nte ntio ns 2013/ 14 Co mmissio ning I November 2012 Hounslow CCG - - PDF document

Co mmissio ning I nte ntio ns 2013/ 14

November 2012

Hounslow CCG Hounslow CCG – – HCCG who are we? HCCG who are we?

• A first wa ve pa thfinde r, re c o g nise d b y NHS L
• ndo n fo r its fo rwa rd thinking
• 54 Ho unslo w pra c tic e s
• L

e d b y 9 lo c a l GPs fro m pra c tic e s in Ho unslo w, Bre ntfo rd, Chiswic k, I sle wo rth a nd F e ltha m

• One o f the la rg e st CCGs in L
• ndo n, me e ting the ne e ds o f a dive rse po pula tio n o f

a ppro xima te ly 280,000 re g iste re d pa tie nts

• I

n 12/ 13 NHS Ho unslo w's b udg e t is £431m o f whic h 70% (£304m) ha s b e e n de le g a te d to HCCG.

• T

he HCCG Bo a rd (Go ve rning Bo dy) is ma de up o f 9 GPs, a nurse , a ho spita l c o nsulta nt, a s we ll a s re pre se nta tive s fro m pub lic he a lth, the L

• c a l Autho rity, a L

a y me mb e r, a nd L I NK s re pre se nta tive . T he Bo a rd me e ting s a re he ld in pub lic .

• T

he CCG ha s b e e n a sse sse d b y the NHS Co mmissio ning Bo a rd in pre pa ra tio n fo r b e ing a sta tuto ry b o dy fro m April 2013

What have we done in 12/13? Benefits to patients What have we done in 12/13? Benefits to patients

• T

he imple me nta tio n o f a c o mmo n I T c linic a l syste m in g e ne ra l pra c tic e

• Yo ur dia be tic c o nsulta nt a nd yo ur GP c a n b o th write into yo ur no te s with yo ur pe rmissio n
• T

he suc c e ssful imple me nta tio n o f the urg e nt c a re c e ntre (UCC) a t We st Middle se x Unive rsity Ho spita l

• Yo ur urg e nt c a re ne e ds me t 24/ 7
• T

he ne w c o nsulta nt le d c o mmunity pulmo na ry re ha b ilita tio n a nd ho me o xyg e n se rvic e

• A re ha b ilita tio n se rvic e fo r pe o ple with COPD
• T

he pro c ure me nt a nd pla nning fo r a 111 se rvic e (no n-e me rg e nc y te le pho ne line ) fo r la unc h in Ja nua ry 13

• A sing le pho ne c a ll to dire c t yo u to wha te ve r se rvic e yo u ne e d a nd pro vide yo u with a dvic e o ve r

the pho ne

• A mo re e ffic ie nt musc ula r-ske le ta l pa thwa y
• A ne w c o mmunity pa in c linic fo r pa tie nts e xpe rie nc ing c hro nic pa in
• Ne wly c o mmissio ne d I

APT (I mpro ve d a c c e ss to psyc ho lo g ic a l the ra pie s) se rvic e s

• I

nc re a sing the numbe r o f c o unse llo rs a nd c o unse lling se ssio ns a va ila ble fo r pe o ple who ne e d psyc ho lo g ic a l suppo rt

Hounslowʹs challenges Hounslowʹs challenges

• Ho unslo w fa c e s five sig nific a nt c halle ng e s to de live ring q ua lity c a re :
• He a lth ine q ua litie s
• F

ina nc ia l c ha lle ng e

• Ho spita l o ve r pe rfo rma nc e
• I

nsuffic ie nt c o o rdina tio n o f c a re

• Va ria b ility in prima ry c a re inc luding po o r a c c e ss to GP a ppo intme nts

Getting you involved Getting you involved

• Our c o mmissio ning inte ntio ns a re info rme d b y the lo c a l po pula tio n he a lth ne e ds

ide ntifie d in the Ho unslo w Jo int Stra te g ic Ne e ds Asse ssme nt (JSNA 2012), a nd re fle c t the ke y he a lth prio ritie s sub se q ue ntly o utline d in the Jo int He a lth a nd We llb e ing Stra te g y.

