Transcript Ambition, Action, Achievement

Ambition, Action, Achievement
Leading your local NHS
Our Vision:
Havering will be a healthy place to live for all
To commission best in class services that
give people personal choice and control of
their healthcare needs in the most
appropriate settings
Working with our partners we will radically
redesign our Primary Care Provision, align
the targeted and open access services
with the Borough and operate jointly 7
days a week
We will empower our residents to access
health and wellbeing, education and
training opportunities
Delivering best in class services will mean
that we will make informed evidence
based investment decisions, delivering
clearly defined outcomes
Ambition, Action, Achievement
Key points from JSNA
• Oldest population in London and numbers are growing
expected 29% increase people aged 65 or over
• 57% increase aged 85 or over with long term limiting
illness by 2025
• Diabetes levels predicted to rise 48% by 2025 and stroke
levels predicted to rise 31% over the same period.
• 2nd highest in London % of obese adults (22%)
• Cancer mortality higher than expected for bowel/breast
at 1 year
• 2nd highest rate in London of overweight children at age
5 (ticking timebomb)
• Havering deprivation (IMD) 200th out of 354 PCTs
Actions are needed to
deliver the outcomes for our population
Our eight local outcomes:
• REDUCE
– COPD mortality
– Stroke deaths within 30 days
– Premature cancer mortality
• Increase
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Improved identification/diagnosis of dementia
% of deaths that occur at home
Breastfeeding at 6-8 weeks
Uptake of DTP at age 5 (proxy for MMR)
Self reported experience of patients/users
Key Actions speak louder than words – must be
realistic
• Polysystem model implement
during 2010/11
• LTC care transformed with 50+
strategy actions & modernised
community services
• Health4NEL shifts linked to CSP
initiatives
• Organisational including Board
development
• Clinical & Public engagement
strategies delivered
What’s a Polyclinic/Community Hospital
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Post acute stroke beds
Step down and palliative care
beds
Advanced physiotherapy services
Day Hospital
Plus services available in the Hub
Features for all new facilities
 DDA Compliant
 Induction Loop fitted to reception
 Treatment room
 At least one consulting room
 Minimum of 1 disabled parking
space per clinical room
 Baby Changing Facilities
 Breast-feeding friendly
 Secure pram/pushchair/cycle
storage
 Satisfactory Infection control
report
 IT compatible with hub to allow
reciprocal appointment booking
and records access
 Confidential reception facilities
 Energy efficiency audit action plan
completed
 On-line booking facilities for
patients
Ambition, Action, Achievement
Polyclinics and spokes across Havering
Ambition, Action, Achievement
Polyclinic Hub
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Min 12hr x 7 days a week, Urgent
Care Centre, with direct links to
A/E
X-ray, ultrasound, possibly mobile
MRI and mobile breast screening
Full range of near patient testing
Dedicated disability facilities
Access to health information
available in leaflet or electronic
form
Range of Borough service
Voluntary sector services
Community based services e.g.
physiotherapy, audiology, sexual
health, pharmacy
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Consultant led outpatients
Direct links with Out of Hours
services
All GPs offering full range of
enhanced services
Range of services for children and
young people with direct links to
the Children’s Centre
Mental health including dementia
support
Long Term Conditions working
through multi-disciplinary groups
End-of-life support network
Maternity with close links to BHRT
and children’s centres
Diabetes – up to level three
services
Ambition, Action, Achievement
Spoke GP Practice Tier 1
 Min 12hr x 7 days
 Blood tests & ECG
 Access to health information
available in leaflet or electronic
form
 Full range of Enhanced GP
services
 Walk in GP services
 Consultant led outpatients
 Minimum of 8 wte GPs
 Premises that can be
expanded
 Long Term Conditions
 Diabetes – up to level two
services
Ambition, Action, Achievement
GP Practice Tier 2
 Min 12hr x 6 days
 Blood tests & ECG
 Access to health information
available in leaflet or electronic
form
 Full range of Enhanced GP
services
 Minimum of 4 wte GPs
 Long Term Conditions
 Diabetes – up to level one
services
Ambition, Action, Achievement
GP Practice Tier 3
 Core Primary Care Services
 Range of agreed additional
services
 Long Term Conditions where
appropriate
 Single handed practices up to
4 wte GPs
Ambition, Action, Achievement
Community/Home
• Tailored education to support patients and
carers in managing long term conditions and
end of life care supported from the Hub/Spoke
• Rehabilitation services for stroke patients
• Mental health assessments e.g. dementia
• Children and young people with complex
health needs
• Ability to single point of access for information
and advice to self manage - e.g. telephone,
web, tele health, NHS Direct
• Home births
Ambition, Action, Achievement
Urgent Care Centres
Ambition, Action, Achievement
Urgent Care Centres
Our plan for Urgent Care Centres is:
• North-west System
Urgent Care Centre will be based at Queen’s Hospital
• North-east System
Urgent Care Centre will be based at Harold Wood Polyclinic
• South System
Urgent Care Centre will initially be provided at South Hornchurch operating
from 6am to midnight, but the services will be moved to St. George’s Hospital
site when appropriate
Urgent Care Centre will be provided at Cranham operating from 6am to 9pm.
All 3 Polysystems will have one Urgent Care Facility fully operational by December 2010.
Future Urgent Care Centres will be considered at Collier Row, Maylands and Harold Hill.
Ambition, Action, Achievement
Joint Priorities with Council
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Advice Services (including dementia)
Keeping people out of hospital (includes
intermediate care, integrated case
management, DTOC and falls prevention)
Polysystems (to ensure maximum reach and
success of moving services into the
community)
Speech and language therapy (for children)
Partnership working - the key to a
healthy Havering
• What’s in it for the voluntary sector?
• How can the NHS and Borough ensure the
voluntary sector is bidding on a level playing
field
• What are the timescales – this year?
World Class Provider
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Fit for Purpose
Good governance
Financial Stability
Meet our vision, goals, priorities, actions
and outcomes
• Mirror image of World Class
Commissioning competencies