PRIMARY CARE CONTRACT NURSING & RESIDENTIAL CARE HOMES Right place, Right time, by the Right person Shivaun Aveston, Transformation Lead.

Slides:



Advertisements
Similar presentations
Paramedic Practitioner Support Scheme for Older People with Minor Injuries or Conditions South Yorkshire Ambulance Service NHS Trust Sheffield.
Advertisements

Whats in IT for Clinicians GOLD STANDARDS For GOLD PATIENTS Dr Elizabeth Ireland Dr Libby Morris.
Mapping Diabetes against the needs for London
Welcome to the new acute and community County Durham and Darlington NHS Foundation Trust Clinical strategy FT member events April 2011.
Pre-hospital Flow: The role of Primary and Community Care Dr Gregor Smith.
Developing our Commissioning Strategy Richard Samuel.
Improving health and social care outcomes for over 65s in Croydon: A new approach to commissioning integrated provision Governing Body 7 October 2014.
Suffolk Care Homes An Integrated Approach
Integrated Services Dr Steve Cartwright – Clinical Executive for Integration and Partnerships Andrew Hindle - Commissioning Manager for Integration.
Edinburgh Shadow Strategic Planning Group Wednesday 18 March 2015.
Supporting Carers in General Practice & role of RCGP GP Champions for carers Dr Sachin Gupta GP, Welwyn Garden City RCGP GP Champion for Carers, East of.
Out of Hospital Care (incl. Care Homes and Quality in Primary Care) To maximise independence and quality of life and help people stay healthy and well.
Mike Keen, CEO, Kent LPC. Why is change needed? NHS England states that: Primary care services face increasingly unsustainable pressures Community pharmacy.
Better care –making integrated care work for local people Gill Duncan Director Adult Social Care Dr Hugh Freeman CCG lead.
Commissioning for Falls Prevention in Care Home Services Matthew Areskog – Commissioning Manager.
Right First Time: Update. Overview Making sure Sheffield residents continue to get the best possible health services is the aim of a new partnership between.
Dementia Management- Commissioning integrated Care Dr Dee Gallop-GP & Associate Clinical Director Lincolnshire Foundation Partnership Trust Colin Warren.
Are you ready to be liberated? Karen Middleton Chief Health Professions Officer
Mr Chris Hill Torfaen Joint intermediate care manager.
Primary Care: Working on a new set of standards
The Virtual Ward (grasping opportunity!)
Nursing & Care Homes Support – East Sussex Sophie Clark, Older Peoples Strategic Commissioner, ESCC ASC Kay Muir, Programme Lead, End of Life Care, NHS.
Healthy Lives, Healthy Futures Programme Update NLAG Trust Board 30 th June 2015.
Together we’re better Working in partnership with our patients, communities & GP member practices to continually improve quality of care & to support people.
Importance of end of life education for all Rachel Burden.
Everyone Counts: Planning for Patients (Focus on changes regarding ≥75yrs and those with complex needs) 1.
1 Commissioning Update Supporting Admissions Avoidance and Effective Discharge October 2013 Board of Governors Report Fareham and Gosport CCG South Eastern.
CCG vision: Improving the health of local people through reducing inequalities and commissioning quality services for the best health outcomes 1. Improving.
Naomi McVey Commissioning Adviser, NICE March 2013 Quality standards- NICE and the new NHS.
County Durham Planning Unit – Strategic Plan on a page
1. How can we promote pharmacies and the full service available? Think about: How the NHS works with Local Authorities to enhance the role of community.
SESIH Redesign Update Older Persons and Chronic Care Project Paul Preobrajensky Manager Redesign Program 19 September 2007.
Planning David Bonson April March-May We are here Final draft of plan.
Report out 1 st July 2009 Palliative Care RIE Ward 3 Ninewells Hospital.
Read and delete this slide In the April 2013 edition of CPN and on the PSNC website, a short contractor briefing on the new healthcare system was published.contractor.
The financial challenge to Hertfordshire health services Alan Pond Director of Finance NHS Hertfordshire Interim Chief Executive Herts Valley CCG.
Better Care Fund (BCF) Update Dr Sharon Hadley GP lead for Unplanned Care 11 th June
Welcome to February’s ETAG Su Long, Chief Officer.
Diabetes in Care Homes Dr Nicky Williams Deputy Clinical Chair – East & North Hertfordshire Clinical Commissioning Group Hertfordshire Diabetes Conference.
Understanding general practice Edzell patient group presentation 11 th June 2013.
Technology Enabled Care Services. Care of people with long term conditions accounts for: – 50% of all GP appointments – 64% of outpatient appointments.
Planning and Commissioning Intentions
Better Care Fund 3 rd sector engagement event 17 March 2014 Matt Ward and Dennis Holmes.
Have your say on our plans for Primary Care in Warrington.
NHS Outcomes Framework Key Measure is replicated in Department of Health’s proposed contribution to the cross-Government Transparency Framework Measure.
PROSPER Promoting Safer Provision of care for Elderly Residents.
CCG vision: Improving the health of local people through reducing inequalities and commissioning quality services for the best health outcomes 1. Improving.
Improving Quality at The End of life for Those Receiving Nursing Home Care Dr Helen Hibbs BM BS MRCGP.
4 Countries Project: Modernising Learning Disability Nursing Dr Ben Thomas Director of Mental Health & Learning Disability Nursing 16 December, 2011.
Clinical Commissioning Groups (CCGs) in Devon What this means for the population of Devon Jacob Dunkley Strategic Development, NHS Devon.
Development of Urgent Care in Halton Simon Wright Chief Operating Officer/Deputy Chief Executive Warrington and Halton Hospitals NHS Foundation Trust.
Andrew Copley Director Of Finance & IM&T ~ Airedale NHS FT Care Anywhere the story so far…..
West Kent End of Life Care Strategy July 2013.
NHS West Kent Clinical Commissioning Group West Kent Urgent Care DRAFT Strategy Delivering a safe and sustainable urgent care system by
Using data and intelligence to change ways of working Juliet Ashton Sapphire Nurse Consultant – Epilepsy Commissioning.
Community Reablement Winter Beds 2015/16 GP Education and Training Event 17 September 2015 Dr Ben Solway / Shivaun Aveston For any queries regarding the.
Braintree District Council Health & Well Being 15 th July 2013 Mid Essex Clinical Commissioning Group Clare Steward Deputy Accountable Officer / Director.
Remote Practitioners Association Inverness 11 th November 2010 Shirley Rogers Stephanie Phillips Paul Gowens.
1 An overview of the East Sussex CCGs plans and priorities Wealden Parish Conference Wednesday 11 th September 2013
Herefordshire CCG Putting the patient at the heart of everything we do1 More information can be found at
Implementing an integrated Health and Care model Keeping people living healthily and independently for longer.
Health and social care integration -Better Care Fund 2016/17 Suffolk Health and Wellbeing Board 10th March
Winter Evaluation for 2013/14 Winter Planning for 2014/15 Dr Paul Kaiser, Clinical Lead IESCCG Richard Cracknell, Winter Planning Manager Mark Cooke, Senior.
Dr Sharma’s Practice Patient Participation Group 12 th March 2012.
NHS West Kent Clinical Commissioning Group Frail Elderly Care Developing a whole system model of care for West Kent.
SWCCG Care Homes Project Current and the Future Dr Maggie Keeble.
“Working towards a healthier Thanet” Dr Tony Martin, Clinical Chair, Thanet CCG.
Community Integrated Teams Penny Davison and Jennifer Wilkie 19th February, 2015 Working together to deliver better health and social care to the people.
Improving health and social care outcomes for over 65s in Croydon:
Transforming Primary Care through Specialist Paramedic Involvement Scottish Ambulance Service & Teviot Medical Practice Collaborative Project
Presentation transcript:

