CCG Feedback January 2014

Issue/Query

District Nurses have ceased to visit house bound patients to take blood tests QOF QP 2013/14 NHS 111 Update OA Hip/Knee pathway Self-Care Leaflets NSFT Access and Assessment Service – tracking the referral process Winter Update 24hr ECG

Outcome/Update

This has been raised with the CCG’s Contracting team who are in discussions with SERCO. It has been identified that there is a commissioning gap which the CCG are seeking to fill ASAP.

The QOF QP pathways are: Outpatient Referrals; ALL, OA Hip and Clinical Thresholds. Emergency Admissions; ACE3 tool, Admission Prevention Services and Diabetes A&E attendances; Practices will need to develop and implement an improvement plan. All reports need to be submitted to: [email protected]

Queries can also be sent to this address. Please note, whilst

the new Integrated Diabetes Service is not yet live, there are a number of actions that practices can take to ensure that they

have engaged with the pathway. The briefing for this is included in the delegate packs. Following national feedback, the number of duplicate messages to GPs from 111 have reduced, which will cut down on paperwork in surgeries. The secondary post-event messages, sent when a patient is referred to a GP OOH service to reduce message duplication, has now been supressed. For further information/queries please email [email protected]

The OA Hip and Knee pathways are being re-launched – a handout is included in the pack. Please note the feedback form included for any comments on the pathway. A number of new leaflets have been developed for patients. These can be found on our website and samples are included within your pack The performance of the contract is under review. A remedial action plan has been put in place with a goal to meet targets by the end of March. A workshop has been arranged to understand the causes better and to explore options for further improvements. A similar situation exists with the Wellbeing Service line which will also be explored. To provide any feedback and contribute to the workshop, please email [email protected]

The CCG’s winter planning managers have been working closely with all providers to ensure that the health system is able to respond to demand. Individual organisations’ and system-wide action is having really positive results. Ipswich Hospital has extended services over the weekends with increased presence of senior clinical decision makers. The A&E department has consistently achieved >95% on their 4 hour target since Christmas Eve and is currently achieving 97.56% for the month of January. The implementation plan with practices which have expressed an interest in the contract is being finalised. Costings for 2014/15 are being reviewed and will be discussed with all practices and the LMC.

Issue/Query

Emergency Planning 5 year and 2 year planning

Outcome/Update

The CCG is liaising at Chief Officer level to clarify CCG and Area Team responsibilities in supporting practices in developing and implementing emergency plans In line with national guidance, the CCG is developing plans which will include; 1) major work programmes of the transformation of the urgent care system (discussed at December event), 2) efficient and effective working of Ipswich Hospital and West Suffolk Hospital and 3) healthy independent people working with Suffolk County Council • •

How Practices can Raise Contractual Queries

• To raise a query, GPs can email [email protected]

• The mailbox is monitored twice daily, issues are then logged and a response should be available within 20 working days.

How to receive updates

Via the Weekly Inbox newsletter – previous editions can be found on our website on www.ipswichandeastsuffolkccg.nhs.uk

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