UCLPartners and Health Education North Central and East London (HE NCEL) Members and Stakeholders Council Thursday 23 May 2013
|
|
- Pierce Mitchell
- 5 years ago
- Views:
Transcription
1 UCLPartners and Health Education North Central and East London (HE NCEL) Members and Stakeholders Council Thursday 23 May 2013
2 Welcome and introduction Sir Cyril Chantler, Chairman, UCLPartners
3 Agenda 2.40pm Welcome and introduction Health Education North Central and East London update Delivery of innovation into practice UCLPartners update UCLPartners a cohesive partnership NCL Maternity Network Mumspower UCLPartners mental health 3.35pm 3.50pm Tea and coffee break Group discussion Feedback from this meeting 4.45pm Meeting ends
4 Health Education NCEL Chris Fowler Managing Director
5 Delivery of innovation into practice Professor David Fish, Managing Director, and Julian Dixon, Chief Operating Officer, UCLPartners
6 Who are UCLPartners? 6m population across NE and NW London, Herts, Beds and Essex 24 healthcare organisations acute and mental health trusts; community providers 19 Clinical Commissioning Groups (CCGs) 26 Boroughs and Local Councils 14 Higher Education Institutes and research networks
7 Our levers DISCOVERY CLINICAL TRIALS IMPLEMENTATION EVALUATION CAPABILITY Academic Health Science Centre Clinical Research Network Academic Health Science Network Applied Health Research Education and Training Relationships Patient Pull Alignment Outcomes
8 UCLPartners a cohesive partnership Introduction by Julian Dixon, Chief Operating Officer, UCLPartners
9 NCL Maternity Network Mumspower Donald Peebles, Obstetric Lead for the North Central London Maternity Network
10 Empowering pregnant women: enhancing key relationships through the M(ums) Power movement
11 The project Timescale: 2 years (started in March 2011) Based at: UCH and Barts Health Funded by: The Health Foundation as part of 7 other projects in the Closing the Gap programme Who s involved?
12 The case for change - M(ums)Power is committed to making antenatal services more Positive Growing numbers of women and midwives complain that antenatal services are becoming increasingly medicalised and impersonal. M(ums)Power is aiming to make antenatal care a more positive and memorable experience. I felt passed around from person to person I felt like a burden Empowering Women are often cast as the passive recipients of care, with more vulnerable groups being particularly disempowered. M(ums)Power seeks to tackle inequality through enabling and empowering every woman to take control of her pregnancy. I felt guilty asking questions in case they were stupid, the midwife seemed so busy Prospective Rising levels of postnatal depression and child inequalities have prompted widespread criticisms about the failure of antenatal care to prepare women and their families for the postnatal period and parenthood. M(ums)Power hopes to promote the health, wellbeing and opportunities of women and babies throughout pregnancy and beyond. You get home and you just don t know where to start (e)-connected Women often report feeling isolated during both their pregnancy and as new mothers. M(ums)Power is exploring ways for antenatal care services to tap into the power of relationships through cultural and technological change that builds local, social and family networks. No one tells you how lonely pregnancy can be I don t have many friends with children
13 Aims To change the relationship between pregnant women and clinicians by: Changing how information is delivered Making antenatal care services more personal Promoting peer-to-peer networks
14 The interventions
15 Group appointments Testing group bookings and 16 week group appointments with groups of 3-12 women to: Improve information sharing Encourage patient enquiry Encourage peer support and peer-to-peer learning We had a chance to get all the information in a relaxed environment, no rushing and I didn't need to ask for everything Make appointments more efficient It s a good opportunity for women to meet other women who are at the same stage of pregnancy
16 Group booking appointments A group information session (approximately 30 mins) Led by midwife Introduce women to each other Introduction to maternity services - care pathways Discussion of screening tests available including time for questions Discussion of advice in pregnancy Facilitated discussion of common concerns Tested 54 group bookings at UCLH and Bart s to date with over 150 women One-to-one with midwife (approximately 30 mins) Individualised risk assessment for pregnancy Individualised pregnancy care pathway planning Private discussion of concerns or worries Referral for blood tests, scans I like being able to dedicate more time to individual needs rather than general information sharing in the one to one
17 Impact Efficiency savings Women s confidence about next steps in their pregnancy CARE index A 60 minute group appointment with 5 women at 16 weeks will save 40 minutes of midwife time compared to standard care
18 My Pregnancy Journey It's great because it's hospital specific, and it's from a source of trust. An information site that aims to: Improve information sharing providing more personalised, tailored, local information Demystify the pregnancy journey Build bridges between clinical and community-based support Provide women with the information to take more control of their antenatal care
19 Impact of My Pregnancy Journey 73% of women had a question resolved by the website 82% felt that the site gave them confidence about the next steps in their pregnancy 73% would recommend this site to other pregnant women Most information is out there on the internet but it is very fragmented and not always hospital specific. I personally found hospital pretty daunting and not sure what to expect, this new website allows all of the information relevant to your hospital all in one place, easy to access, clear and user friendly. 96% of women felt that this website offered something not offered by other websites many of them commented that this was because the website offered hospital specific information When you start to plan your labour it's good to familiarise your self with staff and the hospitals services.
