ALZIRA RIBERA SALUD. How the Alzira model for integrated care achieves the best outcomes for it s citizens

Size: px
Start display at page:

Download "ALZIRA RIBERA SALUD. How the Alzira model for integrated care achieves the best outcomes for it s citizens"

Transcription

1 ALZIRA RIBERA SALUD How the Alzira model for integrated care achieves the best outcomes for it s citizens

2 What is the Alzira Model? A model of Integrated Care that started its life in 1993 when a new form of Private an Public Partnership (PPP) contract was agreed for Health Care in Spain Ribera Salud was the private company who was successful in bidding for this contract in the Valencia Region of Alzira The contract was to be for a period of 15 years with the option to extend for a further 5 years Outcomes have been improving ever since the inception of the model Based on population health and payment The basis of the model There are many parallels between the Alzira health system and the UK health model, both are free at the point of access and both are fully publically funded. The basis of the model is based on: Public Financing Based on a capitated payment The Government pays the provider a fixed and pre-established annual amount for each of its population. In Spain in 2015 this was 700 per inhabitant per annum This excludes drugs, oxygen therapy and ambulances Public Property The building / health Centre is built on public land and belongs to the government The building is built and maintained by the provider Public Control The provider is subject to complying with the established contract and monitored by the commissioner Private Provision The provision (both clinical and non-clinical) is awarded for a preestablished time to a provider In the Alzira Model it is for 15 years with the option to extend for a further 5 2

3 Current English model Ribera Salud Model Current Model of Care in England vs Ribera Salud Model Activity based model Contract counts activities and therefore there is an industry to demonstrate every bean has been counted and paid for Limited room for innovation as everyone is counting! Focuses on the need for more professionals, without recognition of other support staff development of clinical and non-clinical roles Increasing costs with increasing need doing more of the same, will get you more of the same! Does not promote health and prevent ill health and deterioration RESULT: NEED MORE, MORE and MORE Commitment to prevention Commitment to Health Promotion Encourage Innovation and sharing learning New buildings Money Follows the patient Core individual Health Number (SIP) like NHS Number Do what we have to do, in the most appropriate place 3

4 Core components as reflected by Ribera Salud to make it a success PPP Model To deliver the outcomes in the contract Ribera Salud have four key principles in delivery which deliver the outcomes defined in the contract and make the shareholders happy. These are: 1. Promoting Health 2. Improving Healthcare Quality 3. Improving Accessibility 4. Improving Efficiency Healthcare Integration There is an absolute focus on Population Health Management! Capitated Payment To achieve the best health conditions for the citizens The contract is designed to deliver 2 core outcomes: Highest possible Quality Care and health outcomes Value for Money and therefore keeping services in house by ensuring patient loyalty Networking The whole healthcare network, including the professionals within the provider and the other partners such as councils, schools, nursing homes etc all need to have a shared corporate culture! Culture Change is the most important factor, not the hospital! Best quality lies in not giving everything and not giving too much... What is best for patient regardless of the price... If it is the best possible option then give it, nothing worse than giving something when they don't need it... 4

5 Core ideas to consider Each Primary Care Doctor holds a case load of 1,800 patients at any one time: assigned clinician continuity is a key Care Primary Care is provided in large health centres with urgent care, some diagnostics and community care delivered from same centre Patients can choose with their feet! If a patient leaves Ribera Salud, then Ribera Salud have to foot the bill at any other provider All the Doctors are employed, but incentivised to drive the objectives Incentives Incentives are paid monthly to ALL staff There is no such thing as failure if there is a dip in performance a team supports the doctor to understand the reason for the variation There is no community service, but the community service team members (as we know of in England) are a part of the extended primary care team Structure All of this is only possible as the data infrastructure and systems have been fully embraced Model focuses on prevention of disease and delay of deterioration to keep costs down, but increase early detection and innovation 5