PRIMARY CARE CONTRACT NURSING & RESIDENTIAL CARE HOMES Right place, Right time, by the Right person Shivaun Aveston, Transformation Lead

NHS OUTCOMES FRAMEWORK ‘ Right place, Right time, Right person’ Domain 1Preventing people from dying prematurely √ Domain 2 Enhancing quality of life for people with long- term conditions √ Domain 3 Helping people to recover from episodes of ill- health or following injury √ Domain 4 Ensuring people have a positive experience of care √ Domain 5Treating and caring for people in safe environment and protecting them from avoidable harm √

The CCGs 5 year Clinical Strategy & Joint Health & Wellbeing Board To improve care for frail elderly individuals To allow patients to die with dignity and compassion and in their place of choosing Older people in Suffolk have a good quality of life.

Investigation into provision of GP services to care homes has shown that most care homes allow residents to choose a GP. This can result in different GP’s visiting a single care home to see different patients This is an inefficient use of GP time and resources, but can also cause problems with communications as nursing homes have to deal simultaneously with several different systems for visits Chronic disease management and prescription requests many homes would prefer their residents to be registered with just one GP surgery and have a weekly ‘clinic’ to deal with minor problems and chronic illness. RCGP Report Preparing for the Future (2012) states:

HEADLINE COSTS 2011/2012 Emergency Admissions 6m A&E 2m Ambulance Call outs 2m Care homes represent 25% Ambulance call outs 25% of falls originate from Care homes

TOP 10 REASONS FOR ADMISSION TO HOSPITAL Hip Fractures UTI’s Pneumonia Disorientation Femur Fractures Heart failure Respiratory infection Falls Cerebral infarction Senility

KEY ISSUES FOR CARE HOMES High level of different GP’s Key time for admission are within OOH Time waiting for clinical support Advance Care plans overridden Untrained staff Staff competencies Lack of specialist provision – Physio,OT

THE STORY SO FAR Small Pilot in East Suffolk – 36 Care Homes Nurse practitioner/GP/Nurse offering additional support Inequalities in the provision of care across the patch CCG want to spread good care and equity to this marginalised group and provide a better patient experience for them OUTCOMES Improved clinical care Reduced admissions to hospital Reduced call outs to OOH Reduced ambulance call outs

KEY COMPONENTS OF THE CONTRACT October – March initially 29 practices aligned to Care homes Weekly ward rounds- proactive management Protocol Screening- Dementia & Falls Care Planning, Advance Care Planning (Yellow Folders) Medication Review Follow up after admission/OOH Multi- Disciplinary approach Support Care homes through training

NOT IN SCOPE EMI Units Sheltered Housing Private Retirement Schemes Learning Disability

IMPACT EVALUATION Questionnaire- Pre & Post Activity Report (GP’s) Clinical Audit Care Homes Dashboard

CONTACT DETAILS Shivaun Aveston Transformation Lead, Redesign Team Rushbrook House Ipswich Mobile: