Annual General Meeting 2019 Peter Cruttenden, Chair of the - - PowerPoint PPT Presentation

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Annual General Meeting 2019 Peter Cruttenden, Chair of the - - PowerPoint PPT Presentation

Annual General Meeting 2019 Peter Cruttenden, Chair of the Hampshire and Isle of Wight Partnership Board Dr David Chilvers, Clinical Chair Maggie MacIsaac , Chief Executive Sara Tiller , Managing Director Working together for our local


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Annual General Meeting 2019

Working together for our local communities

Peter Cruttenden, Chair of the Hampshire and Isle of Wight Partnership Board Dr David Chilvers, Clinical Chair Maggie MacIsaac, Chief Executive Sara Tiller, Managing Director

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About the Partnership

We develop, plan and pay for health services for more than 1 million local people across Hampshire and Isle of Wight. We work with patients, public, voluntary, statutory and private sector partners. Total annual budget of £1.4 billion Partnership of five clinical commissioning groups:

  • Fareham and Gosport/
  • South Eastern Hampshire
  • Isle of Wight
  • North Hampshire
  • North East Hampshire

and Farnham

Working together for

  • ur local communities
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Quality, Performance & Money

Our priorities and objectives

We will ensure that local people have consistent access to timely high quality care, in line with the NHS constitution. We will improve efficiency and value for money so that we manage within the available budget. We will achieve this by fully implementing models of care in all localities, working with patients and partners in order to improve outcomes and experience, and to make services sustainable. We will succeed by supporting the development of our workforce and member

  • practices. We will reform

the way we and the commissioning system work, planning and delivering care with our partners - locally, in integrated health and care systems, and at scale across the Partnership.

Implementing models of care People, Systems and Partnership

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How are we performing?

We have continued to experience sustained pressure across the Partnership – particularly in acute care and mental health services (for both children and adults). However there are improvements and signs of recovering including:

  • Increased investment in mental

health (adults and children) and care in the community.

  • We are reducing the

number of delays in discharge across the whole area.

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SLIDE 5

South Eastern Hampshire budget 2018/2019

Acute £155m Mental Health £25m Community Services £33m Primary care £42m

* All figures shown in millions

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SLIDE 6

Partnership budget 2018/2019

Acute

£598m

Mental Health

£102m

Community Services

£108m

Continuing care

£93m

Prescribing

* All figures shown in millions

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SLIDE 7

111 Call £8.10 Non-Elective inpatient £2,543 Critical Care £1,466 Elective Outpatient £182 Knee Replacement £6,586 Cataract Procedure £740 Minor Injury £69 999 Call £252 Pathology Test £1.70

Cost of treatments

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Tackling the big issues

  • 1. Develop a robust workforce
  • 2. Sustainable health and

care

  • 3. Enhanced Primary Care

We are working together with our partners to address these issues so that we can deliver real change which will improve the health and wellbeing of our local communities.

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SLIDE 9

In the news…

BBC South Today interviews the Complex Care Team

“The doctor will see you now” column in The Basingstoke Gazette

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Changing the model of care

Benefits: right care in the right place at the right time

More joined up care delivered around patient’s needs More care in community and primary care settings Avoiding the need for hospital stays Supporting people to stay well Joined up care for those with the most complex needs Improving access to specialist care Integrating urgent and emergency care 24/7 Ensuring people

  • nly go to

hospital when it’s essential, and leave as soon as they are medically fit, with the right support

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Care models in action

Working differently to care for children Benefits: right care in the right place at the right time

Enhanced care for children Reduction in

  • utpatient referrals

Reduction in GP and ED attendances

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Care models in action

Helping GP practices remain resilient across the Isle of Wight

Supporting GPs

  • Providing coaching, mentoring and buddying training
  • Creating opportunities for GPs in the last five years of their careers
  • Developing support networks
  • Helping GPs understand career opportunities
  • Developing a website and marketing approach to recruit more GPs

Making an impact

  • Over 100 GPs have been supported through initiatives such as portfolio careers,

peer networks, mentoring/coaching and buddying

  • 6 trainee GPs have elected to stay on the Island
  • ‘Dream Medical’ has resulted in 7 GPs currently in the process of being recruited
  • The Legacy-5 support project has been highlighted by NHS England in its soon to

be published GP Retention toolkit

  • Work nominated for a parliamentary award by Bob Seely MP

Benefits: right care in the right place at the right time

Over 100 GPs supported 6 GP trainees staying

  • n the Island

7 GPs currently being recruited

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Care models in action

Improving the quality of life, healthcare and planning for people living in care homes across North and Mid-Hampshire

The North Hampshire pilot: 7 Care Homes, 5 GP Practices

  • Proactive care planning, greater self-care, reducing chances of health

deterioration

  • Greater engagement with residents and families
  • Improve quality of life, reducing inappropriate moves to hospital or other care

facility

  • Support improved quality of care at end of life
  • Provide essential skills for care home staff (e.g. RESPECT forms)

Multi Disciplinary Teams include:

  • GP and Advanced Nurse Practitioner
  • Pharmacist: Links with hospital/community pharmacy
  • Dietician: provides Food First training
  • Care Home Nurse Educator

Benefits: right care in the right place at the right time

Ambulance conveyances 26% below last year ED attendances are 3% below last year Emergency admissions are 27% below last year

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Care models in action

Supporting those with the most complex needs across Gosport, Fareham and south east Hampshire

The Gosport Complex Care Team pilot

  • Brings together health (GPs and Southern Health), social care and housing
  • Works with patients with the most complex health and social care needs
  • They support these individuals with their health and wellbeing
  • They help them access many forms of support and not just rely on GP contact
  • This has reduced demand on urgent care services

Patient impact Mr J, 85, has multiple illness, poor mobility, lives alone and recent bereavement. Before: “Four wall syndrome”, Isolated, lonely, poor understanding of illness, unsure how to help himself After: Attending monthly social group, weekly befriender visits, going to Memory Café, more independent, more involved in own care

Benefits: right care in the right place at the right time

Urgent hospital admissions reduced by 75% NHS111 calls / Minor Injuries Units visits reduced by 63% Extending the service into other areas

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Working with the voluntary sector

Playing a key role in the development of care models

What difference can the voluntary sector make?

  • Work with some of the most marginalised and disadvantaged people
  • Provide highly effective early intervention and prevention services
  • Engage with people that mainstream services can struggle to reach
  • Reduce health inequalities
  • Support people and communities with some of the most complex health issues

How are we already working together?

  • Surgery Signposters – linking people with local support
  • Home from hospital service – supporting people after a hospital stay
  • No Limits – offering free and confidential support for young people
  • Hampshire and Isle of Wight Social Prescribing Network – working together

Benefits: right care in the right place at the right time

Helping people to self-manage their health and wellbeing Reducing the need to see a healthcare professional Linking people with support in their local community

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Primary Care is changing

GP practices are working together with community services, social care and the voluntary sector, as Primary Care Networks, to offer more personalised, coordinated health and social care

What will Primary Care Networks do?

  • Develop over the next five years with funding
  • Deliver extended hours services and NHS Long Term Plan commitments such as

structured medication reviews and optimisation and enhanced health in care homes

  • Introduce new roles – Clinical Pharmacists, Social Prescribers, First Contact

Physiotherapists, Physician’s Associates and Community Paramedics

  • Work together to deliver better outcomes for patients closer to home
  • Improve the resilience of primary care
  • Build on work we’ve done so far

Benefits: right care in the right place at the right time

Delivering better patient outcomes Developing a changing workforce Working with a range

  • f partners
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Thank you for coming. Please stay to meet our Partnership Board.