6 The success of Ribera Salud Clinical Management Do the correct intervention in the best place with the best quality and efficiency Chronic Health Plan Proactivity in Care Homecare, social and healthcare network Patient Safety Demand Management People Management Training, Teaching and Research Incentives systems aligned to delivery of core outcomes for every staff member Career and Professional Development Leads to high quality recruitment and retention No blame and no failure support for any that needs it Information Technology Full Electronic Patient Record Support Relationship between doctor and patients (Health Portal) Support Relationship between professionals (hospital and primary care) Business Intelligence System (including prevention) Benchmarking (cost analytics and what-if capabilities) 6

7 Kaiser Pyramid of Care Level 3: Immediate care needs Level 2: Risk Management Level 1: Self Care Level 0: Prevention Level 3 - Has a team of primary care and specialists around them, strong links with GP and Hospital Team, plus Nurse, Psychologist, Social Worker and whatever else is required. Patients have access to a 24/7 number of a call center run by a nurse. Primary care team immediately notified if patient has been to a specific part of the system and what the outcome was. Patient on Level 3 provides automatic consent! Level 1 and 2 make up 42.6% of the population - Focus on Self Management and LTC management Dementia, Hypertension, Diabetes, Obesity, Use of Tobacco and Alcohol Lot of push for patients to use e-tools and Health Portal to self-manage and link with professionals 35% of population now actively use the Health Portal to stay in touch with their GP Clinical Practice Guides published on the system to support the primary care team, with immediate access via the IT system or phone to specialist support when needed Level 0 makes up about 57.4% of the population. Prevention Programmes supported by Ribera Salud but targeted by Primary Care Team e.g. Women, Heart, Healthy Eating, Care Givers, Summer (rather than winter awareness campaigns), later life 7

8 Complexity Segmentation of patients Good Control Case Management Healthy Population Opportunities for efficiency Cost 8

9 How the IT system is used by a GP Each GP has access to the information on their cohort of patients for which he/she is responsible as well as at a population level. Examples of questions they answer using the IT system include: 1. What is my local population, how have they evolved 2. Age cohorts 3. Male/Female 4. Severity of illness (based on CRGs coding) 5. Where they are 6. Health Status of Diabetes 7. Find out patients who they do not have information for and then send a data list to the GP to follow up 8. Have a programme to identify patients who do not engage with GPs. The information is usually closer to a function the Public Health Teams in the UK perform, however, this is much more real time and under the responsibility of the GP to monitor and improve 9

10 The clinical perspective Outcomes not activity The most appropriate management plan is also the most efficient IT: real time data, shared, risk adjustments Personal list, continuity Primary TEAM Patient pathways include all providers Home care team Weekly MDT meetings 10

11 Results 11

12 12

13 13

14 14

15 15

16 16

17 17

18 18

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

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

More information

Shaping the future of health and social care. The Greater Nottingham Transformation Partnership November 2017

Shaping the future of health and social care. The Greater Nottingham Transformation Partnership November 2017 Shaping the future of health and social care The Greater Nottingham Transformation Partnership November 2017 A vision for health and social care The Greater Nottingham Transformation Partnership is looking

More information

Reimbursement models: Lessons from the UK and the case for change. Presentation to 18 th Annual BHF conference

Reimbursement models: Lessons from the UK and the case for change. Presentation to 18 th Annual BHF conference : Lessons from the UK and the case for change Presentation to 18 th Annual BHF conference Victoria Barr 17 July 2017 Agenda and evolution of in the NHS in England The case for change The way forward 2

More information

NHS Bradford Districts CCG Commissioning Intentions 2016/17

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

More information

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

Utilisation Management

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

More information

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

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

The LTC Year of Care Funding Model

The LTC Year of Care Funding Model The LTC Year of Care Funding Model Team A Team B Team C Team D? Integrated neighbourhood Care Team Primary drivers Systematic risk profiling of population Integrated locality care teams including social

More information

A consultation on the Government's mandate to NHS England to 2020

A consultation on the Government's mandate to NHS England to 2020 A consultation on the Government's mandate to NHS England to 2020 October 2015 You may re-use the text of this document (not including logos) free of charge in any format or medium, under the terms of

