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Review of 2013-14
Dr Shane Gordon
Clinical Chief Officer
Our first year
Key challenges and achievements
Working with our local population, patients and carers
• NE Essex Health Forum and practice groups
• Our voluntary sector councils
• The Big Care Debate
• Healthwatch Essex
Quality improvements:
• cancer services
• diabetes care
• stroke care
• end of life care
• psychological therapies (IAPT)
Crisis management
Service performance
Financial stability
NE Essex Health Forum
Voluntary sector
partners
The Big Care Debate
We know the needs of our population are growing
faster than the money available:
Essex County Council will have a gap of approximately
£45m by 2016, NEE CCG a gap of £60-70m
We asked over 1,000 local people about their priorities
for the health service in the next 5 years
• Cancer services crisis at Colchester Hospital:
Real issues with patient care discovered, massive
amount of work by Hospital colleagues, NHS
England, ourselves and others to put these right
quickly. Valuable lessons learned and enduring
partnerships built.
• Finance through quality improvement:
on target (£18.5m for 2014/15) to continue making
required quality improvements and savings, but gets
more difficult. Innovation is key: Rapid Assessment
Service started; Urgent Care and Care Closer to
Home plans to come.
Quality improvements
Cancer Services in the community
More cancers diagnosed by GPs, now 53% of all cancers. This is a 22% improvement since
2010
Quality improvements
Cancer Services in the community
Fewer cancers are diagnosed as emergencies. This is a 28% improvement since 2010
Quality improvements
Cancer Services in the hospital
Major review of cancer services during
2013/14. Significant improvements made
to:
• Cancer pathways improved to bestpractice standards in 6 specialties
• Cancer nurse specialist numbers
increased
• A new computer system and improved
administration to track patients’ care
safely
• Improved referral processes
Quality improvements
Diabetes services
Quality improvements
Stroke services
Stroke services in Colchester hospital are consistently ranked the best in England on the
national quality indicators
Quality improvements
End of life services
• One number to call
• Advice and support 24 hours
a day
• Hospice at home services
• Online care register
68% of patients die in
preferred place
Deaths in preferred place of care have more than doubled during 2013-14
Quality improvements
Psychology services (IAPT)
• New service provider
• Focussed on recovery
from depression and
anxiety
Quality improvements
Other services
Community Phlebotomy
Services
Service Performance
Performance
NHS Constitution
A&E 4 hour standard
Referral to treatment (Admitted)
Referral to treatment (non-admit)
2 ww Cancer
62 day treatment cancer
31 day diagnosis cancer
Stroke – special stroke unit
TIA seen/treated 24 hours
Achieved
Planned
94.8%
91.7%
97.6%
96.2%
83.8%
96.3%
85.1%
60%
95%
90%
95%
93%
85%
96%
80%
74%
Performance
NHS Constitution
Achieved
Ambulance Red 1 (EoE)
73.6%
Ambulance Red 2 (EoE)
69.4%
Ambulance Cat A (EoE)
92.9%
Mental health IAPT(access) 10.4%
Mental Health IAPT(recovery)50%
Planned
75%
75%
95%
15%
50.7%
Looking forward
Looking forward
• Hospital pressures are whole system issues – Urgent Care strategy
now approved by Board
• CCGs investing in Ambulance Service
• Short and long-term Essex-wide plans to improve shortage of GPs
• Care Closer to Home transformative approach
• Gap between finance and demand remains challenging