Health Partners Forum August 2018 - Brent CCG
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Health Partners Forum August 2018
Health DRAFT
Partners Forum
co-Chairs
Nicholas Young Lindsay Wishart
Brent CCG Governing Body Lay Member Brent CCG Governing Body Lay Member
2
DRAFT
1. Welcome 18.00-18.10
2. Introduction of new Patient Representatives 18.10-18.20 (10mins)
3. Commissioning Intentions 18.20-18.40 (20mins)
4. Table session 18.40-19.10 (30mis)
5. Comfort Break - Visit stalls 19.10-19.25 (15mins)
6. Table session 19.25-19.55 (30mins)
7. Closing remarks 19.55 – 20.00
8. Close
3
Opening Remarks
DRAFT
Councillor Butt Dr Ethie Kong
Leader of Brent Council Clinical Chair, Brent CCG
4
DRAFT Dr Ethie Kong
All your colleagues at Brent CCG, Local
Authority, Healthwatch, CVS Brent, patients,
Carers and Public want to say a VERY BIG
DRAFT
Ethie Kong
Clinical Chair
Brent CCG
6
Brent CCG
DRAFT
Who we are, what we do
Membership of 56 local GP practices Services we commission
(Registered population of
Inpatient Primary Care
371, 405 (Jan 2018)) Services services
Learning
Mental Health Disability
Services Services
Maternity &
Urgent Care Children’s
services Services
Community Outpatient
services Services
Supported by Integrated Care Services
The Brent Place Key challenges in Brent
DRAFT
Mental Health Long Term Conditions
• Common mental health disorders (CMD) • Long Term Conditions
In 2017, an estimated 35,082 people aged 18 to 64 years 20% of people have a long term condition
were thought to have a CMD Number projected to
increase • Diabetes
by 2030 it is predicted 12.5% of adults in Brent will
• Severe and enduring mental illness have diabetes
affects 1.1% of the population
• Dementia
• Mental well-being prevalence of dementia in people aged 65 years
23% of people with depression, mental health issues or and over is 2,624 (2017) (and 80% of prevalence is
nervous disorders in employment diagnosed)
Health-related behaviour Children
• Health-related behaviour • Childhood obesity
physical inactivity: worst in West London; nutrition: 47% Brent is in the worst quartile nationally in terms
get 5 a day; tobacco use; alcohol; take up of of the % of children aged 10-11 classified as
immunisations overweight or obese – 43.9% (16/17)
• STIs/HIV
1,404 STIs per 100,000 population compared to 829 in
England
8
DRAFT
Sheik Auladin Jonathan Turner
Managing Director Deputy Managing Director
Brent CCG Brent CCG
9
Progress since our last
Commissioning
DRAFT Intentions
1. Close gaps in Health & Wellbeing Sustainability &
Transformation Plan
2. Close gaps in Care and Quality
NHS Five Year
3. Close gaps in Finances
Forward View The Brent Health &
Care Plan
• Transformation plans to address the gaps
• QIPP (Quality, Innovation, Performance and Prevention) Schemes
• Some gaps have reduced for Brent (e.g. cancer experience) and we have
maintained financial balance
• Across NWL success has been patchy, with some CCGs doing less well than
others
1. Integrated older people’s pathway (including hospital discharge)
2. Integrated commissioning and market management
3. Enhanced Care in Care Homes
4. Self care Brent’s 6 areas of local STP focus
5. Integration development within a wider commissioning agenda
6. Dementia (health and social care working
together)
10Financial progress since theDRAFT
last Commissioning Intentions were set
CCGs have a number of financial duties regarding the use of its resources:
We have remained within those parameters.
• Brent CCG expenditure did not exceed income
NHS Brent CCG target £453.3m against actual performance of £451.9m
and so achieved a surplus of £1.4m
• Brent CCG revenue resource use did not exceed the amount specified in
directions
NHS Brent CCG net revenue expenditure totalled £433.2m against a
revenue resource allocation of £434.5m
A deficit on programme of £0.3m and a surplus on running costs of
£1.7m together equal NHS Brent CCGs surplus of £1.4m.
