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 on the Fylde Coast
Blackpool Teaching NHS Fylde NHS Hospitals and Wyre Blackpool NHS FT CCG CCG Partnerships Lancashire Blackpool County Council Patients Council Public Fylde Wyre Borough Borough Council Council Volunteers National Planning Guidance (2017-19) ‘’Partnership Behaviours Become the New Norm’’
Background
Our Health Challenge Quality Increasing New Need Treatments Cost Access
Our Health Challenge Blackpool Fylde & Wyre
Our Achievements New five New end of New models year cancer life care of care strategy provision across the Fylde Coast Think! Why Test bed Healthy new A&E campaign initiative town initiative Working together to win Lottery funding e.g. Better Start Head Start
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 of 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 Urgent and Care model Technology GP access emergency delivery care Effective use Planned care Mental health Cancer of resources
Leadership Working in Partnership Urgent and Effective Enhanced GP Care Model Mental Planned Emergency Technology Use of Cancer Access Delivery Health Care Care Resources Senior Helen Tony David Peter Tim Andrew Wendy Responsible Lammond Naughton Bonson Tinson Bennett Harrison Swift -Smith Officer Use of existing Fylde Coast Senior Cancer Dr Marie Dr Russell Dr Andrew Dr Cruz Dr Marie Dr Tom Responsible Group Williams Millner Weatherburn Augustine Thompson Johnson Clinician Chair = Adam Janjua Lesley Programme Suzanne Sarah Stewart Tiffin & Pat Nicola Lead Endersby Camplin Bond Claire Crawford Walmsley Grant
Thank You Thank You Thank You Circa 10,000 of us working in the NHS on 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 The Friends and Family Test 100% 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 out-patients attendances • 37% reduction in elective activity
Highlights • Electronic record (shared) – • Named responsible team paperless members • Comprehensive holistic • Advanced care planning and assessment ‘do not attempt’ CPR • ‘ MyPlan ’ • Co-ordination of care • Single point of contact • Medicines optimisation • Multi-disciplinary Team – • In reach to admitted mental health / linked patients services input • Primary and community • Generic skill development relationships
Feedback and Developments Feedback Developments • Criteria and referrals • Multidisciplinary Team – mental • Emphasis on risk score removed health and palliative care • Out of hours contact • Patient Activation Measures • Pilot – Two or more physical, (PAM) licences chronic and active long-term • Pathway process review and conditions development • Pilot – Community nurses, • matrons and therapists Health and Wellbeing Care Plan • Process • Referrals from Clifton Hospital and Blackpool Assessment and • Accept immediately at initial Referral Centre (ARC) assessment • • Enhanced Primary Care and Tailored transition process 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 out 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 orientated 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
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