More information

Emergency admissions to hospital: managing the demand

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

More information

The prevention and self care workshop 16 th September Dr. Jenny Harries Regional Director PHE South Regional Office

The prevention and self care workshop 16 th September Dr. Jenny Harries Regional Director PHE South Regional Office The prevention and self care workshop 16 th September 2016 Dr. Jenny Harries Regional Director PHE South Regional Office Jenny.harries@phe.gov.uk The health and wellbeing gap If the nation fails to get

More information

Integration learning to support responding to the Parliamentary Review of Health and Social Care in Wales and the delivery of new models of care

Integration learning to support responding to the Parliamentary Review of Health and Social Care in Wales and the delivery of new models of care Integration learning to support responding to the Parliamentary Review of Health and Social Care in Wales and the delivery of new models of care WelshConfed18 Integration learning to support responding

More information

Memorandum of understanding for shadow Accountable Care Systems

Memorandum of understanding for shadow Accountable Care Systems Since Previously Discussed by BLMK CEOs: Memorandum of understanding for shadow Accountable Care Systems Dear Richard, As described in Next Steps on the NHS Five Year Forward View, we intend to name a

More information

Harmoni: The TeleHealth Perspective from a 111 and Out of Hours (OOH) provider

Harmoni: The TeleHealth Perspective from a 111 and Out of Hours (OOH) provider Harmoni: The TeleHealth Perspective from a 111 and Out of Hours (OOH) provider Tuesday 26 th June 2012 Steve Turner Director of Acquisitions and Strategy Harmoni Overview Harmoni are leading independent

More information

England. Questions and Answers. Draft Integrated Care Provider (ICP) Contract - consultation package

England. Questions and Answers. Draft Integrated Care Provider (ICP) Contract - consultation package England Questions and Answers Draft Integrated Care Provider (ICP) Contract - consultation package August 2018 Questions and Answers Draft Integrated Care Provider (ICP) Contract - consultation package

More information

Healthy lives, healthy people: consultation on the funding and commissioning routes for public health

Healthy lives, healthy people: consultation on the funding and commissioning routes for public health Healthy lives, healthy people: consultation on the funding and commissioning routes for public health December 2010 The coalition Government published Healthy Lives, Health people: consultation on the

More information

Greater Nottingham Accountable Care System

Greater Nottingham Accountable Care System Greater Nottingham Accountable System 1 Origins: Principia MCP Vanguard established 2015 and achieving tangible improvements in quality and cost of care for 120,000 population. Built on PartnersHealth,

More information

OFFICIAL. Commissioning a Functionally Integrated Urgent Care Access, Treatment and Clinical Advice Service

OFFICIAL. Commissioning a Functionally Integrated Urgent Care Access, Treatment and Clinical Advice Service Our Ref: BH/2015/253 Publications Gateway Ref. No. 03568 NHS England Quarry House Quarry Hill Leeds LS2 7UE Email : england.nhs111@nhs.net To: CCG Accountable Officers CCG Clinical Leaders Cc: Regional

More information

Wolverhampton Public Health Effective Commissioning Strategy

Wolverhampton Public Health Effective Commissioning Strategy Date: 24 September 2014 ATTACHED: Wolverhampton Public Health Effective Commissioning Strategy 2014-2019 Executive summary. Wolverhampton Public Health Effective Commissioning Strategy 2014-2019 Executive

More information

COPD SERVICE RE-DESIGN

COPD SERVICE RE-DESIGN COPD SERVICE RE-DESIGN Dr Mukesh Singh GP Principal & GPwSI Respiratory Medicine, Horse Fair Practice, Rugeley Clinical Lead LTC & Governing Body member Cannock Chase CCG COPD DRIVERS FOR RE-DESIGN DOH

More information

Annual Report Summary 2016/17

Annual Report Summary 2016/17 Annual Report Summary 2016/17 Making sure you get the healthcare you need Annual Report summary 2016/17 Introduction by our Clinical Chair and Chief Executive Officer Dr Chris Ritchieson Clinical Chair

