DOCSLIB.ORG

Primary Care Strategy 2014-19 Hertfordshire and South Midlands

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Primary Care Strategy 2014-19 Hertfordshire and South Midlands jkjkjkjk Front Sheet Primary Care Strategy 2014-19 Hertfordshire and South Midlands Area Team June 2014 1 Contents 1. Executive Summary Page 3 2. Our Vision Page 5 3. Primary Care Transformation Page 5 4. Out of Hospital Care Vision Page 6 5. CCGs Primary Care Vision Page 10 6. Promoting self managed care, health and wellbeing Page 13 7. National Context Page 14 8. Local Context Page 16 9. Financial Overview Page 17 10. Objective 1 Page 22 11. Objective 2 Page 26 12. Objective 3 Page 30 13. Scope of Commissioning Responsibilities Page 32 14. Patient Experience Page 38 15. Enablers Page 40 2 1. Executive Summary Over a year into the new commissioning system, it is the right time now for sharing a framework to support the strategic development of primary care across Hertfordshire and South Midlands over the next 5 years. It is important to note that the intention is that this document provides a strategic framework against which local strategies and developments can move forward. The strategic vision for the services commissioned across Hertfordshire and South Midlands is driven by three key objectives: 1. Improving quality and access 2. Improving health outcomes and reducing health inequalities 3. Developing and implementing new integrated models of care In order to achieve these objectives, we will need to focus on key enablers including premises, workforce and IT development with a more longer-term view/approach required. A key theme is to ensure that existing resources in people, buildings and IT are used as effectively as possible, whilst determining priorities for development. More robust workforce planning will be led by Health Education England, through the LETBs in supporting local and regional programmes. There is a clear and strong alignment between our local CCG Primary Care Strategies and the above key objectives. This shared purpose will provide the strong foundations for the co-commissioning of primary care moving forward. It is important to emphasise that co- commissioning is a “way of working” to deliver improved outcomes for local populations. Last month, expressions of interest were formally sought from CCGs nationally with consistent benefits in achieving greater service integration, more cohesive systems of out- of-hospital care, raising standards of quality, enhancing patient and public involvement and tackling health inequalities. Early proactive discussions have confirmed a genuine commitment and willingness to work together across Hertfordshire and South Midlands, with positive dialogue held to date with CCGs, Providers, LMCs, Public Health England, Health and Wellbeing Boards etc. Co- commissioning is providing us with a local vehicle to deliver changes which have both already started, or planned, through working differently and in a more joined-up way. A spectrum exists of potential forms that co-commissioning could take. Current consensus is for greater local CCG involvement in influencing commissioning decisions made by the Area Team, moving towards more joint and delegated arrangements. It is essential that reflection is built in following the submission of expressions of interest, with a local joint process having been agreed to progress next steps and local plans. Across our Patch, groups of Practices come together in different forms i.e. Localities, Neighbourhoods, Clusters etc. In order for implementation of our strategy, there is a clear challenge for groups of Practices to be collaborating effectively with the aim of delivering improved outcomes to their specific local populations. Our commissioning challenge will 3 clearly require us to be more innovative and targeted in our approach, for example realising opportunities to increase screening and immunisation uptake. Reducing variation is a key driver to our local strategy, i.e. clinical variation, outcome variation and variation in inequalities across our geography. Across the majority of quality indicators, the variation within Practices, across Practices within CCGs and between CCGs, both locally and nationally, is significant which needs to be understood and addressed. As we move forward with improving services locally, it is essential that we develop further an ethos of sharing and learning across Hertfordshire and South Midlands. Robust and more strategic contract management will be required to support us moving forward. PMS Reviews will be consistently implemented with a timescale for completion by March 2016. Again, significant variation exists across Practices and CCGs, which will need to be considered as implementation progresses, with the intent to maintain investment released within primary care. A more strategic approach with procurement needs to be taken in line with local strategies, with a significant number planned to be tendered during 14/15 and beyond. It is important to reiterate that our current Primary Care Transformation workstreams of Improvement (Quality) and Innovation (New Models) are aligned to the Regional Programme. As an Area Team, we are engaged in both regional workstreams and it is vital that influence at this level continues moving forward. Exciting opportunities have been created with the emergence of Local Professional Networks in Pharmacy, Eye Health and Dental Services. Again, our consistent key objectives apply, with a co-commissioning role for us in ensuring service are joined-up and integrated locally across our communities. This is both a challenging and exciting time for primary care in both developing, and most importantly delivering, our local primary care strategy together. It is important that we continue to focus on delivering high quality services and improved health outcomes for our patients within financial allocations, through clinically-led commissioning across Hertfordshire and South Midlands. 