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Moving Forward with PBC

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  1. Moving Forward with PBC 5 March 2008 Welcome

  2. INTRODUCTION • Housekeeping • Agenda • Aims for Today

  3. AGENDA • 12.30 Registration & Lunch • 1.15 Welcome and Introduction to the Day – Dr David Rooke • Reflection on 07/08 Plans – Board Members • Review Plans for 08/09 • Board Members • Tea & Coffee • 3.00 World Class Commissioning • ‘Adding Life to Years and Years to Life’ • Paul Bearman – General Manager • 3.15 Workshops:Early Planning for 09/10 • Health Promotion- Dr Sue Davies & Janet Loe • Screening/Diagnosis- Dr Geoff Sharp & Dr Nick Matthews • Hospital/Specialist Care- Dr Mike Gorman & Dr Matthew Dolman • Continuing Care/Rehabilitation/Palliative Care- Dr David Rooke & Dr Anne Salkeld • Next steps- Paul Bearman • Close- Dr David Rooke

  4. PURPOSE OF THE EVENT • To raise awareness of progress made since the last county-wide event • To inform practices on implementation of the plan for 2007/08 • To engage practices in the progress made in developing the Plan for 2008/09 • To consider priorities to inform planning for 2009/10 • To discuss practice commitments to WH.C for 2008/09

  5. PROGRESS TO DATE • Established a new Board • Formed a company limited by guarantee • Sign up from practices • Logo and website developed • General Manager & PA appointed • Regular meetings with the PCT • Communication via locality meetings, briefings and newsletters • Implementation of the 07/08 Plan

  6. IMPLEMENTATION OF THE 07/08 PLAN • Project Management • Stakeholder Engagement • Communication • Performance Management

  7. SOMERSET PRIMARY LINK • Generally positive feedback • Capacity issues • Survey to practices? • Activity levels – 75% target in PBC LES for 2008/09?

  8. ACUTE CARE GP • Yeovil started 7 January 2008 • Taunton due to start 21 April 2008 • Up to 10 February, the service in Yeovil has seen 92 patients and avoided 76 admissions • Need to make locum GPs aware of the service

  9. CHEST PAIN • In Taunton for sometime • Yeovil in process of recruiting due to start 31 March 2008

  10. CATU • Bridgwater – additional staff recruited, now nearly at full complement; extended the opening hours; 51 admissions in January • Dene Barton- opened 4 beds on 21 January 2008

  11. COPD • Launch event 28 February 2008 • Phased implementation across the county • Respiratory lead in each practice being identified

  12. ENHANCED COMMUNITY CARE • Still at early stage of development • Links with Community Matrons, Unique Care and uses information from Somerset Primary Link • Issues around Social Care budgets

  13. PLANNING FOR 2008/09 • Emergency Admissions • Primary Care Mental Health Services • Diabetes • Interface Services • Diagnostics • Public Health and Wellbeing

  14. EMERGENCY ADMISSIONS – THE SCHEMES • Community DVT pathway • Enhanced support for palliative care patients • Additional clinical support to nursing / residential care homes • Development of the falls prevention service

  15. EMERGENCY ADMISSIONS – NEXT STEPS • Further work on DVT pathway • Commissioning proposals to PBC Approvals Committee • Further work on falls services

  16. PRIMARY CARE MENTAL HEALTH SERVICES • Consultation concluded 8 February 2008 • Themes emerging • Next steps

  17. KEY EMERGING THEMES • Triage and assessment – current arrangements vary but are already in place for most practices – no common system. Support for assessment in the practice, particularly from GPs and counsellors • Treatments and interventions on offer vary considerably. Wide support for improved self help and community based initiatives and improved links beyond the practice setting • GPs support practice based services, citing better communication, least intimidating and accessible setting and facilitated primary care team working as the reasons for this. They also value having a dedicated counsellor for their practice. Service users sometimes valued the anonymity of a referral to another professional or service outside of their practice setting.

  18. NEXT STEPS - jointly with the PCT • Complete the analysis of responses – involving stakeholders (March 2008) • CSIP led workshop with stakeholders (April 2008) • Prepare draft specification with practice based commissioner reps and others (May / June 2008) • PEC Approval (September 2008) • Decide procurement route (September 2008) • Procure service and implement (by January 2009)

  19. DIABETES – WORK IN PROGRESS • Model of care • Year of Care project • Service specification – 1 September 2008

  20. DIABETES – EMERGING THEMES • Shifts care closer to home • Promotes self care and patient choice • Ensure equity of access and consistent standards • Improves capacity and capability of the diabetes healthcare system as a whole to meet the increasing numbers of adult patients with diabetes.

  21. DIABETES – NEXT STEPS • Patient focus groups to further inform the model • Progress report to PEC • Development of care pathway • Financial analysis • Considering development priorities

  22. INTERFACE SERVICES • Headache • Orthopaedics • Direct Access Physiotherapy • ENT • Gynaecology • Non-Melanoma Skin Cancer • PEARS

  23. DIAGNOSTICS • Survey completed • Recommendations: • WH.C to consider developing commissioning plans for specific diagnostic services • Establish a direct access database for GPs • PCT review contracts for diagnostic services.

  24. PUBLIC HEALTH AND WELLBEING • Young Persons’ Clinic - Glastonbury • Homelessness Service - Glastonbury • SIP Feed Assessment Service • Community Dietetics Service

  25. TEA / COFFEE BREAK

  26. INSERT PAUL’S SLIDES HERE

  27. PLANNING FOR 09/10 • Workshop to start planning for 09/10 • Freeing up resources • Care closer to home • Improving outcomes • Better patient experience

  28. INITIAL THOUGHTS WERE: • Management of heart failure • Lower respiratory tract infections (without COPD) • Delivering choice programme – palliative care • Alcohol misuse; physical exercise; promoting healthy eating • Rheumatology interface service

  29. FOCUS ON: • Health promotion / prevention • Screening / diagnosis / preparation • Specialist / Hospital care • Continuing care / rehabilitation / end of life care

  30. PLEASE LOOK TO ANSWER THE QUESTIONS ON THE FLIPCHART FOCUSING ON THE RELEVANT PART OF THE CARE PATHWAY 15 MINUTES AT EACH TABLE

  31. NEXT STEPS • Progressing the plan • Financial issues • Allocation of freed up resource for 2008/09

  32. CLOSE • Evaluation forms • Thank you