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SaCH Extraordinary Members Meeting

SaCH Extraordinary Members Meeting. 19 03 09. Agenda. Welcome and Apologies Introduction to the meeting Terms of Reference – Summary of Content Update on the BSU Sign off by Members AOB. What’s been happening.

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SaCH Extraordinary Members Meeting

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  1. SaCHExtraordinary Members Meeting 19 03 09

  2. Agenda • Welcome and Apologies • Introduction to the meeting • Terms of Reference – Summary of Content • Update on the BSU • Sign off by Members • AOB

  3. What’s been happening • Following meetings and debate last year, agreed to develop a Pan Lambeth Business Support Unit for PBC • All four consortia signed up to idea • Steering group comprised 2 reps from each consortium • Process facilitated by Scott McKenzie

  4. Where we’re at • Governance and ToR for SaCH • Same model for all consortia • Pan Lambeth Strategic board • 2 reps from each consortium • Plan for BSU • Aiming recruit to posts soon

  5. SaCH ToR • Framework for SaCH and member practices • Each consortium working to the same • Drafts sent out to all practices for comment • Aims, principles, vision • Structure, communication, HR, entry,exit • Monthly reporting, performance management, risk sharing • Business processes, decision making • Freed up resources • Incentive payments • Conflicts of interest

  6. What we’ve got • Intelligence • Local • Combined Predictive Model • Entitlement to data • Practice stuff • Wider • Look on streathamandclaphamhealth.org.uk • Clinical engagement • PCT changes and new entitlements

  7. LTC Commissioning Intentions • PCT had £150k across Lambeth from LTC • To reduce care gaps identified in Combined Predictive Model for top 5% • Personalised care plan for all LTC in top 5% • Consolidate good practice • Develop sustainable systems

  8. Outcomes • Blood pressure* - reduce by 80% the number of patients within the top 5% risk segment that do not have a controlled blood pressure • Cholesterol* - reduce by 80% the number of patients within the top 5% risk segment that do not have a controlled cholesterol • Medicines management - reduce by 80% the number of • Heart Failure and CHD patients that are not on beta-blockers or ACEI/ARBs • Diabetes and CHD patients not on statins • CHD patients not on anti-platelets • The combined predictive model removes contraindications therefore these would be excepted from this. • Smoking advice – reduce by 80% the number of patients within the top 5% risk segment that are not offered smoking advice • Personalised care plans in place for the approximately 18, 000 patients within the top 5%. • Reduction in risk scores of patients within top 5%

  9. LTC Project Proposal/Plan Template • Description of project • What you will do • How you will do it • How you know that it will work (evidence base) • Interim milestones • Outcome measures and monitoring arrangements • Costings • Sustainability • Risks and contingency plan

  10. Shaping the Future • Consultation on proposed changes for Lambeth PCT • This will affect us all • Read documents on PCT intranet • Respond before 30th March

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