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Strategic plan 2014/15 – 2015/16

Bracknell & Ascot. Strategic plan 2014/15 – 2015/16. BACCG QIPP Triangle. Programme One: Prevention and self care.

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Strategic plan 2014/15 – 2015/16

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  1. Bracknell & Ascot Strategic plan2014/15 – 2015/16

  2. BACCG QIPP Triangle

  3. Programme One: Prevention and self care The focus will be on prevention in line with the priorities in the JSNA(s) and Supported Self-management for people with long terms conditions such as COPD, diabetes and dementia following diagnosis and throughout the course of their condition. Targeted and evidence based programme with an emphasis on reducing NELs and A&E attendances Current year enabling projects • 2013/14 Additional resource for joint work with Local Authorities for delivering Call to Action and self-care priorities 2014/15 enabling projects • Establish the preferred methods of communication for local people • Alignment with primary care vision • How technology would support 2014/15 Investment through a joint integrated plan with partners Intended projects 2014/15 include: • Smoking cessation prior to elective surgery • Reduction of years lost through identifying opportunities to target specific groups of patient from benchmarking national indicators • Healthy Lifestyle education clinics in primary care as part of whole system programme • Talking Health programme • Signposting to services and support • Extensive campaign to promote appropriate use of new UCC and education centre

  4. Programme One: Prevention and self care

  5. Programme Two: Long Term Conditions This programme will achieve the a QIPP target of 66 (per 1,000 population) forunplanned admissions with a view to reducing to 64 in 15/16. Current year enabling projects: • Long Term Conditions: resources required £40k recurring funds 2014/15 to ensure delivery of benefits • Review of COPD pathway to establish equity of access and outcomes • Review of Diabetespathway to establish high quality services across primary care • Delivering the joint Dementia Strategy including increasing diagnosis rates • Cancer opportunity being scoped by clinical lead for screening and improve Breast Cancer pathway Intended projects 2014/16: • Investment in community Mental Health: including medically unexplained symptoms service • Implementation of the Better Care Fund vision, agreed with our partners, with supporting programme of work • Sustainable and effective Integrated Care Teams as part of Better Care Fund and building on evidence and experience to grow caseloads • Review of IT requirements to further integration of key medical information

  6. Programme Two: Long Term Conditions

  7. Programme Two: Urgent Care Intended projects 2014/16: • Deliver the primary care led Bracknell urgent care centre and drive out business case benefits • Integrated frail elderly pathway, with ‘real time’ information across agencies, support through patient journey around Frimley system • Falls Clinic capacity, then redesign local pathway to incorporate prevention and adequate capacity, and aspire to local RACC model • Expand Integrated Care Teams and work with clinicians to achieve more effective patient outcomes • Cellulitis pathway linking to Urgent Care • Nursing and residential homes project delivered jointly with UA This programme will support the QIPP for unplanned admissions, provide appropriate urgent services for our population and to manage the increasing pressures on accident and emergency services. Current year enabling projects • Urgent Care Centre: resources required £40k recurring funds 2014/15 to ensure delivery of benefits • Scoping of pathways during 2013/14: • End of Life care planning • Develop the primary care discharge decision tree • Reducing variation in primary care in NEL and A&E activity with project support to general practice • Winter pressures projects including 7 day in-reach nursing to Frimley Park

  8. Programme Two: Urgent Care

  9. Programme Three: Recovering from Ill Health This programme includes projects in planned care pathways/services which will maintain the 115 (per 1,000 population) GP referral target, and benchmarked levels of elective care whilst commissioning services closer to home. Current year enabling projects: • Scoping and benchmarking of Gastroenterology pathways • ENT extended scope in the community • Community Cardiology service closer to the patients and acute FPH services • Reduce variation in the use of Pathology and Radiology • Scoping neuro-rehab pathway • Generic rehabilitation pathway scoping linking the stoke reablement Intended projects 2014/16: • Dermatology commissioning including low risk BCCs in the community • Implementation of MSkservice and the new community physiotherapy service • Ophthalmology pathway review with FPH system • Addressing clinical variation via Performance review group – Referral Management, medicines management, pathology etc. • Tongue Ties provision into primary care minor operations service with Area Team • Smoking cessation service prior to surgery • Limiting access to Procedures of Limited Clinical Value

  10. Programme Three: Recovering from Ill Health

  11. Programme Four: Patient Experience &Engagement This programme is a cross-cutting theme to the strategic plan emphasising the importance of patient and public engagement in all that we do Current year enabling projects: • Patient Participation – support and develop the PRG Assembly in conjunction with Healthwatch • Consult and engage around the CCG Communications and Engagement Strategy • Call to Action responses • Response to poor perception of GP access Intended projects 2014/16: • Work in partnership with Healthwatch to ensure broad engagement across the CCG population • Launch the Communications and Engagement Strategy • Public launch of the CCG website/s and social media (requires recurring investment in post holder) • Gain understanding of the impact of the Personalised Health Budgets • Improve effective public and patient involvement in service redesign

  12. Programme Four: Patient Experience &Engagement

  13. Programme Five: Quality and Safety This programme includes quality improvement areas and commissioning intentions for existing provider contracts. All projects have a relationship with quality and safety and with that in mind this programme spans all the three QIPP programmes for the CCG. 2013/14 intentions for contracts: • Review of the Community Service specifications to reflect commissioning intentions and integration • Ensure robust quality schedules and monitoring for all new and revised services • Working collaboratively across the Unit of Planning and Frimley System • Support joined up provision of safeguarding across our population in line with Winterbourne • Continual review all provider contracts and service specifications including unit of planning and Frimley System • Develop further the collaborative and integrated approach to commissioning with all our partners • Continue to support our providers to deliver the best high quality services, including CQC, Monitor and assurance around Francis report and Keogh principles • Maintaining the high quality in general practice

  14. Programme Five: Quality and Safety

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