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Bradford South & West Programme of work 0708

By Anna Murphy,2014-07-11 16:53
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Bradford South & West Programme of work 0708 ...

    July 08 Commissioning Update Clinical Exec

    APPENDIX D

    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

    care services

    ? 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

    service.

    Working with district nursing teams and social

    care managers to develop integrated team

    approach

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

     review.

    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

Obesity