20 MumsTalk a secure, social network A secure online social network for women receiving care at UCLH that enables women to: Talk to other women who are using the same maternity services Share information about local services and groups in their area Keep in touch with women they have met at antenatal classes and at UCLH It s a really nice idea to have a community based forum where everyone has a connection to the same hospital. Often people on more general mums forums don t live near each other and are unable to exchange stories on the care they ve received. I would have loved something like this my first time round to get tips from mums that had been to the hospital on what the staff are like, what to bring e.g. flip-flops for the wet rooms
21 Challenges and enablers
22 Key challenges Clinical environment, culture and staff Intervention design and implementation Frontline practitioner resistance Risk averseness Tension between competing agendas, priorities and expectations Tension between lower cost services and improved services Evaluation challenges Patients Patient expectations and behaviour Patient behaviour
23 Key enablers Clinical environment, culture and staff Intervention design and implementation Strong leadership Frontline innovators people who are passionate and not afraid of failure Staff with the right skills and capabilities to work in new ways Appropriate space Toolkits and proformas are useful Develop range of interventions and platforms to support women not just one-off interactions Patients Set clear expectations Co-design with patients Segment patients according to need and risk levels
24 Questions?
25 Appendix
26 The state of maternity services Services under strain A 22% rise in birth rates from 2001 to 2011 Coupled with a shortage of midwives New pathway tariffs Payment for maternity services will be based on the demographic and risk profile of the women A two-tier system of antenatal care is emerging 30% of first-time parents are not offered any NHS antenatal classes NCT classes which cost are booming Inequalities in maternity services persist Ethnic minority women, single mothers and those with a lower level of education are more likely to access services late, report poorer experiences of care and have poorer health outcomes Services not meeting women s need 1/3 of women felt that they weren t involved enough about decision about their care 1/2 would have liked more time with their midwife during their pregnancy
27 Developing a whole system approach to training: learning from HIET Professor Peter Fonagy, Clinical Lead for Mental Health and Wellbeing and Anna Moore, Programme Director
28 Costs the most: Nearly 11% of England s annual secondary care health budget is allocated to mental health care. These costs are projected to increase by 45% to 32.6 billion in 2026 (at 2007 prices) Global burden of disease report (World Health Organisation) 2008 Counting the Cost (The Kings Fund) 2011 The Challenge Mental illness accounts for the largest disease prevalence: 1 in 4 people have a mental health problem in the UK Mental illness accounts for the greatest morbidity: mental ill health is the single largest cause of disability in the UK, contributing up to 22.8% of the total burden of disease, compared to 15.9% for cancer and 16.2% for cardiovascular disease MH problems affect all parts of the system and are dealt with poorly across whole pathway: poor case recognition (takes over 4 years for person with anxiety/depression to present) poor clinical outcomes (people with MH problems die years early) poor patient experience measures (people with MH problems are less satisfied with their care) poor functional outcomes (worse employment, do worse at school, have a worse quality of life and less likely to be integrated well into society This is true for both patients with MH problems as a primary problem and with co-morbid MH problems
29 Analysis Systemic problems (structure of services, poor integration of MH/PH, and between primary & secondary care) No consistent measurement of outcomes Lack of clarity about aetiology nor consistency in classification/ case identification Problems & solutions do not lie primarily within the health system Widespread competency gaps in all parts of the pathways and multidisciplinary teams Lack of funding for basic research Little consideration of preventative mental health/ focus on wellbeing Problem recruiting and retaining the workforce However..MH interventions work and are cost effective
30 The competency gap Commissioning of education and training to meet the competency gaps across the whole system Commissioning Commissioners don t have training in MH problems preliminary review of JSNAs show MH is not consistently dealt with across the patch PH practitioners (write JSNAs and on HWBs) have little MH training Workforce problems Clinical training is mainly focused on people with specialist MH roles crisis for recruitment into MH and quality of workforce Front line staff in primary care and acute trusts do not receive MH training No MH training outside the health system (most problems dealt with in other sectors eg schools, criminal justice system, workplace)
31 The mission High Impact Strategic Mental Health Education & Training Programme (HIET) Building capacity for improved patient outcomes Improving services, implementing best practice and informing mental health commissioning Programme Board Chair: Matthew Patrick Programme Director: Geraldine Strathdee In partnership with: UCLPartners Integrated Mental Health Programme
32 Core Principles Focused on strategic priorities to improve patient outcomes Programme been a catalyst for partnership working Whole system approach: projects have delivered training across disciplines, professions and agencies, promoting truly collaborative learning Value-based Whole pathway approach Population based All programmes fully evaluated Legacy where appropriate networks and communities of practice are established for ongoign development and peer support, driving cultural change and developing learning organisations
33 The strategy HIET Projects Developing MH expertise and leadership in commissioners Developing expertise in providers (acute, mental health and primary care) Pathology: Improving use of the MH act in crisis Wellbeing: Developing psychological resilience Better trained staff Strengthened leadership capacity in MH Implementation of standards for high quality care Stronger networks and partnerships to share skills and coordinate care Domain 1 Preventing people from dying prematurely Domain 2 Enhancing quality of life for people with long term conditions Improving quality & outcomes Domain 3 Helping people to recover from episodes of ill health or following injury Domain 4 Ensuring people have a positive experience of care Domain 5 Treating and caring for people in a safe environment and protecting them from avoidable harm