• T

he L

• c a l Autho rity inte ntio ns a re e mb e dde d within the c o mmissio ning inte ntio ns

do c ume nt, a nd ha ve he lpe d de ve lo p a nd info rm the CCG inte ntio ns.

• Ho unslo w CCG ha s c o mmitte d to impro ve d pa tie nt a nd pub lic e ng a g e me nt in the ir

c o mmissio ning pla ns o n a n o n-g o ing b a sis;

• T

he se me e ting s will a llo w pa tie nts a nd pub lic to influe nc e o ur c o mmissio ning de c isio ns.

Our intentions Our intentions – – Phone First Phone First

• Ove ra ll, o ur visio n is;
• to impro ve the c a re pro vide d to pa tie nts,
• re duc e he a lth ine q ua litie s a nd
• ra ise the q ua lity a nd sta nda rds o f GP pra c tic e while a c hie ving fina nc ia l b a la nc e .
• With the a dve nt o f 111 the me ssa g e fo r pa tie nts is Pho ne F

irst

The three high priority intentions for 13/14 The three high priority intentions for 13/14

• 1. E

a sy a c c e ss to hig h q ua lity, re spo nsive , prima ry c a re

• 2. Urg e nt a nd a mb ula to ry e me rg e nc y c a re
• 3. L
• c a lity b a se d inte g ra te d c a re a c ro ss he a lth a nd so c ia l c a re

Easy access to high quality, responsive, primary care Easy access to high quality, responsive, primary care

• Our pra c tic e s will wo rk in five lo c a lity ne two rks. Co mmunity he a lth, so c ia l c a re , me nta l

he a lth sta ff will a lig n to the se ne two rks a nd thro ug h the me c ha nism o f c a se c o nfe re nc e s a nd c a re pla nning will pro vide mo re c o -o rdina te d a nd pla nne d c a re fo r o ur o ve r 75s a nd pa tie nts with dia b e te s.

• We will b e e nsuring GP o pe ning ho urs suppo rt the a c c e ss o f urg e nt c a re pa tie nts during

the c o re ho urs Mo nda y to F rida y.

• HCCG will b e fo c ussing o n the dire c tio n o f pa tie nts to the rig ht pla c e in the syste m first

time . (111)

• We a re c o nside ring c re a ting a ro ta fo r ‘ in ho urs’ urg e nt prima ry c a re a ppo intme nts fo r

c hildre n e na b ling pa re nts to e a sily a c c e ss prima ry c a re within the GP c o mmunity.

• We a re e nde a vo uring to I

nc re a se in upta ke o f c hildho o d immunisa tio ns.

• HCCG will c o ntinue to use the sha re d use o f a c o mmo n I

T syste m to ma ke the pa tie nt re c o rd a va ila b le to a ll he a lthc a re pro fe ssio na ls.

Your Comments and Ideas Your Comments and Ideas

Urgent care and one day emergency care Urgent care and one day emergency care

• Ho unslo w CCG is fo c usse d o n de ve lo ping a ra pid re spo nse to urg e nt c a re so tha t fe we r

pa tie nts ne e d to a c c e ss ho spita l A&E c a re .

• T

he UCC linking it to 111 a nd to Ge ne ra l Pra c tic e o ut o f ho urs se rvic e a re the ma in fo c us fo r urg e nt c a re in 2013.

• A ne w a mb ula to ry e me rg e nc y c a re (o ne da y e me rg e nc y c a re fo r pe o ple with lo ng te rm

c o nditio ns who b e c o me ill) se rvic e tha t will c o -o rdina te c a re o f pa tie nts who re q uire a n e me rg e nc y re fe rra l will b e c o mmissio ne d a t WMUH.

• We will b e e nsure this se rvic e ha s a c c e ss to a nd use s the c o mmo n I

T syste m

• We a im to a c hie ve a re duc tio n in a lc o ho l re la te d a dmissio ns thro ug h a re vie w o f the

drug s a nd a lc o ho l c a re pa thwa y a t WMUH.

