Transcript New Diagnoses of Gonorrhoea and Syphilis in GUM

LARC Performance Improvement –
review and forward look
Alison de Metz
Public Health Improvement Lead
NHS London
Setting the Scene
• 2009: NHS London Prevention strategy
• Five priorities, including
• Sexual health (LARC, EHC & reducing repeat
abortions)
• Quick Guides
• Self assessments
• Practice examples
local and London actions
Issues and actions
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Leadership
Performance
QIPP
Training
Equity
Partnership
Primary care
Cluster Leads & delivery plans
SH dashboard
Abortion commissioning
‘London’ model
PGDs
Abortion pathways
LARC Read codes and templates
All LARCs rate/1,000 women
60.0
50.0
40.0
England
30.0
London SHA
20.0
10.0
0.0
2007-8
2008-9
2009-10
2010-11
LARC / TCs and Abortion Trends
50
35.00%
45
30.00%
40
25.00%
35
30
England TC /1000
20.00%
LONDON TC /1000
London Abortion /1000
25
England Abortion / 1000
15.00%
20
England LARC % Inc since 2007-08
London LARC % Inc since 2007-08
15
10.00%
10
5.00%
5
0
0.00%
YR 2007
YR 2008
YR 2009
YR 2010
Practice examples
Dr Richard Ma’s presentation
Transition - risks & opportunities
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New commissioning arrangements
Determining and influencing priorities
Making scrutiny processes work for us
Contracting in local authorities
Changing provider landscape
Communications & marketing
We know where we want to go –
how can we find the best route?
Thank you
[email protected]