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City and Hackney Clinical Commissioning Forum

City and Hackney Clinical Commissioning Forum. Thursday 6 th April 2017 St Joseph’s Hospice. Integrated Commissioning Update. Haren Patel Verbal Update. Devolution/STP Update. David Maher Verbal Update. Universal Healthy Start vitamin scheme in City and Hackney.

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City and Hackney Clinical Commissioning Forum

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  1. City and Hackney Clinical Commissioning Forum Thursday 6th April 2017 St Joseph’s Hospice

  2. Integrated Commissioning Update Haren Patel Verbal Update

  3. Devolution/STP Update David Maher Verbal Update

  4. Universal Healthy Start vitamin scheme in City and Hackney

  5. Who is eligible for the universal scheme? Children’s Vitamins Drops • Children from 4 weeks until 4th birthday • BUT - Babies fed infant formula should not be given Healthy Start vitamins unless they are drinking less than 500mls (about 18fl oz or 1 pint) of formula a day because formula is fortified with vitamins and no other supplementation is required. Maternal Vitamin Tablets • Pregnant women • Women up to 1 year after having a baby (whether breastfeeding or not) *Must be Hackney or City of London resident or have a Hackney or City GP

  6. Number of tablets dispensed to patients registered at each GP practice in 2014/15 by number of 0-4s registered at the practice – high performing practices labelled

  7. What do the vitamins contain? Maternal Vitamin Tablets • Daily dose • 70 mg vitamin C • 10 mcg vitamin D • 400 mcg folic acid Children’s Vitamin Drops • Daily dose • 233 mcg vitamin A • 20mg vitamin C • 7.5 mcg vitamin D The vitamins are approved by the Vegetarian Society, Kosher certified (Basel Kosher Commission), and Halal certified (Halal Food Council of Europe). They do not contain milk, egg, gluten, soya or peanut residues.

  8. How the universal scheme works Distribution from pharmacies In Hackney: • All community pharmacies In the City of London: • Boots on Aldgate High Street • Niemans on Goswell Road Children Centre Pilot • Linden children’s Centre • Woodberry Down Children’s Centre • Clissold One O’Clock Club

  9. END

  10. CEG Template GenieClinical effectiveness group Luis Rivas

  11. Do you need a template genie? One of the most common complaints we receive from local practices is about getting hold of the right information quickly.

  12. Common complaints • How do I get hold of the right information, e.g. Clinical Guidelines? • Is there a summary of Enhanced Service specification? • Which template should I use for which enhanced service? • Is there a referral form for this service? • How do I check if a patient is appearing in a search? . . . And so on

  13. One Stop Template • So we built a one stop template – that is not for clinical data entry but that contains information and hyperlinks to various documents, videos, specifications. • You could get most of the information by visiting various different websites but do you really have the time? • We collated much of the most in demand information and you don’t even have to leave EMIS to look at it. • We maintain a separate system of hyperlinks so that template links can be quickly updated without reissuing the template

  14. http://www.blizard.qmul.ac.uk/ceg-resource-library/ceg-webcast-videos/1502-how-to-check-patient.htmlhttp://www.blizard.qmul.ac.uk/ceg-resource-library/ceg-webcast-videos/1502-how-to-check-patient.html http://www.blizard.qmul.ac.uk/ceg-resource-library/ceg-webcast-videos/1506-how-to-use-city-and-hackney-searches-to-improve-at-high-risk-cvd-prevalence.html http://www.blizard.qmul.ac.uk/ceg-resource-library/local-resources/city-hackney-1/593-fact-file-3-using-ceg-tools-to-increase-bowel-cancer-screening-uptake-sept-15/file.html

  15. http://www.blizard.qmul.ac.uk/ceg-resource-library/clinical-guidance/clinical-guidelines/611-heart-failure-guideline-november-2015/file.htmlhttp://www.blizard.qmul.ac.uk/ceg-resource-library/clinical-guidance/clinical-guidelines/611-heart-failure-guideline-november-2015/file.html

  16. http://www.blizard.qmul.ac.uk/ceg-resource-library/ceg-webcast-videos/1502-how-to-check-patient.htmlhttp://www.blizard.qmul.ac.uk/ceg-resource-library/ceg-webcast-videos/1502-how-to-check-patient.html http://www.blizard.qmul.ac.uk/ceg-resource-library/ceg-webcast-videos/1506-how-to-use-city-and-hackney-searches-to-improve-at-high-risk-cvd-prevalence.html http://www.blizard.qmul.ac.uk/ceg-resource-library/local-resources/city-hackney-1/593-fact-file-3-using-ceg-tools-to-increase-bowel-cancer-screening-uptake-sept-15/file.html http://www.blizard.qmul.ac.uk/ceg-resource-library/clinical-guidance/clinical-guidelines/611-heart-failure-guideline-november-2015/file.html

  17. Your input • Template has not yet been deployed in EMIS. • Would you like your own City and Hackney Template Genie and what else might you want in it?

  18. END

  19. Dementia Update Carmel Beadle GP Clinical Lead For Dementia

  20. Dementia diagnosis National aim: 67% England: 67.3% London: 72.1% City and Hackney: 76.1% (feb ‘17)

  21. Diagnostic Pathway

  22. Services & Support Alzheimer’s Society Dementia Adviser at diagnosis 4 x reviews in first year then discharge: sign-posting, adult social care support, memory group, carers assessment, carers support, befriending Re-referral for mild to moderate Hackney Caribbean Elderly Organisation (HCEO) St Joseph’s In crisis: duty clinician at CMHT (OP) Felstead Street

  23. Dementia Template and CMC

  24. Q&A’s

  25. END

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