• We a re pla nning to a g re e a ne w spe c ific a tio n fo r psyc hia tric lia iso n se rvic e s fo r the

WMUH.

• We ne e d to e nsure a mb ula nc e tra nsfe r to a nd fro m ho spita l is time ly to suppo rt the

a dmissio n a vo ida nc e a ims.

Your Comments and Ideas Your Comments and Ideas

Integrated care ICO (Joint intentions) Integrated care ICO (Joint intentions)

• Curre ntly the re is a fe a sib ility stud y unde rwa y fo r a n inte g ra te d c a re
• rg a nisa tio n fo r Ho unslo w a nd Ric hmo nd.
• Ho unslo w CCG is wo rking with thre e o the r CCGs o n a who le syste ms

inte g ra te d c a re mo de l whic h will info rm the fe a sib ility study;

• Suppo rting e a rly disc ha rg e pa rtic ula rly fo r pe o ple with ne uro lo g ic a l disa b ility

inc luding stro ke

• T
• use the I

CRS se rvic e to re duc e the numb e r o f fa lls re la te d a dmissio ns.

• A ne w te a m fo rme d fro m the L
• ndo n Bo ro ug h o f Ho unslo w a nd the

re ha b ilita tio n te a m fro m HRCH will pro vide c o -o rdina te d he a lth a nd so c ia l c a re suppo rt fo r pa tie nts a t ho me .

• We a re e sta b lishing five lo c a lity ne two rks a c ro ss Ho unslo w g ro ups o f GP

pra c tic e s, whic h will wo rk to g e the r with the ir lo c a l c o mmunity he a lth a nd so c ia l c a re te a ms, suppo rte d b y a le a d c o nsulta nt to ide ntify a nd re vie w pa tie nts a t risk o f b e c o ming ill.

• We wish to inve st in two mo re Co mmunity Ma tro ns b ring ing it to five – o ne fo r

e a c h lo c a lity

• We wo uld like to e xpa nd the I

nte g ra te d Co mmunity Re spo nse Se rvic e te a m.

• A ne w ro le o f Ca re Na vig a to rs will b e intro duc e d.
• A stro ke a nd re ha b ilita tio n pa thwa y ha ve b e e n de ve lo pe d

Managing long term conditions Managing long term conditions

• We a re pla nning to sc a le up c a pa c ity o f the I

CRS te a m to suppo rt c o mple x pa tie nts a fte r disc ha rg e with pa rtic ula r e mpha sis o n stro ke pa tie nts

• We will b e I

mpro ving the disc ha rg e pa thwa y fo r pa tie nts with ne uro -disa b ility

• A ne w te a m will b e fo rme d fro m the re -a b le me nt te a m fro m L
• ndo n Bo ro ug h o f

Ho unslo w a nd the re ha b ilita tio n te a m fro m HRCH (Ho unslo w a nd Ric hmo nd Co mmunity He a lthc a re ), pro viding c o -o rdina te d he a lth a nd so c ia l c a re suppo rt fo r pa tie nts a t ho me T he y will ha ve a pa rtic ula r fo c us o n stro ke s a nd fa lls

• Adult le d tra nsitio n te a m up to 25 ye a rs fo r c hildre n a nd yo ung pe o ple with disa b ility a nd

lo ng te rm c o nditio ns (who le life pla nning ), inc luding impro ving use o f se lf-ma na g e me nt a nd prima ry c a re input to pre ve nt ho spita l a dmissio ns a nd A&E a tte nda nc e .

• E

sta b lish a vie w a nd syste m fo r the imple me nta tio n o f pe rso na l b udg e ts b y 2014.

• We will c o mmissio n a sho rt te rm imme dia te re ha b ilita tio n se rvic e fo r

ne uro lo g ic a l re ha b ilita tio n, inc luding stro ke , fo r pe o ple disc ha rg e d fro m ho spita l.

• We will c o mmissio n lo ng te rm re ha b ilita tio n fro m HRCH fo r pa tie nts with lo ng

te rm c o nditio ns like Pa rkinso ns a nd multiple sc le ro sis a nd e xpe c t this se rvic e to wo rk with the physic a l disa b ilitie s te a m a t the lo c a l a utho rity to pro vide a se a mle ss se rvic e fo r this c lie nt g ro up.

