eve of PMS premium to be reinvested in Primary Care to be agreed at Primary Care Commissioning Committee on 26 th Apri. GP Training event deivered in January in iaison with the GP Federation CEPN re reduction in MRI tests further education s panned. Wider education programme in train across CWHHE ed by Centra London Continuation existing of, new to be deveoped for the foowing areas: Asthma, Prostrate Cancer, Dopper Assessment and Paediatric Phebotomy by Sponsor CCGs. H&F is the Apri, Governing Body Seminars 4 th and 11 th Apri. Aso wider GP engagement as part of Counci of Members meeting on 27 th Apri Network meetings in Apri, Primary Care Engagement session on 11 th Apri, Governing Body Seminars 4 th and 11 th Apri. Londonwide engagement on 19 th Apri and oca LMC engagement to take pace on 26 th Apri. Further engagement as part of Counci of Members 27 th Apri. 3

4 Objective CCG Priorities Project tite & description NWL/CW Support the deveopment of the GP Federation H&F Reguar Board to Board meetings in pace with Governing Body Impementation of service improvement across the Right Care priority areas Improve the outcomes for peope with common menta heath needs and ong term conditions Improve sef-management and patient activation measures Responsibiity Outputs Date RAG Achievement to Engagement to Impementation of NWL diabetes transformation programme Improved provision of for peope with hypertension and AF Improved provision to support GPs to access diagnostic appropriatey Improved provision of for peope with neuroogica conditions Further deveopment of IAPT and LTC mode Incusion of support for diabetes patients within re-designed Loca impementation of primary care menta heath mode Impementation of NWL diabetes transformation programme Physioine and care panning for community MSK service introduced 6 weeky G sponsor CCG for Dopper Assessment. Two B2B meetings hed pus one joint seminar The CCG is eading this across the STP footprint and is waiting for the outcome the bid for NHSE transformation funding. Eaing CCG are Leading on Hypertension and AF on behaf of CWHHE Wider education programme in train across CWHHE ed by Centra London 17/18 A Exporing opps with Hounsow CCG and ICHT The CCG is eading this across the STP footprint and is waiting for the outcome the bid for NHSE transformation funding Been achieved ongoing as part of Connect BAU service deivery. NWL workshop attended by 100 peope on 19 th Apri about the Diabetes Transformation programme and incuded commissioners, patients and providers and third sector. NWL workshop attended by 100 peope on 19 th Apri about the Diabetes Transformation programme and incuded commissioners, patients and providers and third sector. 4

5 Objective CCG Priorities Project tite & description NWL/CW Achieving better outcomes and experiences for oder peope Improving outcomes for Commission which deiver patient identified outcomes with patients and their carers Commission that Improve cancer screening in order to increase eary diagnosis and faster treatment Responsibiity Outputs Date RAG Achievement to Engagement to Cardio-respiratory prevention incuded in community service Ro out of Vitrucare sef management patform and deveopment of ibrary content Need to incude something here- have emaied David H for this Deveopment of singe market management pan CWHHE Key poicies agreed jointy with adut care Increase capacity within intermediate care CWHHE Business case deveoped and approved Introduction of teemedicine provision to support patients in the ast phase of ife Review impementation of CIS service at 100 days Impement CLCH transformation programme Supporting the deveopment of a oca Accountabe Care Partnership Review commissioning arrangements for community earning disabiity heath teams CWHHE H&F Triborough Triborough Triborough 17/18 Been achieved ongoing as part of Imperia BAU Dec 17 A Vitrucare patform ive within two practices and preparatory work started with a further 3 practices. Agreement to host PAM agorithm within Vitrucare to aow for taiored support. Juy 17 Advert for quotations out Apri 17 Service changes End 17 impemented in year Service impemented within identified care homes in the first instance Evauation of service Apri 17 A Meeting schedued, KPIs and recommendations deveoped for the future Changes made to: A number of changes Podiatry from Apri 17, phase 2 from Intermediate care Juy 17 phase 3 tbc District nursing and community matrons Nutrition and diatetics Fas Chidrens speech and anguage therapy Pans in pace across A Commissioners now part of partner organisations to provider ACP Steering Group impement oca accountabe care partnership Review undertaken June 17 Workshops and meetings taking pace Once options deveoped engagement pan tbc Patient workshops and stakehoder information- Apri and May 17 5

