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SaCH Extraordinary Members Meeting

Stay informed on the latest updates about the Lambeth Business Support Unit, LTC Commissioning Intentions, project proposals, and plans for the future. Your input is crucial in shaping the future of healthcare in Lambeth.

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SaCH Extraordinary Members Meeting

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  1. SaCHExtraordinary Members Meeting 19 03 09

  2. Agenda • Welcome and Apologies • Introduction to the meeting • Terms of Reference – Summary of Content • Update on the BSU • Sign off by Members • AOB

  3. What’s been happening • Following meetings and debate last year, agreed to develop a Pan Lambeth Business Support Unit for PBC • All four consortia signed up to idea • Steering group comprised 2 reps from each consortium • Process facilitated by Scott McKenzie

  4. Where we’re at • Governance and ToR for SaCH • Same model for all consortia • Pan Lambeth Strategic board • 2 reps from each consortium • Plan for BSU • Aiming recruit to posts soon

  5. SaCH ToR • Framework for SaCH and member practices • Each consortium working to the same • Drafts sent out to all practices for comment • Aims, principles, vision • Structure, communication, HR, entry,exit • Monthly reporting, performance management, risk sharing • Business processes, decision making • Freed up resources • Incentive payments • Conflicts of interest

  6. What we’ve got • Intelligence • Local • Combined Predictive Model • Entitlement to data • Practice stuff • Wider • Look on streathamandclaphamhealth.org.uk • Clinical engagement • PCT changes and new entitlements

  7. LTC Commissioning Intentions • PCT had £150k across Lambeth from LTC • To reduce care gaps identified in Combined Predictive Model for top 5% • Personalised care plan for all LTC in top 5% • Consolidate good practice • Develop sustainable systems

  8. Outcomes • Blood pressure* - reduce by 80% the number of patients within the top 5% risk segment that do not have a controlled blood pressure • Cholesterol* - reduce by 80% the number of patients within the top 5% risk segment that do not have a controlled cholesterol • Medicines management - reduce by 80% the number of • Heart Failure and CHD patients that are not on beta-blockers or ACEI/ARBs • Diabetes and CHD patients not on statins • CHD patients not on anti-platelets • The combined predictive model removes contraindications therefore these would be excepted from this. • Smoking advice – reduce by 80% the number of patients within the top 5% risk segment that are not offered smoking advice • Personalised care plans in place for the approximately 18, 000 patients within the top 5%. • Reduction in risk scores of patients within top 5%

  9. LTC Project Proposal/Plan Template • Description of project • What you will do • How you will do it • How you know that it will work (evidence base) • Interim milestones • Outcome measures and monitoring arrangements • Costings • Sustainability • Risks and contingency plan

  10. Shaping the Future • Consultation on proposed changes for Lambeth PCT • This will affect us all • Read documents on PCT intranet • Respond before 30th March

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