Newsletter Issue 2 May 2011 Apologies that May Federation Newsletter isn t reaching you until June CONTENTS Front Page Page 2 Pages 3-5 Pages 6-10 Pages 11-12 Page 13 Amendments and Additions to Contact Details Current NHS Hierarchy Pathfinder Status Why? Preparation for Devolvement of Commissioning STARRS Service Mailing List, Thanks and Last Orders Coming in your next edition Brent PCT Staff Directory Contact details for Brent GP practices including website addresses Contact details for Brent Pharmacists Your requests included All Federation Newsletters can be found on the Brent Federation website www.brentfed.nhs.uk Amendments to contact details: Correct email address for Dr Ethie Kong etheldreda.kong@nhs.net Until at least 8th July, 2011 Grahame Bostock grahame.bostock@nhs.net will be covering Mary Cleary s maternity leave as Associate Director for GP Commissioning Consortium. He will also act as Deputy Borough Director leading on Planned Care until the appointment of an Associate Director in.
Current NHS Hierarchy Queen Parliament Prime Minister(s) Secretary of State for Health Department of Health NHS London (Strategic Health Authority) 32 London Boroughs 31 Primary Care Trusts (PCTs) Population of approximately 7.2 million people North West Cluster (Sector) (Sub Section of NHS London) Divided into 3 clusters of PCTs Hammersmith & Fulham, Kensington & Chelsea and Westminster Brent and Harrow PCTs Population of around 530,000 people Ealing, Hammersmith and Hounslow NHS Brent (Brent PCT) Including GP Commissioning Executive (GPCE) Population of around 300,000 people Opticians, Pharmacists, Opticians and Dentists Brent GP Federation Consisting of 5 GP Consortia,,, and GP Practices 2
To help Brent prepare for the devolvement of commissioning we have applied for 2 programmes that give us funding and resources for development and training of the necessary skills One is National the other Londonwide 1. The NATIONAL Pathfinder Programme The objective of establishing pathfinders is to empower pioneering groups of GP practices that want to press ahead with commissioning care for patients. The Department of Health has outlined the goals of the pathfinder programme to: Identify and support groups of practices that are keen to make faster progress in line with the proposals set out in Equity and Excellence: Liberating the NHS; Enable GPs, working with other health and care professionals, to test different design concepts for GP consortia and identify issues and areas of learning to share more widely; Create learning networks across the country to ensure that experience and best practice are shared and spread; and Involve these front line clinicians more in delivering the Quality, Innovation, Productivity & Prevention (QIPP) agenda Pathfinders are groups of GP practices who are able to show they meet the three criteria set by the Secretary of State: Evidence of local GP leadership and support Evidence of Local Authority engagement, or An ability to contribute to the delivery of the local QIPP agenda in their locality By the end of May Brent Federation will Identify those budgets it will apply for by the end of June (to be held at Federation or Consortia level) e.g., community cannot be held at consortium level as unable to disaggregate at present Respond that cannot take all budgets by end of September Apply for the 2 per head (c. 700,000) Put forward an outline development plan based on the London pathfinder toolkits A governance agreement between the sub cluster and the Federation is well advanced for delegated and indicative budgets that will provide the basis for the Federation governance agreement with the cluster including consortium constitutions covering practice responsibilities A GP commissioning incentive scheme ( 3 per head) supports consortia management allowance, implementation of QIPP, achievement of priority targets, linking QOF peer review and QIPP to consortia arrangements and staying within budget Borough structure is in place but 3/15 posts vacant and 1 8d and 1 prescribing adviser on maternity leave As a QIPP initiative for 2012/13 we are exploring scope for greater integration with the council 3
