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Download the Addendum ALAN FRANKS Managing Director Town Hall, Nuneaton, Warwickshire, CV11 5AA Our Ref: JAE Direct Dialling: (024) 7637 6165 Your Ref: Fax No. (024) 7637 6596 Typetalk Registered Date: 19th November 2014 DX Nuneaton 16458 e-mail: [email protected] If calling please ask for: Jackie Essex Dear Sir/Madam, HOUSING, HEALTH AND COMMUNITIES OVERVIEW AND SCRUTINY PANEL Thursday 27th November, 2014 I refer to the agenda for the above meeting and enclose reports for the following items for consideration at the meeting: Agenda Item No. 9 – End of Life Care Action Plan Update Agenda Item No. 10 - Warwickshire North Clinical Commissioning Group - Annual Report Yours faithfully, ALAN FRANKS Managing Director To: All Members of the Housing, (Councillors C.M. Watkins (Chair), K.D. Wilson (Vice- Health and Communities Overview Chair), J.B. Beaumont, I.C. Bonner, T. Doherty, D. and Scrutiny Panel Fowler, S.J. Margrave, D.C. Navarro, C.S. Phillips, R.A. Taylor, Mrs L. Price and Ms I. Klabisz) Housing, Health & Communities Overview and Scrutiny Panel - 27th November, 2014 1 Transforming End of Life Care at George Eliot Hospital Kristy Clayton Practice Development Nurse for End of Life Care November 2014 Housing, Health & Communities Overview and Scrutiny Panel - 27th November, 2014 2 Background •In 2013 506,790 people died in the UK (1.5% increase from 2012) •85% of deaths are in over 65y •More than 70% are non-cancer deaths (29% cancer related deaths, ONS 2013) •Most deaths <50% occur in hospitals •70%-80% of deaths are foreseeable •60%-70% of people don’t die where they choose •At GEH there were 804 deaths in hospital (Apr 12 – Mar 13) – this does not include those who died soon after discharge. Housing, Health & Communities Overview and Scrutiny Panel - 27th November, 2014 3 What we were planning 12 months ago... • National Care of the Dying Audit- Hospitals • Quarterly reporting on the use of the LCP • Baseline and ongoing data collection and reporting to the Transform central team • Registration with ELCQuA (End of Life Care Quality Assessment Tool) • CQUIN 5d • Complaints/compliments/critical incidents • User involvement Housing, Health & Communities Overview and Scrutiny Panel - 27th November, 2014 4 Transform Five Key Enablers Housing, Health & Communities Overview and Scrutiny Panel - 27th November, 2014 5 Outcomes from Transform •Improve the experience and quality of care received •Enable people to die in the place of their choice •Deliver a reduction in the number of inappropriate interventions •Manage and reduce unplanned hospital admissions as well as length of stay •Improve staff morale and staff retention while developing a skilled workforce •Result in fewer complaints and improved reputation for the Trust •Allow the Trust to manage its resources effectivelyHousing, Health & Communities Overview and Scrutiny Panel - 27th November, 2014 6 What have we done in 12 months..... •National Care of the Dying Audit •Policy/SOPs – Hospitals •Patient information leaflets •Achievement of CQUIN 5d & 8 •Education •QELCA •Transform •HEE Nurse •AMU Macmillan Nurse Accolades..... •Bereavement Survey •‘Outstanding’ awarded •Creation & implementation of by CQC for leadership Individual Plan of Care for the Dying Person •Winner of 2 GEH •Complaints/incidents EXCEL Awards: •Integration – HWBB, Social Services, •Core Service Strategic Commissioning, East Midlands •Chief Executive award Facilitator Network, NHS IQ, AMBER •Shortlisted for national Network •Innovation – CCG bid, NCPC bid, Compassion in Practice Good Death Cafe award •MacmillanHousing, Health & Communities Service Overview Review and Scrutiny Panel - 27th November, 2014 7 Thank you. Any questions? Housing, Health & Communities Overview and Scrutiny Panel - 27th November, 2014 8 Annual Report Summary | 2013/2014 Summary Annual Report 2013/2014 Housing, Health & Communities Overview and Scrutiny Panel - 27th November, 2014 9 Contents Foreword Page 3 Our Governing Body Page 4 About us Page 5 Our vision and values Page 6 Our population Page 7 Quality and Equality first Page 8 Patient voice Page 9 Our achievements this year Page 10 Other achievements Page 11 How we performed Page 12 - 13 Looking forward Page 14 Our finances Page 15 2 NHS Warwickshire North Clinical Commissioning Group Housing, Health & Communities Overview and Scrutiny Panel - 27th November, 2014 10 Foreword Welcome to the summary of The NHS is facing a the Annual Report 2013/14 for number of challenges NHS Warwickshire North Clinical nationally. Our population is ageing, Commissioning Group (CCG). living with more long term conditions and This has been a year of significant change across demand is high for the NHS, with GPs taking over local health urgent and emergency budgets. I am pleased to be able to report on the care. Whilst funding progress we have made, and outline the plans we for health is not have developed to ensure that local people have increasing in real terms nationally, here in access to high quality health services. Warwickshire North we can confirm that we will receive an increased allocation in 2014/15 and We operated in shadow form during 2012/13 2015/16. and were initially authorised from 1 April 2013 with three conditions. Following further work, It is our vision to deliver better health outcomes the CCG was fully authorised by NHS England on for our population, and we feel that we are 6 February 2014. making good progress towards tackling the challenges we face. We are confident that Our GP members, staff and stakeholders have services are improving and that increasing worked with us to ensure that patients and carers numbers of people have a good experience of are involved in the decisions we make, and that services and better health outcomes. their voice is heard. Together, we have developed a three year strategy that sets out our ‘Vision for Dr Heather Gorringe Quality’ and how we will develop high quality health services that will meet the needs of local Clinical Chair people into the future. NHS Warwickshire North CCG Summary Annual Report 2013/2014 3 Housing, Health & Communities Overview and Scrutiny Panel - 27th November, 2014 11 Our Governing Body Dr Heather Gorringe Andrea Green Dr Paul Batra Clinical Chair Chief (Accountable) Officer Practice Network Clinical Lead - Nuneaton and Bedworth Sue Turner Dr Inayat Ullah Dr Deryth Stevens Practice Network Clinical Clinical Lead Clinical Lead Lead - North Warwickshire Mr Martin Dennis Jacqueline Barnes Mike Burns Secondary Care Executive Nurse Chief Finance Officer Specialist Doctor Deputy Chief Officer Neil Hart Karen Ashby Lay Member - Lay Member – Patient and Audit and Governance Public Involvement 4 NHS Warwickshire North Clinical Commissioning Group Housing, Health & Communities Overview and Scrutiny Panel - 27th November, 2014 12 About us NHS Warwickshire North CCG organises and purchases healthcare services for the population of Nuneaton, Bedworth and North Warwickshire. We are a membership organisation with 28 member GP practices, covering a Austrey population of 187,000 people. Member practices are divided into two Practice Networks: Warton North Warwickshire (comprising Polesworth 18 practices) and Nuneaton and Bedworth (comprising 10 Dordon practices). Each Practice Network elects a clinical leader Middleton Atherstone who represents the Network on Kingsbury the CCG’s Governing Body. The Governing Body has 11 members including seven clinicians. Nuneaton During 2013/14 the CCG was led by Dr Heather Gorringe as Clinical Chair and Andrea Green as Chief Coleshill (Accountable) Officer. They were supported by the Governing Body and Executive Team. Governing Great Corley Bedworth Body meeting papers are available Packington on the CCG website. Summary Annual Report 2013/2014 5 Housing, Health & Communities Overview and Scrutiny Panel - 27th November, 2014 13 Our vision and values Our vision is: “to deliver better health outcomes for our population by tackling the challenges and maximising opportunities in the health and social care system.” We are committed to the values in the NHS Constitution and our values set out how we will put high quality care for our population at the centre of our work. Our values: Valuing each individual Dignity, respect and Working together - improving Improving services for the whole compassion - for all our patients, health and sustainable services community - wasted resources are carers, population and staff wasted opportunities for others 6 NHS Warwickshire North Clinical Commissioning Group Housing, Health & Communities Overview and Scrutiny Panel - 27th November, 2014 14 Our population GPs are in daily contact with the education, employment, shops and GP surgeries. local population and hear first-hand When people in these areas need more specialist what is working well in the NHS care, they can face transport problems. and what is not. This local clinical The area served by the CCG has historically seen knowledge is coupled with the CCG’s a number of financial challenges with respect commitment to working closely with to healthcare funding as costs of care continue patients to get their views on services to increase year on year. The CCG has focussed and also to work closely with other on making the most of the available financial care professionals. Together, this has resources to ensure that the local population allowed the CCG to start making a real could access high quality healthcare. difference to improving local health in There are a number of things we need to its first year. think
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