34 The outputs (highlights) 32 GP CCG Mental Health leads trained across London trained in leadership and influencing, clinical best practice, mental health informatics and commissioning to improve outcomes in mental health. Formation of a CCG MH leads network as a partnership between CCGs, SCN and UCLP for on-going development & support Needs assessment and Care Pathway Profiling reports for every CCG borough in London Over 400 GP practice nurses trained to undertake NICE QOF recommended annual physical checks of people with severe and enduring mental illness who die years early. Training manual on physical health care of mental health patients. Senior trainers established in every MH trust. Formation of a new MH/primary care nurses network Over 1000 front-line staff trained in dementia in acute trusts Training DVDs on use of the mental health act by NHS and partner agency staff National multi-agency communication strategy on S136 use with British Transport Police - reaching 2,900 police officers. Further plans include the poster to be displayed at London Underground sites and the Faculty of Emergency Medicine A/Es with additional interest from Metropolitan Police (25,000 officers, 200 forensic HCPs) A series of expert factsheets about premature mortality in people with physical ill health as a mental health to support commissioning best practice for care pathways in cancer, CHD, Stroke COPD. An innovative first course on evidence-based behaviour change and self management
35 Evaluation Core part of any programme of workforce training or service delivery Developing a manualised evaluation framework that can be used to evaluate educational interventions CPPD evaluation plan including handbook, evaluation templates, implementation plan and evaluation lead specification. Consistent measures of success and consistent standards in mental health care that engages patients / carers ("measurement-based care, 'outcome focused', guidelines, etc.)
36 Recommendations from evaluations Commissioning Development of the formalised CCG network in partnership between CCGs, UCLP and SCN with the aim of improving patient outcomes through building capacity for evidence-based commissioning for outcomes. Use network to develop future CCG leaders Similar programmes and networks to be developed for public health and mental health communities Competency framework setting out the skills and knowledge required for primary care to effectively manage mental health has been developed to develop clinicians in the following domains: Clinicians Commissioners Community leaders Public health Leaders and managers of their practice
37 Nursing: Mental health master-classes for practice nurses focussing on management of specific MH problems Roll out across the whole patch of the basic physical health training facilitated through MH/primary care nursing network Wellbeing & resilience: Phase 2 behaviour change After successful pilot, roll out of behaviour change programme to build capacity in acute care Develop training tackling behaviour change in the work-place Development of e-modules to aid dissemination Informatics & Public Health Developing a PH Directors network and will provide training in MH public health Scoping of the competencies, information requirements and the development of the tools and resources that could enable better understanding of mental health needs, services and interventions Mental health informatics leadership workshop/ identification of options for developing a more strategic and coordinated approach to mental health informatics and to plan training programmes for the future
38 Appendix Workstream 1 Developing Primary Care Leadership Primary Care Mental Health Leadership Development Programme (NHSL, Lucent & UCLPartners) Primary Care Academy: Barnet, Enfield and Haringey Trust and Mental Health CCGs Train the Trainer GP Master Classes: Sharing Clinical Expertise across Primary Care: new models of primary care training in GP practices (Oxleas) Mental Health Master Classes and network building for GP Practice Nurses (Camden & Islington) Primary Care Mental Health Leadership Development for Practice Managers
39 Workstream 2 Improving Integrated Care for People with Depression Acute Hospitals: Psychological Support and Training for Staff in Major Trauma Centres Training Programme for Community and District Nurses to detect and manage Mental Illness and Premature Mortality (Oxleas) Training for Community Health Staff: Understanding and managing risk to improve safety and reduce suicide and Mental Ill Health (NELFT) Behaviour Change Programme for Health Professionals: An Introductory Course (UCLP) Suicide Prevention on the London Transport System: Literature Review and Data Analysis to Inform Commissioning, Service Delivery and Practice Models Suicide Prevention on the London Transport hot spot System (North London) Suicide Prevention on the London Transport System (Southall & Ealing) Implementation of Evidence Based care for Depression in Primary Care Practice: (London CCGs/ Strategic Clinical Network/ UCLP/ RCGP)
40 Workstream 3 Building Resilience in Young People and Addressing the Needs of the Top 10% London Perinatal Multi Disciplinary Network: workforce and care pathway needs from Tiers 1-4 Development of Core Competencies to Build Psychological Resilience in Vulnerable Young People through School Nurse Training Heads Up Building Resilience Programme in Schools: (Pilot from Kings primary care AHSC) Development of a Workforce Model to Address the Needs of Young adults with complex comorbidities and high risk: service use in London Boroughs Workstream 4 Improving the Use of the Mental Health Act Development of a Mental Health Informatics Competency S17 and S18/ AWOL Steli Training S136 Training Programme and multi agency induction Implementing best practice standards and Professional Development for London s S12 Doctors and Approved Mental Health Clinicians To support commissioning and delivery of best practice in integrated physical and mental health care 22 Mental Health Briefings/Factsheets Programme Evaluation: A handbook providing a practical guide to evaluation tools and embedding evaluation activity into projects is being produced, this will encourage and enable evaluation to become a core part of health professionals way of working
41 Group discussion
42 Group discussion 1. What engagement techniques work well/have members experience of using successfully? 2. How can we empower patients and communities through the work of UCLPartners and HE NCEL? 3. How can members and stakeholders support more patient and public engagement in UCLPartners?
