Transcript WAM Presentation Public Board Meeting

Windsor Ascot and Maidenhead
Clinical Commissioning Group
Presentation to Public Board Meeting April 3rd 2013
WAM CCG - working together locally to deliver sustainable excellence in healthcare
There are three Ascot practices which are members of the Bracknell and Ascot CCG.
87% of the CCG population lives within the Royal Borough of Windsor and Maidenhead
The CCG also includes a small practice (Taplow) which is within the Buckinghamshire boundary.
NHS Berkshire East currently has responsibility for the Runnymede district which includes
11,945 registered patients within the two Englefield wards in North Surrey.
Consultation
Room
Provider
surveys
Patient
Participation
Groups (PPGs)
PPG
Network
Localities
Clinical
Leads
Customer
Services
(PALs)
Website
Elected
Members
WAM CCG Lay Member
Local
Involvement
Networks
(LINks)
Local
Healthwatch
WINDSOR, ASCOT and MAIDENHEAD CCG LOCALITIES
3
6
1
2
11
9
4
8
7
Federation
Clincal Leads and
Performance (including
Education & Training)
East Berkshire
Federation
14
12
19
17
15
10
5
2x Lay Members
Accountable Officer
LA representative
16
13
20
18
5x GP
Practice Manager
Local Nurse
WAM Governing Body
Chief Financial Officer
Secondary Care Consultant
Nurse Director
Practice
Manager
Lead Forum
QIPP & Performance
East Berkshire Federation,
Chiltern + Surrey & Borders CCGs
Practice
Nurse
Forum
PPG
Network
Quality
Operational
Leadership Team
Strategy & Transition
Provider Development
Group


Windsor, Ascot and Maidenhead CCG works locally to
respond to health needs and with Federation partners
to:
 share resources
 improve quality
 manage financial risk
 maximise influence on providers
Improving commissioning relationships with CCGs in
Bucks and Surrey
Vision – ‘working together locally to deliver sustainable
excellence in healthcare’
Clinical leadership and quality are at the heart of the
CCG
Based on population needs, benchmarking and
feedback from clinicians and patients
Partnership working
Health and Wellbeing Board
Shared activities
Commission within our resources (one of lowest )
1. Ageing population
with impact on long
term conditions
2. Mental health
8. Continue to reduce
domestic abuse and
violent crime
(CAMHS, depression
and dementia)
Windsor and
7. Alcohol
Maidenhead
Priority Needs
3. Coronary Heart
Disease
2012
6. Children and
families living in
poverty
5) Housing –
affordable homes,
extra care and
temporary
accommodation
4. Cancer (Breast,
Colorectal, Prostate)
WE SHALL COMMISSION SERVICES






To promote recovery from ill health or injury prevent ill health or premature
death
To offer the greatest chance of living full and independent life
Maximise our patients experience of healthcare, reflect best practice and
deliver the pledges of the NHS Constitution
Commission and work with others to ensure people are protected from
unavoidable harm
Promote a culture of Safety and Quality allowing Patients Carers and Staff feel
able to report their concerns and have them addressed quickly
Commission integrated services where this improves outcomes
WE SHALL DELIVER STATUTORY DUTIES AND VISION WHILST DEMONSTRATING
OUR VALUES
Preventing people from dying prematurely
VISION
We want to develop and deliver
with others (particularly public
health and the local authority)
services to prevent ill health and
premature mortality.
PROJECTS
Age
extension breast screening
NHS Health Checks
High impact pathways for
paediatrics
Prevention service including falls
Alcohol Harm Reduction
12
Helping People to recover from episodes of ill health or
following injury
VISION
We want patients to
have the right support around them in as
quickly as possible and in an
environment that meets their needs in
order to recover
have a positive experience of care
have the same access to care no matter
where they are seen
access high quality services that are
based on best practice
Support from Doctors and Nurses who
understand and adhere to best practice
guidelines







PROJECTS
Implement early supported
discharge for stroke
Musclo- skeletal CATs
Community Dermatology Service
Map of Medicine
Review commissioning strategy for
community beds/ Reduce the
number of care home placements
Focussed work with secondary care
clinicians on implementing best
practice
Physiotherapy review
13
Enhancing the quality of life for people with long term
conditions
VISION
We want people to know how
to manage their own condition
and how to deal with their
condition when it gets worse.
We want Patients and Carers to
feel well supported by teams to
meet their health and social
care needs. Reliance in
institutionalised care will be
reduced.









PROJECTS
Implementation of integrated care teams
including risk stratification
Development of self care programmes/ EPP
Access to IAPT for people with long term
conditions
Review of care home dementia patients on
anti-psychotic medication
Develop screening and health and social care
support for people with dementia
National and local prescribing QIPP
indicators and quality standards e.g stable
angina, optimising PPI use
Review prescribing safety for asthma
Telehealth and Telecare
Heart Failure Nurses
14
Ensuring that people have a positive experience of care
VISION
We want Care that patients receive
to be a positive experience. We
want to use your experience to
shape commissioning decisions and
keep providers to their contracts .
We need real time information
about patient experience, patients
should feel empowered to provide
feedback and feel that the CCG has
considered this feedback and acted
appropriately.
PROJECTS
Improve transition from children’s to
adults services
Introduce NHS 111
Improve performance in A and E
Improve performance on 18 weeks
Improve performance in maternity
Improve performance in ambulance
response and handovers
Implement the ‘Friends and Family’ test
Promote ‘Ageing well’ in conjunction with
dementia screening
Carers
Worried Mums
Shared decision making and patient
choice
15
Treating and caring for people in a safe environment and
protecting them from avoidable harm
VISION
We want People to feel safe when
they are being cared for. We
expect Patients and staff to feel
able report poor practice and this
will be addressed swiftly. We want
to develop a culture of safety and
quality in all providers .
PROJECTS
Reduction
in the number of out
of area mental health placements
Review of all placements post
Winterbourne
Care Homes Project – whole
system relationships, education
and training, access to health
services and information sharing
and monitoring.
Clinical support and mentoring in
care homes
Reduction in antibiotic
prescribing
16
CCG Our Organisational Development
VISION
We want to grow and develop as
an organisation meeting our
statutory duties and vision, whilst
clearly demonstrating its values.
We would like people living within
WAM CCG to receive high quality
services which are integrated
where necessary.
We want our commissioned
services to have been have been
shaped by member practices,
patients and the public.
The CCG must be financially stable
and commission services by living
within its means
PROJECTS
EPIC continued development in live with CCG
strategy
Develop member engagement
Development of PPG Network
Systematic use of patient and clinician
feedback to improve the quality of care
Stakeholder engagement in planning
Development of relationship with voluntary
sector
Development of Health and Wellbeing Board
Development of joint commissioning
Development of health and wellbeing strategy
Succession planning
Organisational development
17