2. LONDON s GP Consortia Development Programme Additionally pathfinders are being offered a bursary from London s Multi Professional Education and Training Budget (MPET) to support their development as commissioning organisations (This was due to go live in April 2011 but has been delayed as a result of legal challenge) London s GP consortia development programme has been developed to support GP commissioning consortia in progressing towards taking on delegated responsibilities and authorisation. The London programme aligns with the national pathfinder programme and has three aspects: A development framework which provides a set of phases consortia will progress through as they develop and work towards authorisation as statutory bodies Development support which will provide GP consortia with support in developing their leaders, teams and organisations Funding to support the development of GP consortia Each pathfinder is being offered a bursary based on: 75,000 Plus 40 pence per registered patient within the pathfinder (c. 215,000 for Brent) Total Budget of c. 290,0000 This bursary available is for use in 2011/12, and is non-recurrent The bursary is intended to provide support to London s pathfinders in developing their leaders, team and organisations The core of this support process is the London Pathfinder Toolkit, which provides an integrated approach to developing these three areas Provider alliances from the London Leadership and Organisational Development Framework will support the pathfinder in implementing the Toolkit 4
In addition to the support provided by provider alliances the London Pathfinder Toolkit provides pathfinders with a set of additional resources to help them develop their commissioning skills and as commissioning organisations: Commissioning guides Assessing health needs Reviewing current provision Capacity planning Identifying gaps and priorities Service redesign Demand management Monitoring activity and quality Invoicing, data validation and payment Involving patients Working with local authorities Expert sessions Governance Using data to define health need Contracting Financial management Advice documents Transitioning to become a statutory organisation 5
Have you wondered what projects your Consortium, Brent Federation and PCT have been working on in preparation for devolved commissioning? Here is the first working document showing you this. It was correct as of May 2011 and will change as new projects come on board, staff are recruited to vacancies and new members become involved Band 8d staff are Associate Directors and 8a Service Improvement Managers Federation Lead Consortium Lead MGMT Lead QIPP Initiatives Budget Management All Clinical Directors Jo Ohlson Sami/Ethie/Caroline/Sameer Tessa Sandall Mandy Jenny Eric Simon Helen Poole Ajit Upma Angela Sarah Mansuralli Jahan Mahmoodi Sarah Cherry Shazia Krisztina Tessa Sandall Planned Care Ashwin Patel - Cardiology Sami/Ethie/Caoline/Sameer Amanda Craig - MSK Simon/Eric Ethie Kong - Ophthalmology Ajit/Upma Ajit Shah - Respiratory Ashwin Cherry Armstrong ENT Shazia Sarah Basham Gastroenterology/Maternity Sarah Basham - Gastro/Paeds Jahan Mahmoodi - Dermatology Grahame Bostock PPwT & IFR Sami Sarah Mansuralli Ethie Sameer Lorraine Cooper Mandy Eric Upma Caroline Davidson Ashwin Claire Cheshire Cherry Shazia Dimitri Varsamis Case Management Mandy Helen Poole Ethie/Sami Dimitri Varsamis Eric Dimitri Varsamis Angela/Ajit Dimitri Varsamis Jai/Nish Dimitri Varsamis Cherry Dimitri Varsamis Risk Tool Sami/Sarah Helen Poole Dimitri Varsamis Dimitri Varsamis Dimitri Varsamis Dimitri Varsamis Dimitri Varsamis 6
STARRS Cherry Helen Poole Ethie/Sami/Caroline/Sameer Claire Cheshire Mandy Jenny Eric Simon Claire Cheshire Upma Claire Cheshire Ashwin Claire Cheshire Sarah Cherry Shazia Krisztina Claire Cheshire Urgent Care Centre (UCC) Jahan Sarah - Paeds Tessa Sandall Sami Ethie Long Term Conditions (LTC) Ethie Kong/Tessa Sandall - Diabetes Sami Ansari - Sickle Cell Ajit Caroline Davidson End of Life Care Cherry Tessa Sandall Sameer TBI Angela TBI TBI Prescribing Jo Ohlson Ethie - Chair MMC & member NWLDTC Ethie Asim Eric DTC Simon - Imperial Simon Eric Nitin Ajit vacancy Ashwin Mat leave Sarah Basham - CNWL Sarah Theo Mental Health Mandy, Cherry, Sarah (CAMHS) Sarah Mansuralli CAMHS IAPT Mandy, Cherry Sarah Mansuralli Sameer Mandy Rhiannon Nish Cherry 7
Community Contract 2% Mandy & Sarah New QIPP Initiatives Helen Poole / Lorraine Cooper Integration with council Sarah Alison/Jo Ohlson Additional 1% All CDs Network practices All CDs Tessa Sandall Claire Cheshire Ashwin Jahan Nish Jai Acute Contract/CNG /CQG Jahan Sami Ethie Sarah paeds maternity Gina Shakespeare Immunisation Ashwin Tessa Sandall N/A Eric Upma Ashwin Padma Bhargavia Smoking Jahan Simon Bowen Carolyn Matthews N/A Angelene Upma Jahan Padma Vascular Risk Assessment Ajit Simon Bowen Ketana N/A Ajit Ashwin 8
Other Activities Communications Angela Jenny Krisztina Admin Angela Jai Krisztina Patient Participation Ethie Caroline Angelena Angela Jahan Sarah Krisztina Caroline Davison All 8As and 8ds Support MGMT Leads Budget Setting Caroline Jenny Sarah 8Ds attend meetings Caroline Jenny Angela Nish & Jai Krisztina NWLH & Ealing Merger All GPs Brent Council O&S Integrated working Joint commissioning & community Liaison Jahan Sarah Ajit Mandy Jenny Ethie Cherry Jahan Jo Ohlson Shadow Health & Well Being Board All CDs Jo Ohlson Cluster CSG Mentoring of Team Jahan Mandy Ethie Sarah Cherry All CDS Information Technology Tessa Sandall Education & Training Ethie Sami Upma Ashwin Krisztina 9