• We will e nsure tha t HRCH g e ne ra l c o mmunity re ha b ilita tio n a nd L

BH a c c e ss a nd re -a b le me nt wo rk to g e the r to pro vide a c o -o rdina te d se rvic e fo r pa tie nts disc ha rg e d fro m WMUH a nd fro m the I CRS.

• We will re de sig n the five re ha b ilita tio n b e ds a t Cla ypo nds to pro vide pa tie nts

who ha ve ha d de nse stro ke s with c o mplic a tio ns with c le a r g o a ls, a sse ssme nt a nd de c isio n re g a rding c o ntinuing c a re whilst the y a re in Cla ypo nds.

Rehabilitation, re Rehabilitation, re‐ ‐ablement, and stroke pathway ablement, and stroke pathway

Your Comments and Ideas Your Comments and Ideas

Plans for new elective services in the community Plans for new elective services in the community

• Sle e p a pno e a - Re duc e re fe rra ls to se c o nda ry c a re b y imple me nting the use o f o ve rnig ht

pulse o xime te rs in prima ry c a re a s sc re e ning

• T

innitus c linic - Co mmissio ning o f a dire c t a c c e ss tinnitus c linic

• Pa thwa y a nd/ o r spe c ific a tio n re vie ws
• Sto ma a nd inc o ntine nc e – inc luding c ho ic e thro ug h AQP
• Ha e ma g lo b ino pa thie s
• Phle b o to my a nd b lo o d pre ssure
• He a rt fa ilure
• Chro nic kidne y dise a se
• Co lo no sc o py a nd sig mo ido sc o py pa thwa ys
• We will e xplo re the po ssibility o f te le me dic ine fo r E

CG

• We wo uld like to e xplo re , in c o njunc tio n with the c a rdia c ne two rk, c o mmissio ning a

c a rdio -CT se rvic e

• We ne e d to re vie w o ur c o mmissio ning a rra ng e me nts fo r a sse ssing a nd re vie wing

individua ls’ e lig ib ility

• We a re lo o king to I

mple me nt a n a udit fra me wo rk to e nsure c o nsiste nc y in the imple me nta tio n o f the na tio na l c rite ria fo r Co ntinuing He a lthc a re e lig ibility a nd pro visio n

• f c o ntinuing he a lth c a re se rvic e s. T

his will inc lude :

• Ana lysis a nd a g re e me nt o f inte rpre ta tio n o f Co ntinuing He a lthc a re re q uire me nts
• Be tte r unde rsta nding o f pa tie nts/ c a re rs he a lth a nd so c ia l c a re re q uire me nts to

e na b le de live ry o f a pa tie nt/ se rvic e use r fo c use d a ppro a c h

• Stra te g ic pla nning to e nsure tha t lo c a l Co ntinuing He a lthc a re pro c e sse s a nd

pra c tic e s c o ntinue to c o mply with De pa rtme nt o f He a lth Guida nc e

• Me dic a tio n a dministra tio n in pe o ple ’ s ho me s - inc luding a re vie w o f o ur c urre nt

a rra ng e me nts with a vie w to e xte nding the se rvic e .

• All pa tie nts in nursing ho me s ha ve a n a dva nc e d c a re pla n.
• We will b e ma king re c o mme nda tio ns re g a rding the GP input into c a re ho me s.
• Nurse tra ining a nd funding o ptio ns fo r nursing ho me s is b e ing re vie we d a nd

re c o mme nda tio ns will b e ma de fo r 13/ 14.

Care, nursing and residential homes

Your Comments and Ideas Your Comments and Ideas

• During 13/ 14 we will b e imple me nting the No rth We st L
• ndo n me nta l he a lth stra te g y.
• Ho unslo w CCG will e nsure GP a c c e ss to c o nsulta nt a dvic e .
• We will de ve lo p c la rifie d pa thwa ys a nd thre sho lds fo r a sse ssme nt, e ntry into a nd

disc ha rg e fro m se c o nda ry c a re me nta l he a lth se rvic e s.

