EMBARGOED UNTIL DATE OF MEETING Glasgow City CHP Item No. 5 CHP Committee Meeting Date: Wednesday, 25 June 2014 Paper No 2014/023 Subject: CHP Development Plan 2014/15 Presented by: Recommendation(s) Summary/ Background Heads of Planning & That the Committee consider the attached summary version of the CHP Development Plan 2014/15 focusing on the CHP s key priorities. At the last CHP Committee meeting a report was received on the CHP s Development Plan for 2014/15, following consideration of the draft Plan at the CHP Committee seminar on 27 March 2014. The Plan has been finalised and submitted to the NHS Board, as required by the Board s planning guidance, and will now form part of the CHP s accountability arrangements with the Board. However, in considering the CHP Development Plan comment was made by both the Committee and the Staff Partnership Forum that the format of the Plan was not user-friendly, and as a consequence it was difficult to identify the CHP s key priorities for 2014/15. In response work has been done on a revised format with the intention of making it clearer the key actions the CHP intends to progress in 2014/15, and how these relate to the Board s corporate priorities, and the relevant performance measures. The attached version of the Plan has been tested with staff, PPFs and senior managers in the CHP and the response has been positive. Further work is planned to refine the wording of the text to ensure clarity of actions, outcomes and performance measures. The Plan will be used by the CHP s Scrutiny Group as part of its routine monitoring of progress on implementation. Policy/ Legislative Context The Development Plan has been produced in line with the NHS Board s planning guidance which reflects national policy and legislation. Financial Implications The Development Plan for 2014/15 outlines our financial plans. Human Resources Implications The Development Plan for 2014/15 includes a section on organisational effectiveness and outlines the key human resource issues. Service User/Carer Engagement Equalities Implications Partnership Implications PPFs and other stakeholder groups have been engaged on the draft Development Plan and in relation to the individual change projects listed in the Development Plan. The Development Plan outlines the major equality and inequality related issues. Partners have been involved in the development of individual change programmes and actions outlined in the Plan e.g. reshaping care
EMBARGOED UNTIL DATE OF MEETING partners, planning partners etc. The draft Plan has also been shared with Acute and Social Work colleagues. FoI/EIR Status tick If not to be made public, exemption (Section/Regulation) to be relied on under Public FoI/EIR legislation must be inserted below. Not Public Contains Personal Data DPA applies S.38 Date Report Prepared: 10 June 2014 2
Mission Statement Corporate Priorities
Early Intervention and Preventing Ill Health identification and support to vulnerable children and families Enable disadvantaged groups to use in a way which reflects their needs Increase identification of and reduce key risk factors (smoking, Increase the proportion of key conditions including cancer and dementia detected at an Enable older people to stay healthy prolonging active life and reducing Supporting the NHS Board in taking forward the 17c contract with interested GP practices Increased use of anticipatory care planning HT 1 HT 6 HT 11 KPI 2 KPI 3 Alcohol Brief Interventions (ABIs) KPI 4 % of pregnant women who book antenatal care by 12 th week of gestation KPI 7 O 10 Quits at 12 weeks (40% most deprived) O 23 Bowel Screening Rates O 27 Cervical Screening Rates Breast Screening Rates % of women smoking in pregnancy Breastfeeding (Exclusive) at 6-8 weeks MMR at 24 months % of children reaching 30 months receiving assessment cervical, bowel and breast screening detect cancer early strategy Healthy Children Plans One Glasgow approach fluoride varnishing programme ation of comprehensive parenting strategy action plan for mental health improvement Expand the use of anticipatory care plans Extend use of 17c contracts for GPs Alcohol & Drugs Partnership s action plan Adult Support and Protection processes Support development of joint carers strategy with GCC Extend ABIs in primary & settings Reduce smoking in deprived areas Child Protection arrangements Reduce teenage pregnancies
Shifting the Balance of Care Fewer people cared for in settings inappropriate for their needs Agreed patient pathways across the system with roles and capacity clearly defined Increased support for self care and self management reducing demand for other More carers supported to continue in their caring role More people able to die at home or in their preferred place of care HT13 A&E Attendances O 55 Identified Carers with a Carers Assessment Invest in children and families teams Support GP practices to review the QoF Expand Rehab capacity to support early discharge Unscheduled Care Group action plans learning from the Change Fund to improve responses the Joint Strategic Commissioning Plan for Older People Expand based end of life care
