Presentation

Report
NHS Leeds West CCG
Stakeholder Meeting
27th June 2013
WELCOME
Leeds CCGs

We work
together to
commission
our local
providers
The Leeds Health and Wellbeing Strategy
Our member practices and patients have told us:
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We need to better manage long term conditions
We need to help people to stop smoking and to lose weight
We need primary care to change to be able to do this
We need to have less patients going to hospital
People want to be treated with dignity and respect
We need to have better services for people with mental
health problems
• We need to have better outcomes for people with cancer
• People wanted us to include children in our plans
• People want their views to be taken into account
Our Vision
Plan on a Page
Working together locally to achieve the
best health and care in all our communities
Our Purpose
To work for members to improve the health of our populations through
effective commissioning, collaboration and primary care development
Our Strategic Objectives
ORGANISATIONAL DEVELOPMENT
Members can meet their obligations as clinical
commissioners at practice level and to have the
best developed workforce we possibly can
QUALITY AND SAFETY
To transform care and drive
continuous improvement in
quality and safety
Organisational
Development Plan
Leeds West CCG Priority Health Goals
CHILDREN AND FAMILIES
ADULTS
Improve
urgent
care
services
Increase
choice
and
control at
End of Life
AEC pathways
Clinical value in elective care
Improving cancer pathways
Early detection and diagnosis of cancer
Choice and
access for
elective
care
services
Prescribing
Improve
cancer
services
Access to IAPT
Risk stratification of people with LTC
Integrated H&SC teams
Practice Initiatives - LTC
LTC self management
Sexual health projects
management
Mental health initiatives
Improve
mental
health
support /
services
Dementia pathways
Long term
conditions
Sexual
health
Healthy living programme - adults
Healthy living programme - children
Reduce the
gap in life
expectancy
in west
Leeds
OLDER PEOPLE
End of life programme
USE OF RESOURCES
To use commissioning resources
effectively
Implement - 111
PRIORITY HEALTH GOALS
To tackle the biggest health
challenges in west Leeds, reducing
health inequalities
Priority Health Goals - Member Practice Actions
Priority Health
Goals
Practice Actions
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Diabetes treatment (23 practices)
Increase referrals to alcohol services (5
practices)
Respiratory disease management (3
practices)
Increase early diagnosis of cancer (3
practices)
Prevention of CVD (2 practices)
Increase referral to weight management
services (1 practice)
Reduce the
gap in life
expectancy
in west
Leeds
Sexual
health
Long term
conditions
management
DES Schemes
(examples)
Local QP Indicators (QOF)
LWCCG Clinical Commissioning Scheme
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Stroke review 6 months post discharge
Preconceptual advice for diabetes
Prophylactic prescribing for COPD
Self management programmes
Every Contact Counts training
Increase bowel cancer screening
Peer reviews for:
- Outpatient referral data
- Emergency admissions
- A&E attendances
• Develop action plan for frequent attenders at
A&E
Improve
cancer
services
Improve
mental
health
support /
services
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Alcohol related risk reduction scheme
Risk profiling and care management scheme
(risk stratification)
Timely diagnosis for people with dementia
Remote care monitoring prep scheme
Learning disabilities health check scheme
Shingles
Rotavirus
Patient participation
Extended hours
Childhood immunisations
HPV
Improving patient online access
Flu and Pnemococcal
Choice and
access for
elective
care
services
Improve
urgent care
services
Increase
choice and
control at
End of Life
Healthy Lifestyles
What do we know?
This is a priority for us because we know that we have the widest life expectancy gap
in Leeds and we want to continue encouraging and promoting healthy lifestyles.
Alcohol misuse is a key area of concern; and we know that we have a high number of
emergency admissions to hospital for alcohol related liver disease.
What are we going to do?
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Reduce emergency admissions for alcoholic liver disease
Develop new and innovative ways of reducing smoking rates with a particular focus
on parents that smoke
Put plans in place to tackle childhood obesity
Continue to support and deliver health checks and refer those who need to adopt
healthier lifestyles into services that can help
Improve the support for people who regularly visit A&E as a result of alcohol or
substance misuse
Sexual Health
What do we know?
Large Student Population
Meets the health and wellbeing strategy’s priority to support people to choose healthy
lifestyles.
What are we going to do?
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Improve access to, and uptake of, a range of sexual health services in partnership
with the local authority who has the main responsibility for commissioning these
services.
In particular, focus on improving the sexual health in those populations that have