Referral MGMT Ashwin Nish Jai Sarah Shazia 8a's doing - 8d s overseeing Governance Ajit Ashwin Jahan Cherry Sarah Shazia Krysztina practices Each Cluster: 8A Coming in the next edition Brent PCT contact directory 10
020 8453 2233 STARRS Rapid Response Rehabilitation A service designed to help reduce the length of stay of patients in hospital, to reduce hospital admissions and readmissions by continuing their care at home Short Term Assessment, Rehabilitation and Reablement Service STARRS is a service offering a range of health care, rehabilitation and reablement for patients in Brent. It has been developed by North West London Hospital Trust, NHS Brent and Brent Social Services. Working across a number of organisations STARRS provides a range of services including rapid response, discharge support and rehabilitation. It also facilitates access to community health beds at Hospital and social care. Patients are referred by clinicians from one of our three hospitals or by their GP. Patients must be over 18 years of age. An indication of the conditions in which STARRS may be able to help: Chronis Obstructive pulmonary disease (COPD) O2 assessment / nebulisers Heart failure Some unstable diabetes and complications Dehydration and gastroenteritis Some diarrhoea and vomiting Some asthma (not acute) Uncontrolled hypertension Dizziness Some pain management (some acute and some chronic) Cellulitis and other infections DVT and some asymptomatic PE (following agreement with acute physicians) Falls Reduced mobility Some frail elderly patients Pyelonephritis Iron deficiency anaemia Influenza and some pneumonias IV injections Any other crisis which may result in inappropriate hospital admission Some urgent social care interventions STARRS Continued.. 11
STARRS includes a: Rapid Response and Early Hospital Discharge team includes a multi-disciplinary team of 18 nurses, 8 physiotherapists 4 occupational therapists (OT), a consultant physician, health care support workers and an administration team as a single point of access. STARRS community Rehabilitation Service (used to BRS) includes 12 physiotherapists, 4 Occupational Therapists and Dietitian. The STARRS TEAM - Based at Central Middlesex Hospital Margaret Magee STARRS Manager Nipa Shah Rehabilitation team manger Judith Thomas, Clinical Team leader Monica Bowles SPA and Admin lead STARS Advisory Consultants: Dr David Adeboyeku Consultant Respiratory Mrs Maria Buxton Consultant physiotherapist Respiratory Dr Charles Cayley Consultant Care of the Elderly Dr Mark Dancy Consultant Cardiologist Dr Wingmay Kong Consultant Endocrine Dr Vince Mak Consultant Respiratory Mrs Audrey Alimo Consultant Nurse Heart Failure NHS Brent Leads Dr Cherry Armstrong GP Lead - STARRS Helen Poole Associate Director Brent PCT Claire Cheshire Services Improvement Manager Brent PCT Brent Rehabilitation Service (BRS) Intermediate care rehabilitation and neurological rehabilitation IS now part of STARRS Musculoskeletal rehabilitation service (MSK) is NOT part of STARRS Referrals to STARRS: 020 8453 2233 Monday-Friday 8am-6pm Saturday, Sunday and bank holidays 9am-3pm Outside of these hours refer the patient to A&E requesting that the Rapid Response Team review the patient the following morning. A&E will then contact STARRS 1. Please ring the STARRS team and discuss the presenting complaints directly with the duty clinician. Please do not give the telephone number to patients. 2. Following the initial assessment a management plan will be agreed with the GP 3. The team will keep you informed of the patient s progress 4. Once the patient is improving STARRS will ensure that other services are in place such as district nursing and social services etc. They will send you a summary of their care and ongoing services. STARRS does NOT deal with life-threatening conditions that require immediate medical intervention. Refer to A&E for these services For more information visit: www.nwlh.nhs.uk/services/starrs 12
If you know someone that would like to be added to the emailing list or if you would like to be removed from the mailing list for the federation newsletter please either advise your Locality Coordinator or contact Angela Reeves at angela.reeves@nhs.net Thank you very much for contributions and suggestions to the May Newsletter: Cherry Armstrong, Sarah Basham, Eric Britton, Claire Cheshire, Caroline Kerby, Jo Ohlson, Jenny Poole, Helen Poole and Tessa Sandall Great things are done by a series of small things brought together. Vincent Van Gogh 13