More information

CCG Operational Plan including Commissioning Intentions

CCG 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 information

GOVERNING BODY REPORT

GOVERNING BODY REPORT GOVERNING BODY REPORT 1. Date of Governing Body Meeting: 2. Title of Report: 3. Key Messages: The paper discussed by the Governing Body on 17 th November 2016 was included as an agenda item for discussion

More information

21 March NHS Providers ON THE DAY BRIEFING Page 1

21 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 information

STP: Latest position. Developing and delivering the Humber, Coast and Vale Sustainability and Transformation Plan. July 2016

STP: Latest position. Developing and delivering the Humber, Coast and Vale Sustainability and Transformation Plan. July 2016 STP: Latest position Developing and delivering the Humber, Coast and Vale Sustainability and Transformation Plan July 2016 Who s involved? NHS Commissioners East Riding of Yorkshire CCG Hull CCG North

More information

Plan for investment of retained marginal rate payment for emergency admissions in Gloucestershire

Plan for investment of retained marginal rate payment for emergency admissions in Gloucestershire Plan for investment of retained marginal rate payment for emergency admissions in Gloucestershire 1. Purpose of document This document summarises and explains how Gloucestershire CCG has used the funds

More information

NextGen Population Health TEN TEN TEN TEN TE. Prevent Patients from Falling Through the Cracks in 10 Easy Steps

NextGen Population Health TEN TEN TEN TEN TE. Prevent Patients from Falling Through the Cracks in 10 Easy Steps NextGen Population Health TEN TEN TEN TEN TE Prevent Patients from Falling Through the Cracks in 10 Easy Steps Proactive, automated patient engagement anytime, anywhere. Automate care management to improve

More information

UEC system outcomes and measures. Ciaran Sundstrem Senior Programme Lead: Urgent and Emergency Care Review NHS England

UEC system outcomes and measures. Ciaran Sundstrem Senior Programme Lead: Urgent and Emergency Care Review NHS England UEC system outcomes and measures Ciaran Sundstrem Senior Programme Lead: Urgent and Emergency Care Review NHS England NHS Confederation: UEC Review update Ciaran Sundstrem 25 March 2015 Urgent and Emergency

More information

Bedfordshire, 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 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 information

GOVERNING BODY REPORT

GOVERNING 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 information

DRAFT. Primary Care Networks Reference Guide: Draft pre-release

DRAFT. Primary Care Networks Reference Guide: Draft pre-release Primary Care Networks Reference Guide: Draft pre-release This draft reference guide has been developed with input from a range of stakeholders to provide further information and guidance on what we mean

More information

GP Cover of Nursing, Residential, Extra Care and Intermediate Care Homes. Camden Clinical Commissioning Group. Care Home LES Spec v1

GP 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 information

Main body of report Integrating health and care services in Norfolk and Waveney

Main body of report Integrating health and care services in Norfolk and Waveney Item 18.73a ii Norfolk and Waveney Sustainability and Transformation Plan Update for governing bodies and trust boards September 2018 Purpose of report The purpose of this paper is to update members of

More information

DELIVERING THE LEFT SHIFT IN ACUTE ACTIVITY THE COMMUNITY MODEL

DELIVERING 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 information

The 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 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 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

JOB DESCRIPTION. Joint Commissioning Manager for Older People s Residential Care and Nursing Homes

JOB DESCRIPTION. Joint Commissioning Manager for Older People s Residential Care and Nursing Homes JOB DESCRIPTION Job Title: Grade: Team: Accountable to: Joint Commissioning Manager for Older People s Residential Care and Nursing Homes HAY 14 / AfC 8b (indicative) Partnership Commissioning Team Head

More information

NHS Right Care expanding the approach in the context of delivering the Five Year Forward View

NHS Right Care expanding the approach in the context of delivering the Five Year Forward View NHS Right Care expanding the approach in the context of delivering the Five Year Forward View Background 1. NHS Right Care originated as part of the QIPP programme within the Department of Health in 2009.

More information

EXECUTIVE SUMMARY... 1 HEALTH AND WELLBEING STRATEGY VISION... 2 ULTIMATE AIM... 3 DELIVERING THE VISION AND THE PRIORITIES... 4 FOCUS...