43 Feedback
August Planning for better health and care in North London. A public summary of the NCL STP
August 2017 Planning for better health and care in North London A public summary of the NCL STP Planning for better health and care in North London North London NHS organisations are working together with
More informationAcademic Health Science Network for the North East and North Cumbria Mental Health Programme. Elaine Readhead AHSN NENC Mental Health Programme Lead
Academic Health Science Network for the North East and North Cumbria Mental Health Programme Elaine Readhead AHSN NENC Mental Health Programme Lead Background No health without mental health Five Year
More informationIntegrated Care in North Central London
Integrated Care in North Central London 5 th July 2012 Sylvia Kennedy AD Strategy & Planning Strategic context Many of our frailest and sickest groups receive care in a fragmented and disorganised way
More informationSCHEDULE 2 THE SERVICES
SCHEDULE 2 THE SERVICES A. Service Specifications Mandatory headings 1 4. Mandatory but detail for local determination and agreement Optional headings 5-7.Optional to use, detail for local determination
More informationCrisis Care The National Context and Crisis Care Concordat.
1 NHS Presentation to [XXXX Company] [Type Date] Crisis Care The National Context and Crisis Care Concordat. Dr. Geraldine Strathdee, National Clinical Director for Mental Health..@DrG_NHS CORC April 2015
More informationHealthy London Partnership. Transforming London s health and care together
Healthy London Partnership Transforming London s health and care together London-wide transformation In 2014, two publications set out London s transformation priorities NHS Five Year Forward View Better
More informationLondon Councils: Diabetes Integrated Care Research
London Councils: Diabetes Integrated Care Research SUMMARY REPORT Date: 13 th September 2011 In partnership with Contents 1 Introduction... 4 2 Opportunities within the context of health & social care
More informationThe Community Based Target Model
1 The Community Based Target Model Integrated Single System Leadership and Management The Core (as a minimum all LCNs should encompass) Working with High Impact Changes Lambeth Serving geographically coherent
More informationCity and Hackney Clinical Commissioning Group Prospectus May 2013
City and Hackney Clinical Commissioning Group Prospectus May 2013 Foreword We are excited to be finally live as a CCG, picking up our responsibilities as commissioners for the bulk of the NHS. The changeover
More informationEngagement 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 informationAppendix 5.5. AUTHOR & POSITION: Jill Shattock, Director of Commissioning CONTACT DETAILS:
Appendix 5.5 MEETING: Haringey Clinical Commissioning Group Governing Body Meeting DATE Wednesday, 30 July 2014 TITLE: North Central London (NCL) NHS 111 and GP Out of Hours LEAD GOVERNING Jill Shattock,
More informationChapter 2. At a glance. What is health coaching? How is health coaching defined?
Chapter 2 What is health coaching? This chapter describes: What health coaching is and it s applications How health coaching relates to wider systems and programmes of care How health coaching relates
More informationWelcome 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 informationNEW MODELS OF CARE AND THE PREVENTION AGENDA: AN INTEGRAL PARTNERSHIP CHAIR: ROB WEBSTER, CHIEF EXECUTIVE, NHS CONFEDERATION
NEW MODELS OF CARE AND THE PREVENTION AGENDA: AN INTEGRAL PARTNERSHIP CHAIR: ROB WEBSTER, CHIEF EXECUTIVE, NHS CONFEDERATION 10.10am 10.30pm 11.15am 12.00pm 12.45pm 1.30pm 2.15pm 2.45pm 3.30pm Interview
More informationMental Health & Wellbeing Programme
Mental Health & Wellbeing Programme Programmed update to the UCLP Board of Directors March 2012 Table of contents 1. Projects timeline 2. Creating Europe s leading mental health programme 3. Adolescent
More informationReducing Variation in Primary Care Strategy
Reducing Variation in Primary Care Strategy September 2014 Page 1 of 14 REDUCING VARIATION IN PRIMARY CARE STRATEGY 1. Introduction The Reducing Variation in Primary Care Strategy should be seen as one
More informationThe North Central London Sustainability and Transformation Plan. and. Camden Local Care Strategy. Caz Sayer Chair, Camden CCG
The North Central London Sustainability and Transformation Plan and Camden Local Care Strategy Caz Sayer Chair, Camden CCG About the Sustainability & Transformation Plan (STP) N C L North Central London
More informationCCG: CO01 Access and Choice Policy
Corporate CCG: CO01 Access and Choice Policy Version Number Date Issued Review Date V2 21 January 2016 January 2018 Prepared By: Consultation Process: NECS Commissioning Manager CCG Head of Corporate Affairs.
