Download item-08-service-triangles-mid-year-review-update-january

Service Triangles
Mid-year Review Update
January 2016
Planned Care
• Community Dermatology service in
Cromwell PCC
• Diabetes patient guides & support
group established
• Long Term Conditions model in
development
• Implementation of Cancer NICE
Guidance
• Service specifications for
Neurology developed
• Trialling tele-dermatology and
video consultations in primary care
Un-Planned Care
• Leading on the transformation
of the NEL Urgent Care System
• Leading on creating resilience
in the un-planned care system
• Oversight of Emergency
Planning
• Evaluation of the re-tendering
of GP out of hours services
Primary Care
GP Recruitment:
• successful trip to Holland in June 2015, resulting in
interest from 4-5 GPs
• successful bid for funding from NHS England for Clinical
Pharmacists to work alongside GPs
• commenced formal research project, jointly with HYMS,
for understanding impact of Physiotherapist working as
part of core GP team.
7 day services:
• working alongside NHS England to understand impact of
the NEL Docks Collaborative project and potential for
wider rollout across NEL
GP Education Programme:
 successfully recruited to Clinical Education Fellow in
Primary Care (joint post between HYMS and CCG) to lead
educational programme for GPs within NEL. Education
programme launched and first event to be held on 28th
January 2016
Women and Children’s
Enhanced Children's Community Nursing Service:
• Nurse specialists in diabetes, respiratory, endocrine,
diabetes, palliative & Community Paediatric
Consultant.
• Phlebotomy clinics in 3-primary care centres.
• Prevention, early intervention:
• Achieved excellent immunisation rates which are amongst the highest (best)
in the country.
• Achieved timely health assessments for children who are looked after (LAC)
• Continued success of Paediatric Assessment Unit (PAU)
Disabilities … Mental Health
IAPT waiting list reduction
• Trajectory ahead of target to achieve <5
waits longer than 2wks for step 3 IAPT by
March 2016
Early Intervention in Psychosis RTT standard
• Achieving access part of this new
standard routinely
• Significant challenges ahead to achieve
NICE compliant therapy delivery by 2017
Liaison Psychiatry
• Non-recurrent funding enabled functions
of CORE24 specification deliverable
across services for 2015-16
Disabilities … Learning Disabilities
Assuring Transformation:
• 1 individual meets transforming care definition.
• Partnership with Hull and ERY to meet transforming care agenda
• Risk analysis of individuals with emerging complex, challenging, and
very high-cost community placements
• Working with local providers to identify and develop safe and
realistic care packages where appropriate
Older people’s, Carer’s and Dementia Care
Dementia:
• The workshop led to the articulation of the
proposed vision
• Steering group will develop a consultation
document to ensure those with dementia and their
carers have a voice in the final documentation
launched.
• Diagnosis rate of 72.3%, which is a positive
achievement against the national average of 67.1%.
Care Homes:
• The Support for people with Multiple Long Term
Conditions Project is progressing
Carers’:
• Carers’ Strategy Action Plan is on track for
completion by 31.03.2016
• Carers’ Centre and Carers’ Forum have embarked
on consultation regarding service delivery
Community care Triangle
Extra Care Housing:
• first scheme ‘Strand Court’ was officially opened by the Mayor in September
2015. The majority of residents moved in between August and November
and we still have waiting list of people who are waiting for a vacancy.
• the onsite restaurant is open to members of the public and families and as
well as residents and feedback has been very positive
Single Point of Access:
• leaflets and business cards
have been distributed to
promote the service and the
single number system is in
place.
Prescribing and Medicines Management
• Continue to promote the safe and effective use of medicines to enable
the best possible outcomes and using NHS resources efficiently.
• Providing advice on medication
• Promoting cost-effective initiatives in primary care e.g. gluten free foods
• Looking at Quality Initiatives e.g. antibiotic prescribing, prevention of
stroke in patients with atrial fibrillation
• Promoting self-care including access to community pharmacy and
exploring a minor ailments scheme
• Reviewing the use of prescribing point of decision software e.g.
ScriptSwitch / Optimise Rx