COMMISSIONING INTENTIONS
Workstream
In Hospital Care
STH/IHC1
In hospital Care
STH/IHC2
In Hospital Care
In hospital care – urgent care
Objective
To move the responsibility and accountability for Consultant originated referrals from secondary care providers back to the GP to
ensure the long term management of a patient remains within the oversight of the registered practice and decisions on patient care are
made jointly between the patient and GP
To improve patient pathways, reducing outpatient review appointments to gain efficiencies and productivity and identifying
improvements in pathways ensuring patients are treated in the most appropriate setting
Following recommendations from Clinical Director to work with HAST to enable the implementation of North East Clinical Network Back
Pain pathway to ensure adherence to NICE CG88.
To increase capacity in primary and secondary care and reduce the unnecessary A&E, Walk-in Centre and GP activity through
development of a prescribing pharmacist service and in order to improve patient experience and access to services closer to home.
STH/UC1
In hospital care – urgent care
STH/UC2
In hospital care
To reduce pressure on urgent care services and enable patients to be supported to remain within their own residence
promoting independence and reducing unnecessary admissions with a focus on improving quality and patient safety through the
implementation of a GP support service in and out of hours for NEAS paramedics.
To continue to improve commissioned services in collaboration with the Provider to ensure key deliverables are
implemented through inclusion of requirements as contract developments to:
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MH/LD
STH/MH1
MH/LD
STH/MH2
HAST Commissioning Intentions
Improve the quality of care patients receive post-discharge.
Reduce the number of readmissions
Supporting patients in managing their condition
Develop community based services in order to provide care closer to home
Develop patient pathways of care and review existing pathways to ensure
Reduce the number of delayed discharges and delayed transfers of care
Ensure delivery of diagnostic and emergency care services 7 days a week, to improve access and patient
satisfaction
To continue to enhance and improve the health and well-being for patients with dementia and their carers by:
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Improving public and professional awareness of dementia
Early Intervention and Diagnosis for All
Providing good Quality Information for People Diagnosed with Dementia and their Carers
Enabling Easy Access to Care, Support and Advice following Diagnosis
Improved Community Personal Support Services
Implementing the Carers’ Strategy for People with Dementia
Improved Intermediate Care for People with Dementia
Improved End-of Life Care for People with Dementia
To improve mental health pathway for perinatal care in light of new NICE guidance to improve patient experience and ensure access is
improved to services through reviewing existing commissioned services
COMMISSIONING INTENTIONS
MH/LD
STH/MH3
MHLD
To improve the mental health and well-being of people who have mainly mild to moderate mental health problems and other unmet
health and social care needs and to reduce urgent care attendances by improving access to mainstream services across Stockton and
Hartlepool for individuals with multiple mental health and complex needs through the commissioning of the Stepping Forward model
To Improve outcomes for disabled children and children with complex health needs and streamline services to optimise integration
through review and redesign of existing services.
STH/JC1
MH/LD
STH/JC2
MH/LD
To ensure that primary mental health services can meet the needs of children and young people with early stage mental health
difficulties through early intervention and quality longer term services for those children with more complex mental illness through
continuation of the Tees CAMHS transformation and pathway improvement.
To work with Local Authority partners to deliver an integrated Advocacy Hub to respond to the challenges and meet the quality
requirements of the Winterbourne View concordat improving access to advocacy support particularly within residential units.
STH/JC4
MH/LD
STH/JC5
Out of hospital care
STH/OHC1
Out of hospital care
To ensure that the requirements set out in the Winterbourne View Concordat are fulfilled to ensure delivery of care and support to
people with a learning disability. Ensuring that the community is sufficiently resourced and equipped to deliver robust health care to
individuals with complex needs to prevent re-admission and facilitate effective discharge for those people that have received periods of
assessment or treatment intervention
To expand the Cataract Enhanced Service into the Stockton Locality to ensure access to equitable services across Hartlepool and
Stockton-on-Tees and improve patient choice and reduce unnecessary referrals to secondary care.
To improve the health and wellbeing of the frail and elderly population living in Hartlepool and Stockton, by providing a proactive,
structured approach to care through implementation of a number of schemes to include:
STH/OHC2
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STH/OHC4
Out of Hospital Care
Care Homes
End of Life
And to develop a Frail Elderly Care Strategy to deliver improvements over the next 5 years
To develop Primary Care Schemes to improve GP access and reduce demand on urgent care services.
STH/OHC3
Out of Hospital Care
STH/OHC5
Health & Well Being
STH/HW1
HAST Commissioning Intentions
To review the Stockton Emergency Eye Care Scheme
To develop integrated initiatives with partners to encourage people to make healthy lifestyle choices, improve quality of life and manage
the longer term needs of the community.
COMMISSIONING INTENTIONS
Health & Well Being
STH/HW2
Health & Well Being
STH/HW3
Health & Well Being
STH/HW4
Medicines
Optimisation
To improve the quality of education and support offered to patients with long-term conditions so that they feel confident in managing
their own condition and avoid admission.
To deliver integrated support to mothers in order to promote a healthy pregnancy and the best start for babies and children and manage
the longer term health needs of the community.
To develop integrated services to improve health awareness in order to improve screening, encourage earlier diagnosis and avoid
emergency admission.
To ensure the best possible outcomes for patients who are supplied medicines and support the development and education of
pathways
STH/MO1
STH/MO2
Medicines
Optimisation
To ensure that the most appropriate choice of clinically and cost effective medicines (informed by the best available evidence base) are
made that can best meet the needs of the patient.
STH/MO3
STH/MO4
STH/MO5
Medicine Optimisation
To ensure that Medicines optimisation becomes part of routine practice across commissioned services
STH/MO6
STH/MO7
STH/MO8
Medicine Optimisation
STH/MO9
MEDICINES
STH/MO10
HAST Commissioning Intentions
To ensure medicines use is as safe as possible by providing stewardship in line with national guidance
Contract change
Low Molecular Weight Heparin