Clinicians commissioning healthcare
for the people of Northumberland
Commissioning plan 2014/19
The NHS belongs to the people: a
call to action
• Healthcare is changing
• Health is changing too
• Services need to change too
• We must achieve the best outcomes for our
patients within the available budget.
• Services need to be organised on a locality
basis, matching CCG and local authority
boundaries
• We need to review the type of services that are
available within a community setting and those
that are delivered in hospital.
http://www.england.nhs.uk/wp-content/uploads/2013/07/nhs_belongs.pdf
Northumberland’s work is split into
six clinical areas
Public
health and
prevention
End of life
care
Unplanned
care
Clinical areas
(domains)
Mental
health and
learning
disabilities
Planned
care
Long term
conditions
How we built our plan
Examining the clinical
areas
Understanding the
population needs
Examining the clinical
Identified some
areas
development
Understanding the
population needs
areas
Evaluating existing
commissioned services
Aligning with national and
Health and Wellbeing
Board priorities
Identified
some
development
areas
Evaluating existing
commissioned services
Aligning with national
and Health and
Wellbeing Board
priorities
We have three key areas
Supporting
our most
vulnerable
Making
best use of
community
services
Making
best use of
community
beds
What has our CCG done so far?
High risk patients
pathway
Blood monitoring in
the community
Mental health model of
care
Consultant triage in
A&E
Practice activity
scheme – maximising
referrals
Promoting best
practice (gynaecology/
Orthopaedics NICE/
GOS18)
Winter plan in place
across all agencies
End of life pathway
Good News
Significant reduction in emergency admissions since the intro of the
ambulatory care scheme and high risk patient programme. A number of
admissions are avoided entirely whilst other patients are treated within
the outpatient setting instead and then discharged on the same day
Good News
The Northumberland (local) target is 71% of Category A (red) incidents
responded to within 8 minutes
Northumberland Category A (red) emergency ambulance response 2012 - 2013
76.00%
74.00%
72.00%
70.00%
68.00%
66.00%
64.00%
62.00%
% Performance
Target
Linear (% Performance)
The initiatives 2014 – 2017
Public Health and prevention
Delivering initiatives that
encourage people to take action
to prevent the development of
major health problem
Promoting independence and
offering people maximum control
of their lives
Encourage and support employees
in their healthy lifestyle choices to
promote their health and well being
Partnership working to reduce the
incidence of incidence of falls in the
elderly
Minimise the effects of healthcare
acquire infections in the community
Promote wellbeing and reduce the
impact of ill health in those people
living in residential and nursing
homes
Unplanned care
Signposting to and building capacity in alternatives to emergency services
Improve assessment & management of
deep vein thrombosis
Structured review and management of
patients at high risk of admission
Develop single point of access services
Develop alternatives to A&E
Scope urgent access across the whole
health system (primary/community care)
Develop care in community settings
Expand and develop ambulatory &
elderly care assessments
Improve and develop public
communications / signposting
Improve effective communication across
providers to enhance patient care
Base site and pathway design for the
Specialist emergency care hospital
Continued improvement of ambulance
performance
Continue improvement and integration
of NHS 111
Implement county-wide Consultant led
triage for urgent GP referrals
Planned care
Making best use of community based services
Examining, understanding and
managing variation in clinical
practice and patient outcomes
Develop expanded community blood testing services
(community based prostate-specific antigen monitoring)
Manage variation/review referral
pathways
Review provision of maternity based services alongside
Specialist emergency care hospital provision
Evaluate community pipelle service and implement outcomes
Urology/ultrasound service review
Review audiology provision to improve access
Implement outcomes of the musculo-skeletal services review
Review upper gastro-intestinal pathway
Review provision of aural suction & nasal cautery
Improve dermatology pathway
Long term conditions
Making best use of
community beds
Developing a robust and fair
strategy for patients with
continuing healthcare needs
Improving the quality of
long term conditions
management in the
community
Community hospitals: new
model of care implementation
Implement improved
outcomes for patients with
continuing healthcare needs
Develop the long term
conditions management
strategy
Review and redesign of
rehabilitation services: explore
community assets approach
with focus on pulmonary
rehabilitation
Roll out of personal health
budgets
Identify and support
community assets
Mental Health
Improving care for people
with dementia
Supporting people with
mental health needs
Supporting the emotional
health and wellbeing of
children and young people
Revise dementia services and
implement the dementia
pathway
Development and
implementation principal
community pathways
Children’s and young people’s
service improvement
Review psychological
wellbeing services and
implement the outcome of the
review
Implementation of a new
children’s and young people’s
service
Learning Disabilities
Improving services for
individuals with autism
Improving physical health
for people with learning
disabilities
Improving care pathways for
people with learning
disabilities
Creation of a seamless and
integrated autism service with
special focus on client support
Improve physical health action
plans for people with learning
disabilities
Review and development of
learning disabilities pathway
Implementation of
Winterbourne concordat
End of Life and Carers
Integrated palliative and end of life care
pathway
Ensuring carers have timely and adequate
support
Further pilot of the prime contractor model and
decision on permanent contract
Implementation of Northumberland’s joint
carers strategy
Develop community hospital beds in line with
the prime contractor model pilot and
community hospitals review
Implementation of individualised care plans
Engagement
• With patients and the public, members,
providers and other key stakeholders
–
–
–
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Face to Face
Online
Questionnaires
In partnership (alongside other events)
Questions or comments?
Please send your comments and questions to:
stephanie.edusei-basra@nhs.net
…. and check out our website:
www.northumberlandccg.nhs.uk