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PCT Progress & Intentions

PCT Progress & Intentions. Audley-Jones Practices TTL 3 December 2008. Overview. Draft Commissioning Intentions 2009/10 Progress on PBC PCT Processes Commissioning Cases Q&A. Draft Commissioning Intentions. Draft, for consultation Set out what we plan to do in 2009/10 for:

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PCT Progress & Intentions

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  1. PCT Progress & Intentions Audley-Jones Practices TTL 3 December 2008

  2. Overview • Draft Commissioning Intentions 2009/10 • Progress on PBC • PCT Processes • Commissioning Cases • Q&A

  3. Draft Commissioning Intentions • Draft, for consultation • Set out what we plan to do in 2009/10 for: • Planned Urgent and Acute Care • Primary Care • Community Services • Public Health, Screening and Prevention • Long Term Conditions • Mental Health • Children and Young People • End of Life • Maternity and Newborn • Learning Disabilities

  4. Managing Demand: Contractual controls Guidance on thresholds for surgery Additional GP referral Triage Gateway Direct access to community based diagnostic services Developing Community Based Services Reconsidering options for GP/PwSI services Community Based Outpatient Services Reducing Emergency Activity/Admissions COPD Asthma CHD Urgent Care Centre Step up/down beds Reviewing Pathways to improve care: Stroke Heart Failure Planned & Urgent Care

  5. Ophthalmology, Cardiology, ENT, Paediatrics, Diabetic medicine, Orthopaedics, Rheumatology, Dermatology, Ante natal, Coronary Heart Disease, Thoracic Medicine, Heart Failure, Gynaecology, Medicine for the Elderly Outpatients Closer To Home

  6. Primary & Community Care • One new GP Practice • Commission equivalent of 6.5WTE dentists to improve access • Continuing drive to improve premises • Additional focus in areas of highest deprivation • Increasing use of Pharmacy services to deliver care • Re-commissioning GP OOH Services • Extend PBC – Integrated Care Organisation Pilots

  7. Public Health • Immunisation • Breast Screening • Sexual Health & Teenage Pregnancy • Smoking • Healthy Weight • Circulatory Disease & Cancer • Health inequalities

  8. Long Term Conditions • Better information for patients/carers • Carers’ Support Services • Review & Re-commission pathways: • COPD • CHD • Diabetes • Parkinsons Disease • MS • Heart Failure

  9. Mental Health • Promoting well being, tackling stigma • Improved Access to Psychological Therapies • Re-commission some services – early detection & intervention • Implement new dementia strategy • Support for carers

  10. End of Life • Pilot new service framework to deliver: • Specialist palliative care • Case management & coordination • Integrated domiciliary care • Enabling more patients to die at home if this is their wish.

  11. Children & Young People • Establish long-term organisational arrangements with 2 local authorities • Increased focus on prevention & early intervention • Major change programme for CAMHS to be phased in over next 5 years • Review patterns of hospital admissions • Improving user experience, particularly for children with disabilities

  12. Maternity & Newborn • Improve services for vulnerable & ‘at risk’ women – focussed in areas of highest deprivation • Improved access to perinatal mental health service • Continuation of Family Nurse Partnership pilot • Increasing cycles of IVF from 1 to 3

  13. Learning Disabilities • Implement recommendations from ‘Health for All’ report • Transfer social care commissioning and funding responsibility to Local Authorities • Close NHS Campus and re-provide services in the community.

  14. Progress on PBC • PCT Processes much improved • Approval of Commissioning Cases now faster and more thorough • Timescales • Submission to approval decision – 2 to 6 wks • Procurement, following approval – 2 to 9 months depending on type. • PBC commissioned services now starting!

  15. Want to Know More? • Full Commissioning Intentions document can be found on the PCT website: http://www.see-pct.nhs.uk/documents/meetings/public_27_11_2008/commissioning%20intentions.pdf

  16. Commissioning Cases Approved, started November 2008: • ENT – pilot for community service • Ultrasound – pilot for community service • MSK – self-funding pilot with consultant physio Being Procured: • Ophthalmology – AWP tender in progress to start service in New Year. • Endoscopy – AWP tender in progress, service to start in New Year

  17. Commissioning Cases Approved: • Cardiology – 24hr ECGs, 24hr BP in community • Anticoagulation – PCT wide initiative, spec. being developed for service to begin from around May 2009. Not Approved: • Diabetes – postponed pending outcome of existing pilot • Endoscopy in the community – case subsumed in PCT-wide initiative • Anticoagulation – case subsumed in PCT-wide initiative

  18. Questions?

  19. Out of Hours Performance Measures

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