4 2. Our Vision To provide leadership and strategic oversight for health across Hertfordshire and South Midlands Area Team to improve quality and consistency of care through: • Effective commissioning of primary and other care • Supportive collaboration with partners • Developing and using systems of assurance • Efficient use of all available resources • Encouraging innovation and communication • Ensuring Parity of Esteem • Effective systems to deliver patient engagement and participation. 3. Primary Care Transformation Nationally a number of issues are emerging that necessitate a transformation in primary care. • An ageing population • Increasing patient demand • Increasing patient expectation • Economic constraints • New treatments and technologies The required change in primary care services, given current known challenges needs to have the following: 1. Proactive, coordinated care : anticipating rather than reacting to need and being accountable for overseeing your care, particularly if you have a long-term condition. 2. Holistic, person-centred care : addressing your physical health, mental health and social care needs in the round and making shared decisions with patients and carers, e.g. accountable GP for over 75s, services tailored for children and young people. 3. Fast, responsive access: giving you the confidence that you will get the right support at the right time, including much greater use of telephone, email and video consultations. 4. Health-promoting care: intervening early to keep you healthy and ensure timely diagnosis of illness, engaging differently with community to improve health outcomes and reduce inequalities. 5. Consistently high quality care : removing unwarranted variation in effectiveness, patient experience and safety in order to reduce inequalities and achieve faster uptake of the latest knowledge about best practice. We believe that these are most likely to be achieved by commissioning wider primary care at scale. In collaboration with CCGs we have a vital role in supporting localities, clusters and practices to work within the Framework to decide, and agree which model will achieve the required objectives. 5 We have identified four possible models for delivery of GP primary care services and these are outlined overleaf on page 9. The models are in line with current national, regional and local thinking We will be developing these models with CCGs, through localities, clusters and practices to move to a position where new ways of working are planned and implemented. The strategic vision for the services we commission across Hertfordshire & South Midlands Area Team is underpinned by three specific objectives. 1. Improve quality and access 2. Improve health outcomes and reduce health inequalities 3. Implementation of new models of care For the strategy’s objectives to be achieved we need to undertake work on a range of enablers. • Premises • Workforce • Health Informatics • Quality Framework • Communications and Engagement • Strategic contract management • Governance This strategy sets out a vision for Out of Hospital Care and provides a framework outlining options for new GP primary care models, offering some design principles. The strategic framework starts to explore these three specific objectives and sets out the work streams in place to develop the enablers. 4. Out of Hospital Care Vision Primary care cannot be seen in isolation, it is at the heart of the wider health and social care system. Our vision for Out of Hospital Services sees care provided at the same high quality service, seven days a week wherever people access it. Thereby supporting patients who require urgent care to be seen in the most appropriate setting and ensuring the most vulnerable in
Load more

Recommended publications
  • Post-Medieval and Modern Resource Assessment
    THE SOLENT THAMES RESEARCH FRAMEWORK RESOURCE ASSESSMENT POST-MEDIEVAL AND MODERN PERIOD (AD 1540 - ) Jill Hind April 2010 (County contributions by Vicky Basford, Owen Cambridge, Brian Giggins, David Green, David Hopkins, John Rhodes, and Chris Welch; palaeoenvironmental contribution by Mike Allen) Introduction The period from 1540 to the present encompasses a vast amount of change to society, stretching as it does from the end of the feudal medieval system to a multi-cultural, globally oriented state, which increasingly depends on the use of Information Technology. This transition has been punctuated by the protestant reformation of the 16th century, conflicts over religion and power structure, including regicide in the 17th century, the Industrial and Agricultural revolutions of the 18th and early 19th century and a series of major wars. Although land battles have not taken place on British soil since the 18th century, setting aside terrorism, civilians have become increasingly involved in these wars. The period has also seen the development of capitalism, with Britain leading the Industrial Revolution and becoming a major trading nation. Trade was followed by colonisation and by the second half of the 19th century the British Empire included vast areas across the world, despite the independence of the United States in 1783. The second half of the 20th century saw the end of imperialism. London became a centre of global importance as a result of trade and empire, but has maintained its status as a financial centre. The Solent Thames region generally is prosperous, benefiting from relative proximity to London and good communications routes. The Isle of Wight has its own particular issues, but has never been completely isolated from major events.
    [Show full text]
  • Front Matter (PDF)
    GEOLOGICAL SOCIETY OF LONDON MEMOIR No. 2 GEOLOGICAL RESULTS OF PETROLEUM EXPLORATION IN BRITAIN I945-I957 BY NORMAN LESLIE FALCON, M.A.F.1K.S. (CHIEF GEOLOGIST, THE BRITISH PETROLEUM COMPANY LIMITED) AND PERCY EDWARD KENT, D.Sc., Ph.D. (GEOLOGICAL ADVISER, BP EXPLORATXON [CANADA]) LONDON 4- AUGUST, I960 LIST OF PLATES PLATE I, FIG. 1. Hypothetical section through Kingsclere and Faringdon borings. (By R. G. W. BRU~STRO~) 2. Interpretative section through Fordon No. 1. Based on seismic reflection and drilling results, taking into account the probability of faulting of the type exposed in the Howardian Hills Jurassic outcrop. II. Borehole sections in West Yorkshire. (By A. P. TERRIS) III. Borehole sections in the Carboniferous rocks of Scotland. IV. Type column of the Upper Carboniferous succession in the Eakring area, showing lithological marker beds. (By M. W. STI~O~C) V. Structure contour map of the Top Hard (Barnsley) Seam in the Nottinghamshire and Derbyshire Coalfield. Scale : 1 inch to 2 miles. LIST OF TABLES Data from exploration wells, 1945-1957, m-- TABLE I. Southern England and the South Midlands II. The East Midlands III. East and West Yorkshire IV. Lancashire and the West Midlands V. Scotland LIST OF FIGURES IN THE TEXT Page Fig. 1. General map of areas explored to the end of 1957 6 2. Arreton : gravity residuals and reflection contours . 8 Ashdown : seismic interpretation of structure after drilling. Depths shown are of Great Oolite below sea,level 9 4. Mesozoic borehole sections in southern England 10 5. Faringdon area : gravity residuals and seismic refraction structure 14 6.
    [Show full text]
  • The Primary Care Pharmacy Team Wish You a Merry Christmas and a Happy New Year
    The Primary Care Pharmacy Team Wish You a Merry Christmas And a Happy New Year This bulletin contains information about the following topics: Page 1. Reminder to patients – Christmas prescription requests 2 2. Have you updated your NHS Choices profile for Xmas 2 3. Controlled Drugs Requisitions forms 3 4. CD prescribing – recommended quantity 3 5. Provision of current pharmacy email address 3 6. Patient Returned Medicines 4 7. New member of Primary Care Pharmacy Team 4 8. Useful Contacts 5 1 Reminder to patients – Christmas prescriptions requests The Christmas and New Year period is one of the busiest of the year. Please help patients by making sure that you remind them to request their repeat prescription in plenty of time to ensure that they do not run out of medication over the holiday period. Have you updated your NHS Choices profile with your Christmas opening hours? NHS Choices is the online presence for the NHS, providing the public with access to searchable databases of NHS providers to help them locate their nearest healthcare provider, including community pharmacies. As such your NHS Choices profile may provide the first impression of your pharmacy to members of the public and so it is vital to ensure it is kept up-to- date, and that you have updated the profile with regular opening hours. It is also worth adding in any variations to those hours, such as reminders of which days you will be closed over Christmas and the New Year holiday period. Don’t forget, utilising this free resource could also help promote your pharmacy by letting potential patients know of the services you offer as well as other useful information such as car parking arrangements.
    [Show full text]
  • Neolithic to Early Bronze Age Buckinghamshire: a Resource Assessment
    Neolithic to Early Bronze Age Buckinghamshire: a resource assessment Inheritance Mobility Although Neolithic populations are thought to have had continued mobility, more and more evidence for Neolithic settlement has come to light. In Buckinghamshire the most important evidence comes from excavations in advance of the construction of Eton Rowing Course (ERC) and the Maidenhead to Windsor and Eton Flood Alleviation Scheme (MWEFAS), mainly in the parish of Dorney in South Bucks on the Thames. The evidence points to intensive use of the area by people in the Early Neolithic but it is not certain that it represents year-round sedentary occupation rather than seasonal re-use (Allen et al 2004). Other evidence does point to continued mobility, such as the artefact scatters at Scotsgrove Mill, Haddenham (Mitchell 2004) and East Street, Chesham (Collard 1990) for example, reflecting visits over a long period of time. Persistent places Mesolithic persistent places continue to have meaning for Early and later Neolithic populations. These persistent places include East Street, Chesham (Collard 1990, 18) and Late Neolithic to Early Bronze Age activity at Chessvale Bowling Club nearby (Halsted 2006, 23-8). Another persistent place seems to have been the lower reaches of the River Colne. Recent excavations at the Sanderson Site, Denham (Halsey 2005) continued the activity from nearby Three Ways Wharf, Uxbridge (Lewis 1991). Other persistent places include the attractive river valley location at Bancroft in Milton Keynes (Williams 1993, 5), and Scotsgrove Mill, Haddenham, where the River Thame meets one of its tributaries (Mitchell 2004, 1). These persistent places may have been the basis of evolving ideas about land tenure.
    [Show full text]
  • South West Peninsula Route Strategy
    South West Peninsula Route Strategy April 2015 Contents 1. Introduction 5 Purpose of route strategies 5 Setting the first Road Investment Strategy 6 What we will do 7 What we will deliver 8 2. The main issues and challenges 10 Summary of the evidence report 10 3. Our Investment Priorities 12 Modernising the route 13 Maintaining the route 13 Operating the route 14 Expressways 15 4. Planning for future investment 16 The investment planning cycle 16 Preparing for the next round of route strategies 17 Contents Page !3 London to Scotland East Route London Orbital and M23 to Gatwick London to Scotland West strategies London to Wales Felixstowe to Midlands The division of routes for the Solent to Midlands programme of route strategies on the M25 to Solent (A3 and M3) Strategic Road Network Kent Corridor to M25 (M2 and M20) South Coast Central Birmingham to Exeter South West Peninsula A1 London to Leeds (East) East of England South Pennines A19 North Pennines A69 Newcastle upon Tyne Midlands to Wales and Gloucestershire Carlisle A1 Sunderland North and East Midlands M6 A1(M) South Midlands A66 Middlesbrough A595 A174 A66 Information correct at A19 13 March 2015 A590 A1 A64 A585 M6 Yo r k Leeds M1 Irish Sea M55 M65 M606 M621 Kingston upon Hull M62 A63 Preston A56 M62 A1 M61 A180 North Sea M58 M1 Grimsby A628 M18 Manchester M180 Liverpool A616 ( ) M57 A1 M M62 M60 Sheffield M53 A556 M56 A46 Lincoln M6 A1 A55 A500 M1 Stoke-on-Trent A38 Nottingham A52 Derby A50 A453 A483 A5 A38 A42 A46 Norwich M54 A47 A47 A458 A5 M42 Leicester M6 Toll A1 A12 M6 M69
    [Show full text]
  • Strategic Economic Plan Evidence Base National
    Newark Nottingham Leicester Birmingham Corby Kettering Daventry Northampton Cambridge Bedford Towcester Silverstone Cranfield Banbury Milton Keynes Luton Bicester Aylesbury Oxford London STRATEGIC ECONOMIC PLAN EVIDENCE BASE NATIONAL CORBY KETTERING SEMLEP Area DAVENTRY NORTHAMPTON BEDFORD SOUTH NORTHAMPTONSHIRE MILTON KEYNES INTERNATIONAL CENTRAL BEDFORDSHIRE CHERWELL AYLESBURY VALE LUTON Manchester Liverpool A1(M) M6 M1 Newark Nottingham East Coast Mainline Leicester Birmingham Birmingham Airport Midland Mainline West Coast Mainline Bedford Cambridge M40 Northampton Cranfield Milton Keynes Cran�eld Airport Luton London Luton Airport London Oxford Airport Stansted Airport Oxford M25 London Heathrow Airport Eurostar Gatwick Airport To Brussels Brighton To Paris CONTENTS 1.1 BUSINESS PRODUCTIVITY 2 1.2 MARKETS 20 1.3 WORKFORCE SKILLS 21 1.4 INFRASTRUCTURE 41 SEMLEP \\ STRATEGIC ECONOMIC PLAN EVIDENCE BASE \\ CONTENTS 1 BUSINESS PRODUCTIVITY 1.1 1.1 BUSINESS PRODUCTIVITY Objective 1: Stimulating enterprise and enhancing Table 1: % businesses by size in 20121 the competitiveness of SMEs. Small Medium Large Aylesbury Vale 97.8 2.0 0.2 Key Issue Bedford 96.4 3.1 0.5 Whilst number of businesses continues to grow year Central Bedfordshire 97.6 2.1 0.3 on year and business survival rate remains higher Cherwell 97.0 2.7 0.3 than national average, we are still not doing enough Corby 93.7 5.7 0.5 to support new business start-ups or to increase the Daventry 97.6 1.9 0.5 rate of female self-employment, which still remains Kettering 96.8 2.8 0.4 well below male self-employment rate. Luton 94.9 4.2 1.0 Milton Keynes 95.4 3.9 0.6 Business Size Northampton 95.1 4.2 0.7 There are 74,465 VAT and PAYE registered businesses South Northamptonshire 98.3 1.5 0.2 in the South East Midlands (SEM) area the majority of South East Midlands 96.6 3.0 0.5 which are small (96.6%) employing fewer than 50 people (Source: ONS Business Activity, Size and Location, 2012) (Source: ONS Business Activity, Size and Location, 2012).
    [Show full text]
  • Action Notes
    Thames Valley Patient Experience Operational Group Monday, 24th July 2017, 11:00 – 13:00 Meeting Rooms 2-3, AHSN offices, Oxford Science Park, OX4 4GA Action Notes Douglas Findlay (DF) Co-chair Sian Rees (SR) Co-chair Oxford AHSN Mildred Foster (MF) Oxford AHSN Polly Kerr (PK) NIHR Oxford Biomedical Research Centre Oliver Evans (OE) NIHR CRN Lynne Maddocks (LM) Oxford University Primary Care Health Sciences and NIHR CLAHRC Paul Hewitson NIHR R&D Service Apologies: Sandra Regan (SaR) Oxford Health NHS Foundation Trust Di Hilson (DH) Oxford AHSC Item Item Action No. 1. Welcome and Introductions Apologies: Sandra Regan, Di Hilson and Daisy Camiwet who informed the group she is leaving NHS England South end of July. 2. Minutes from May meeting Minutes were approved 3. Training and development Level 1 training – there was a second lunch time seminar hosted by Oxford Group. This training is aimed at lay partners with little experience of participation. Some professionals attended the seminar and found the training very useful. In future participation from professionals will be accepted but clarifying the training is aimed to lay partners new to PPI. Level 2 training – This workshops are aimed at lay contributors and professionals who are more actively involved in co-production. The learning is designed to help applying their knowledge and experience in practical ways to improve their participation. We are planning to repeat the same workshops to invite new participants. Proposed dates: Oct, Dec and Feb. Dates to be confirmed. Level 3 training – Leading Together Programme The PPIEE team at the AHSN has received funding from Health Education England for the development of a Leading Together Programme for Learning Disabilities.
    [Show full text]
  • HCPC Registered Psychologists in the UK
    HCPC registered Psychologists in the UK Author: Hannah Farndon ( [email protected] ) 1. Introduction This report provides the first information and analysis of UK psychologists registered with the Health and Care Professions Council (HCPC) since psychologists came under the remit of the HCPC as their regulatory body in 2009. There are currently just over 21,500 psychologists registered with the HCPC as May 2016. The HCPC regulates seven protected titles for psychologist: clinical, counselling, educational, forensic, health, occupational and sports and exercise. Some HCPC registrants (around 3%) are registered under more than one title, for this report each registration of a title is counted meaning that some individual psychologists will have been counted more than once; at the moment it is not possible to provide more information about this area. This report is analysis of the data received from the HCPC regarding registered psychologists including protected title, gender, age and address/geographical area, registration and deregistration. The report will give statistics both by characteristic and by each protected title and make inferences about the implications of this data to the profession. This report uses data from HCPC received between May and August 2016, data from the British Psychological Society Membership database and data from the office of National Statistics. It is intended that this report is primarily for internal use within the BPS but that the data will be a resource to be used for specific purposes by individual divisions. 2. Protected Title Numbers of Psychologists registered with HCPC with BPS Division members HCPC BPS 14000 12000 10000 8000 6000 4000 2000 0 Clinical Counselling Educational Forensic Health Occupational Sports & Exercise The table above demonstrates that the vast majority (56%) of psychologists registered in the UK are registered as clinical psychologists.
    [Show full text]
  • Late Bronze Age & Iron Age Berkshire
    SOLENT THAMES RESEARCH FRAMEWORK LATER BRONZE AGE AND IRON AGE BERKSHIRE Steve Ford October 2007 Inheritance The subdivision of prehistory into periods has long been recognised as a mechanism for description of what is essentially a continuum of development. Yet some of the subdivisions are of much more significance than others, for example the introduction of agriculture. For the period under consideration here it is not therefore that the widespread adoption of iron which is necessary significant but perhaps the transition from ‘monument dominated landscapes and mobile settlement patterns to that of more permanent settlement and a greater emphasis on agricultural production' (English Heritage 1991, 36). It was considered that the onset of the Middle Bronze Age defined this in cultural terms and, more importantly in physical evidence terms (Ellison 1981). Whatever the merits of this concept for other regions, or in terms of absolute chronology, or in terms of conservatism in material culture and way of life, the study area has now provided data with which to reconsider this concept. It is considered that the transition described above is most evident from the late Bronze Age rather than the middle Bronze Age within the study area. Chronology The chronology of the period is not especially well documented in terms of radiocarbon dates, when considered against the relative wealth of excavated deposits in the later Bronze Age. Some of this is partly a response by earlier excavators to the nature of the radiocarbon calibration curve which is relatively flat for the Late Bronze Age and what would be considered squandering of valuable resources for a period relatively well supplied by pottery chronology.
    [Show full text]
  • Ebbsfleet Style
    295 Bibliography Aberg, F A, 1978 Medieval moated sites, CBA Res Rep of south-east Dorset black burnished category 1 17, London pottery in south west Britain, Britannia 27, 223-81 Abrams, J, 2003 Rose Cottage, Elm Road, Tylers Allen, J R L and Fulford, M G, 2004 Early Roman Green, Buckinghamshire, unpublished report mosaic materials in southern Britain, with particular Addyman, P V and Leigh, D, 1973 The Anglo-Saxon reference to Silchester (Calleva Atrebatum): a village at Chalton, Hampshire: second interim regional geological perspective, Britannia 35, 9-38 report, Medieval Archaeology 17, 1-25 Allen, J R L, Fulford, M G and Todd, J A, 2007 Burnt Addyman, P V, Leigh, D and Hughes, M J 1972, Kimmeridgian shale at early Roman Silchester, Anglo-Saxon houses at Chalton, Hampshire, South-East England, and the Roman Poole-Purbeck Medieval Archaeology 16, 13-32 complex-agglomerated geomaterials industry, Oxford Adkins, R A and Petchey, M R, 1984 The Secklow J Archaeol 26, 167-91 hundred mound and other meeting place mounds in Allen, J R L and Todd, J A, 2010 A Kimmeridgian England, Archaeol J 141, 243-251 (Upper Jurassic) source for early Roman yellow Aiello, L and Wheeler, P, 1995 The Expensive-tissue tesserae and opus sectile in southern Britain, Hypothesis the Brain and the Digestive System in Britannia 41, 317-21 Human and Primate Evolution, Current Anthropology Allen, M J, 1988 Archaeological and environmental 36, 199–221 aspects of colluviation in south-east England, in Airs, M, 1998 The strange history of paper roofs, Trans Man-Made Soils, (eds W.
    [Show full text]
  • Local Summary of Legionnaires' Disease in Residents of England
    Local Summary of Legionnaires’ disease in Residents of England and Wales, 2014 South Midlands and Hertfordshire This report provides a short summary of Legionella activity in residents of South Midlands and Hertfordshire, with particular emphasis on cases with onset of symptoms during 2014. Data for years 2012 and 2013 and in some tables and graphs, for years 2005 to 2013, are presented for comparative purposes. For wider analysis of Legionella activity across England and Wales along with case definitions and a detailed methodology, please refer to the annual report, Legionnaires’ disease in England and Wales; 2014, available on the Public Health England website at; https://www.gov.uk/government/statistics/legionnaires-disease-in-england-and-wales-2014 Figure 1: Number of cases of legionellosis (confirmed and presumptive) in residents of South Midlands and Hertfordshire by year of onset of symptoms; 2005 – 2014 50 45 40 35 30 25 20 Number of cases of Number 15 10 5 0 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Year of onset PHE publications gateway number: 2015145 Published: September 2015 Table 1: Number of cases of legionellosis (confirmed and presumptive) in residents of South Midlands and Hertfordshire by disease type and year of onset; 2012 – 2014 Number of confirmed (presumptive*) cases 2012 2013 2014 Total (2012 - 2014) Legionnaires' disease 13 17 (1) 11 42 Non-pneumonic - 1 - 1 Legionellosis Pontiac fever - - - 0 Total 13 19 11 43 * presumptive cases with only a single high titre or PCR result Table 2: Number and population
    [Show full text]
  • Building in Health Rob Ballantyne
    Building In Health Rob Ballantyne Milton Keynes South Midlands Health and Social Care Group exists to develop proposals with partners towards evolving an appropriate local health and social care infrastructure in support of the Government’s sub regional strategy to help deliver unprecedented population growth in six key areas – Northampton and West Northamptonshire, North Northamptonshire, Milton Keynes, Aylesbury, Bedford, Luton and Dunstable. Membership comprises representatives from Social Care and Health, Local Government and Voluntary Sector organisations. The group’s work has included commissioning research into models of care and receipt of research outputs, pre-consultation and consultation with key stakeholders and their publics, producing recommendations and feeding these back before developing an agreed planning framework for the future provision of health and social care in the Milton Keynes South Midlands sub-region. Rob Ballantyne is an independent health and social care consultant. Rob has considerable experience of working both in Health and in Social Care at senior and Director level. He is also a qualified town planner. He has worked with a number of organisations in the East Midlands, on topics ranging from strategy development in a PCT to carrying out a service review for a Local Authority Improvement and Scrutiny Committee. He is also working in the field of Health Impact Assessment. This guide was produced while he was working for the Public Health Group, East Midlands. [email protected] Published in 2006 by: Milton Keynes South Midlands Health and Social Care Group, Nene House, Isebrook Hospital, Irthlingborough Road, Wellingborough, NN8 1LP A checklist and workbook based on this document is available at: www.mksm.nhs.uk This report draws heavily on: Healthy sustainable communities: What works? - Ben Cave, Peter Molyneux and Adam Coutts - Milton Keynes & South Midlands Health and Social Care Group, 2004.
    [Show full text]