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West London CCG

West London CCG Whole Systems Integrated Care Early Adopter & Severe Enduring Mental Illness (SEMI) updates Carolyn Regan – Managing Director West London Clinical Commissioning Group. Update on WL Expression of interest. 100% sign up by West London Practices

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West London CCG

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  1. West London CCG Whole Systems Integrated Care Early Adopter & Severe Enduring Mental Illness (SEMI) updates Carolyn Regan – Managing Director West London Clinical Commissioning Group

  2. Update on WL Expression of interest • 100% sign up by West London Practices • Expression of Interest endorsed by key providers and commissioners to develop a integrated model of care for our frail/elderly population. • Builds on and enhances Putting Patients First Framework (PPF) - Care Planning/Case Management focus

  3. Serious & Enduring Mental Illness Rationale • WLCCG 4th highest SMI incidence in England. • Outcomes still sub-optimal despite high capitated investment in mental health specialist care in Tri-Borough. Those with a psychosis have excess mortality of 15-20 years and marked excess morbidity. The WLCCG WS SEMI Approach 34 practices engaged high SEMI morbidity expressions of interest from March Network Learning Forum out of CCG area • Total QOF list of c3,000 • Target Population 1: those with SEMI who are not known to Mental Health Team (MHT) and/or registered with GP, or poor engagers with either, but who may access services ‘chaotically’ at the point of crisis or transiently (A&E, police, homeless initiatives etc) • Target population 2: those with SEMI known either to GPs or MHTs but whose experience and outcomes could be improved in terms of physical health through better integrated care with lead GP role, and whose sustained recovery in terms of social integration can be enhanced by agencies ‘wrapping round’ the patient in a new model of care, to support their well-being, daily functioning, self-care and relapse prevention, provided closer to home.

  4. WL Whole System Steering Group

  5. SEMI NWL Wide WSIC

  6. Jointly agreeing our model of care • What is the current model of care for our population group, so that the new model can be compared to the baseline This should include the frequency, setting and length of interventions. • What is the hypothesis for our model of care, including the frequency, setting and length of interventions? • How do you intend to make full use of social care, self-care, and community capital in your model of care? • How will our model of care incorporate individual care plans, multi-disciplinary teams and care coordination? • How does our model of care compare in terms of affordability against the capitated budget envelope?

  7. Focus over next 6/8 weeks Establish a WL WS Steering Group to ensure representation from all providers and a clear transparent decision making process. Steering Group Objective; to agree an Outline Business Plan (OBP) with all Providers by May 19th and a Full Business Plan (FBP) by Oct 2014. This will include agreeing a model of care, which is co designed with service users and understanding what the shadow capitated budget envelope will be based on pooled budgets and target population 4 workshops will be organised between now and end of May – dates to follow asap

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