Annual General Meeting 17/18 19 September 2018 Agenda 5.45 pm - - PowerPoint PPT Presentation
Ealing CCG Annual General Meeting 17/18 19 September 2018 Agenda 5.45 pm Welcome & Introduction Vijay Tailor 5.50 pm Local Achievements Tessa Sandall 6.00 pm Working in Collaboration across NWL Mark Easton 6.10 pm Quality and Safeguarding
5.45 pm Welcome & Introduction Vijay Tailor 5.50 pm Local Achievements Tessa Sandall 6.00 pm Working in Collaboration across NWL Mark Easton 6.10 pm Quality and Safeguarding Diane Jones 6.15 pm Annual Accounts 2017/18 Neil Ferrelly 6.20 pm 2018/19 Priorities Tessa Sandall 6.25 pm Questions All 6.45 pm Close
Care Coordination Service – Referrals to the Service
Care Coordination – Bringing care into your home
Michael
“Our patients have been extremely impressed with the quality and responsiveness of the team. I have found the Care Coordinators to be professional and helpful. They add an extra dimension to primary care; speaking directly with social workers, coordinating appointments, acting as patient advocates in a range of circumstances and referring to the voluntary sector of which they have an extensive knowledge.” (Feedback from Nurse Practitioner, Cuckoo Lane Surgery)
Contact Details: Ealing CCG Care Coordination Service Email: EALCCG.CareCo-ordinatorReferrals@nhs.net Tel: 020 8280 8110 or 020 8280 8098
Key principle to the investment in general practice is that patients in Ealing should expect to access a consistent set of services anywhere across the borough
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Equality of access Consistency of service Consistent quality of care
Improved access for patients by: All practices being open from 8am – 6.30 pm from Monday to Friday Access to 3 access hubs across Ealing (Elmbank Surgery in Greenford, Florence Road Surgery in Ealing and Sunrise Medical Centre in Southall) from 6.30pm to 8pm Monday to Friday, Saturday, Sunday and all Bank Holidays 8am to 8pm. This is an additional 94 hours per week across 3 hubs on top of the core opening times of 8am to 6.30pm for all practices. Improved health outcomes by: Early identification through screening and health checks Improved care co-ordination for patients with complex health needs Reduction in variability by: Minimum standards across a range of therapy areas, including respiratory conditions, musculoskeletal conditions, cardiovascular disease and diabetes. Key performance indicators across all services
Cancer Screening - we spearheaded a new approach bowel screening to increase the number of people in Ealing who are screened.
Early Detection - We are currently diagnosing 53% of cancer at Stage One and Two. Treatment Standards - We have been working in partnership with our hospitals to make sure that people who are referred by their GP with a suspected cancer get access to the diagnostics and treatment that they need as quickly as possible and as set out by the National Cancer Waits Standards.
Cancer Survival - We have more people under the age of 75 surviving cancer than both the England and London average. In addition, 74% of Ealing residents survive for the first 12 months after diagnosis, this is 2% higher than the national average.
Improving Health Outcomes for Ealing: Mental Health
This year has been a year of refining and improving upon work streams for previous years - some updates:
diagnostic support
(LTC): Work continues across NW London to improve IAPT access for those with LTC, especially Diabetes
is to ensure annual physical health checks to prevent, identify and manage physical health issues.
primary care, increase links with more practices to support the ES
Transformation Board: “CEDS continues to work well and is viewed in a very positive light by a range of key stakeholders. Internally the service has just been short-listed for a Quality Award.”
2017/18. This means that the CCG increased its spending on mental health services by at least the percentage increase it received in the allocation. For Ealing, this means spending 2.1% more on mental health in 2017/18 than in 2016/17.
agreed to work together where it benefits patients
joint leadership structure and committee across our eight CCGs in NW London
eight clinical commissioning groups can, in designated areas, make decisions that apply to all of NW London once rather than eight times through each CCG.
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We want to provide better access to care round the clock and better outcomes for our patients We know that the best way to achieve this is to work together where appropriate and avoid unnecessary duplication Taking a joint approach to certain decisions will provide the CCGs with a stronger negotiating power Importantly it will therefore help reduce the variation in care for patients meaning equal access to the same high quality services wherever you live in NW London.
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A single Accountable Officer and Finance and Quality Directors that sit on each governing body with local teams. We do once across NWL the things best done at that level.
Joint Committee of CCGs with delegated powers once revised constitutions are agreed. CCGs remain as sovereign statutory bodies.
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We can achieve so much more working together so far though our joint working across NW London we have…..
Improved maternity and children's care in our hospitals controlled more patients’ diabetes than ever before through our award winning diabetes programme supported 1000s of patients to get home from hospital up to two days earlier, thanks to home support programme ‘Home First’ a dedicated 24/7 mental health crisis line, that anyone can call for support, every month this service receives 8000 calls developed a radiology career framework, a national first to train and keep radiographers in NW London………………plus many more programmes
Patient Experience and Equalities Combined Report including:
Equality Impact Analysis / Assessments 4 Year Equality Objectives Public Sector Equality Duty Annual Report
Patient Safety Open and transparent SI oversight / governance Weekly SI panels with robust review and challenge Revised National SI Framework pending Collaboration & Partnership System working across interfaces between primary / secondary commissioning Maintaining productive relationships with Trusts Driving quality improvement Quarterly thematic reviews and deep dives for shared learning Programme of quality assurance visits Responding to CCG delegation / devolved responsibilities Collaborative development of a quality assurance framework for primary care Developing work stream for 2018/19 Reducing variation / increasing efficiency Integration of Patient Safety Teams Live work stream for 2018/19
knowledge, derived from research, clinical experience and patient preferences to achieve optimum processes and outcomes of care for patients. The process involves a framework of informing, changing and monitoring practice.”
bodies such as NICE Guidance
Clinical effectiveness Areas of Delivery
£629k higher than planned surplus, per NHS England directive of releasing STP reserves to offset a national prescribing cost pressure.
We want to continue to work in partnership with health and social care providers, the voluntary sector and our local population to help people living in Ealing stay as healthily as possible, with a particular focus on:
problems and reduce their chance of having a Heart Attack or Stroke.
quality care out of hospital. Helping people to stay well and out of hospital.
to prevent people having strokes.
detected at an early stage, increasing cancer mortality for people living in Ealing.
Hospital Services, with an aim of improving patient outcomes, quality and the delivered pathways of care. The contract will be a 10 year contract with and a range of transformation milestones and performance incentive payments
package of care is provided; IAPT and LTC - expansion of this across other LTCs: respiratory, heart failure, chronic pain, cancer