Dr David Spraggett Chair Annual General Meeting 18 July 2018 Dr David Spraggett Chair

Gillian Entwistle Chief Officer Annual Report 2017/18 Gillian Entwistle Chief Officer

Alison Walshe Chief Nurse Nursing and Quality Alison Walshe Chief Nurse

2017/18 Areas of Focus Service Clinical Quality Personalised Care SWFT hospital & community GP Primary Care Care Homes Independent/third sector Personalised Care Learning Disability Continuing Healthcare Mental Health Children’s Continuing Care

2017/18 Successes Clinical Quality: Personalised Care: Infection Prevention and Control: MRSA and C diff Sepsis identification & treatment Flu vaccinations Atrial Fibrillation Treatment COPD patient identification Diabetes and Heart Failure identification and treatment Personalised Care: Reduction in numbers of individuals with a learning disability in hospital Launched LeDeR programme ‘Embedding’ of CHC team Warwickshire-wide CHC work Better collaboration with social care for children’s services

2018/19 Priorities Clinical Quality: Personalised Care: Infection Prevention and Control: E coli Outbreak management COPD treatment Cervical screening Personalised Care: Learning Disability – reduce hospital bed usage for adults and children ‘Build’ CHC team and implement new national framework New approach for reviews of mental health placements Review children’s continuing care processes

Alison Cartwright Chief Delivery Officer Performance Alison Cartwright Chief Delivery Officer

NHS Constitution 2017/18 Indicator (% of patients) Target 2017/18 Year End Waiting less than 4 hours in A&E 95% 91.5% Waiting less than 18 weeks from GP to treatment 92% 90.4% Waiting less than 6 weeks for a diagnostic test 99% 98.7% Seen within 2 weeks from GP referral for cancer 93% 95.8% Starting cancer treatment within 31 days of diagnosis 96% 98.4% Starting cancer treatment within 62 days 85% 81.9% Accessing Psychological Therapies (IAPT) 15% 16.7%

GP Practice Care Quality Commission (CQC) Inspection Results Following recent inspections, the 33 practices within the CCG footprint were assessed as follows: 6 as “Outstanding” 27 as “Good”

Key Areas of Focus for 2018/19 85% of patients are treated within 62 days of urgent cancer referral 95% of patients are waiting less then 4 hours when attending A&E Reduce delays for patients waiting to leave hospital <18 weeks between GP referral to hospital treatment, all specialties No-one waits longer than 52 weeks from referral to treatment No-one waits longer than 12 weeks for Children and Young People’s Emotional and Wellbeing Mental Health Service treatments

Paul Sheldon Chief Finance Officer Annual Accounts 2017/18 Paul Sheldon Chief Finance Officer

Anna Hargrave Chief Transformation Officer Strategic Plan Anna Hargrave Chief Transformation Officer

Sue Phillips Head of Transformation Key Projects Sue Phillips Head of Transformation

Queensway Court Large Extra Care Housing facility in south Leamington A resident identified high levels of ‘health and care’ activity and asked the question ‘Could this be done more efficiently?’ Established a small cross system group including the resident and manager – and all agreed the answer was ‘Yes!’ Initial 6 month pilot established in November 2017 (now extended to 12 months)

Queensway Court The Queensway Court Team … Established a permanent nursing team – offering proactive care Initial benefits include: Continuity of care – residents and workforce Reduction in unplanned activity – GP, WMAS Resident feedback Relationship with on-site care provider The Queensway Court Team …

Oken Project Priory Medical Centre was approached by The Thomas Oken and Nicholas Effyler charity Wanted to offer a proactive care service, over and above core NHS services 46 hours per week of Advanced Nurse Practitioner time to support local GP practices to deliver proactive care to residents of Park View and housebound patients

Oken Project The Oken Project Team … Project confirmed until 2020 (3 years in total) Outcomes to date have been very positive: A lot of learning from the project Feedback from all parties has been excellent Communication – team referred to as the Oken Nurses KPIs all moving in the right direction The Oken Project Team … Both Queensway Court and the Oken Project are ‘pilots’ for the Out of Hospital Programme

Out of Hospital Transformation Programme Anne Coyle, Managing Director Dr Cristina Ramos, Clinical Director

Background SWFT awarded a 3 year contract for Out of Hospital services across Warwickshire, including a 2 year transformation programme; CWPT Lead Provider for Out of Hospital Programme across Coventry; The core purpose of the transformation programme is to configure services to keep people healthy and well at home, for as long as possible.

Governance & stakeholder engagement Lead: Anne Coyle Cristina Ramos is responsible for Primary Care engagement iSPA development Lead: Sam Owen Place based teams Lead: Debbie Martin Electronic patient record Lead: Keith Tadd Locality hubs Lead: tbc Prevention & public health Lead: Rachel Tompkins Patient pathways Lead: Cristina Ramos

Key Deliverables in Year 1 Development of iSPA service; Establishment of Place Base Teams & Locality Hubs; Integrated Patient Care Records/Information Management; Joint Pathway Development; Health and Wellbeing principles; Communication & Engagement; Outcome Development; Multi-Disciplinary Team; Workforce and Culture.

Progress Public Engagement; Baseline surveys completed; ISPA assessment of need completed; Alcester Place Based Team in place; EMIS ‘go live’; Pathway development; Health and Wellbeing Plan; Development of Working Together Boards.

Questions