Transforming Health and Care Outcomes for the People of Basildon and Brentwood
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Transforming health and care outcomes for the people of Basildon and Brentwood Our 5 year strategic plan Working for a better NHS for everyone NHS Basildon and Brentwood Clinical Commissioning Group 5 year plan Inside this 5 year plan Who we are Aims and Objectives 4 CCGs are responsible for commissioning (i.e. planning, Chairman’s View 5 designing and buying NHS services) for everyone who Interview with the Chief Officer 6 lives in their local area, in particular CCGs are Foreword by Essex County Council 8 responsible for planned hospital care, rehabilitation Have your say and get involved 9 care, urgent and emergency care, most community Our vision and values 10 health services and mental health and learning Our changing communities and strategic disability services. To fulfil these responsibilities we challenges 12 work with local healthcare professionals, local Quality and Safety 14 authorities, voluntary organisations and others to make sure that local people have safe health services Aims 1 and 2: Excellence in Primary Care and Named that meet their needs, within the financial resources Accountable Professional Teams -Excellence in Primary Care 18 that are available. We have a duty to involve and -Practical steps towards integration 21 listen to patients and our local communities when we -Named Accountable Professional Teams 22 make decisions about local services. Aim 3: Specialist Pathways of Care We are led by our Governing Body, which is principally -Integrated Frailty 26 formed of clinical representatives of our four localities -Musculoskeletal 28 groups. Our Board sets our strategy and direction, as -Respiratory 29 well as ensures that the CCG is delivering its’ statutory -Diabetes 30 duties and ambitions for the health and care of -End of Life 31 everyone who lives in Basildon and Brentwood. -Why do we need to change? A carers’ story 32 -Cardiology 34 -Mental Health 35 -Children & Young People 36 -Learning Disabilities 38 -Cancer 40 -Stroke 41 On page 32 of this plan we reproduce Resources, Outcomes and Enabling Activities -Resources 44 the story of a carer -Targeted outcome improvement 46 which shows why -System structure and sustainability 48 change is needed. -Delivering the NHS Constitution 49 -Core enablers 50 -Glossary 53 2 NHS Basildon and Brentwood Clinical Commissioning Group 5 year plan Our vision is to see transformed health Key points outcomes for the The communities we serve are aging, living with more long term conditions placing greater strain on health and care people of Basildon and services. We know that people’s experience and outcomes from health and care services are not as good as they Brentwood. should be. This strain is magnified by the rapid development of new treatments and technologies, the increasing costs of meeting safety and other core guidance alongside poor We have developed this infrastructure in a number of areas. plan by listening to our We cannot deal with this set of challenges without significantly changing the way that health and care services work and set out within this plan the steps we will take to local communities, change health and care delivery so it will provide consistent, high quality, holistic and integrated care for our member practices and communities. key stakeholders There are three key area of work that we have identified to change service delivery: through consultation, Firstly, working with our member GP practices to strengthen and develop primary care services so that they meet the focus groups and needs of today’s communities. individual feedback. Secondly, by restructuring current health and care services around local communities and giving everyone with a long term need or condition a named person who will be accountable for getting the best possible outcomes for In this plan we set out them, working as part of this community based team. Finally by improving specialist care so that it is more the 3 aims which we will consistent, evidence based and draws on innovative thinking from across the UK and beyond. This will include a work towards to achieve new frailty service and the integration of health and care our vision and the 4 services for people with learning disabilities. To do this we will need to change the way we work as objectives by which we commissioners, and notably we will need to develop new governance models and working arrangements between will measure our success the CCG, Essex County Council and other key public sector agencies. at delivering this vision. 