EXECUTIVE 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 information

Welcome to. Northern England and the Five Year Forward View for Mental Health. Thursday 2 February 2017 at the Radisson Blu, Durham

Welcome to. Northern England and the Five Year Forward View for Mental Health. Thursday 2 February 2017 at the Radisson Blu, Durham Welcome to. Northern England and the Five Year Forward View for Mental Health Thursday 2 February 2017 at the Radisson Blu, Durham Introductions Chairs: Catherine Haigh, Chair of North East together and

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

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

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

More information

Kingston Primary Care commissioning strategy Kingston Medical Services

Kingston 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 information

MEETING OF THE GOVERNING BODY IN PUBLIC 7 January 2014

MEETING OF THE GOVERNING BODY IN PUBLIC 7 January 2014 MEETING OF THE GOVERNING BODY IN PUBLIC 7 January 2014 Title: Bedfordshire and Milton Keynes Healthcare Review: The way forward Agenda Item: 4 From: Jane Meggitt, Director of Communications and Engagement

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

Norfolk and Waveney s Sustainability and Transformation Plan (June 2017)

Norfolk and Waveney s Sustainability and Transformation Plan (June 2017) Norfolk and Waveney s Sustainability and Transformation Plan (June 2017) 1 Sustainability and Transformation Plans (STP) A national policy initiative that are part of the delivery of the NHS Five Year

More information

Richmond Clinical Commissioning Group

Richmond Clinical Commissioning Group Richmond Clinical Commissioning Group South west London five year forward plan Kathryn Magson, Chief Officer, Richmond CCG 7 December 2016 South West London Five Year Forward Plan Start well, live well,

More information

Health and Wellbeing Board 25 January 2018

Health and Wellbeing Board 25 January 2018 Title Report of Wards All Status Urgent Key Health and Wellbeing Board 25 January 2018 Child and Adolescent Mental Health (CAMHS) - Update Director of Children s Services, LBB Chief Operating Officer,

More information

New Savoy Conference Psychological Therapies in the NHS

New Savoy Conference Psychological Therapies in the NHS New Savoy Conference Psychological Therapies in the NHS Claire Murdoch CEO, Central and North West London NHS FT & National Mental Health Director, NHS England 21 March 2018 Mental Health Five Year Forward

More information

Enhanced service specification. Avoiding unplanned admissions: proactive case finding and patient review for vulnerable people 2016/17

Enhanced service specification. Avoiding unplanned admissions: proactive case finding and patient review for vulnerable people 2016/17 Enhanced service specification Avoiding unplanned admissions: proactive case finding and patient review for vulnerable people 2016/17 NHS England INFORMATION READER BOX Directorate Medical Commissioning

More information

Wolverhampton CCG Commissioning Intentions

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

More information

SYMPHONY. The Symphony Programme. 7 June Person-Centred, Co-ordinated Care

SYMPHONY. The Symphony Programme. 7 June Person-Centred, Co-ordinated Care SYMPHONY Person-Centred, Co-ordinated The Symphony Programme 7 June 2016 Programme Structure: Overview Advisory Group Symphony Programme Board PMO Cross- Model Forum Identify themes and quick wins across

More information

NHS Rotherham. Contact Details Lead GP Richard Cullen Lead Officer Dominic Blaydon Head of LTC and Urgent Care Purpose:

NHS Rotherham. Contact Details Lead GP Richard Cullen Lead Officer Dominic Blaydon Head of LTC and Urgent Care Purpose: NHS Rotherham Clinical Commissioning Group Committee: 3 October 2012 Care Co-ordination Centre Contact Details Lead GP Richard Cullen Lead Officer Dominic Blaydon Title Head of LTC and Urgent Care Purpose:

More information

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

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

More information

2017/18 and 2018/19 National Tariff Payment System Annex E: Guidance on currencies without national prices. NHS England and NHS Improvement

2017/18 and 2018/19 National Tariff Payment System Annex E: Guidance on currencies without national prices. NHS England and NHS Improvement 2017/18 and 2018/19 National Tariff Payment System Annex E: Guidance on currencies without national prices NHS England and NHS Improvement December 2016 Contents 1. Introduction... 3 2. Critical care adult

More information

Working with GPs to help deliver the NHS Health Checks Programme

Working with GPs to help deliver the NHS Health Checks Programme Working with GPs to help deliver the NHS Health Checks Programme Dr Matt Kearney GP Castlefields, Runcorn National Clinical Advisor Public Health England and NHS England Why do we need GP engagement? 1.