• We will e nsure a sing le po int o f a c c e ss into psyc ho lo g ic a l the ra pie s whe re this is no t

a lre a dy in pla c e a nd tha t the se se rvic e s a re a ppro pria te ly ta rg e te d a t pe o ple with lo ng te rm c o nditio ns a nd me dic a lly une xpla ine d sympto ms.

• We will de ve lo p e nha nc e d prima ry c a re se rvic e s whic h e na b le mo re pe o ple with a

se ve re me nta l illne ss to b e e ffe c tive ly suppo rte d b y the ir GP

• HCCG will e nsure tha t a ll c hild a nd a do le sc e nt me nta l he a lth se rvic e s (CAMHS) se rvic e s

to b e c o mplia nt with I mpro ving Ac c e ss to Psyc ho lo g ic a l T he ra pie s (I APT ) a nd re po rting re q uire me nts.

• We will spe c ify a nd te nde r prima ry c a re c o unse lling a nd I

APT se rvic e s with pa rtic ula r fo c us to pe o ple with lo ng te rm c o nditio ns, o lde r pe o ple , c a re rs a nd wo me n suffe ring with po st na ta l de pre ssio n.

• HCCG will de ve lo p a nd a g re e a pa thwa y fo r pe o ple with c o g nitive impa irme nt, e nsuring

pe o ple a re c a re d fo r in the mo st a ppro pria te wa y.

• We will re vie w spe c ia list CAMHS, e nsuring c hildre n a re pla c e d in the mo st a ppro pria te

se tting a nd a c ro ss tie rs 2-3 with pa rtic ula r fo c us o n de ve lo ping a n in b o ro ug h pro visio n fo r c hildre n with le a rning disa b ilitie s who ha ve me nta l he a lth issue s.

Mental health Mental health

Dementia Dementia

• De ve lo p a pro visio n whic h pro duc e s a dire c to ry o f de me ntia se rvic e s, whic h is ke pt up to

da te a nd a lso c o -o rdina te s a nd pro mo te s a dvic e a nd info rma tio n o n se rvic e s a nd a c tivitie s fo r pe o ple with de me ntia a nd the ir c a re rs.

• Suppo rt a n inc re a se in re so urc ing fo r se c o nda ry c a re de me ntia se rvic e to e na b le the m

to me e t the inc re a se in de ma nd.

• Re vie w the use o f a ll psyc ho tro pic drug s inc luding a ntipsyc ho tic drug s fo r pe o ple with

de me ntia a c ro ss prima ry a nd se c o nda ry c a re a nd de ve lo p a stra te g y to re duc e ina ppro pria te use .

• I

nflue nc e L

• c a l Autho rity pa rtne rs to furthe r de ve lo p a nd ro ll o ut o f the te le pho ne

suppo rt se rvic e , with a 24 ho ur e me rg e nc y re spo nse , a ssistive te c hno lo g y a nd te le c a re to suppo rt c a re rs o f pe o ple with de me ntia .

• Pro mo te the a c c e ss o f the Co unc il’ s F

lo a ting Suppo rt a nd Suppo rting I nde pe nde nc e Se rvic e s to pe o ple with de me ntia a nd the ir c a re rs.

• De live r a n info rma tio n a wa re ne ss c a mpa ig n tha t ra ise s the a wa re ne ss o f the impo rta nc e
• f Co -Ordina te my Ca re i.e . E

OL c a re pla nning a mo ng st GPs fo r pe o ple with de me ntia .

• T

ra ining fo r c a re rs o f pe o ple with de me ntia

Your Comments and Ideas Your Comments and Ideas

• We will imple me nt c o -o rdina te my c a re (a me c ha nism fo r sto ring info rma tio n a b o ut

pa tie nts illne ss, c a re a nd a ny spe c ific wishe s the y ma y ha ve ) inc luding in c a re ho me s.

• We wish to de ve lo p a nd imple me nt tra ining fo r GPs to de ve lo p a dva nc e d c a re pla ns fo r

re side nts o f c a re ho me s.

