Transcript HAST - Plans on a Page

Hartlepool & Stockton-on-Tees Clinical Commissioning Group – “Operational Plan on a Page”
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Priority health
conditions
Acute In-Hospital Care (incl. Urgent Care)
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Improving
quality in
primary care
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To improve outcomes for service users and carers through clearer and simpler pathways of care
To ensure the longer term management of patients remains within the oversight of the registered practice
To streamline care and reduce activities that are being carried out by the same or multiple organisations ensuring services are available in the
right place to support individuals in the management of their condition
To improve access to a range of community health and social care services 7 days a week to ensure the provision of responsive services in and
out of hours in order to reduce the demand on urgent care provision
To commission a clinical support service for NEAS paramedics to reduce the need for hospital admission where this is avoidable when
appropriate
To continue to improve commissioned services in collaboration with the Provider to ensure key deliverables are implemented through inclusion
of requirements as contract developments
Mental Health, Learning Disabilities and Dementia (incl. Winterbourne)
Quality and
Safety
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Improving the
patient
experiencer
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To continue to enhance and improve the health and well-being for patients with dementia and their carers through the production of an
integrated mental health strategy
To review current mental health pathway for perinatal care to improve patient experience and access.
To Improve the mental health well-being of people who have mainly mild to moderate mental health problems and other unmet health and social
care needs through improving access to community based services.
Improve outcomes for disabled children and children with complex health needs and streamline services to optimise integration through review
and redesign of existing services
Continuation of the Tees CAMHS transformation and pathway improvement to ensure that primary mental health services meet the needs of
children and young people with early stage mental health difficulties
To work with Local Authority partners to deliver an integrated Advocacy Hub to respond to the challenges and meet the quality requirements of
the Winterbourne Review, improving access to advocacy support within residential units
Medicines Optimisation
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Seeking best
value for
money in
budget
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To ensure the best possible outcomes for patients who are supplied medicines and support the development and education of pathways i.e
improved management of COPD in Primary Care
To ensure that the most appropriate choice of clinically and cost effective medicines (informed by the best available evidence base) are made that
can best meet the needs of the patient.
To ensure that Medicines optimisation becomes part of routine practice across commissioned services
To ensure medicines use is as safe as possible by providing stewardship in line with national guidance
To support primary care in the deployment of the electronic prescribing service (EPS)
Ensuring that people have positive experience of care
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Helping people recover from episodes of ill health or following injury
Caring for an
aging
population
To maximise independence and quality of life and help people stay healthy and well through the development of integrated community health
and social care services with the focus on long-term conditions, frail elderly and dementia.
To support and develop Primary Care in order to increase capacity and reduce demand on urgent care services
To continue to support primary care in reducing variation in practice in order to improve health outcomes and deliver quality, innovation,
productivity and prevention (QIPP)
To support personalisation and choice by developing range of coordinated alternatives to hospital and residential care services through
investment in personal health and care budgets.
To improves access to community health and social care services 7 days a week in order to empower people with long term conditions to live
independently
Enhancing quality of life for people with long-term conditions.
Out of Hospital Care (incl. Care Homes and Quality in Primary Care)
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Reducing inequalities
Tackling health
inequalities
Improving health and preventing ill health in partnership
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Parity of Esteem
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Making significant progress towards eliminating avoidable deaths in our hospitals caused by problems in care
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To develop integrated initiatives with partners to encourage people to make healthy lifestyle choices, improve quality of life and manage the
longer term needs of the community
To improve the quality of education and support offered to patients with long-term conditions so that they feel confident in managing their own
condition and avoid admission
To deliver integrated support to mothers in order to promote a healthy pregnancy and the best start for babies and children and manage the
longer term health needs of the community
To develop integrated services to improve health awareness in order to improve screening, encourage earlier diagnosis and avoid emergency
admission including primary prevention interventions i.e. smoking, alcohol
To ensure sufficient capacity commissioned to meet the demand following the development of integrated services
Implementation of a new pathway of care for people with COPD to ensure equity across both localities
Improving the health related quality of life for people with long term conditions, including mental health conditions
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Securing additional years of life for the people of England with treatable mental and physical health conditions
Bringing care
closer to home
Treating and caring for people in a safe Environment and protecting them from avoidable harm
Health and Well-being
Increasing the number of people with mental and physical health conditions having a positive experience of care outside hospital
Outcome Ambitions
Increasing the number of people having a positive experience of hospital care
Outcome Domains
Increasing the proportion of older people living independently at home following discharge from hospital
Workstreams
Reducing the amount of time people spend avoidably in hospital through better and more integrated care in the community, outside of hospital
Strategic Aims
Preventing people from dying prematurely
To develop outstanding, innovative and equitable health and social care services, ensuring
excellence and value in delivery of person centred care working across both Health and Social Care
Vision