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West London CCG Commissioning Intentions 2015/16

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• We have developed our commissioning plans for 2015/16 and sent these to providers at the beginning of October 2014

• We have engaged with a variety of stakeholders to help shape our plans. We also gathered feedback during autumn of 2013, which we are responding to this year and into future years

• The priorities for 2015/16 and beyond fit into 4 categories (Service Reconfiguration; Whole Systems Integration; Primary Care Transformation; and Patient Empowerment)

Introduction

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Review of last year’s feedback

You said We did

Improve GP access

• Extended GP opening available, including weekend opening covering the whole CCG area

Improve children’s care

• Children’s hubs launched, which involve GPs working together with consultants to improve care for children

Help patients understand how to access services

• Children’s urgent care communications materials produced• Funding signed off for health road shows and ESOL for health

Improve co-ordination between services

• Multi-disciplinary team meetings established in GP practices to improve the co-ordination of care for patients with complex needs

• Primary Care Navigators being rolled out

Improve support for mental health needs

• Continued investment in mental health services for psychological therapies and communications campaign to improve uptake being planned

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Strategic programme

Description

Patient Empowerment

• Roll out of Primary Care Navigators in 2014/15 and continued into 2015/16 to support older patients with complex needs

• Expert Patient Programme being tendered in 2014/15 and new service to be mobilised in 2015/16 to support patients with long-term conditions. Pilot online EPP early 2015.

• PPE grants awarded to third sector for projects supporting self care and self management (grants awarded in 2014/15 and projects to be running in 2015/16)

• Launch of health road shows and ESOL for Health in 2014/15 and to continue into 2015/16

• Support to Patient Participation Groups in general practices to continue into 2015/16

• Work-streams underway to review and improve programmes for self management and peer support in 2015/16 and beyond

Patient Empowerment

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Strategic programme

Description

Primary Care Transformation

• The CCG is commissioning a range of services from groups of practices in 2014/15 and into 2015/16. These include diabetes care; care planning and end of life care planning; blood testing; wound care; and care for patients with mental health needs

• The CCG is participating in the Prime Minister’s Challenge Fund, which aims to improve access to primary care. Specific objectives are as follows:o 7 day/week primary care services to be availableo A range of consultation methods to be available to patients

(telephone/email/Skype)o Alternative appointment booking methods to be available

(such as online appointment booking)o Primary care appointments tailored to patients’ needs

(urgent appointments, convenient appointments and continuity where required)

o Shared electronic patient records and patients able to access their records online

Primary Care

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Strategic programme

Description

Whole Systems Integration

• Whole Systems Integration is a strategic programme in which multiple partners work together to improve care for specific patient groups

• West London is focusing on two population groups:1) Patients aged over 752) Patients with long-term mental health needs

• In 2014/15, the new models of care have been designed in partnership with patients and carers

• In 2015/16, the new models of care will be in place• As part of this work, integrated health and social care teams

will work 7 days to proactively support the needs of patients

Whole Systems Integration

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Strategic programme

Description

Service Reconfiguration

• The CCG is tendering various community services in 2014/15 (ophthalmology, cardiology, respiratory) and these will be launched in 2015/16 to support the delivery of planned care closer to home

• NHS 111 contract is coming to its end date and is being put out to tender across NWL

• Chelsea and Westminster Urgent Care Centre contract coming to its end date and may be put out to tender

• New service model for St Charles urgent care to be designed in 2014/15 and operational in 2015/16

• Evaluation of pilot children’s hubs with potential to commission wider service

• Ongoing implementation of mental health standards (including Improving Access to Psychological Therapies and dementia)

Service Redesign

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Questions?