East Lindsey PBC Cluster Dr Brynnen Massey Dr Yvonne Owen
About Us Geographical area – 610 m2 Population of 87,000 Budget of £55 million 14 Constituent Practices Cluster Strategy Group Cluster Executive Clinical Workstream Leads
Cluster Executive Membership Evolution 3 GPs Cluster Development Manager and Support Manager 2 Practice Nurses Community Services Nurse Lead Manager 2 Information Analysts Finance support Secretarial support
Disease Register Comparison COPD DIABETES STROKE CHD CHRONIC KIDNEY DISEASE OBESITY EAST LINDSEY 1.83% 4.87% 2.21% 4.98% 6.00% 8.31% NATIONAL 1.48% 3.87% 1.63% 3.50% 2.94% 7.65% QOF 2007/08
Non-elective Activity
Non-Elective - Practice Variance
A&E Attendances Comparison of Age and Deprivation Indirect Standardised Rate 2008/09
Challenges Geography Joint working between 14 GP practices Communication and engagement Achieving freed up resources to invest in development Commissioner/Provider status Patient involvement
Louth Public Consultation Launch 2 April – 30 June 2008
Louth Hospital Integrated Care Model
Achievements Creation of Integrated Primary Care led Hospital 3 month Public Consultation on changes to services Level 1 budget 06/07 - £523k 08/09 projected + £2 million Prescribing 06/07 -£116k 08/09 projected + £300k Clinical lead – development of countywide MSK service Practice Peer Review visits Clinical leads in review of diabetes, palliative care, sexual health, Active Community Health Forum Innovation Fund