More informationAre you ready to be liberated? Karen Middleton Chief Health Professions Officer
Are you ready to be liberated? Karen Middleton Chief Health Professions Officer Karen.middleton@dh.gsi.gov.uk Priorities for healthcare Patients at the centre of everything we do World class clinical outcomes
More informationThe Five Year Forward View and Commissioning Mental Health Services in 2015 and Beyond
The Five Year Forward View and Commissioning Mental Health Services in 2015 and Beyond Thames Valley Strategic Clinical Networks February 2015 Table of Contents Introduction & Context pp 3-11 SCN recommendations
More informationNorth Central London Sustainability and Transformation Plan. A summary
Sustainability and Transformation Plan A summary N C L Introduction Hospitals, local authorities, GPs, commissioners, and mental health trusts across north central London have all come together to transform
More informationRichmond 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 informationThe operating framework for. the NHS in England 2009/10. Background
the voice of NHS leadership briefing DECEMBER 2008 ISSUE 172 The operating framework for the NHS in England 2009/10 Key points No new national targets. National priorities are the same as last year. but
More informationKey findings from the Healthwatch network
BRIEF ING Maternity Services Key findings from the Healthwatch network Local Healthwatch are independent organisations working across all 152 local authorities in England and give communities a stronger
More informationLincolnshire JSNA: Chronic Obstructive Pulmonary Disease (COPD)
Disease (COPD) What do we know? Summary is a long-term condition, which is affecting increasing numbers of people. There is a wide range of interventions to address COPD, from prevention to the ongoing
More informationThe North West London health and care partnership
The North West London health and care partnership Sept 2017 The North West London health and care partnership Introduction In 2016, over 30 NHS organisations and local authorities came together to develop
More informationTHE FIVE YEAR FORWARD VIEW FOR MENTAL HEALTH
THE FIVE YEAR FORWARD VIEW FOR MENTAL HEALTH A Policy Unit briefing on the findings of the independent Mental Health Taskforce and the implications for psychiatrists and the wider NHS workforce Holly Taggart
More informationVisiting 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 informationNHS England (London region) End of Life Care Commissioners Checklist King s Fund
Date NHS England (London region) End of Life Care Commissioners Checklist King s Fund 22.9.16 Caroline Stirling, Clinical Director, End of Life Care, NHS England (London region) EOLC Lead, UCLPartners
More informationFigure 1: Domains of the Three Adult Outcomes Frameworks
Outcomes Frameworks across Public Health, Social Care and NHS Relevance to Ealing Health & Wellbeing Strategy 1. Overview For adults there are three outcomes frameworks, one each for public health, NHS
More informationPsychological 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 informationDraft Commissioning Intentions
The future for Luton s primary care services Draft Commissioning Intentions 2013-14 The NHS will have less money to spend over the next three years. Overall, it has to make 20 billion of efficiency savings
More informationDeveloping an outcomes-based approach in mental health. The policy context
briefing December 2011 Issue 231 Developing an outcomes-based approach in mental health Key points A new Mental Health Network report explores the issue of outcome measurement in mental health. The report
More informationMental 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 informationChair: Anne Rainsberry, Regional Director (London Region), NHS England (AR)
COMMISSIONER MEETING IN COMMON SPECIALIST CANCER AND CARDIOVASCULAR SERVICES FOR NORTH AND EAST LONDON AND WEST ESSEX Minutes of the meeting held on Friday 9 May 2014 14.00-16.00 Portland House, Bressenden
More informationThe future of Primary Care in Camden? Mansur Quraishi, Primary Care Programme Team Manager
The future of Primary Care in Camden? Mansur Quraishi, Primary Care Programme Team Manager Towards the Vision Establishing a strategic framework and improved offer to patients Strategic Commissioning Framework
More informationQuality and Leadership: Improving outcomes
Quality and Leadership: Improving outcomes Podiatry Managers/Allied Health Managers and Leaders 5 March 2014 Shelagh Morris OBE Acting Chief Allied Health Professions Officer 2 http://www.nhsemployers.org/aboutus/latest-news/pages/the-new-nhs-in-2013-infographic.aspx
More informationImproving Mental Health Services in Bath & North East Somerset
Improving Mental Health Services in Bath & North East Somerset Andy Sylvester Executive Director of Operations Welcome & Introductions Housekeeping Format of the day Presentations Questions and answers
More informationCatherine Hughson Kathryn Kearney Number of supervisors relinquishing role since last report:
Name of Local Supervising Authority: Western Isles Health Board Period of report: 2005/2006 Date: September 2006 1. Supervision of Midwives and Midwifery Practice 1.1 Designated Local Supervising Authority
More informationEnd of Life Care Strategy