• We a re lo o king to e xpa nd the I

CRS ro le to e na b le suppo rt o f c rise s situa tio ns.

End of life care End of life care Maternity and new Maternity and new‐ ‐born born

• We wish to e nsure tha t the pro vide rs o f ma te rnity se rvic e s to Ho unslo w re side nts a c hie ve

the 12 we e k a c c e ss to a nte na ta l c a re ta rg e t.

• T

he ne w pa thwa y ta riff fo r ma te rnity se rvic e s will b e imple me nte d a s spe c ifie d in the na tio na l ta riff rule s fo r 13/ 14.

• HCCG will b e inve sting in two mo re he a lth visito rs.
• We wa nt to wo rk with yo ung pe o ple , the ir c a re rs a nd he a lth pro fe ssio na ls o n re mo de lling

the pa thwa ys fo r pe o ple a g e d 16 – 24 ye a rs with lo ng te rm c o nditio ns in o rde r tha t the se will b e intro duc e d b y 2014.

• We wa nt to impro ve c urre nt pro visio n o f the 2 ½ ye a r c he c k inc luding b e tte r links to the

e a rly e duc a tio n o ffe r to a ll disa dva nta g e d 2 ye a r o lds a nd e a rly ide ntific a tio n o f disa dva nta g e d 2 ye a r o lds with SE N/ disa b ilitie s.

• We inte nd to pro vide a GP ro ta fo r urg e nt pa tie nt c a re whe re b y fo r e xa mple , c hildre n

with flu-like sympto ms c a n b e se e n q uic kly b y a GP in prima ry c a re witho ut ha ving to wa it fo r a n a ppo intme nt o r use the urg e nt c a re c e ntre .

• We wish to wo rk with the lo c a l a utho rity o n lo o king to pro vide a 5-19 se rvic e tha t ha s a

mo re jo ine d-up pro visio n o f pub lic he a lth se rvic e s suc h a s the sc ho o l nursing se rvic e a nd the e a rly inte rve ntio n se rvic e s.

• We wish to suppo rt the de ve lo pme nt o f a c hildre n a nd yo ung pe o ple ’ s c a re pa thwa y fo r
• ra l he a lth, b a se d o n the b e st a va ila b le e vide nc e to pro vide q ua lity pre ve ntio n-
• rie nta te d c a re in Ho unslo w.
• We inte nd to e nsure tha t a ll c o nta c ts o f a c a se who ha ve b e e n put a t risk a re

va c c ina te d with BCG in a c c o rda nc e to NI CE g uida nc e .

Children and young people Children and young people

• E

nha nc e a va ila b ility o f we b b a se d info rma tio n a nd g uida nc e to o ls

• Ne w o ffe r fo r c a re rs with g o o d a c c e ss to info rma tio n, a dvic e a nd e a rlie r c a re rs’

a sse ssme nts

• We wish to e nsure tha t la te r life pla nning b e c o me s the no rm a t re tire me nt
• We will e mb e d inte r-g e ne ra tio na l a ppro a c he s to he lp suppo rt yo ung pe o ple a nd

stude nts ma ximise the ir po te ntia l a nd inde pe nde nc e

• I

nc re a se d pub lic a wa re ne ss o f the b e ne fits o f te le c a re me a ns tha t te le c a re c a pa b ility is e mb e dde d into ne w ho using b uilds.

• Disa b le d F

a c ilitie s Gra nts a nd e q uity re le a se suppo rt inve stme nt into ‘ a g e ing we ll’ a nd a llo wing pe o ple to sta y in the ir o wn ho me s.

Universal and preventative health & wellbeing services Universal and preventative health & wellbeing services

Key c hanges in 13/ 14; Sexual Health

• During 13/ 14 the re will b e a re -c o mmissio ning pro c e ss fo r the who le inte g ra te d se xua l he a lth

se rvic e , to sta rt in 14/ 15. T he L

• ndo n Bo ro ug h o f Ho unslo w will b e c o mmissio ning this se rvic e

with the suppo rt o f the CCG. T he ne w spe c ific a tio n is like ly to ha ve a g re a te r e mpha sis o n pre ve ntio n a nd is like ly to fo c us o n the He a rt o f Ho unslo w a s the ma in ve nue fo r de live ry.