11Some examples of progress since the last Commissioning
IntentionsDRAFT
were set
Maintained Financial Balance
Involving people,
Improved Acute Child & Adolescent
Primary Care Community Care information &
Care Mental Health
signposting
• Improved access to • Launched the • Frailty Assessment • Reduced waiting
GP services, Diabetes • Six new patient service located in list by more than
including Transformation representatives A&E half in CAMHS
e-consultations, Programme in
video conferencing Brent • Green rating in • Dedicated CAMHS
and other online •Consultant
NHSE assessment Geriatrician in A&E Community
services • Appointed a of Patient and Engagement
Parkinson’s Disease Public Engagement Service reaching
• New GP practice Nurse to helps •Home First out to children and
opened at Central support people in launched (Discharge families
• Health Help Now
Middlesex Hospital the community to Assess)
App
• WIFI in GP • Launched a • 1,292 downloads
surgeries community falls
• used a total of
and bone health
12,346 times
service
12Progress since the last Commissioning
DRAFT Intentions were set
Maintained Financial Balance
SEND Learning Disabilities Care Homes
• Designated Clinical Officer has been • LD nurse appointed by interview •Majority of Brent Care Homes now
appointed panel including people with LD have a ‘good’ CQC rating
• Reduced waiting times for audiology • LD strategy co-produced with •Enhanced Care Home & High Risk
and Occupational Therapy patients, carers and stakeholders Housebound service providing better
care to patients to prevent hospital
• Improved patient and carer admissions.
involvement
13Commissioning
DRAFT Intentions Aims
• Set out clearly how the CCG will utilise resource allocation in
2019/21 to deliver its vision
• Highlight any significant changes planned to services commissioned
during that time
• Notify our providers as to what services we intend to commission
for 2019/21
• Provide an overview of our plans to commission high quality health
care to improve health outcomes for Brent registered patients
• To engage with our member practices in commissioning a model of
high quality health care for the residents of Brent
• To engage partners, patients and the public in shaping how we
respond to the health needs of Brent residents in the
commissioning the appropriate services to meet local needs.
14Sustainability
DRAFTand Transformation:
minding the gaps through our
commissioning intentions
• Primary Care • Children’s Services • Learning Disabilities
Transformation
• Urgent & Emergency Care • Long Term Conditions
• Mental Health
• Whole Systems Integrated • Older People
• Acute Planned Care Care/Integrated Care at
Home • Primary Care Homes
15Commissioning Intentions
2019 to 2021
DRAFT
Improving Access to Primary Care, Improve the way high risk patients are
reducing variation, sharing identified
resources and skills, further Refine care planning processes.
development of GP workforce and Improve the Complex Management
new roles to improve patient care Group Model to facilitate care pathway
and outcomes from start to finish. Expand Rapid
Response to give additional support to
patients to reduce risk of readmission.
16Commissioning
DRAFT Intentions
2019 to 2021
Better psychological support for
Monitor effectiveness people with physical health
of integrated conditions, access to physical
community learning health care for those the MH
disability team and conditions. Design PTSD and
remodel in-patient LD Personality Disorders pathways.
unit Continued development of Local
Dementia care services.
17Commissioning Intentions
DRAFT
2019 to 2021
Implement National Diabetes Older Persons’ Pathway, acute
Transformation Programme in Brent. frailty service in A&E, short
Enhanced Community Respiratory stay unit, Homefirst Discharge
Service. Mainstream Parkinson's to Assess
Disease Pilot pending outcome of
evaluation. Develop Clinical pathway
for hypertension and align with stroke
services. Develop integrated End of
Life Care. Extra support for GPs to
diagnose and treat patients with
Atrial Fibrillation
18Commissioning Intentions
DRAFT
2019 to 2021
Reduce childhood obesity, smoking cessation,
and align special school nursing with public
health nursing service
Expand the mental health support during Continue existing pilot
pregnancy and for new parents
for Integrated Urgent
Implement common gateway for mental health Care across NWL to
support across schools and other youth services include evaluation
Reduce variation in service quality and procurement
Improve the Education, Health and Care
Planning process. Jointly commission paediatric
therapy services
Use multi-agency information to identify
children with long-term health conditions to
offer targeted relapse-prevention support.
19DRAFT
Lindsay Wishart
20DRAFT
We want your views on how we do this…
What are your views?
1) What do you think about the commissioning intentions?
2) What is most important for Brent residents in these
delivery areas?
3) How can we better help patients to choose the right services for their urgent care needs?
21DRAFT
Next steps
Letter to providers – 30th September
Health and Wellbeing Board – 9th October
CCG Governing Body – date to be confirmed
Next HPF – January 2019 (date to be confirmed)
22Important take away messages and top tips
for when its not an emergency
DRAFT
Call NHS 111 (if you don’t know what
TALK to do)
Check Health Help Now app
Talk to your local Pharmacist
See your GP: appointment, online
B4 U
consultation, GP Access Hub app’t
WALK
Check Brent Local Offer (Children with
special needs) – Council website
23DRAFT
THANK YOU!
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