Transcript Document

Braintree District Council
Health & Well Being
15th July 2013
Mid Essex Clinical Commissioning Group
Clare Steward
Deputy Accountable Officer / Director of Strategy & Primary Care
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What do we do?
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MECCG is the successor organisation to the Primary Care Trust.
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It serves the communities in Chelmsford, Braintree, Colne Valley, Witham and
Maldon, South Woodham Ferrers and surrounding areas
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It received its authorisation from the National Commissioning Board (NCB)
with effect from 7 March.
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From 1 April it will lead the local NHS and be responsible for planning and
buying healthcare through:
assessing local needs
listening to patients and public
working in partnership
designing services and agreeing contracts
managing quality and performance
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MECCG health and social landscape
• 50 member GP practices
• three localities/ nine sub localities
• 48 dental practices
• 61 pharmacies
• 60 opticians.
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Taking the lead with system partners;
As an authorised CCG we now hope to deliver our vision of providing modern
healthcare facilities that deliver appropriate, accessible and affordable services
in the right place.
The advantages of having GPs as commissioners are
• they are close to patients
• know the good and bad things about services
• know what needs changing.
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Strategic objectives
• Transformation and integration
• Practice engagement
• Public confidence
• Improving quality and outcomes for all
• Meeting the financial challenge through responsible use of
resources
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2013/14 Budget
• Recurrent healthcare funding
• £990 per head of population (Essex Av. £1100)
• £372m healthcare budget
• £9.3m Running Costs
• £22.5m QIPP
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Examples of existing schemes
 Rapid Assessment Unit for frail & older
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people – avoid hospital emergencies
Multiprofessional teams for end of life care at
home
High Impact Team reviews with residential
care and nursing homes to avoid hospital
emergencies (Nurse, MH nurse, Pharmacy,
Therapist)
Practices managing referrals working with
central team of clinicians
Prescriptions for less expensive drugs
Examples of new schemes 2013/14
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A&E streaming tool
Reduce unnecessary use of ambulance
Medical response vehicle
Review clinical policies, ensure they are adhered
to
Single point of referral
Practice level multi-disciplinary team meetings
(MDTs)
Improve physio self-care, reduce wasted
appointments
Comply with national guidelines on drugs
Mental health rapid assessment to reduce
admissions
Our intention is for
this not to be about “cuts”
Our priority is about improving
Efficiency
We have some difficult decisions to
make in the future
So what can we do better together?
Taking Forward Integrated Commissioning
 System wide pathway commissioning approach to
frailty launched in July
 Lead Accountable provider
 Year of care shadow tariff provides opportunities to all
providers
 Combined health & social care risk stratification tool
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WHEN ?
Proactive
Rapid Response
Therapies
Residential
Care
Extra Care
Housing
CMs
DNs
SS
Neighbours
Family
Social
SAFE
FRAIL
Voluntary
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INTEGRATED
PROACTIVE
SEAMLESS
COST EFFECTIVE
Community
Matron
Matron
DNs
Voluntary Sector
Reablement
Networks
GP & PCT
Managing unplanned care
 System wide plan to manage unplanned care
 Will go to BDC for comment on 18th July
 System join up on patient education and winter
planning
 System wide planning event in September
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Some of the areas of joint focus;
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Self management
Health Improvement
Right care first time
Support and counselling
Integration
Personalisation
Enhancing public involvement
Supporting our carers
Enhancing care in home settings
Thinking differently to maintain system-wide sustainability
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How?
CCGs need to meet the quality and productivity challenge, providing
ways in which clinician-led commissioning can involve local people
in shaping responsive, local patient centred care.
This will involve working closely with partners and providers, including the
local District authorities, with particular reference to efficiency, high quality
and standard of care and value for money.
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How you add value
• Identifying in partnership locality Health & Wellbeing priorities
and working together to add value to outcomes
• Local knowledge – information triangulation
• Mapping needs and concerns
• Focus on the individual
• Enhancing commissioning plans & identifying joint
commissioning opportunities
• Supporting care
• Connecting with patients, relatives, carers and community
groups
• “No decision about us without us”
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Shared values
• Patient/customer focused
• Sound appreciation of patients’/customers’ needs
• Cost effective, high quality services
• Local knowledge
• Credibility
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So where now?
• Identify shared health & wellbeing priorities
• Identify & understand where the added value is
• Link this to the mid Essex integrated plan
• Plan how and when to deliver this partnership work and the
governance structure in which to do this
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Contact Details
Clare Steward , Deputy Accountable Officer/Director of Strategy and Primary Care, Mid
Essex CCG - [email protected]
Krishna Ramkhelawon, Consultant in Public Health, Essex County Council [email protected]
Sian Brand, Deputy Director of Strategy, Mid Essex CCG – [email protected]
www.midessexccg.nhs.uk
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