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Annual General Meeting
Welcome
Dr Tim Wilkinson Chair of the Governing Board
Improving health services…
Annual General Meeting 2014/15 15.07.15
Improving health services…
Annual General Meeting Welcome Dr Tim Wilkinson Chair of the - - PowerPoint PPT Presentation
Annual General Meeting Welcome Dr Tim Wilkinson Chair of the - - PowerPoint PPT Presentation
Annual General Meeting Welcome Dr Tim Wilkinson Chair of the Governing Board Annual General Meeting 2014/15 15.07.15 Improving health services Improving health services Programme Welcome 2020 Vision Highlights Value Making
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2020 Vision – Highlights
Dr Jim Hogan Clinical Leader and Chief Clinical Officer
Improving health services…
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Value Making
Michelle Spandley Chief Finance Officer
Improving health services…
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Financial Targets
- Expenditure - not to exceed income
- Running Cost - not to exceed £25 per head of population
- Cash - not to exceed target
- 95% of payments - to be made within 30 days
- Audit Report – not ‘qualified’
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100 people 1 19 4 16 12 1 3 2 1 6 2 2 1 1 20
adults
2 18 4 10 62
aged 20-64 years
17
aged 5- 19 years
7 24
LE at birth for men is 73 years
(10 years lower than the 20% least deprived)
LE at birth for women is 78 years
(6 years lower than the 20% least deprived)
Persons with dementia People drink alcohol to levels described as "increasing and higher risk drinkers" People living with a limiting long-term illness People diagnosed with diabetes Additional person with undiagnosed diabetes People with heart disease People with raised blood pressure People with cancer Person with severe mental illness People with asthma People who have had a stroke People with COPD Person (aged 65+) receiving Self Directed Support
If Portsmouth was a village of 100 people
Long-term unemployed Obese children Smokers aged 80+ years aged 65-79 years aged under 5 years Live in areas described as 20% most deprived in England
THE PEOPLE THE HEALTH
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Where did we spend it?
Programme costs (£M) 14/15 15/16 Acute 135 138 Community Health 29 29 Continuing Health Care 15 16 Running Costs 5 5 Mental Health 31 31 Social Care & Voluntary 8 12 Primary Care 33 34 Total 256 265
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Spend per head of population
£256m equates to: £1,176 per head Running Costs £21 Primary Care £152 Mental Health Care £142 Continuing Health Care £69 Social Care & Voluntary Sector £37 Community Based Care £132 Acute Hospital Care £623
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What do things costs?
111 Call £7.59 Non-Elective inpatient £1,888 Critical Care £1,411 Elective Outpatient £177 Knee Replacement £4,892 Pathology Test £1.82 Cataract Procedure £761 Minor Injury £62 999 Call £232
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2015/16 Planned Investments
Better Care Fund Urgent Care Centre Primary Care Investment Mental Health Voluntary Sector Development
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Portsmouth Living Well Project
Innes Richens, Chief Operating Officer Dianne Sherlock, Age UK Portsmouth Linsey Reynolds, Age UK Ged Kearney, Age UK & Solent NHS Trust
Improving health services…
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Age UK Integrated Care Model
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Portsmouth Living Well Project The purpose of the Portsmouth Living Well Project is:
- to improve health & wellbeing
- to improve the quality of care and support
- to reduce the need for people to rely on their GP
and Hospital services ..for older people living with long-term conditions, in Portsmouth.
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The Journey…
Partnership and Collaboration Agreements Development of Process, Tools and Documents Guided Conversations Coordination and collaboration Referrals
I.G.
Direct Support
Signposting
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Performance/Activity
Total Referrals Referrals Option 1 Referrals Option 2 Guided Conversions Awaiting/ scheduled 200 179 21 45 40
Quarter 1. April – June 2015
- Delayed launch – May 2015
- Early conversion rate improved
- Revised trajectory agreed
- 1000 Guided Conversations by February 2016
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Synergies/relationships
Better Care
Living Well
Integrated Personal Commissioning
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Synergies/relationships
Personalisation Integration of Health and Social Care Promoting independence Avoiding duplication Reducing social isolation Increased involvement of Voluntary and Charitable organisations Empowerment Flexible provision Improved/enhanced access to services and information Reduced Hospital Admissions Reduced reliance on Primary and Community Healthcare
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PIC workers and Volunteers
Identified by GP Risk Stratification + Older Person referred to Age UK Portsmouth Older Person Referral to I&A, (charged for) services, Voluntary Sector
1
1 Age UK Personal Independence Coordinator Age UK Volunteer
2 3 4
Guided Conversation Person centred support plan SMART goal Part of 500 Cohort Age UK Volunteer
Age UK Personal Independence Coordinator
Multi Disciplinary Team Meeting Invited to join programme
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Dependency Cycle
- Regular GP Visits
- District Nurse 3/week
- Community Matron
- Carers 3/day
- Regular unplanned hospital
admissions
- Watching TV 8+ hours/day
Increasing Acute Admission Increasing Primary Care Increasing Clinical Community Care Increasing Social Care Increasing Isolation and dependency
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What We Do
- Guided conversation, motivation,
goal setting To get to know more people To get out of her home To buy her own food To get the building work done To do something for her
- Part of clinical and social care
meetings; shared management plans and outcomes. Requested pharmacy check Telehealth Find list of builders & help put together a schedule Exercise buddy Coffee mornings, lunch clubs, shopping trips, counselling sessions, peer befriending, benefits, carer support, transport
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The story so far…
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To find out more visit
www.ageuk.org.uk/integratedcare www.knowledgebucket.org
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Close
Dr Tim Wilkinson Chair of Governing Board
Improving health services…