Post on 04-Jun-2018
Review of the Year Wendy Swift Chief Executive (Interim) Blackpool Teaching Hospitals NHS Foundation Trust Dr Amanda Doyle OBE Chief Clinical Officer NHS Blackpool Clinical Commissioning Group
Partnerships
Patients
Public
Volunteers
NHS Fylde and Wyre
CCG
Lancashire County Council
Blackpool Teaching Hospitals NHS FT
NHS Blackpool
CCG
Blackpool Council
Fylde Borough Council
Wyre Borough Council
National Planning Guidance (2017-19)
‘’Partnership Behaviours Become the New Norm’’
Our Achievements
New five year cancer
strategy
New models of care
across the Fylde Coast
New end of life care
provision
Working together to win Lottery funding e.g. Better Start
Head Start
Healthy new town
initiative
Test bed initiative
Think! Why A&E campaign
NHS Fylde and Wyre CCG • An ‘outstanding’ CCG
• One of 10 CCGs nationally to receive top rating in NHS England’s annual assurance assessment
• Wyre Health Hub
• New facility in Wyre Civic Centre bringing together healthcare and council services
• More than 1,000 people helped by new falls vehicle
NHS Blackpool CCG • Delegated authority to commission primary
care services across Blackpool
• Primary Care Quality Contract
– Addressing variation and patient access across Blackpool
• Meeting Cancer and diagnostics performance targets
• CQC inspections in primary care, out of 17 practices inspected: – 82% of practices were rated good (national average
based on 360 inspections is 78%)
– 18% of practices were rated outstanding (national average based on 360 inspections is 4%)
• New Models of Care have been accelerated in Blackpool and across the Fylde Coast, bringing co-ordinated care closer to patient’s homes
NHS Blackpool CCG • Dementia diagnosis rates
• 89% diagnosis rate (67% national ambition)
• Improving Access to Psychological Therapies (IAPT) Services
• Reduced waiting times from 12 months to six to 18 weeks
• Showed improvement in all Equality and Inclusion goal outcomes graded in 2015
• Better Start/Head Start – Significant involvement with this programme, aimed at improving children’s health and wellbeing from an early age
Blackpool Teaching Hospitals • Launched our new 2020 Strategy
‘Together we can’ designed by our clinicians
• National Patient Safety Award for our End of Life team
• Named in the HSJ Top 120 Places to Work in the NHS
• Launched our new quality strategy
• Achieved UNICEF “Baby Friendly Initiative’’ accreditation
Fylde Coast Strategy
• The partner organisations in the Fylde Coast health economy are committed to working together to improve health outcomes for our population.
• Our aim is to develop a model of integrated and coordinated health and social care so that care is delivered seamlessly, sharing data and communicating better with each other and those in need of our services, their carers and families.
Fylde Coast Work Programmes
Enhanced GP access
Urgent and emergency
care
Care model delivery
Technology
Mental health Effective use of resources
Planned care Cancer
Leadership Working in Partnership
Enhanced GP Access
Urgent and Emergency
Care
Care Model Delivery
Technology Mental Health
Effective Use of
Resources
Planned Care
Cancer
Senior Responsible Officer
Tony Naughton
David Bonson
Peter Tinson
Tim Bennett
Helen Lammond
-Smith
Andrew Harrison
Wendy Swift
Use of existing
Fylde Coast
Cancer Group Chair = Adam Janjua
Senior Responsible Clinician
Dr Marie Williams
Dr Russell Millner
Dr Andrew Weatherburn
Dr Cruz Augustine
Dr Marie
Thompson Dr Tom Johnson
Programme Lead
Suzanne Endersby
Sarah Camplin
Stewart Bond
Lesley Tiffin & Claire Grant
Pat Crawford
Nicola Walmsley
Extensive Care Service Dr Andrew Weatherburn Service Clinical Lead Blackpool Teaching Hospitals NHS Foundation Trust
Progress To Date • Launched June 2015
• Lytham Primary Care Centre
• Moor Park Health and Leisure Centre
• Two further sites launched in April 2016 • South Shore Primary Care
Centre
• Wyre Civic Centre
• Ongoing roll-out to practices across Fylde Coast • All live from October 2016
1,162 Referrals at September 2016
Impact – Extensive Care Patients • 19% reduction in A&E
admissions
• 25% reduction in non-elective admissions
• 10% reduction in new out-patients attendances
• 17% reduction in follow-up out-patients attendances
• 37% reduction in elective activity
Highlights • Electronic record (shared) –
paperless
• Comprehensive holistic assessment
• ‘MyPlan’
• Single point of contact
• Multi-disciplinary Team – mental health / linked services input
• Generic skill development
• Named responsible team members
• Advanced care planning and ‘do not attempt’ CPR
• Co-ordination of care
• Medicines optimisation
• In reach to admitted patients
• Primary and community relationships
Feedback and Developments
Feedback
• Criteria and referrals • Emphasis on risk score removed
• Out of hours contact
• Pilot – Two or more physical, chronic and active long-term conditions
• Pilot – Community nurses, matrons and therapists
• Process • Accept immediately at initial
assessment
• Tailored transition process
Developments
• Multidisciplinary Team – mental health and palliative care
• Patient Activation Measures (PAM) licences
• Pathway process review and development
• Health and Wellbeing Care Plan
• Referrals from Clifton Hospital and Blackpool Assessment and Referral Centre (ARC)
• Enhanced Primary Care and acute frailty links
Forward View Dr Tony Naughton Clinical Chief Officer NHS Fylde and Wyre Clinical Commissioning Group
NHS Five Year Forward View
• New models of care
• More integration
• Break down barriers
• Local flexibility
• Vanguard
Delivering the FYFW
• Published December 2015
• Spending review
• National priorities
• Two separate but connected plans – CCG operational plan for
2016/17
– Five-year sustainability plan (STP) on a Lancashire and South Cumbria footprint
• Lancashire and South Cumbria footprint: – Strengthening the
out of hospital care model across Lancashire and South Cumbria
– Aims • Care and Quality,
• Health and Wellbeing
• Finance and Efficiency
• Fylde Coast footprint: – Urgent care
provision
– Community dermatology service
– Community diabetes services
– MSK triage and access service
• Neighbourhood footprint
– Care home support team
– Healthier Fleetwood
– Community orientated primary care
Partnerships and Integration
• We cannot make these changes alone
• Forge strong partnerships between the local NHS, social care and the voluntary sector
• Breaking down barriers between health and social care
• Shared plans and objectives
Communication and engagement
• Over the coming weeks and months we will be talking with you on these plans to make sure they are fit for purpose
• Your input is essential to help us meet the challenges ahead
• Together we can achieve a health and care service built for tomorrow