July 08 – Commissioning Update – Clinical Exec
July 08 Progress Update on Bradford South & West Commissioning Plan
1. Reducing emergency admissions
Service area Development Proposed Investment Progress Health forecasting for COPD System purchased, set up costs split between ? Purchase of automated system based on 3,435 COPD
patients 3 alliances (YPCA not participating) patients (as at Mar 07).
Public Health has data re. no. of patients Use of automated health forecasting which dictates cost of system. systems as supplied by the Met Office
Evaluation in progress to determine impact
and whether to re-commission
Enhancing fast response team Additional investment to be funded partly ? 2 additional support worker posts per night, 7 nights per week,
through alliance pooled FUR covering 10 hours
Increase capacity in Community ? 1 full time Physiotherapist
Support Team (Fast Response) Recruitment commenced, service ? ? time OT
introduce therapy and Nurse specification drafted and in final stages, ? 1 full time Nurse Practitioner Practitioner role pathway agreed, anticipate service to be at ? Redesign of present NP cover in community hospital service full capacity by October 08. to provide out of hours NP cover across whole intermediate
? Telecare package for S&W population
? 4 – 6 extra patients supported per night with planned visits
- 1 -
July 08 – Commissioning Update – Clinical Exec Developing integrated community Additional investment to be funded partly ? Redesign existing Community Matron system
support teams and the community through alliance pooled FUR ? 11 additional Community Matron posts (17 in total) & 1
matron role Community Support Worker (2 in total)
Additional Community Matrons recruited to ? Each Community Matron covering a population of 8,000 to
Development of practice based provide 12 Community Matrons in total 10,000.
integrated community support teams across S&W covering a population of approx.
14,000. Service specification drafted and in Development of current Community final stages, pathway and implementation Matron roles and increase in numbers plan agreed, anticipate service to be at full
capacity by September 08.
Additional support requirements based on the
low Community Matron recruitment figures to
be evaluated 6 months into the start of the
Working with district nursing teams and social
care managers to develop integrated team
Screening of patients with No impact on FUR, practices will pay local ? Cost per patient of ?180
suspected DVT tariff.
Referral of patients with a suspected DVT to community team for screening Service up and running.
2. Improving access to mental health problems
Service area Development Proposed Investment Progress Primary Care Gateway Service Additional investment to be funded partly ? Increased capacity for Counselling and therapy
through alliance pooled FUR ? Increase in the number of mental health practitioners
Reconfigure current team and ? Increase the overall primary care service by 12.5 sessions per
increase number of practitioners in Recruitment commenced, service week (43 hours)
order to increase sessions to near specification drafted and in final stages,
national recommendations pathway agreed, anticipate service to be at
full capacity by July 08.
- 2 -
July 08 – Commissioning Update – Clinical Exec Improving identification and Awaiting commissioning plan. ? Will be informed by the recommendations from the district
support for patients with Dementia wide commissioning plan being developed following the
Improve practice registers, develop
pathways into services and utilise
existing services better
Primary care based alcohol misuse District wide service review ongoing, roll out ? Expand provision of Allerton service across the Alliance
support of Allerton project part of plans ? Estimate 5 WTE support workers covering a population of 25,000 – 30,000 each Identifying and supporting patients with a drinking problem
Social prescribing (CHAT) Additional investment to be funded partly ? Estimate 5 WTE support workers covering a population of
through alliance pooled FUR 25,000 – 30,000 each
Improve access and availability of
CHAT service to patients in S&W to Recruitment to commence in July from improve mental wellbeing of patients existing pool of Health Trainers, service with psychosocial needs specification drafted and in final stages,
pathway agreed, anticipate service to be at
full capacity by September 08.
3. New developments
Service area Development Proposed Investment Progress Falls Proposal being developed, linking in results ? 1 Falls Liaison Nurse
of recent PCT provider evaluation. Reduce the number of falls through
direct support to patients and
informing and educating primary,
community and secondary care
Community Midwifery Proposal being developed to commission ? 2 Community Midwives initially supporting patients in the
service from Calderdale, linking into district-Wyke locality working with the Wyke Children’s centre
Improve the continuity of care for wide Maternity Network. patients choosing Calderdale for delivery, pilot both case loading Initial discussion with LA re. delivering pilot
- 3 -
July 08 – Commissioning Update – Clinical Exec approach and working with Children’s with/in Wyke Children’s centre, meeting with Centres to deliver integrated services Children’s Centre management, practices,
and LA end of July to progress.
Pain Management Initial review of services ongoing, models to ? Community based pain management services linking into
be developed for delivery by the end of the district wide MSK pathway
Develop community based pain year. management services