Haringey CCG Meeting Dr Will Zermansky GP Highgate Group Practice - - PowerPoint PPT Presentation

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Haringey CCG Meeting Dr Will Zermansky GP Highgate Group Practice - - PowerPoint PPT Presentation

Haringey CCG Meeting Dr Will Zermansky GP Highgate Group Practice Glossa ssary y of Ac Acro ronym yms STP Sustainability and transformation plan CHIN Closer to home integrated network QIST Quality Improvement Support Team


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Haringey CCG Meeting

Dr Will Zermansky GP Highgate Group Practice

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SLIDE 2

Glossa ssary y of Ac Acro ronym yms

 STP

Sustainability and transformation plan

 CHIN

Closer to home integrated network

 QIST

Quality Improvement Support Team

 NCL

North Central London

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Fro rom the ST STP to to CHINs Ns

 NHS 5 year plan

 Sustainability & transformation plans across

44 area (footprints) in England 2016-2021

 NCL has developed North Central

London Plan – Haringey, Camden Islington Barnet & Enfield

 Key to plan

 Localised Health, quality of care , leadership

and efficiency

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Sustainability & Transformation Plan continued….

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NCL Sustainability and Transformation Plan

Plans to build health and social care around the needs of the local

  • population. Opportunity to transform the way services are provided.

Aspirations

  • Better health outcomes for the population
  • Equity in both the offer and outcomes
  • Financial balance

One Priority

  • Health and Care Closer to Home
  • Improving access to Primary Care
  • Care Closer to Home Integrated Networks (CHINs)
  • Quality Improvement Supported Teams (QISTs)
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SLIDE 5

What is a CHIN?

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Quality improvement focus Multi-Disciplinary Team – GPs, community , social care, voluntary Self-Management Health community – prevention focus Virtual & Physical Strong local network Min 50,000 population coverage Based on local needs Healthy community – prevention focus

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Driving made good…

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SLIDE 8

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Secondary care services

GP

Socia l care LTC Mater nity Acute Mental Health

Patient presentations

Mental Health Service s Communit y Nursing Diagnostics Social Care Allied Health Profession als Secondary care services

Referral

Current state Future state

Socia l care LTC Mater nity Acute Mental Health

Patient presentations

Mental Health Services Communit y Nursing Diagnostics Social Care Allied Health Profession als

Referral

Specialist OP in the community

CHIN

High tech diagnostics Voluntary sector

  • 1. Primary

Care Home: A unique model of care (napc) 2016

QIST Extend ed Access

How might the future look followin ing the implementatio ion of CHINs?

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CHINs s in Haringey

West CHIN

HARINGEY

Central CHIN N East CHIN S East CHIN

Blood Pressure Frailty & Gyms Diabetes Care Home

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SLIDE 10

Vari riati tion across s Haringey

 Ethnicity  Diseases  Provision of Care  Hospitals  Social services  Community services  Language  Diet  Socioeconomic diversity

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Based on local need

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Diabetes

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Based on local need

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Older people

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Based on Local Need

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Serious mental illness

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Quality Improvement Support Teams

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Clinical and non-clinical QIST team working across the CHIN (GPs, nurses, pharmacist, practice manager, analyst coordinator) Practices supported to adopt best practice Analysts assess variation Team work together to identify priorities and set plans Clinical sessions in practices improve access and meet quality goals

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Summary

 CHINs are networks of services reacting

and aligning care at a local level

 QIST is a team that is working to identify

variations in health care and respond positively

 The objective is to be able to respond to

local needs providing better care, reducing disease and extending life