Brentford & Isleworth Forum GP Practices E85001 THORNBURY ROAD - - PowerPoint PPT Presentation

Brentford & Isleworth Forum GP Practices

E85001 THORNBURY ROAD CENTRE FOR HEALTH E85004 ALBANY PRACTICE E85007 ST.MARGARETS PRACTICE E85030 CHISWICK HEALTH PRACTICE E85040 WEST4 GPS E85045 TWICKENHAM PARK MEDICAL CENTRE E85060 KINGFISHER PRACTICE E85062 FIRSTCARE PRACTICE E85113 REDWOOD PRACTICE E85117 COLE PARK SURGERY E85600 WILLOW PRACTICE E85605 BRENTFORD GROUP PRACTICE E85625 CHISWICK FAMILY DRS PRACTICE E85658 HOLLY ROAD MEDICAL CENTRE E85683 GLEBE STREET SURGERY E85686 ISLEWORTH CENTRE FOR HEALTH E85692 WELLESLEY ROAD PRACTICE E85693 GROVE PARK SURGERY E85724 HIBERNIA HOUSE SURGERY E85732 GREENBROOK MANOR E85735 BRENTFORD FAMILY PRACTICE E85744 GREENBROOK ISLEWORTH E85746 GROVE PARK TERRACE SURGERY E85750 SPRING GROVE MEDICAL PRACTICE

Income and Key Clinical Areas

• Total Value of Hounslow CCG Contract with Chelsea &

Westminster Hospital Foundation Trust is £108m

• Value of activity for Brentford & Isleworth patients is approx £43m
• For Non Elective (Emergency) treatments the value for Hounslow

and B&I respectively is £58m and £25m respectively

• The Top 5 ‘emergency specialties’ for B&I patients are:

Obstetrics (Maternity) General Medicine Accident & Emergency Trauma & Orthopaedics Paediatrics (Childrens)

Brentford & Isleworth Winter Activity

October November December 2017 2016 Variance 2017 2016 Variance 2017 2016 Variance

A&E Attendances 1081 989 92 1044 967 77 1026 970 56 Non-Elective Spells 525 506 19 509 462 47 485 468 17 Elective Daycase Spells 204 209

• 5

201 240

• 39

180 194

• 14

Elective Inpatient Spells 17 20

• 3

21 34

• 13

16 22

• 6

First OP Attendances 1896 1885 11 2061 2035 26 1468 1697

• 229

Approx 13,000 A&E attendances a year (plus 2,000 on Chelsea site) About 6,000 emergency admissions every year

National Key Performance Indicators West Middlesex Site compared to London average

Key Performance Indicators Sep-17 Oct-17 Nov-17 West Middlesex London Average Variance West Middlesex London Average Variance West Middlesex London Average Variance A&E waiting times - Types 1 & 3 Depts 92.6% 87.9% 4.7% 95.5% 88.7% 6.8% 94.4% 87.3% 7.1% Cancer: 2 weeks from referral to first appointment 94.4% 95.0%

• 0.6%

94.6% 95.5%

• 0.9%

95.5% 95.9%

• 0.4%

Cancer: 31 days diagnosis to first treatment 100.0% 96.4% 3.6% 100.0% 97.9% 2.1% 100.0% 97.1% 2.9% Cancer: 31 days subsequent cancer treatment (Drug) 100.0% 99.4% 0.6% 100.0% 99.5% 0.5% 100.0% 99.6% 0.4% Cancer: 31 days subsequent cancer treatment (Surg) 100.0% 93.4% 6.6% 100.0% 96.5% 3.5% 100.0% 96.8% 3.2% Cancer: 62 days GP referral to first treatment 98.0% 81.7% 16.3% 100.0% 82.6% 17.4% 93.8% 83.4% 10.4% RTT (18 week treatment times) 91.8% 87.7% 4.1% 93.1% 88.1% 5.0% 93.8% 88.3% 5.5% Diagnostic waits under 6 weeks 99.5% 98.7% 0.8% 92.8% 98.6%

• 5.8%

88.5% 98.6%

• 10.1%

FFT: A&E recommend 83.8% 85.8%

• 2.0%

90.0% 85.2% 4.8% 83.6% 85.1%

• 1.5%

FFT: Inpatients recommend 89.9% 94.7%

• 4.8%

91.0% 94.8%

• 3.8%

91.5% 94.3%

• 2.8%

FFT: Maternity recommend 95.5% 94.6% 0.9% 94.2% 93.6% 0.6% 86.9%

We Are Proud of Our Performance

A&E (Oct) RTT (Sept) 62 Day (Sept) Average Rank Overall Rank Chelsea and Westminster Hospital NHS Foundation Trust 1 2 1 1.33 1 Lewisham And Greenwich NHS Trust 2 4 8 4.67 2 London North West Healthcare NHS Trust 8 5 3 5.33 3 Barking, Havering And Redbridge University Hospitals NHS Trust 10 1 6 5.67 4 University College London Hospitals NHS Foundation Trust 4 3 10 5.67 4 Imperial College Healthcare NHS Trust 9 8 2 6.33 6 Barts Health NHS Trust 6 10 4 6.67 7 Royal Free London NHS Foundation Trust 7 6 7 6.67 7 Guy's And St Thomas' NHS Foundation Trust 3 7 11 7.00 9 St George's University Hospitals NHS Foundation Trust 5 10 9 8.00 10 King's College Hospital NHS Foundation Trust 11 9 5 8.33 11

5

We invited the NHS Improvement Emergency Care Team for a two day visit in late summer 2017 - and we have subsequently implemented their recommendations

Integrated hospital discharge: agreed actions with our social services and community colleagues – this works to avoid ‘long stay’ patients getting stuck in hospital when they are medically fit to go home. Monitored through local Urgent Care Board. Improved frailty pathway: we have developed an improved frailty pathway that provides consultant led front door services for our elderly patients supported by acute frailty units at both hospitals Extra capacity: we have made some physical reconfigurations and pathway changes at

• ur hospital Emergency Departments to improve our capacity. Invested approx £3m in

upgrades to WMUH A&E Staffing: we have worked to ensure our staffing is matched to our peak periods of demand (ie: 5pm - 10pm) – so achieving the maximum benefit from our superb nurses, doctors and therapists Flu vaccination: we have implemented a comprehensive Flu immunisation programme to ensure as many staff as possible are protected from the effects of influenza

Development Investment Paediatrics Assessment Unit £1.3m Marjory Warren Ward Upgrade £400k Cardiac Cath Lab £2.5m Emergency Department £3m HV Switchgear Replacement £150k Health, power and energy schemes £1.5m Asbestos removal £150k

TOTAL INVESTMENT £9.2m

Investment in West Middlesex Hospital: We have invested over £9m in upgrading our site in the last 2 years

Emergency Department Cardiac Catheter Lab Paed Assessment Unit