ACE Excellence Practices are working together within their local areas to improve the care that they give you and also to bring it closer to you, within your community. What we’re trying to achieve is a move from care provided in hospitals, to GP surgeries. This means that you won’t have to travel to hospital, unless you really need to. To achieve this, practices are expected to offer a range of services to help patients to receive care closer to home. This will improve the overall experience for many patients, especially those with long-term conditions, meaning that you will not have to travel to hospital to have certain tests carried out. Your GP will discuss this with you once the need to have a test, or assessment is identified. What ACE Excellence means to you… Delivery of a wide range of tests/ investigations within GP surgeries, such as Electrocardiogram (ECG) or spirometry. Improved access to wound management services for patients discharged from hospital, or specialist care providers following surgery or trauma. Improved experience by providing care closer to home. More specialised services will be provided in the community, so you don’t need to travel to hospital. Closer working between specialists and GPs, for those patients living with long-term conditions. Closer working between services, to ensure that the elderly and the vulnerable do not spend any longer in hospital than they need to. Our offer to you We’re improving health services across Birmingham… This practice is a member of Birmingham CrossCity Clinical Commissioning Group (CCG). We’re the NHS organisation behind the commissioning and delivery of healthcare services in Birmingham. Most of our senior leaders are practising GPs within our city. This gives local GPs, and other clinicians, the power to influence commissioning decisions for their patients. We commission most of the hospital and community NHS services in our area. @BhamXCCG bhamcrosscityccg.nhs.uk @BhamXCCG What is commissioning? 5 Health Visiting teams and our GP practices are working in partnership to identify and improve the care of the families who are most vulnerable in the community. Commissioning involves deciding what health services are needed, and ensuring that they are provided. We are overseen by NHS England. What we commission: Most planned hospital care Recovery care Urgent and emergency care (including out-of-hours) Most community health services 3 Quality & Safety We have set up an online feedback tool, so that your practice can tell us if you have experienced problems with local healthcare services. We can then investigate them directly. Mental health and learning disability services and here’s how we’re doing it… 6 Aspiring to Clinical Excellence As a member of Birmingham CrossCity CCG, this practice is part of our Aspiring to Clinical Excellence scheme (ACE). ACE is a programme of improvement aimed at making sure all of our practices provide the same high standard of care across the city. The ACE Scheme is split into two levels, Foundation and Excellence, which support our overall mission: To achieve excellence in commissioning through excellent primary care. ACE Foundation level is offered to all Birmingham CrossCity CCG GP practices and focuses on the following six areas: 1 2 Engagement and Involvement Your practice works with other local practices to improve health related services in your community. If you need to be referred to a specialist service, you will be offered a choice of where you can go. Medicines Management Your practice regularly looks at all their prescribing to ensure that you get the right medication, at the right dose, at the right time and for the right duration. 4 P rescription 4 Exercise. Practices will be using a tool to promote the use of physical activity for patients with longterm conditions. Immunisations & Vaccinations. We are working hard to make sure that all patients eligible for important vaccinations and immunisations receive these, and are therefore protected from illnesses. Integrated Community Support - Mental Health Your practice will work with Community Psychiatric Nurses and Psychiatrists to identify those patients who are missing out on vital mental health support. They will develop joint management plans and improve access to physical health assessments. We have chosen three areas where practices can make a positive impact on health, if there is intervention at an early stage: We’re improving quality care by ensuring that patients with Chronic Obstructive Pulmonary Disease (COPD) who have been admitted to hospital, have a review at their practice within two weeks of their discharge. We’re also committed to working with local support services to reduce alcohol related A&E admissions. Practices also work together to share best practice and learning. This sharing is important because it helps to protect our patients. Prevention ACE Foundation Safeguarding