Transcript EALING CCG - Ealing Council Homepage

EALING CCG
Update on Delivery of Ealing’s Out of Hospital Strategy
Presentation to Health and Well Being Reference Group
27th September 2012
Our ambition for Ealing OOH strategy
‘Our vision is to ensure that our health care
system keeps patients well and at home and,
when patients do become unwell, provides costeffective, evidence-based and timely care at the
right place appropriate to their needs.’
What do we want to commission?
Our vision of how care will be different
•Our vision is that patients will feel confident and secure in the care they
receive out of hospital
•This will mean joint working between GPs, community and social care,
hospital and consultants, with early intervention and care in the right place
and at right time
•Patients will have easier access to consistently high quality primary care
•More consultant led planned care will take place closer to home
•Patients with long term conditions who need care from different services will
receive better coordinated care with one package of care
•Patients will be supported when they are discharged from hospital
•We are developing standards to hold ourselves and other providers to
account for delivering high quality care out of hospital
Update on Progress of Our Plans
1. Patient and Public Engagement
• Developing meaningful public and patient engagement e.g. two
stakeholder events, patient involvement with diabetes redesign, tendering
of pulmonary rehab service
• New post planned for CCG to support Public and Patient engagement
2. Estates Review
• NWL have commissioned review of primary care estate to identify
opportunities for investment
• Small capital improvement programme for GPs
• Discussions with Brent, Harrow and Hillingdon CCG on potential use of
cross border sites e.g. Alexandra Avenue
3. Workforce Review & Development
• Work with NW London colleagues to review workforce and undertake
skills gap analysis
• Further training to support delivery of OOH strategy e.g. diabetes care,
asthma management etc
Update on Progress of Our Plans
4. Primary Care Infrastructure
• We now have 7 Health Networks
• These are the building blocks for our Out-of-Hospital Strategy
• Two key developments building on Health Networks: ICP and
anticoagulation services
5. IT Review and Developments
• New software solution for all GP practices
• Integration of IT systems across health economy and with Social Care
Service Update – Urgent & Unplanned
Care
Urgent Care
Centre
• Ealing Hospital UCC fully operating since July 2011
• Sees over 60,000 patients a year
• Work underway to fully mobilise Hillingdon and West Mid UCCs
Intermediate
Care Service
• Major investment in Ealing ICO new IC service with 54 additional staff
• Operating since Aug 2012 as a pilot covering 10 practices
• Full mobilisation expected by Oct 12
• Work currently underway to develop integrated management across ICO and LB Ealing
Reablement Team
111
• Service will operate as alternative to 999 for non-urgent calls and signpost patients into all
local services.
• We have worked with colleagues in Brent and Hounslow to jointly procure the service
• Procurement has now completed and we are working on implementing it
• Service expected to become operational by January 2013
Service Update – Integrated Care
Integrated
Care Pilot
• Acton GPs have been successfully running the pilot since 2011
• Borough-wide Ealing launch in July 2012
• 90% of Ealing GPs have joined the scheme so far
• Health Networks are already meeting in MDGs to deliver health improvements
Children’s
Community
Nursing
Service
• - New service has been in operation since April 2013
• - Located at Carmelita House
• - Brings together Children’s teams from Ealing Social Services, Ealing ICO and Ealing Hospital
• - For 2012, the service is focussing on developing 2 community pathways (diabetes and
epilepsy)
Nursing
Home
Enhanced
Cover
• We have developed a new service specification for an enhanced medical service to cover
all patients in Ealing 22 nursing homes (over 1,100 patients)
• T he service is designed to meet the specific needs of nursing home residents
• Procurement process has started in August 2012 and we expect to award the contract by
January 2013 and have the new service in place by April 2013
Service Update – Planned Care
Pulmonary
Rehab
• New community service for Pulmonary Rehab has been commissioned in August 2012 following a 6months procurement
• Ealing ICO has been awarded the contract
• The service is expected to be up and running from December 2012 and see over 5000 patients with
COPD per year
Ophthalmology
• New community service has been commissioned from The Practice and has been delivering since
April 2012
• The service is designed to provide consultant led ophthalmology services in the community to over
8,000 patients a year
Anticoagulation
• New community anticoagulation service has been commissioned from Ealing GPs
• The Service will commence October 2012 and will be delivered within the 7 Health Networks
• The Service will provide both anticoagulation Initiation and Maintenance and will offer service to
all but the most complex of patients who will, as before be treated in hospital.
Future development
Work has started to review the following pathways:
MSK
Cardiology
• Commission a large Musculo-skeletal See-and-Treat service with consultant cover
• Service expected to go live December 2012
• We will also increase our funding for the community physiotherapy service to
increase their capacity
• We are reviewing the model of care for cardiology to identify which services
currently delivered in hospital, could safely be made available to patients in the
community
• We are aiming to have clearer plans in December 2012
• We are reviewing the model of care for cardiology to identify which services
currently delivered in hospital, could safely be made available to patients in the
Dermatology
community
• We are aiming to have clearer plans in December 2012
Q&A