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Local Professional Networks Assembly

Local Professional Networks Assembly. 17 September 2013. The Right Honourable Earl Howe Parliamentary Under-Secretary of State for Quality. Opening of the LPN Assembly. Ann Sutton Director of Commissioning (Corporate) NHS England. National Ambition for the LPN’s. Mission Statement.

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Local Professional Networks Assembly

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  1. Local Professional Networks Assembly 17 September 2013

  2. The Right Honourable Earl HoweParliamentary Under-Secretary of State for Quality Opening of the LPN Assembly NHS | Presentation to [XXXX Company] | [Type Date]

  3. Ann SuttonDirector of Commissioning (Corporate)NHS England National Ambition for the LPN’s NHS | Presentation to [XXXX Company] | [Type Date]

  4. Mission Statement “High quality care for all, now and for future generations.”

  5. The Commissioning Landscape • 211 - Clinical Commissioning Groups • 151 - Local Authorities • 27 - NHS England Area Teams Improving outcomes ● Delivering equality ● Improving experience

  6. Commissioning together

  7. A wealth of clinical resources to support commissioning Local • CCGs • Clinical Senates • Area Team Clinicians • Public Health England • H&WB Boards • Strategic Clinical networks • Local Professional Networks • Academic Health Science Networks National • Clinical Reference Groups • National Clinical Directors • Clinical Priorities Advisory Group • Domain Leads • Clinical Directorates • Chief Professional Officers LPN Assembly Commissioning Assembly

  8. Dr David GeddesHead of Primary Care CommissioningNHS England National LPN Update NHS | Presentation to [XXXX Company] | [Type Date]

  9. The journey so far….

  10. You said…we did from last LPN Assembly

  11. Recruitment update • 81 positions in total for LPN Chairs across England • 18 have been confirmed as filled or interim • 63 are vacant (some are out to advert)

  12. Ambitions for today’s LPN Assembly

  13. Launch of the LPN Website http://www.england.nhs.uk/ourwork/d-com/primary-care-comm/lpn/

  14. Local Ambition for LPN’s Pharmacy Dental Eye Health NHS | Presentation to [XXXX Company] | [Type Date]

  15. Dr Jill LoaderRegional PharmacistNHS England South Pharmacy LPNs

  16. LPNs working as an integral part of NHS England Area Teams, developing close local working relationships Clinical Commissioning Groups HWB/Local Authorities HEE/LETBs Peer support, peer review and benchmarking Informing needs, demand, supply in primary, community and secondary care Local professional networks Area Teams Maximising performance Local intelligence, clinical expertise, innovation and development of integrated care pathways LPN Assembly NHS England regional/ central Implementation and development plans to reflect local circumstances Aggregation of need and assurance of performance Strategy, policy, contract, procedure and assurance of achievement of outcomes

  17. Pre April 2013 Pharmaceutical Needs Assessment Commissioning essential, advances and enhanced Pharmaceutical services Medicines optimisation Access to medicines out of hours Medicines safety Contract monitoring Clinical leadership and engagement Complaints Transfers of care Patient engagement PCT Consultation with LPC Medicines strategy Accountable officer for Controlled Drugs and LIN Poor performers Public Health Fraud Accreditation Pharmaceutical Applications Medicines QIPP Waste medicines Care Homes

  18. Post April 2013 Medicines QIPP Commissioning essential, advanced and enhanced Pharmaceutical services Medicines optimisation Primary care prescribing Medicines strategy CCGs Quality improvement Contract monitoring Clinical leadership and engagement Patient engagement Transfers of care Poor performers Commissioning services direct from pharmacy e.g. minor ailments, palliative care medicines NHS England Medicines safety Access to medicines out of hours Fraud Waste medicines Safe use of controlled drugs Accreditation Patient pathways Networks Complaints Public Health Accountable officer for Controlled Drugs Consultation with LPC Care Homes Contract monitoring LAs Pharmaceutical Applications Pharmaceutical Needs Assessment (H&W Boards) Direct commissioning of public health services from pharmacy

  19. Local Professional Networks for Pharmacy Clinically-led commissioning ensuring a coherent offer for public from multiple commissioners of services from community pharmacy informed by patient and public engagement Quality improvement support continuous improvement in quality of pharmaceutical services provision locally. Pharmaceutical Needs Assessment advise H&W Boards in producing a robust local PNA Outcomes Framework contribute to every domain through effective joined up work on medicines optimisation and support for healthy living through community pharmacy – CCGs, NHS England, Local Authorities, Public Health England, Health Education England

  20. Communication

  21. Medicines Optimisation Principles

  22. Pharmacy LPN Steering Group Ensure contribution of LPNs in each AT is maximised to improve outcomes and reduce inequalities Chair: Clare Howard • Supporting the development of Local Professional Networks and sharing best practice • Supporting the development and implementation of national strategy and policy • Working with key stakeholders on the development and delivery of national priorities • Providing clinical leadership

