Clear and Credible Plan
Quarter 3 update
Liane Langdon
Director of Commissioning and Strategic Development
Together
we’re better
Key deliverables
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Commission improved support in alcohol services
Review how we provide autism services
Increase expert patient programmes
Further improve hypertension diagnosis
Increase uptake of screening and NHS Health Checks
Improve how we systematically gather and use ‘soft
intelligence’ from our population
• Evidence our patient engagement – and check
whether it’s good enough
Together
we’re better
Commission improved support in alcohol services
• Two training programmes have taken place to increase the number of
primary care professionals accessing the alcohol RGCP training to
improve the management of Chronic Heart Disease (CHD).
• Additional resources put in place include Health Trainers and Addiction
Dependency Solutions (ADS) workers commissioned in some of our
most deprived areas and practice champions being identified in several
practices following a successful pilot in St Martins.
• In its commitment to address alcohol concerns, the additional
investment to provide more ADS has resulted in more than 24,000
alcohol screenings of patients, resulting in over 1900 brief interventions.
Together
we’re better
Review how we provide autism services
• An autism assessment and diagnosis pathway is
being developed and will be completed later in the
year. It is anticipated that this will be launched in early
October 2014. In addition work is also being
undertaken to identify what range and type of post
diagnostic support is required. It is further anticipated
that this will be completed with proposals for a service
model also in early autumn 2014.
Together
we’re better
Increase expert patient programmes
• A business case has been drafted for 3 CCG approval and
funding in Quarter 4 which will change the current structured
patient education programmes to move to a rolling basis and
become more accessible.
Together
we’re better
Further improve hypertension diagnosis
• Further work has taken place on our local Quality Premium on
the identification of patients with hypertension, training took place
in September on diagnosis and management. 18 practices sent
staff, 30 staff attended, this session was also run at the Leeds
North Council of Members for GPs. Leeds North is currently on
target to achieve doubling the number of patients on the
hypertension register.
• Freed up resources have been used to ensure that all practices
now have 24 hour Blood Pressure monitors to diagnose
hypertension.
Together
we’re better
Increase uptake of screening and NHS Health
Checks
• Increasing the uptake of screening compliments the drive for
patients to undergo the NHS Health-check and data around
cervical screening is being shared with practices to assess
progress and address need.
Together
we’re better
Improve how we systematically gather and use ‘soft
intelligence’ from our population
• Key to build on the patient experiences already captured, a citywide database has been set up to capture all patient feedback by
the Communications and Engagement team
• A new system has been established to record feedback from GPs
and their patients
Together
we’re better
Evidence our patient engagement – and check
whether it’s good enough
• Governance arrangements have been strengthened further with
a patient from each practice coming together for the first Practice
Reference Group meeting. The Patient Assurance Group has
agreed a handbook for their roles and received training from
Leeds Involving People. Engagement through all of these
structures has been key in developing our approach to local
commissioning intentions ahead of the National Planning round
in Quarter 4. The Leeds North website has promoted the local
commissioning choices to the public and feedback will be used to
inform planning.
Together
we’re better
Key deliverables for Quarter 4
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Improve equity of access to hospice and pathways of care services across the city
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CCG involved in the development of a new MH Strategic Plan
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Checking practice coding and reviewing people recorded with mild cognitive concerns
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A replacement adult social care IT system
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Immediate transfer of information about a patient before they attend a service
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The delivery of a Leeds Care Record; a shared electronic record, centred round the
citizen/patient, that will enable the better integration of health and social care across
organisations and thus across the city
Together
we’re better