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Ncl.nhs.uk

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Ncl.nhs.uk

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    1. Barnet Clinical Commissioning Group Local clinicians working with local people for a healthier future 24 November 2011

    6. Barnet’s health and wellbeing needs Coronary disease and stroke: Highest cause of death in Barnet, reflecting national picture Highest prevalence in most deprived areas One of highest prevalence for stroke in London and nationally Direct correlation with smoking and obesity Obesity: Growing levels of obesity in borough Those in lower socio-economic groups at greater risk

    7. Barnet’s health and wellbeing needs cont… Smoking and smoking cessation: 440 people die in Barnet each year from preventable smoking-related caused death Chronic Obstructive Pulmonary Disease higher amongst women than men Deaths from lung cancer will soon be more common in women than breast cancer Cancers and screening: Second highest cause of death Only through improving uptake of routine screening can we improve cancer late diagnosis and death rate Immunisation: Lower than national average immunisation levels MMR a key immunisation priority

    10. Making Changes Not all about saving money But improving patient care We need YOUR help to move forward on this!

    15. GPs at the frontline Face to face with patients Medication Investigations Referrals Discharge letters Who is in the know?

    16. It is possible that patients know what patients NEED rather than what clinicians in secondary care and often the GP, WANTS Knowing what patients need

    17. Hospital doctors realise that their patients also come armed with a lot of knowledge Knowing what patients need

    18. What patients need… And what is the icing on the cake?

    20. Communications – How to get Patients Involved? Emails? Letters? Regular meetings Conversations via telephone Your views are important!

    22. We have a problem… I didn’t take this job to simply save money! However…. I dream of effective prescribing for the population of Barnet, which is based on our experience and knowledge of patient need We want to work together with you to achieve this!

    23. What do we need to achieve? In Barnet, we need to reduce our spend on medicines by Ł3m over the next year If we succeed, we will be able to continue to be able to pay for the equivalent of: 600 hip replacements OR 429 heart by-pass operations OR 4,200 cataract operations OR 90 community nurses

    24. How will we do it? Where possible, prescribed generic medications are being switched to equally clinically effective, and more cost-effective equivalents Switching expensive/branded statins (cholesterol lowering drugs) to more cost-effective statins Evidence shows that bath emollients are not clinically effective so prescribing will be reduced More appropriate prescribing of sip feeds, used to supplement the diet of individuals who are unable to meet their nutritional requirements from other foods  

    25. Example 1 At least 50,000 patients in Barnet are currently being prescribed cholesterol lowering medicines Here are two medicines that at these equivalent dosages lower cholesterol to the same extent but one medicines costs over 10 times as much.

    26. Example 2 At least 15,000 patients in Barnet are currently being prescribed these medicines used for the treatment of high blood pressure. Here are two medicines that at these equivalent dosages lower blood pressure to the same extent but one medicines costs over 10 times as much

    28. Why community clinics? Talk here about some of the difficulties in the past with hospital services. How want to set up a more local service that is quicker and more efficient for patients. As well as this it needs to be ore cost effective and community clinics represent on average a 25-30% reduction on the cost of acute appointments. Talk here about some of the difficulties in the past with hospital services. How want to set up a more local service that is quicker and more efficient for patients. As well as this it needs to be ore cost effective and community clinics represent on average a 25-30% reduction on the cost of acute appointments.

    29. Services at Community clinics Maybe give an example here of what types of things a community clinic will see, how they are set up etc, and some of the good points i.e. patients often seen a lot quicker. Letters are triaged by clinician so that patients get the most appropriate apointment One stop shop etc. Maybe give an example here of what types of things a community clinic will see, how they are set up etc, and some of the good points i.e. patients often seen a lot quicker. Letters are triaged by clinician so that patients get the most appropriate apointment One stop shop etc.

    31. Procedures of Limited Clinical Effectiveness

    32. Please remember…

    34. Breakout Session Helping us to make difficult choices? Developing services at Community Clinics Communications and Engagement going forward

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