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DACCOM. Past, Present and Future Meena Savla. Huge learning curve. Lots of meetings Some successes Some mistakes Initially it was all about saving the PCT overspend. Past successes. 1 st PBC group to achieve level III Lead on COPD pathway Lead on Diabetes Care
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DACCOM Past, Present and Future Meena Savla
Huge learning curve Lots of meetings Some successes Some mistakes Initially it was all about saving the PCT overspend
Past successes • 1st PBC group to achieve level III • Lead on COPD pathway • Lead on Diabetes Care • Enhanced Primary Mental Health Service (1st wave) • Prescribing incentive scheme and reduced costs • Ophthalmology – new service • Counselling-kept it within primary care • Physiotherapy- equity in access across the patch
Failures • Failed to appoint PCT manager • Failed to join in CATS and CAS services • Failed to get PARS • Navigant asked to help
Working with the PCT • Commissioning of the UCC at Hemel Hempstead • Commissioning of the OOH • Reconfiguration of the intermediate care team and having intermediate care beds • Rapid Assessment unit • The “New Hospital” at Hemel
The Future • Restructuring following Navigant report • Referral management scheme (could one call it a CAT?) • Looking at physiotherapy service • Introducing scriptswitch • Working with the PCT to look at a Rapid Assessment Unit at the UCC and providing 8am till 10pm intermediate team 7 days a week • The new Dacorum “Hospital” • Continue to work with PCT on other projects