Mary Dowling Chair NHS Fylde and Wyre Clinical Commissioning Group - - PowerPoint PPT Presentation

Welcome

Mary Dowling Chair NHS Fylde and Wyre Clinical Commissioning Group

Review of the Year

Wendy Swift Chief Executive (Interim) Blackpool Teaching Hospitals NHS Foundation Trust Dr Amanda Doyle OBE Chief Clinical Officer NHS Blackpool Clinical Commissioning Group

Thank You

Thank You

Thank You

Circa 10,000 of us working in the NHS

• n the Fylde Coast

Partnerships

Patients Public Volunteers

NHS Fylde and Wyre CCG Lancashire County Council Blackpool Teaching Hospitals NHS FT NHS Blackpool CCG Blackpool Council Fylde Borough Council Wyre Borough Council National Planning Guidance (2017-19) ‘’Partnership Behaviours Become the New Norm’’

Background

Our Health Challenge

Quality Access Cost

Increasing Need New Treatments

Our Health Challenge

Blackpool Fylde & Wyre

Our Achievements

New five year cancer strategy New models

• f care

across the Fylde Coast New end of life care provision Working together to win Lottery funding e.g. Better Start Head Start Healthy new town initiative Test bed initiative Think! Why A&E campaign

NHS Fylde and Wyre CCG

• An ‘outstanding’ CCG
• One of 10 CCGs nationally to receive top rating

in NHS England’s annual assurance assessment

• Wyre Health Hub
• New facility in Wyre Civic Centre bringing

together healthcare and council services

• More than 1,000 people helped by new falls

vehicle

NHS Blackpool CCG

• Delegated authority to commission primary

care services across Blackpool

• Primary Care Quality Contract

– Addressing variation and patient access across Blackpool

• Meeting Cancer and diagnostics performance

targets

• CQC inspections in primary care, out of 17

practices inspected:

– 82% of practices were rated good (national average based on 360 inspections is 78%) – 18% of practices were rated outstanding (national average based on 360 inspections is 4%)

• New Models of Care have been accelerated in

Blackpool and across the Fylde Coast, bringing co-ordinated care closer to patient’s homes

NHS Blackpool CCG

• Dementia diagnosis rates
• 89% diagnosis rate (67% national

ambition)

• Improving Access to Psychological

Therapies (IAPT) Services

• Reduced waiting times from 12

months to six to 18 weeks

• Showed improvement in all Equality and

Inclusion goal outcomes graded in 2015

• Better Start/Head Start – Significant

involvement with this programme, aimed at improving children’s health and wellbeing from an early age

Blackpool Teaching Hospitals

• Launched our new 2020 Strategy

‘Together we can’ designed by our clinicians

• National Patient Safety Award for our End
• f Life team
• Named in the HSJ Top 120 Places to

Work in the NHS

• Launched our new quality strategy
• Achieved UNICEF “Baby Friendly

Initiative’’ accreditation

Fylde Coast Strategy

• The partner organisations in the Fylde Coast health

economy are committed to working together to improve health outcomes for our population.

• Our aim is to develop a model of integrated and

coordinated health and social care so that care is delivered seamlessly, sharing data and communicating better with each other and those in need of our services, their carers and families.

Fylde Coast Work Programmes

Enhanced GP access Urgent and emergency care Care model delivery Technology Mental health Effective use

• f resources

Planned care Cancer

Leadership Working in Partnership

Enhanced GP Access Urgent and Emergency Care Care Model Delivery Technology Mental Health Effective Use of Resources Planned Care Cancer Senior Responsible Officer

Tony Naughton David Bonson Peter Tinson Tim Bennett Helen Lammond

• Smith

Andrew Harrison Wendy Swift Use of existing Fylde Coast Cancer Group Chair = Adam Janjua

Senior Responsible Clinician

Dr Marie Williams Dr Russell Millner Dr Andrew Weatherburn Dr Cruz Augustine Dr Marie Thompson Dr Tom Johnson

Programme Lead

Suzanne Endersby Sarah Camplin Stewart Bond Lesley Tiffin & Claire Grant Pat Crawford Nicola Walmsley

Thank You

Thank You

Thank You

Circa 10,000 of us working in the NHS

• n the Fylde coast

Extensive Care Service

Dr Andrew Weatherburn Service Clinical Lead Blackpool Teaching Hospitals NHS Foundation Trust

A new way of delivering care - why?