6 Objective CCG Priorities Project tite & description NWL/CW chidren and aduts with menta heath needs meet the hoistic needs of chidren and aduts with menta heath conditions, particuary when they are in crisis Review earning disabiity CHC processes Impement new modes of care for peope with serious and ong term menta heath needs Creation of an integrated and consistent transfer of care approach across NWL Review perinata piot Triborough NWL NWL Responsibiity Outputs Date RAG Achievement to Engagement to New commissioning arrangements for CLDHTs impemented Improved access to CHC Improved review processes Agreed Governing Body position on funding requirement LIMES reviewed and deivering appropriate care for identified groups Decision made on future of piot Apri 18 Septem ber 17 Apri Heath and Socia Care subgroup has agreed priority areas for improved community crisis New service specification has been reviewed Meetings being hed to discuss current and future funding requirements Business case competed and awaiting decision on future funding Primary Care menta Heath Service Review supported empoyment Decision made on expanding the service Review competed and decision made on future provision Review of adut ADHD service H&F Review competed and recommendations impemented Estabish process to repatriate out of area patients to oca Impement arrangements to increase access to IAPT H&F, Eaing and Hounsow Process reviewed and new process in pace IAPT increase its access rates to 16.8% prevaence in 17/18 and with a focus of expand March 18 Septem ber Octobe r st March 18 Draft business case competed. In the process of being reviewed. Funding received to put additiona empoyment advisers into primary care. Traibazer service begun in Apri in 2 GP networks NHSE / DWP Wave 3 funding bid submitted Case for change competed by Joint Commissioning Awaiting initia business case from WLMHT Current temporary arrangements working we Review of Joint Commissioning team taking pace Pacement managers being brought back into CCG s Draft out of area pacement poicy competed Wave 2 funding from NHSE agreed to increase capacity of IAPT especiay in reation to ong term conditions for 17/18 which wi begin in October 17 Co-design workshop organised by Imperia Heath Partners with 6

7 Objective CCG Priorities Project tite & description NWL/CW Impement new arrangements for the management of outpatient tertiary referras Impement arrangements to improve heath outcomes for peope with a earning disabiity Future in Mind and CAMHS H&F Responsibiity Outputs Date RAG Achievement to Engagement to into LTC Percentage of oder peope accessing the service increases Improved recovery for BAME groups New process in pace for reviewing and agreeing funding for speciaist outpatient treatments Target incuded in network pan for heath checks for peope with a earning disabiity XX peope with a earning disabiity received a heath check CYP (chidren and young peope s) community eating disorder service (WLMHT) deivering the nationa specification: 1 week wait for a urgent cases, 4 weeks for routine cases, accepts sef-referras. The Out of Hours CAMHS service based at Chesea and Westminster Hospita offers CAMHS trained practitioners out of hours, Mon- Fri evenings, weekends and bank hoidays for crisis care. Enhanced earning disabiities/autis m service panned for September WLMHT digita IAPT service begun in January A current referras for speciaist have been reviewed and decisions made. Draft guideines for GP s on referras to speciaist ADHD competed patients, cinicians, stakehoders and commissioners Apri 17 7

8 Objective CCG Priorities Project tite & description NWL/CW Ensuring we have safe, high quaity Commission consistent and Impementation of extended hours and seven day within primary care Responsibiity Outputs Date RAG Achievement to Engagement to. New resource for young peope transitioning to adut (Mencap); and additiona staff in CAMHS/CDT to offer reduced waits and coocation; which wi prevent famiies having to te their story more than once. Sustainabe Muti-agency training programme on chid menta heath for the HF CYP workforce. We nt ive on 1 Apri. Access for schoo, heath, vountary sector and Loca authority staff. Co-production activities with menta heath young champions reviewing, deivering training in schoos and organising the Young Peope s Menta Heath Conference in October. Additiona capacity avaiabe to oca March 17 G Weekend hub hours further extended from one Extended GP Practices, Patient Reference 8