Reshaping Care for Older People Clearly defined, sustainable models of care for older people More to support older people at home & to provide alternatives to admission where appropriate Increased use of anticipatory care planning Carers supported in their caring role d partnership working with third sector to support older people HT 7 O 44 O 50 KPI 1 Number of Bed Days Lost to Delayed Discharges HT 2 Delayed Discharges Over 4 Weeks (65+) Rate of Emergency Admission (Unplanned) Acute Bed Days for Ages 75+ HT 15 Dementia Register Bed Days Lost to Delayed Discharges for Adults with Incapacity Number of Older People on Anticipatory Care Plans Enhance the range and volume of older people s Increase early supported discharge opportunities the new model of medical support to care homes Evaluate the impact of the Change Fund Programme the Dementia Strategy Expand the range of intermediate step-up and step-down provision hospital based dementia care models Joint Strategic Commissioning Plan for Older People Reduce the use of polypharmacy
Improving Quality, Efficiency and Effectiveness Further reductions in avoidable harm and hospital acquired infections Deliver care which is more person centred, effective and efficient Patient engagement across the quality, effectiveness and efficiency programmes Developing Facing the Future Together programme to support our staff to improve quality, hear and respond to patient feedback appropriate access on measures including waiting times, access to specialist care, physical access and needs HT 4 Psychological Therapies Waiting Times HT 5 % Able to Book GP Appointment in Advance HT 8 Child and Adolescent Mental Health Services Waiting Times HT 9 Alcohol and Drugs Waiting Times HT 14 48 Hour Access to Appropriate Member of GP Practice Team Engage in improvement programmes with acute and primary care CAMHS early intervention Deliver annual QoF workshop Promote the use of My Thinking Ahead amongst District Nurses Releasing Time to Care Review hospital liaison psychiatry and psychology District Nursing Review Develop an app for health resources Redesign specialist paediatric focused on vulnerable children access to CAMHS access to psychological therapies access to Drug and Alcohol recommendations from the School and Oral Health reviews Deliver child and adolescent elements of the Mental Health Strategy for Scotland Reduce variation in prescribing practice Support implementation of the young carer s strategy Getting it Right for Every Child and the National Practice model Roll out chronic medication across Glasgow the quality and timeliness of patient information Ensure patient engagement across the quality, effectiveness and efficiency programmes Continue to reduce CO2 emissions by ensuring appropriate measures are in place Develop and implement travel plans
Tackling Inequalities Deliver health in a way which understands and responds better to individuals wider social circumstances Information on how different groups access and benefit from our is more routinely available and informs service Narrow health inequalities gap through clearly defined programmes of action by our and in conjunction with partners HT 11 KPI 2 KPI 3 Achieve Agreed Smoking Quit Rates in the most deprived Areas Bowel Screening Rates (By SIMD) Cervical Screening Rates (By SIMD) KPI 7 O 1 O 14 % of Women Smoking in Pregnancy (Most Deprived Quintile) Inequalities Targeted Cardiovascular Health Checks Breastfeeding (Exclusive) at 6-8 Weeks in 15% Most Deprived Data Zones Reduce discrimination faced by LBGT, sensory impaired and learning disabilities Extend use of routine sensitive enquiry Make information on access to more available prison healthcare healthcare for asylum seekers Address health needs of homeless people Contribute to reduction of child poverty Support UNICEF Child Friendly City Programme Reduce inequality of access and waiting times to PCMHT and psychological therapies Offer work placements to vulnerable groups Work with Macmillan to deliver financial inclusion and cancer care advice Monitor uptake across SIMD groups for all screening programmes Consider options from the legacy of Keep Well Identify cancer health inequalities between the deprived and non deprived population and reduce variation Remove age specific criteria in OPMH Undertake EQIAs for all major service change programmes Offer modern apprenticeships within our Promote the use of social benefits clauses with external providers actions from Glasgow City Tackling Poverty Group Increase HIV testing rates and improve follow up for those tested positive the Anticipatory Care toolkit within existing Keep Well practices Continue to support patients to access employability
Effective Organisation Patient feedback collected and responded to on a regular basis Increase the positive responses from staff in respect to the staff survey questions All leadership development interventions are rated as beneficial and demonstrate an impact Increase commitment to personal performance measurement and development within team development plans Develop a consistent suite of tools to identify, measure and evaluate change HT 3 Sickness Absence O 59 Staff with an e-ksf O 61 Complaints Response Time Prepare and support the move towards integration actions to deliver Facing the Future Together team working Work with leaders to deliver change and support them through leadership development the accessibility of the Team Brief Support and evaluate service change and improvement projects in respect to CHP change programme priorities Work with staff to support them when absent and reduce overall f absence levels Promote and increase eksf uptake Promote staff health through Healthy Working Lives and maintain the Gold award Update and implement the workforce plan the review of administrative systems and support