Welcome to our Annual General Meeting The Guildhall, Bath Thursday - - PowerPoint PPT Presentation

welcome to our annual general meeting
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Welcome to our Annual General Meeting The Guildhall, Bath Thursday - - PowerPoint PPT Presentation

Welcome to our Annual General Meeting The Guildhall, Bath Thursday 17 September 2015 Please let us have your feedback Write to us: St Martins Hospital, Clara Cross Lane, Bath BA2 5RP Ring us on: 01225 831 800 Email us at:


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Welcome to our Annual General Meeting

The Guildhall, Bath Thursday 17 September 2015

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Please let us have your feedback

Write to us: St Martin’s Hospital, Clara Cross Lane, Bath BA2 5RP Ring us on: 01225 831 800 Email us at: bsccg.information@nhs.net Website: banesccg.nhs.uk @nhsbanesccg Bath and North East Somerset CCG

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Our Annual Report 2014/15

Tracey Cox, Chief Officer

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What we plan to cover

Looking back

  • Overview of the past year
  • Our performance
  • Our staff
  • Our financial performance

Looking Forward

  • Our focus for the coming year
  • How you can get involved
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Highlights of 2014/15

  • RUH achieved Foundation

Trust status

  • Acquisition of ‘The Min’
  • Opening of Urgent Care

Centre by Sir Bruce Keogh

  • Investment in primary care (eg

focused weekend working)

  • Launch of your care, your

way – community services redesign

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Some more highlights from the year…

The Wellbeing College Heart Failure Services Alcohol Liaison Service

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Quality highlight

  • Quality premium support

– ‘Family & Friends Test’ in seven care homes – Nurse training in diabetes – ‘Hale & Hearty’ scheme

  • Heartfelt project captures feedback of patients with

heart failure (over 2,000 responses)

  • New CCG software captures patient safety

incidents

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Performance – NHS constitution targets

Standard Target BaNES CCG 2014/15 % of A&E attendances taking under 4 hours 95% 90% % of patients receiving diagnostic tests within 6 weeks 99% 99% % of patients (admitted) that progress from referral to treatment within 18 weeks 90% 90% % of patients (non-admitted) that progress from referral to treatment within 18 weeks 95% 94.7% % of patients with cancer symptoms receiving diagnosis within 2 weeks 93% 94.1% % of patients receiving first cancer treatment within 1 month of diagnosis 96% 97.2%

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SLIDE 9

Our Staff

Elizabeth Beech

Your Health Your Voice Members Suzannah Power Barry Grimes

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Our Staff

Excellence in healthcare analytics (diabetes Type 2)

Laura Marsh & Jason Young

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Looking to the future

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The Wellbeing College

Sarah Prendergast, Wellbeing College Manager

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www.wellbeingcollegebanes.co.uk

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SLIDE 15
  • Objectives / Function
  • Form – The Partnership
  • What we deliver
  • Challenges
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SLIDE 16
  • Working with Commissioners
  • Outcomes / feedback
  • Examples of courses / case studies
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SLIDE 17

Outcomes since January

  • 422 people have been on a course
  • 85 courses held since January
  • 2616 web site users in the last three months
  • 70% of web site visitors are new
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SLIDE 18
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Feedback from ‘Woodland Wellbeing’

People were able to sit by the fire and just be or take a walk to the waterfall or collect firewood. I felt relaxed as soon as I got there. All you can hear is the waterfall, the birds and nothing else. I felt it was a very inclusive place to be where everyone was welcome.”

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Annual Accounts for 2014/15

Sarah James, Chief Financial Officer

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We achieved each of our key financial duties in 2014/15…

Target Performance Achieved Total expenditure not to exceed total income £3.685m surplus in line with NHSE requirements Yes CCG to remain within its administration/running costs allowance £4.026m spent against allowance of £4.655m Yes

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…key financial duties continued

Target Performance Achieved Quality premium to be spent for correct purposes £0.350m spent in full on approved schemes Yes 95% of invoices by volume and value paid within 30 days >95% achieved by volume and value for NHS and non-NHS creditors Yes Cash balance at year end

  • f no more than 1.25% of

cash drawn in March Cash balance of £0.104m against a limit of £0.214m Yes

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Analysis of expenditure

Acute 48% Maternity 3% Mental Health (incl Learning Disabilities) 12% Community 11% Continuing Care 6% Primary Care Services 3% Prescribing 12% Running Costs 2% Other Programme Costs 2% System Resilience 1% Acute Maternity Mental Health (incl Learning Disabilities) Community Continuing Care Primary Care Services Prescribing Running Costs Other Programme Costs System Resilience

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Integrated diabetes care in Bath and North East Somerset

Dr Marc Atkin, Royal United Hospitals Bath NHS Foundation Trust

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Dr Marc Atkin Consultant Diabetes & Endocrinology RUH, Bath

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The Problem

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What problem are we trying to address?

 Prevalence of diabetes increasing

 1.4 million 1993, 3.1 million 2010. 29% increase over the next 6 yrs  Diabetes is responsible for 10% of NHS budget

 Limited resources  Patients surviving longer with more comorbidities  With current system only 10% of diabetes patients have

access to specialist advice

 If we carry on what we are doing, system will be overloaded

 Delays in hospital care – waiting lists go up  Increasing numbers of complex patients in GP practices with

little support to manage them

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What are we doing about it?