End of Life Care Strategy 2016-2020 Foreword Southern Health NHS Foundation Trust is committed to providing the highest quality care for patients, their families and carers. Therefore, I am pleased to
More informationDRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8
DRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8 West London Clinical Commissioning Group This document sets out a clear set of plans and priorities for 2017/18 reflecting West London CCGs ambition
More informationMental Health Crisis Care: The Five Year Forward View. Steven Reid Consultant Psychiatrist, Psychological Medicine CNWL NHS Foundation Trust
Mental Health Crisis Care: The Five Year Forward View Steven Reid Consultant Psychiatrist, Psychological Medicine CNWL NHS Foundation Trust Overview Parity of esteem What are the challenges for people
More informationBristol CCG North Somerset CGG South Gloucestershire CCG. Draft Commissioning Intentions for 2017/2018 and 2018/2019
Bristol CCG North Somerset CGG South Gloucestershire CCG Draft Commissioning Intentions for 2017/2018 and 2018/2019 Programme Area Key intention Primary and community care Sustainable primary care Implement
More informationAnnie Hunter Head of Midwifery Isle of Wight NHS
Annie Hunter Head of Midwifery Isle of Wight NHS The Isle of Wight has a population of 140,500, this doubles in the holiday season with the Island receiving approximately 2.8 million visitors each year.
More informationHaringey Better Care Fund Community Event Let s talk about Staying Well 13 th April Evaluation Report
Haringey Better Care Fund Community Event Let s talk about Staying Well 13 th April 2016 Evaluation Report Approximately 50 participants attended the Haringey Better Care Fund (BCF) Community Event which
More informationOur 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 informationGoverning Body meeting on 13th September 2018
Governing Body meeting on 13th September 2018 Report from the Chair of the Integrated Governance Committee (IGC) Date of Meetings Reported: 9 th August 2018 Key achievements Author: Martin Wilkinson, Chair
More informationMIDWIFE AND HEALTH VISITOR COMMUNICATION PROCEDURE
Appendix 2a of the Health Visiting Overarching Policy MIDWIFE AND HEALTH VISITOR COMMUNICATION PROCEDURE 1. Introduction 1.1. This procedure sets out standards of best practice regarding communication
More informationNew 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 informationClinical Strategy
Clinical Strategy 2014-2018 Contents About the clinical strategy Page 2 About our Trust Page 3 What we stand for Page 6 Our clinical services Page 9 Supporting our staff Page 12 The five year plan Page
More informationWestminster Partnership Board for Health and Care. 17 January pm pm Room 5.3 at 15 Marylebone Road
Westminster Partnership Board for Health and Care 17 January 2018 4.30pm - 6.00pm Room 5.3 at 15 Marylebone Road Agenda Item # Item and discussion points Lead Papers Timing 1 Preliminary business Welcome
More informationMERTON CLINICAL COMMISSIONING GROUP PRIMARY CARE COMMISSIONING COMMITTEE. Purpose of Report: For Note
Date of Meeting: 23 rd March 2017 MERTON CLINICAL COMMISSIONING GROUP PRIMARY CARE COMMISSIONING COMMITTEE Agenda No: 7 Attachment: 6 Title of Document: Primary Care Strategy Update Purpose of Report:
More informationHaringey and Islington
Haringey and Islington Wellbeing Partnership Who we are Thoughts on system leadership and on leading within complex systems Observations from our experience Recognising where we are seeing and showing
More informationSustainability and transformation plan (STP)
Sustainability and transformation plan (STP) David Bowen-Cassie, Harrow CCG Alex Dewsnap, London Borough of Harrow Sanjay Dighe, Lay Member, Harrow CCG About Harrow A population of more than 239,000 people
More informationNHS LEWISHAM CLINICAL COMMISSIONING GROUP. COMMISSIONING INTENTIONS 2014/15 and 2015/16
NHS LEWISHAM CLINICAL COMMISSIONING GROUP COMMISSIONING INTENTIONS 2014/15 and 2015/16 1 CONTENTS Introduction 1. Who We Are p5-6 1.1 CCG s Responsibilities p5 1.2 Partnership Working p6 2. CCG s Strategic
More informationMEETING 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 informationOur Achievements. CQC Inspection 2016
Our Achievements CQC Inspection 2016 Issued February 2017 HOW FAR WE VE COME SAFE Last year, we set out our achievements in a document for staff and patients. It was extremely well received, and as a result,
More informationPerformance and Quality Report Sean Morgan Director of Performance and Delivery Mary Hopper Director of Quality Dino Pardhanani, Clinical Director
Sutton CCG Clinical Commissioning Group Governing Body Date Thursday, 06 September 2018 Document Title Lead Director (Name and Role) Clinical Sponsor (Name and Role) Performance and Quality Report Sean
More informationLooked After Children Annual Report
Looked After Children Annual Report Reporting period April 2016 March 2017 Authors Maxine Lomax - Designated Nurse for Child Protection & Looked After Children Dr. Bin Hooi Low - Designated Doctor for
More informationThe RCM s Role in Delivering Safe Maternity Care. Gill Walton Chief Executive
The RCM s Role in Delivering Safe Maternity Care Gill Walton Chief Executive Overview 2 What is the RCM s purpose? My priorities Safety, Partnership, Leadership Our activity What is the RCM s purpose?