Progress To Date

• Launched June 2015
• Lytham Primary Care Centre
• Moor Park Health and Leisure

Centre

• Two further sites launched in

April 2016

• South Shore Primary Care

Centre

• Wyre Civic Centre
• Ongoing roll-out to practices

across Fylde Coast

• All live from October 2016

1,162 Referrals at September 2016

Patient and Carer Experience

100%

The Friends and Family Test Recommend

Impact – Extensive Care Patients

• 19% reduction in A&E

admissions

• 25% reduction in non-

elective admissions

• 10% reduction in new out-

patients attendances

• 17% reduction in follow-up
• ut-patients attendances
• 37% reduction in elective

activity

Highlights

• Electronic record (shared) –

paperless

• Comprehensive holistic

assessment

• ‘MyPlan’
• Single point of contact
• Multi-disciplinary Team –

mental health / linked services input

• Generic skill development
• Named responsible team

members

• Advanced care planning and

‘do not attempt’ CPR

• Co-ordination of care
• Medicines optimisation
• In reach to admitted

patients

• Primary and community

relationships

Feedback and Developments

Feedback

• Criteria and referrals
• Emphasis on risk score removed
• Out of hours contact
• Pilot – Two or more physical,

chronic and active long-term conditions

• Pilot – Community nurses,

matrons and therapists

• Process
• Accept immediately at initial

assessment

• Tailored transition process

Developments

• Multidisciplinary Team – mental

health and palliative care

• Patient Activation Measures

(PAM) licences

• Pathway process review and

development

• Health and Wellbeing Care Plan
• Referrals from Clifton Hospital

and Blackpool Assessment and Referral Centre (ARC)

• Enhanced Primary Care and

acute frailty links

Going Forward

Forward View

Dr Tony Naughton Clinical Chief Officer NHS Fylde and Wyre Clinical Commissioning Group

NHS Five Year Forward View

• New models of care
• More integration
• Break down barriers
• Local flexibility
• Vanguard

Delivering the FYFW

• Published December 2015
• Spending review
• National priorities
• Two separate but connected

plans

– CCG operational plan for 2016/17 – Five-year sustainability plan (STP) on a Lancashire and South Cumbria footprint

Fylde Coast Forward View

• Lancashire and

South Cumbria footprint:

– Strengthening the

• ut of hospital

care model across Lancashire and South Cumbria – Aims

• Care and Quality,
• Health and

Wellbeing

• Finance and

Efficiency

• Fylde Coast

footprint:

– Urgent care provision – Community dermatology service – Community diabetes services – MSK triage and access service

• CCG footprint

– Pharmacy+ clinic – Intermediate care services – Primary care contracts

• Neighbourhood

footprint

– Care home support team – Healthier Fleetwood – Community

• rientated

primary care

Partnerships and Integration

• We cannot make these changes alone
• Forge strong partnerships between the local

NHS, social care and the voluntary sector

• Breaking down barriers between health and

social care

• Shared plans and objectives

Communication and engagement

• Over the coming weeks and months we will

be talking with you on these plans to make sure they are fit for purpose

• Your input is essential to help us meet the

challenges ahead

• Together we can achieve a health and care

service built for tomorrow

Questions and Answers

Roy Fisher Chairman NHS Blackpool Clinical Commissioning Group

Close

Ian Johnson Chairman Blackpool Teaching Hospitals NHS Foundation Trust