  23. Getting Medicines Right at Discharge • Integrated care around the patient • Cross sector working - NMS, tMURs • Improve safety, reduce readmissions • Effective communication • On-going monitoring • Understanding which medicines have been stopped and started and why. • Support for medicines-taking • Joint decision making – plan when to take, when to stop, when monitoring needed, when to review, outcomes, side effects

  24. Effective Patient Involvement • Clearly define remit of each member of group • What is needed and why and what they will get out of it • Make sure patient reps are properly prepared • appropriate background to LPNs, • a good pre-brief (include roles, jargon, expectations, behaviours) • opportunity to ask questions in a non threatening environment • Ensure support available from both an NHS buddy and another patient rep • Be clear about training provided, claiming expenses etc. • Keep engaged and give regular feedback re the difference their contribution is making

  25. Support for Chairs of Pharmacy LPNs

  26. Serbjit KaurDeputy Chief Dental Officer NHS England LPN (Dental) Steering Group Chair Dental LPNs

  27. Key Aims and Objectives for Dentistry • Implementation of SEICD • To improve oral health and reduce inequalities • To improve access to high quality dental services • To Improve the outcomes for patients • To provide seamless delivery of care across all • dental specialties • To integrate dental services within wider NHS • To develop meaningful quality metrics • Getting value for money without compromising clinical • quality.

  28. The big issues • To reduce oral health inequalities with respect to access to services and outcomes for patients • To develop patient pathways to ensure patients can access appropriate care, dependent on need, regardless of the setting within which this care is developed • To develop a service with a greater focus on prevention • To develop a service that meets patients expectations

  29. National Dental Commissioning Group Relationships Clinical Priority Advisory Group Report to Advisory Report to

  30. National Dental Commissioning Group Aims: • To ensure a holistic approach to commissioning • To work with all key stakeholders to lead the transformation of dental services required to deliver SEICD Key Objectives: • To develop a comprehensive dental commissioning strategy • To oversee the delivery of a single operating model • To encourage innovation and creativity and identify best practice • To encourage active dialogue on issues and challenges relating to dental services

  31. National Dental Commissioning Group • Chief Dental Officer • Head of Primary Care Commissioning, NHS England • Assistant Head of Primary Care Commissioning, NHS England • Head of Primary Care and Commissioning Outcomes, NHS England • Dental Policy DH • Deputy Chief Dental Officer • Dental Commissioning lead for Public Health England • 2 Dental Commissioners for each region nominated by the regional lead • Health Education England - Post Graduate Dental Dean

  32. LPN Dental Steering Group • Draft Terms of Reference • Invitations for nominations for membership have been sent • Will play a key role as a conduit between the NDCG and • Local Dental Networks • Information needs to flow in both directions to achieve the • aspirations of SEICD • Function is to support the LDNs in the development and • Implementation of national strategy and policy

  33. Membership of the Dental Steering Group • Chair: Deputy Chief Dental Officer • Head of Primary Care Commissioning • Assistant Head of Primary Care Commissioning/National LPN Lead • 4 LDN Chairs (one from each region) • 4 Commissioners (one from each region) • 4 Dental Public Health Consultants (one from each region) • Regional Consultant in Dental Public Health - NHS England liaison • Representative from Health Education England

  34. NHS England needs you! • LDN are essential to: • To provide clinical advice to Area teams • To ensure sufficient local flexibility in the implementation • of national strategies and policies • Achieving the aspirations of SEICD • Link across all Area Teams and the centre support structures

  35. Dr David Geddes Head of Primary CareNHS England Local Eye Health Professional Networks

  36. LEHN – An opportunity for clinical leadership. Four specific functions for LEHN to consider • Eye Health Needs Assessment • Redesigning services for quality improvement • Working in Partnership • Improve access for sight tests for seldom heard groups

  37. Health inequalities …

  38. National priorities and LEHN focus Health and Wellbeing Board

  39. Facing blindness alone • Almost half of blind and partially sighted people feel “moderately” or “completely” cut off from people and things around them. • Older people with sight loss are almost three times more likely to experience depression than people with good vision. • Approaching one in 10 falls that result in hospital admissions occur in individuals with visual impairment. Facing blindness alone RNIB 2013

  40. Vision and long term illness.

  41. Rehabilitation • Rehabilitation is the structured support put in place, over a defined period of time, with the overall aim of maximising a person’s independence and quality of life. • It is a cost effective approach which aims to help blind and partially sighted people “do things for themselves”, rather than “having things done for them”.

  42. Dementia pathway…

  43. Support for LPNs • Eye Health Steering Group • Getting Started and Building Relationships • Clinical Council for Eye Care Commissioning • National Primary Care Strategy and Area Team Primary Care Plans

  44. Dr Robert VarnamPhD RCGPClinical LeadNHS Improving Quality@robertvarnam Leading purpose & possibility NHS | Presentation to [XXXX Company] | [Type Date]

  45. What do you want to achieve?

  46. Large scale change usually fails Source: McKinsey Performance Transformation Survey, 3000 respondents to global, multi-industry survey of company executives

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