Dr ugs & Alc ohol

• L

BH c urre ntly c o mmissio ns a se rvic e fo r yo ung pe o ple . Ho we ve r, this is se rvic e is b e ing re vie we d in 2012/ 13, in pa rtic ula r lo o king a t pro visio n o f tre a tme nt se rvic e s fo r c hildre n a nd yo ung pe o ple . T he re fo re we will unde rta ke a He a lth Ne e ds Asse ssme nt to the n info rm a se rvic e spe c ific a tio n to c o mmissio n a tre a tme nt se rvic e .

• We a re ta rg e ting a re duc tio n in a lc o ho l re la te d a dmissio ns thro ug h a re vie w o f the DAAT

c a re pa thwa y a t WMUH.

Public health intentions Public health intentions

Suppor ting independent living

• I

nc re a se d c ho ic e a nd c o ntro l o f pa tie nts a nd use rs with e xpa nde d suppo rt pla nning , c a re na vig a tio n a nd b ro ke ra g e se rvic e s to me e t individua l ne e ds

• I

nc re a se d de live ry o f inte g ra te d suppo rt to pre ve nt ho spita l a dmissio n

• Re de sig n a dult so c ia l c a re se rvic e s fo r sho rt te rm suppo rt a nd re -a b le me nt
• Re de sig n da y o ppo rtunitie s fo r pe o ple with disa b ilitie s ta rg e te d o n tho se with pro fo und

disa b ilitie s o r c o mple x ne e ds

• E

nsuring pe o ple with L e a rning Disa b ilitie s ha ve he a lth c he c ks a nd the re is c o mplia nc e with the re c o mme nda tio ns o f the Winte rb o urne a nd 6 live s re po rts

• De ve lo p ne w c a re pa thwa ys fo r a dults o n the a utistic spe c trum
• De ve lo p o ur e mplo yme nt pa thwa ys fo r a ll a dults with a disa b ility
• De ve lo p e ffe c tive tra nsitio n fo r yo ung a dults with c o mple x ne e ds a s the y mo ve o n to a dult

se rvic e s with who le life pla nning

• Re de sig n ho using c a re a nd suppo rt a nd re se ttle me nt se rvic e s
• Re de sig n the fa lls pre ve ntio n se rvic e
• De sig n a c o lla b o ra tive pa thwa y fo r pe o ple with lo ng te rm ne uro lo g ic a l c o nditio ns, a nd a n

inte g ra te d a ppro a c h a c ro ss he a lth a nd so c ia l c a re

• I

ntro duc e d the “c o o rdina te my c a re ” a ppro a c h to E nd o f L ife c a re a nd pro vide suppo rt fo r c a re ho me s in using it

• E

nsuring tha t use rs’ pre fe rre d o utc o me s a nd e xpe rie nc e o f sa fe g ua rding is c a pture d during the sa fe g ua rding a dults pro c e ss a nd is use d to impro ve pra c tic e .

Vulnerable adults Vulnerable adults

Suppor t for People with Mental Health Needs

• Re -c o mmissio n a nd re de sig n the me nta l he a lth se rvic e s c o mmissio ne d b y the CCG a nd the

Co unc il inc luding c risis re so lutio n a nd o ut o f ho urs se rvic e s

• De sig ning a mo re e ffic ie nt a nd c o lla b o ra tive tre a tme nt pa thwa y fo r de me ntia se rvic e s,

inc luding e a rly dia g no sis, da y a nd o utre a c h se rvic e s in c o mmunity se tting s

• Re intro duc tio n o f me nta l he a lth wo rke rs in prima ry c a re
• Re de sig ning da y o ppo rtunitie s fo r o lde r pe o ple with me nta l he a lth ne e ds
• I

mple me nta tio n o f the Re c o ve ry mo de l fo r me nta l he a lth se rvic e s

• I

nc re a se d a c c e ss to psyc ho lo g ic a l the ra pie s .

Vulnerable adults Vulnerable adults

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