 Bringing specialist expertise into GP practices working alongside

GP team to address patient as a whole

 Encourage and support patients to manage their own diabetes

What are we hoping to achieve?

 Easier and greater access to specialist advice  MDT approach to complex patients  Better & quicker communication between hospital and GPs  Better educated and better supported practice diabetes staff  Increasing the confidence of patients in their medical teams  Encouraging and equipping patients to manage their diabetes

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What would integrated care look like in Practice?

 Virtual MDT clinics with specialists in GP practices  Care plan & care planning

 Plan of action discussed with patients & priorities

decided

 Review of select patients in practice  Addressing multiple comorbidities  “On the job” education  Email & phone support  Diabetes Nurse Facilitator to directly support and

upskill Practice staff

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What next?

 Diabetes is one of BaNES key priorities  Currently running in 5 practices in Bath West  Roll out to other practices in 2016  Diabetes steering group involving all key stakeholders  Review of needs to support self management of DM  An opportunity to improve diabetes care across BaNES

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Any questions?

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Coffee break

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your care, your way community services review

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Update on building plans at the RUH

Francesca Thompson, Chief Operating Officer, Royal United Hospitals Bath NHS Foundation Trust

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RUH Redevelopment Programme

Francesca Thompson, Chief Operating Officer

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RUH Site Context

 The RUH is responsible for acute treatment

and care for 500,000 people across BANES, Wiltshire, Somerset and South Gloucestershire.

 The Trust sits on a 52 acre site, and includes a

mixture of buildings old and new.

 We are planning to build new, state-of-the-art

facilities in which staff can provide the highest quality care for our patients.

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Estates Strategy

 In brief, we have plans for:

 A new pharmacy  A new integrated rheumatology,

  • rthopaedics and therapies facility

 A new cancer treatment facility

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Estates Strategy

 We also plan to:

 Improve our visitor

parking provision

 Make better use of our

green spaces

We are determined to continuously improve the quality

  • f services we provide and to make the most of our

fantastic setting.

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Existing RUH estate

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Future estate plan

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Redevelopment project completed

Dyson Neonatal Care Unit Award winning £6.1 million Dyson Neonatal Care Unit to provide a beneficial healing environment for babies and reduce stress levels experienced by their parents. Therapeutic environment which is of tangible benefit to parents, staff and patients

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Timeline for RUH Redevelopment Programme

Phase 1 Pharmacy 2015 - 2016 Phase 2 RUH & RNHRD Therapies RNHRD services 2016 - 2018 Phase 3 Cancer Centre 2018 - 2020 Other services based in RUH North 2014 - 2020

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Relocating services from the Min

Building a sustainable future together for RNHRD services

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RNHRD - context

 RNHRD was experiencing significant and longstanding

financial challenges and could not continue in its current form

 The Local Health Economy came together to help

ensure a successful solution

 Acquisition by the RUH on 1st February 2015

supported as best way to ensure future provision and continuity of RNHRD’s high quality services

 Underpinned by a set of overarching principles  The RUH continue to work with the Local Health

Economy to fully deliver on that solution

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Combining our expertise

 Smooth integration of

services: no patient complaints relating to the acquisition and integration to date

 Staff engaged and many

corporate services fully integrated

 Stated intention to relocate

services to RUH site or suitable community settings to maximise patient benefit

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Why are we relocating RNHRD services?

 Bringing together the expertise of our clinical

teams will benefit our patients further improving

  • utcomes and patient experience

 Ensuring sustainable services for the future

both operationally and financially

 Creation of a single research hub driving

significant growth in research opportunities thereby increasing innovation and further developing clinical knowledge and skills

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A careful and phased approach

 Endoscopy service

successfully combined with service at RUH

 Time to start thinking

about relocating other RNHRD services

 Phased approach to

ensure services relocate in a safe and patient centred way

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A careful and phased approach

 Appropriate

engagement and consultation before individual service moves

Our core aim to maximise patient benefit and maintain high quality care

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Approximate timings for proposed relocations 2016/17 2017/18

  • Paediatric CFS/ME service
  • Paediatric Rheumatology

service Consultation and engagement for the Paediatric services will launch in October 2015.

  • Adult Fatigue Services
  • Rheumatology
  • Biologics
  • Orthopaedics
  • Dermatology
  • Therapies
  • Clinical Measurement
  • Pain Services
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Approximate timings for proposed relocations 2016/17 2017/18

  • Paediatric CFS/ME service
  • Paediatric Rheumatology

service Consultation and engagement for the Paediatric services will launch in October 2015.

  • Adult Fatigue Services
  • Rheumatology
  • Biologics
  • Orthopaedics
  • Dermatology
  • Therapies
  • Clinical Measurement
  • Pain Services
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We would like to hear your views

 There are a number of ways you can have your

say:

 We welcome your feedback at any stage ruh-

tr.haveyoursay@nhs.net

 Be part of the focus groups co-designing new

facilities

 Feedback on service specific proposals

 Further information and details about how to

get involved are available at www.ruh.nhs.uk

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Thank you for your time

Any questions?

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Thank you for coming!

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Please let us have your feedback

Write to us: St Martin’s Hospital, Clara Cross Lane, Bath BA2 5RP Ring us on 01225 831 800 Email us at bsccg.information@nhs.net Website: banesccg.nhs.uk @nhsbanesccg Bath and North East Somerset CCG