Championing prevention in the Health & Care Partnership Jon - - PowerPoint PPT Presentation

Championing prevention in the Health & Care Partnership

Jon Develing SRO Prevention and Eileen O’Meara Lead DPH 9th July 2018

Health and Care Partnership

• 1 Purpose
• 4 Strategic Themes
• 10 At Scale / Task and Finish Programmes
• 9 Place Based Care Systems
• 4 Enabling Programmes

Communications & Public and Partner Engagement

Place Based Care Systems

Urgent Care (A&E Delivery Boards, Resilience

& Winter Delivery)

Andy Davies Diabetes Network Sarah O`Brein CVD Jane Tomkinson Learning Disabilities Hazel Richards Neurosciences Stuart Moore

18/19 Scope

Cancer 5YFV Andrew Cannell

1. Whole System Integration

SRO : Mel Pickup

• 2. Acute Sustainability

SRO : Tracy Bullock

• 3. Mental Health & LD

Sustainability SRO : Sheena Cumiskey

Strategic Programmes

Palliative / End of Life Care Aidan Kehoe

• 4. Carter at Scale

SRO : Tony Chambers SRO : Steve Warburton (Diag) Placed-based Care Models Facilitation & Support

Enabling

• 5. Prevention at Scale

Jon Develing Out of Hospital Models

• f Care

Documentation Primary Care Development and GP 5YFV

Financial Sustainability SRO : Sam Simpson Workforce SRO : Karen Howell Digital Revolution SRO : TBC

Programme Board Programme Board Programme Board Programme Board Transforming Care Board Programme Board Cancer Alliance

Estates & Infrastructure SRO Sam Simpson Right Care & Getting It Right First Time

Ann Marr / Jan Ledwood Programme Board

Women and Children's Partnership Simon Banks

Programme Board

At Scale Delivery Place based care Systems

Prevention

• 1 Purpose
• 3 Strategic Themes
• Strategic themes supported by a delivery

approach e.g. MECC

• Clear benefit and impact on the at scale

delivery programmes

• Alcohol admission and Attends in A&E
• Alcohol related to Domestic Violence
• Hypertension leading to A&E Admissions
• Obesity in Children
• Smoking and Hypertension in Pregnancy
• Gestational Diabetes
• Smoking - Lung / Head & Neck Cancers
• Obesity - Bowel Cancer
• Alcohol - Gastro Cancers / Breast Cancer
• Antibiotic Prescribing
• High antibiotic use in Upper Respiratory

Tract and Urinary tract Infections

• Hypertension - Vascular Dementia
• Hypertension (undiagnosed) cause of Stroke
• Alcohol related to Vascular Dementia
• Hypertension in relation to Stroke
• Alcohol in relation to Stroke
• Smoking - with CVD Heart Disease. M.I.
• Obesity - Type 2 Diabetes epidemic
• Alcohol - High calorific content and obesity
• Chronic Disease Management
• Patient Centred Care
• Care Planning / Digital Care Planning
• Obesity - poor health and well being
• Smoking - poor health and well being
• Poor physical health

Urgent Care Women & Children's Cancer Learning Disabilities Palliative / End

• f Life Care

GIRFT/Right Care Neuroscience Cardio Vascular Disease Diabetes Place Based Care Systems

“Seek to build upon the

work being undertaken in the Place Based Care Systems Includes MECC Tackling high blood pressure through community pharmacies Quality education for high blood pressure Stewardship of AMR via dedicated community microbiologist and med management support

Prevention at Every level

Workforce

Staff Training/E-learning

Digital

Pt Portal / Care Records

Finance

Evaluation & ROI

Three Strategic Themes

High Blood Pressure The most prevalent condition in Cheshire and Merseyside Alcohol Harm A key priority for every Health and Well Being Board Antimicrobial Resistance Is the greatest threat to global health, is a Public Health England priority.

Community Resilience

Best use of local partnerships Support for Voluntary Sector Social Prescribing Developing environmental and economic approaches Asset mapping Developing workforce skills

Prevention Priorities

Original priorities:

• Hypertension is the most prevalent condition/ risk factor in

C&M.

• Reducing harm from alcohol has been identified as the key

priority in every H&WB.

• AMR is PHE’s highest priority and is of global importance.

Newer priorities:

• MECC at scale
• Mental health
• Physical activity

Progress on Reducing High Blood Pressure has been covered by Muna

Progress on Reducing Harm from Alcohol

• Led by Dr Paul Richards & Julie Webster
• Board established and baseline audit completed
• C&M alcohol care pathway to be developed and alcohol

harm reduction dashboard.

• Aim to create common competency and staff training

programme for alcohol harm reduction across C&M.

• Linked to Liverpool City Region and Cheshire and

Warrington sub regional work on licensing, campaigns and minimum unit price.

Progress on AMR

• Dr Sam Ghebrehewet is the Clinical Lead
• AMR Board and Task Groups established
• AMR Activities Mapping Exercise completed
• Monthly AMR Bulletin published
• 3 newly funded consultant microbiologists recruited
• 3 GP Champions to support implementation in primary

care being recruited

• Engagement with CCGs to increase Medicines

Management input for AMR commenced

Progress on MECC

• Joint Champs/SCN post to co-ordinate MECC programme
• Successful Systems Leadership workshop (April 2018)
• Key next steps identified from the workshop to inform the

new MECC Partnership Board and strategic framework

• Successful HEE LWAB bid for £120K
• Task and finish groups for: Training, Evaluation and

Communication and Engagement are being established

• MECC training framework being created and network of

trainers and champions

• C&M MECC pledge in progress and engaging with all partner
• rganisations to sign up

Population Health Framework

• Provide evidence based guidelines on best practice for

population health in a range of settings.

• They are not prescriptive
• We recognise that each system is in a different place
• Provides a framework that each place can adapt and interpret

to fit their requirements

• Can be used in lots of ways - Midlands have used their

guidelines for sector level improvement.

• North East have used them as a whole systems pledge
• They fit with the new NHSE and GP Practice MoU on person

centred care

Population Health Framework

• Well received by HCP Senior Management Board
• FAQ’s to be developed on each guideline
• To be shared with C&M Health and Wellbeing Boards
• Workshop to align cross cutting themes planned