high STI (sexually transmitted infection) and unplanned conception rates.
Work with primary care to improve the uptake of these services.
Managing Long Term Conditions
What do we know?
Improving care and managing long term conditions is a shared priority for all organisations
across the city that provide health and social care. It is particularly important for us as we
have a high number of patients with long term conditions who are admitted to hospital as
an emergency when they could have been helped at home.
Our GP practices, and information from the JSNA have highlighted diabetes as a major cause
for concern.
What are we going to do?
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Continue to roll out a process called ‘risk stratification’ in our GP practices.
Make it easier for people to get primary care health services in normal working hours and out
of hours.
Improve the way and how quickly we identify people at risk of developing long term conditions.
Increase and improve how diabetes is managed in primary care.
Improve how we help people to manage their long term conditions themselves.
Put processes in place to identify people earlier with respiratory illness
Improve how we manage and prescribe medicines.
Improve cancer services
What do we know?
We have a higher than average number of people aged under 75 who die from cancer,
in particular breast, bowel and lung cancer. Members of the public have told us that
this is one of the health issues that is important to them, and reducing premature
death is also one of the health and wellbeing strategy’s priorities
What are we going to do?
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Work closely with national screening programmes to plan services and make sure
that there are enough.
Improve the numbers of people taking up bowel screening, particularly in harder to
reach groups.
Build on the successful lung cancer screening campaign and develop further
marketing campaigns to support bowel and ovarian cancer screening.
Involve patients to improve the numbers of people taking up screening, and use
their experience to understand how effective our commissioning processes for
cancer services are.
Improve mental health services
What do we know?
High suicide rate in our area, in Leeds 12 and 13 (Armley, Wortley and Bramley).
Members of the public have told us that improving people’s mental health and
wellbeing is important to them.
Priority for Leeds Health and Wellbeing Board.
There is also a growing need to support an ageing population with dementia.
What are we going to do?
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Commission more mental health support services.
Enable our member practices to work closely with the community and voluntary sector
to offer holistic care to patients.
Improve access to IAPT( Improving Access to Psychological Therapy) services in our area.
Improve the diagnosis of patients with suspected dementia more quickly and refer them
for treatment.
Contribute to reducing the suicide rate in our area by increasing access to primary care
and support more people in high risk groups by referring them to a range of services that
can help.
Improve Choice and Access for Elective Care Services
What do we know?
Providers and monitored on 18 week referral to treatment times.
National drivers have created the Choose and Book system and this is likely to develop
into an e-referral service in the near future.
Use of Choose and Book in LWCCG practices is high.
What are we going to do?
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Working with our providers to ensure compliance with nationally mandated targets
Working through the MOT and QP peer review around referrals to understand and
educate more around more appropriate referrals
Working on pathway redesign and developing local pathways on the Map of Medicine
Improve urgent care services
What do we know?
Urgent care services are a priority because of the pressure on A&E departments,
access to primary care and feedback from our member practices who are telling us
that demand on their services is increasing.
Patients have told us that the system is confusing so we are committed to making
improvements.
What are we going to do?
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Reduce unnecessary A&E attendances and people being admitted to hospital
unnecessarily by offering local alternatives and better information.
Reduce unnecessary hospital visits for people with long term conditions by
improving support at home and closer to home
Improve care for people at the end of life
What do we know?
This is important to both our member practices and members of the public in terms of
dignity and respect. It is also an important priority for Leeds and we will work closely
with our partners to ensure that we put plans in place to improve this locally.
What are we going to do?
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Support more people to die in the place where they choose at the end of their
lives, including support for their families and carers.

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