More informationGeneral Practice Commissioning Strategy Development
General Practice Commissioning Strategy Development Katharine Denton (Wandsworth CCG) 3 December 2014 Version 5. 03.12.2014 1 1. Introduction Strong General Practice is at the heart of any high quality
More informationThe START project: Getting research into the patient pathway
The START project: Getting research into the patient pathway Gill Livingston Department of Mental Health Science Camden & Islington NHS Foundation Trust Dementia in the UK 820,000 people in UK with dementia
More informationAgenda Item No. 9. Key Information
Key Information Name of footprint and no: Sussex and East Surrey (33) Region: NHSE South Nominated lead of the footprint including organisation/function: Michael Wilson, Chief Executive, Surrey and Sussex
More information21 March NHS Providers ON THE DAY BRIEFING Page 1
21 March 2018 NHS Providers ON THE DAY BRIEFING Page 1 2016-17 (Revised) 2017-18 (Revised) 2018-19 2019-20 (Indicative budget) 2020-21 (Indicative budget) Total revenue budget ( m) 106,528 110,002 114,269
More informationIntegrated 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 informationThe Yorkshire & Humber Improvement Academy Clinical Leadership Training Programme
The Yorkshire & Humber Improvement Academy Clinical Leadership Training Programme The Improvement Academy (IA) is one of the leading quality and safety improvement networks in the UK. The IA works across
More informationNHS 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 informationCommissioning Intentions 2019 / 20
Commissioning Intentions 2019 / 20 September 2018 Version 1.1 Final version. Approved at JCC on 26th September (by Jon Singfield - 24/09/18) 1) Introduction Introduction The development of commissioning
More informationSt Mary s Birth Centre
University Hospitals of Leicester NHS Trust St Mary s Birth Centre Quality report Thorpe Road Melton Mowbray Leicestershire LE13 1SJ Tel: 0300 303 1573 www.uhl-tr.nhs.uk Date of inspection visit: 13-16
More informationNHS GP practices and GP out-of-hours services
How CQC regulates: NHS GP practices and GP out-of-hours services Appendices to the provider handbook March 2015 Contents Appendix A: Population group definitions... 3 Older people... 3 People with long-term
More informationPerinatal 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 informationAnnual 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 informationThis will activate and empower people to become more confident to manage their own health.
Mid Nottinghamshire Self Care Strategy 2014-2019 Forward The Mid Nottinghamshire Self Care Strategy will be the vehicle which underpins our vision to deliver an increased understanding of and knowledge
More informationOur NHS, our future. This Briefing outlines the main points of the report. Introduction
the voice of NHS leadership briefing OCTOBER 2007 ISSUE 150 Our NHS, our future Lord Darzi s NHS next stage review, interim report Key points The interim report sets out a vision of an NHS that is fair,
More informationSuffolk 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 informationDeveloping the culture of compassionate care: creating a new vision for nurses, midwives and care-givers
Developing the culture of compassionate care: creating a new vision for nurses, midwives and care-givers Organisation: Sue Ryder Author: Lotte Good, Senior Policy and Campaigns Officer Email: Charlotte.good@sueryder.org
More informationDetails of this service and further information can be found at:
The purpose of this briefing is to explain how the Family Nurse Partnership programme operates in Sutton, including referral criteria and contact details. It also provides details about the benefits of
More informationImproving the prevention, early detection and management of Acute Kidney Injury (AKI) in Wessex
Improving the prevention, early detection and management of Acute Kidney Injury (AKI) in Wessex The case for change AKI is recognised as a major public health and patient safety concern nationally and
More informationModule 1: PAM. implementation - quick guide
1 Module 1: PAM implementation - quick guide NHS England INFORMATION READER BOX Directorate Medical Operations and Information Specialised Commissioning Nursing Trans. & Corp. Ops. Strategy & Innovation
More informationSCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN
Appendix-2016-59 Borders NHS Board SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN Aim To bring to the Board s attention the Scottish
More informationRCPsych Summary/Briefing. NHS England Five Year Forward View (http://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf)
RCPsych Summary/Briefing NHS England Five Year Forward View (http://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf) Note: the following is not exhaustive, and reading relevant sections of the
More informationNES NES/17/25 Item 8a (Enclosure) March 2017 NHS Education for Scotland Board Paper Summary 1. Title of Paper 2. Author(s) of Paper