3 NHS Basildon and Brentwood Clinical Commissioning Group 5 year plan We have three aims and four core objectives for the next five years. Aim 1: Aim 2: Aim 3: Excellent Primary Care Named Accountable Professional Specialist Pathways of Care Teams We will develop a new set of quality markers We will simplify the current complex web of We will roll out a set of specialist pathways to support general practice to strengthen and services for people with long term need with which will break down existing barriers in develop their core primary care. an aligned set of professionals working in service delivery, be that organisational practice networks – radically reducing the configuration, setting of care or different We will seek to focus on understanding number of handovers in people’s pathways. disciplines for people who need additional variation in clinical practice and outcomes and care. build a support offer to support practices We will ensure that there will be a single which have development needs. individual accountable for a person’s health We will adopt evidence based practice, and care where they have a long term need. interventions and we will expect that people We will explore new models of general will be returned to their Named Accountable practice, focusing on delivering both episodic We will empower that person to make Professional Team following receipt of care in care and continuity of care. decisions to improve outcomes and self- a specialist pathway. management through better care planning. Objective 1: -People have the right to good experience: self-reported experience of health and care services. -No-one should be harmed: The number of incidents in health and care services that lead to harm. -Nursing and residential care as the very last resort: The number of people in residential/nursing care. Reduce avoidable harm, improve individual -Reducing premature mortality: Under 75 mortality rates from cancer, respiratory and cardiovascular outcomes and improve experience within local disease. health and care services. -Better quality of life: Improved quality of life for people living with long term conditions in Basildon. -Children should be safe: Number of child protection cases opened and closed, and length of time open. -Reducing inequalities for people with learning disabilities: Number of people with learning disabilities with a health check and health action plan Objective 2: -Delivery of the referral to treatment 18 week standard at an individual speciality level and across all services. -Delivery of the 4 hour A&E standard, with an absolute reduction in the number of people who have Consistently deliver the standards as set out in to wait longer than 4 hours in A&E. the NHS Constitution -Delivery of the 2 week, 31 day and 62 day cancer standards. -Delivery of the 15% access rate for psychological therapies for people who need it. Objective 3: -Our stakeholders and members believe the CCG has clear and visible managerial and clinical leadership. An organisation of clinical and managerial -Our people think the CCG is a great place to work and be developed in. leaders who have the necessary skills, capacity - We deliver on our plans and intentions. and capability to lead positive change for the communities we serve. Objective 4: -By 2018, our health and care economy will be in overall financial balance. A financially robust health and care economy -Over the 5 year plan period, we will create £13m of non-recurrent funding to help secure which has the necessary resource to deliver transformational change. our vision to transform outcomes for the people of Basildon and Brentwood. 4 NHS Basildon and Brentwood Clinical Commissioning Group 5 year plan Delivering consistently better outcomes Chairman’s view Within our Annual Report for 2013/14 we reflected as an organisation on our first year of operation as a NHS Clinical Commissioning Group, we reflected on the steps we had taken to build a sustainable, well run organisation and the steps we had taken to strengthen clinical leadership in the commissioning of NHS services for the people of Basildon and Brentwood. We also outlined the steps we have, and continue to take to improve the quality, safety and performance of the local NHS and to build a more financially resilient organisation. However, we also identified the need for the CCG to develop its’ strategy for improving the health and care outcomes for our local communities based on our knowledge and recognition that in a number of areas we are not consistently delivering the clinical outcomes or commissioning services which provide as good an experience of care as we want to see. In addition to these challenges we also recognised the need to transform the services we commission in order to deliver a financially robust health and care system for the future. This strategy sets out how we intend to make the necessary changes to rectify these issues to ensure that all key health and social care providers who serve our communities are safe, effective and financially sustainable. Clinical Commissioning Groups are unique organisations within the NHS, we have the opportunity to use our status as a membership organisation to draw on the experience and expertise of our membership, made up of all the GP practices in Basildon and Brentwood to tackle both the day-to-day and systemic issues faced by local services and I believe, with the steps we outline within this strategy to integrate the commissioning of services this expertise will be further strengthened by drawing on the expertise of colleagues in social care.