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

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

3. Alison Walshe Chief Nurse
Nursing and Quality
Alison Walshe Chief Nurse

4. 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

5. 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

6. 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

7. Alison Cartwright Chief Delivery Officer
Performance
Alison Cartwright Chief Delivery Officer

8. 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%

9. 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”

10. 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

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

19. Anna Hargrave Chief Transformation Officer
Strategic Plan
Anna Hargrave Chief Transformation Officer

25. Sue Phillips Head of Transformation
Key Projects
Sue Phillips Head of Transformation

26. 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)

27. 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 …

28. 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

29. Oken Project The Oken Project Team …
Project confirmed until (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

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

31. 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.

32. 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

33. 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.

34. 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.

37. Questions