NES Item 8a March 2017 NES/17/25 (Enclosure) NHS Education for Scotland Board Paper Summary 1. Title of Paper NHS Education for Scotland Local Delivery Plan (LDP) 2017-18. 2. Author(s) of Paper Donald
More informationHalton. Local system review report Health and Wellbeing Board. Background and scope of the local system review. The review team
Halton Local system review report Health and Wellbeing Board Date of review: 21-25 August 2017 Background and scope of the local system review This review has been carried out following a request from
More informationSustainable clinical and care models
England Sustainable, Resilient, Healthy People & Places Module: Sustainable clinical and care models Module: Sustainable clinical and care models Vision: Quality services and systems include sustainability
More informationDRAFT Service Specification GP-led Urgent Treatment Centre (UTC) Service
DRAFT Service Specification GP-led Urgent Treatment Centre (UTC) Service Executive summary: The Cornwall Sustainability and Transformation Plan known as Shaping our Future will describe a new model of
More informationQuality Surveillance Team. Neonatal Critical Care (NCC) Quality Indicators
Quality Surveillance Team Neonatal Critical Care (NCC) Quality Indicators Neonatal Critical Care Quality Indicators Introduction These neonatal critical care quality indicators have been developed using
More informationNorth 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 informationThe Infant-Parent Perinatal Service
The 7 th FEBRUARY 2014 - PERINATAL MENTAL HEALTH DISCUSSION DAY OXFORD HEALTH GERRY BYRNE (Clinical Lead, FASS, IPPS, ReConnect) Consultant Nurse & Consultant Psychotherapist JUDITH RICHARDSON (Clinician,
More informationOur Healthier South East London Consolidated Strategy. Draft v1.0 June 2015
Our Healthier South East London Consolidated Strategy Draft v1.0 June 2015 Section Page No. Executive Summary 3 Purpose of the document 35 Introduction to south east London 38 Introduction to the Our Healthier
More informationWELCOME. To our first Annual General Meeting (AGM) Local clinicians working with local people for a healthier future
WELCOME To our first Annual General Meeting (AGM) AGM agenda 1:00pm TIME ITEM LEAD Welcome and Governing Body introductions Liz Wise, Chief Officer 1:05pm 1:25pm 1:35pm 1:50pm Presentation of the Annual
More informationCambridgeshire and Peterborough Sustainability and Transformation Plan / Fit for the Future Programme. Frequently Asked Questions Second Edition
Cambridgeshire and Peterborough Sustainability and Transformation Plan / Fit for the Future Programme Frequently Asked Questions Second Edition Contents Introduction to the Sustainability and Transformation
More informationGuideline 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 informationMain 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 informationQuality Strategy and Improvement Plan
Quality Strategy and Improvement Plan 2015-2018 STRATEGY DOCUMENT DETAILS Status: FINAL Originating Date: October 2015 Date Ratified: Next Review Date: April 2018 Accountable Director: Strategy Authors:
More informationMelanie Craig NHS Great Yarmouth and Waveney CCG Chief Officer. Rebecca Driver, STP Communications and Jane Harper-Smith, STP Programme Director
Agenda Item: 9 Governing Body Thursday 25 January 2018 Subject: Presented By: Prepared By: Submitted To: Purpose of Paper: Norfolk and Waveney Sustainability and Transformation Partnership Update Melanie
More informationNHS England (London) Assurance of the BEH Clinical Strategy
NHS England (London) Assurance of the BEH Clinical Strategy NHS England (London) Assurance of the BEH Clinical Strategy Status Report 8 th September 203 - Version.0 2 Contents. Overview & Executive Summary
More informationTelford and Wrekin Clinical Commissioning Group. Prospectus 2013/2014
Telford and Wrekin Clinical Commissioning Group Prospectus 2013/2014 Who we are Telford and Wrekin Clinical Commissioning Group (CCG) is responsible for healthcare in the Telford and Wrekin area. We Plan
More information2017/ /19. Summary Operational Plan
2017/18 2018/19 Summary Operational Plan Introduction This is the summary Operational Plan for Central Manchester University Hospitals NHS Foundation Trust (CMFT) for 2017/18 2018/19. It sets out how we
More informationNHS England (Wessex) Clinical Senate and Strategic Networks. Accountability and Governance Arrangements
NHS England (Wessex) Clinical Senate and Strategic Networks Accountability and Governance Arrangements Version 6.0 Document Location: This document is only valid on the day it was printed. Location/Path
More informationWelcome Overview of our Health Coaching Workshop
30 September 2014 Welcome Overview of our Health Coaching Workshop Karen Bloomfield, Leadership and Organisational Development Manager Aims To share experience and provide a resourceful and supportive
More information