More information

Perinatal Mental Health Clinical Networks : The national picture and lessons from the London experience.

Perinatal Mental Health Clinical Networks : The national picture and lessons from the London experience. Perinatal Mental Health Clinical Networks : The national picture and lessons from the London experience. Jo Maitland Perinatal Mental Health Training & Service Development Lead 5 Year Forward View Community

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

Vale of York Clinical Commissioning Group Governing Body Public Health Services. 2 February Summary

Vale of York Clinical Commissioning Group Governing Body Public Health Services. 2 February Summary Vale of York Clinical Commissioning Group Governing Body Public Health Services 2 February 2017 Summary 1. The purpose of this report is to provide the Vale of York Clinical Commissioning Group (CCG) with

More information

ANSWERS TO QUESTIONS YOU MAY HAVE

ANSWERS TO QUESTIONS YOU MAY HAVE ANSWERS TO QUESTIONS YOU MAY HAVE What is Better Care Together really all about? Better Care Together is about ensuring that health and social care services in Leicester, Leicestershire and Rutland are

More information

Integrated Care Systems. Phil Richardson NHS Dorset CCG

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

More information

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

Personalised Health and Care 2020: Next steps

Personalised Health and Care 2020: Next steps Personalised Health and Care 2020: Next steps Paul Rice PhD Head of Technology Strategy NHS England www.england.nhs.uk Better use of data and technology has the power to improve health, transforming

More information

OUTLOOK FOR THE NEXT 5 YEARS OUR PLANS. September 2014

OUTLOOK FOR THE NEXT 5 YEARS OUR PLANS. September 2014 OUTLOOK FOR THE NEXT 5 YEARS OUR PLANS September 2014 1 SUMMARY Our vision for the City and Hackney health economy is: Patients in control of their health and wellbeing; A joined-up system which is safe,

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

Big Data NLP for improved healthcare outcomes

Big Data NLP for improved healthcare outcomes Big Data NLP for improved healthcare outcomes A white paper Big Data NLP for improved healthcare outcomes Executive summary Shifting payment models based on quality and value are fueling the demand for

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

Delivering an Integrated Urgent Care Service

Delivering an Integrated Urgent Care Service Delivering an Integrated Urgent Care Service 23 rd March 2016 A confusing (and piecemeal?) service Awareness of 3DNs very different services 3DNs 3 Associations with other 3DNs very different services

More information

Leicester, Leicestershire and Rutland s Sustainability & Transformation Plan (STP)

Leicester, Leicestershire and Rutland s Sustainability & Transformation Plan (STP) Leicester, Leicestershire and Rutland s Sustainability & Transformation Plan (STP) UPDATE Toby Sanders, STP Lead 13 September, 2016 What is the STP? Health and care place based plan for Leicester, Leicestershire

More information

Sussex and East Surrey STP narrative

Sussex and East Surrey STP narrative Sussex and East Surrey STP narrative What is the STP? The Sussex and East Surrey Sustainability and Transformation Partnership (STP) outlines how the NHS and social care will work together to improve and

More information

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

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

More information

Our aims Working together to achieve better health and wellbeing

Our aims Working together to achieve better health and wellbeing Our aims 2017-2018 Working together to achieve better health and wellbeing Welcome The South West Academic Health Science Network (SW AHSN) is one of 15 AHSNs set up by NHS England to spread health and

More information

Smarter Care: The Impact of Social Determinants on Health

Smarter Care: The Impact of Social Determinants on Health Smarter Care: The Impact of Social Determinants on Health Ljubisav Matejevic Global Market Development Executive IBM Curam Smarter Care Founder of the Global E-Health Forum Member of the IBM Cúram Research

More information

RPS in Scotland has had an influential year providing both written and oral evidence at the Scottish Parliament in a wide range of policy areas.

RPS in Scotland has had an influential year providing both written and oral evidence at the Scottish Parliament in a wide range of policy areas. Speech by RPS President Ash Soni at the RPS Annual Conference 2017 3 September 2017 Thank you Paul and let me say how pleased I am as a member that you identified exactly the right areas where I and the

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

SUMMARY. Our progress in 2013/14. Eastbourne, Hailsham and Seaford Clinical Commissioning Group.

SUMMARY. Our progress in 2013/14. Eastbourne, Hailsham and Seaford Clinical Commissioning Group. Eastbourne, Hailsham and Seaford Clinical Commissioning Group SUMMARY Our progress in 2013/14 www.eastbournehailshamandseafordccg.nhs.uk 1 Welcome NHS is a membership organisation made up of the 21 GP

More information

The Future Primary Care Workforce: Martin Roland, Chair, Primary Care Workforce Commission

The Future Primary Care Workforce: Martin Roland, Chair, Primary Care Workforce Commission The Future Primary Care Workforce: Martin Roland, Chair, Primary Care Workforce Commission Primary Care Workforce Commission Aim: to identify models of primary care to meet the future needs of the NHS

More information

SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST CHIEF EXECUTIVE S BRIEFING BOARD OF DIRECTORS 16 NOVEMBER 2016

SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST CHIEF EXECUTIVE S BRIEFING BOARD OF DIRECTORS 16 NOVEMBER 2016 B SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST CHIEF EXECUTIVE S BRIEFING BOARD OF DIRECTORS 16 NOVEMBER 2016 1. Integrated Performance Report The Integrated Performance Report is attached at Appendix

More information

Annual Report Summary 2016/17

Annual Report Summary 2016/17 Wolverhampton CCG Annual Report Summary 2016/17 1 ANNUAL REPORT SUMMARY 2016/17 Wolverhampton CCG What we did in 2016/17 This is a summary of the key work done by Wolverhampton CCG during 2016/17. You

More information

IUC and Vanguard. Greater Nottingham Integrated Urgent Care 1

IUC and Vanguard. Greater Nottingham Integrated Urgent Care 1 IUC and Vanguard The 2016/17 Vanguard funding has been confirmed at 1.3M This funding is to deliver the 8 elements of Integrated Urgent Care by March 2017 With careful management of funds we will be able

More information

Kevin McSorley, Service Delivery Director, TF3 Eddie Ritson, Programme Director, CCHC

Kevin McSorley, Service Delivery Director, TF3 Eddie Ritson, Programme Director, CCHC Delivering telehealth services at scale Lessons from the first 1,000 patients in Northern Ireland Kevin McSorley, Service Delivery Director, TF3 Eddie Ritson, Programme Director, CCHC TSA Conference 13

More information

Examples of Measure Selection Criteria From Six Different Programs

Examples of Measure Selection Criteria From Six Different Programs Examples of Measure Selection Criteria From Six Different Programs NQF Criteria to Assess Measures for Endorsement 1. Important to measure and report to keep focus on priority areas, where the evidence

More information

Care and Treatment Review: Policy and Guidance

Care and Treatment Review: Policy and Guidance Care and Treatment Review: Policy and Guidance With policy and guidance on Care, Education and Treatment Reviews for children and young people Easy Read Version 2017 1 Contents Foreword from Gavin Harding...

More information

The online triage and consultation tool transforming general practice. View a working demo at econsult.net

The online triage and consultation tool transforming general practice. View a working demo at econsult.net The online triage and consultation tool transforming general practice View a working demo at econsult.net This project has the rare potential to both significantly enhance the quality of healthcare provision

More information

A meeting of Bromley CCG Primary Care Commissioning Committee 22 March 2018

A 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 information

Welcome. PPG Conference North and South Norfolk CCGs June 14 th 2018

Welcome. 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 information

Cranbrook a healthy new town: health and wellbeing strategy

Cranbrook a healthy new town: health and wellbeing strategy Cranbrook a healthy new town: health and wellbeing strategy 2016 2028 Executive Summary 1 1. Introduction: why this strategy is needed, its vision and audience Neighbourhoods and communities are the building

More information

Opportunities for partnership working between the NHS and the pharmaceutical industry in the Department of Health s innovation strategy

Opportunities for partnership working between the NHS and the pharmaceutical industry in the Department of Health s innovation strategy Opportunities for partnership working between the NHS and the pharmaceutical industry in the Department of MAY 2012 The policy context The NHS has always faced increasing demands: a growing population

More information

Bedfordshire, 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 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 information

The need for system transformation to improve DTOCs Victoria Bennett NHS England

The need for system transformation to improve DTOCs Victoria Bennett NHS England The need for system transformation to improve DTOCs Victoria Bennett NHS England The issue with delayed discharge 10 days of bed rest (acute or community) leads to the equivalent of 10 years ageing in

More information

Aintree University Hospital NHS Foundation Trust Corporate Strategy

Aintree University Hospital NHS Foundation Trust Corporate Strategy Aintree University Hospital NHS Foundation Trust Corporate Strategy 2015 2020 Aintree University Hospital NHS Foundation Trust 1 SECTION ONE: BACKGROUND AND CONTEXT 1 Introduction Aintree University Hospital

More information

IU Health Goshen CHNA Action Plan:

IU Health Goshen CHNA Action Plan: IU Health Goshen CHNA Action Plan: 2016-2018 The mission of IU Health Goshen is to improve the health of our communities, by providing innovative, outstanding care and services through exceptional people

More information

Solent. NHS Trust. Allied Health Professionals (AHPs) Strategic Framework

Solent. NHS Trust. Allied Health Professionals (AHPs) Strategic Framework Solent NHS Trust Allied Health Professionals (AHPs) Strategic Framework 2016-2019 Introduction from Chief Nurse, Mandy Rayani As the executive responsible for providing professional leadership for the

More information

about urgent healthcare

about urgent healthcare The NHS your views about urgent healthcare The NHS Helping you get the most out of local services Tuesday 22 November to Friday 23 December 2016 The NHS Better health for Sunderland 1 1 Your views about

More information

NHS 111 urgent care service

NHS 111 urgent care service NHS 111 urgent care service Frequently Asked Questions (FAQs) Contents Background 2 Operational 3 NHS Direct 5 999 5 101 6 Training 7 Service Impact 7 Telephony 8 Marketing 8 1 Background Why are you introducing

More information

Inpatient and Community Mental Health Patient Surveys Report written by:

Inpatient and Community Mental Health Patient Surveys Report written by: 2.2 Report to: Board of Directors Date of Meeting: 30 September 2014 Section: Patient Experience and Quality Report title: Inpatient and Community Mental Health Patient Surveys Report written by: Jane

More information

The Local Health Economy : Understanding Finance in the NHS

The Local Health Economy : Understanding Finance in the NHS The Local Health Economy : Understanding Finance in the NHS Connaught Hall, Attleborough 20 May 2015 Ann Donkin, Accountable Officer Introduction to NHS Finance Complex to describe, both internally and

More information

2020 Objectives July 2016

2020 Objectives July 2016 ... 2020 Objectives July 2016 1 About NHS Improvement NHS Improvement is responsible for overseeing NHS foundation trusts, NHS trusts and independent providers. We offer the support these providers need

More information

HOW TO MONITOR LEPROSY ELIMINATION IN YOUR WORKING AREA. World Health Organization

HOW TO MONITOR LEPROSY ELIMINATION IN YOUR WORKING AREA. World Health Organization HOW TO MONITOR LEPROSY ELIMINATION IN YOUR WORKING AREA World Health Organization HOW TO MONITOR LEPROSY ELIMINATION IN YOUR WORKING AREA contents The Final Push to Eliminate Leprosy 2 Why do we monitor?

More information