9 Objective CCG Priorities Project tite & description NWL/CW sustainabe acute sustainabe seven days a week Seek economies and efficiencies to enabe us to deiver in a sustainabe way Continued impementation of OOH Impementation of seven day service recommendations CWHHE/H &F NWL Responsibiity Outputs Date RAG Achievement to Engagement to residents for panned care Patients abe to access coser to home Reduced out-patient attendances in acute settings Improved access to a range of hospita and community based which improves patient fow in NWL Review of PfH contract MC Improved vaue for money and increased digita use Estabishment of a support structure for peope who frequenty use NWL MC Agreed protoco in pace to support frequent users in primary care Re-design of paediatric ambuatory care unit H&F MC Cinica pathway redesigned and changes impemented Review of Parsons Green wak in centre H&F MC Revised specification in pace Robust management of IHCT contract H&F Contract managed within agreed activity and financia parameters Out-patient demand management- effective use of in hospita and maximise use of in the community NWL / H&F Impementation of recommendations from NWL review in Hammersmith and Fuham Ongoin gg Q3 17 Apr 1 st Juy A Hours Hubs meaning Extended hours service are being provided from days a week Continue to expand/consoi as required in partnership with Fed Continue to progress as part of QIPP - Steering group - Cinica workshop - Meeting with technoogy provider - Deveoped draft digita cinica modes - Secured 20k funding from HEE NWL for intervention design - Data anaysis and identification of frequent user cohorts - Agreed project pan with vountary sector - Cinica governance mode agreed - Troubeshooting of evidence required - Revised specification deveoped - Under review by ead contractua CCG (CLCCG) Referra Review Scheme to be incuded as part of the Network Pan for 17/18. Scheme to be deveoped using best practice identified via West London CCG Group ate Apri. - Digita PRG - WLCCG s Urgent Care Review in Cross sector meetings - Cinician ed interviews with young peope and famiies on wards - Workshops with providers Network meetings in Apri, Primary Care Engagement session on 11 th Apri, Governing Body Seminars 4 th 9

10 Objective CCG Priorities Project tite & description NWL/CW Ensuring the system has the capacity and capabiity to deiver (workforce, OD, IT, primary care etc) Ensure that there are robust pans to ensure that the infrastructure can respond to the changing requirements of the system Estabishment of integrated urgent care CWHHE/H &F Responsibiity Outputs Date RAG Achievement to Engagement to Requirement to reduce variation in referras incuded in network pan Service specification agreed and deivery pan approved 1 st Juy Referra Review Scheme to be incuded as part of the Network Pan for 17/18. Scheme to be deveoped using best practice identified via West London CCG Urgent care demand management MC Apr 18 - Forecast modeing and data - Reduction underpinned by other projects (Digita UCC, LAS demand management, Frequent Users) - Lack of data sharing by LAS risks that we may not be focussing efforts in targeting attendances LAS demand management, reduction in category C incidents, bike responder CPEN Community estate Constitutiona review GB membership and succession panning MC Apr 18 - Positive feedback from HEE NWL on project proposa - Secured funding from system resiience funding for a London Ambuance Service / Primary Care / CIS Care home service - Project pan to be deveoped by 21/04/17 Sustainabe primary care workforce to meet oca popuation heath needs and improvement in oca cinica outcomes Increased training capacity Successfu recruitment of GB members to support the on-going work of the CCG Ongoin g Workforce Strategy being deveoped by GP Federation CEPN; CEPN eading on training for Out of Hospita Service Deivery. CEPN working with Reception and Admin teams to support care navigation and signposting skis and 11 th Apri. Aso wider GP engagement as part of Counci of Members meeting on 27 th Apri - Care home engagement panned - Care home engagement panned GP Practice Manager Forum 6 th Apri 10

11 Objective CCG Priorities Project tite & description NWL/CW COI BAF Joint Committee Responsibiity Outputs Date RAG Achievement to Engagement to Effective management of primary care commissioning knowing that conficts of interest are identified and managed Governance processes in pace to support reguar review and ups for the BAF and oca risk registers Ensure that there is meaningfu, open and ongoing engagement with the oca popuation, Members and service providers 11