Ruislip Residents' Association

Hillingdon Clinical Commissioning Group Governing Body - Friday 6th May 2016

1. Chief Operating Officer: Ceri Jacob has now left. Joan Vesey is covering this vacancy.
2. Hillingdon Better Care Fund:
  • Funding: The Council’s minimum capital contribution in 2016-17 for Disabled Facilities Grants is £3.457m, but the Council is proposing a further £1.152m, which was approved by the Health and Wellbeing Board in April. The minimum CCG contribution is £16.558m.
Integration of Health and Social Care: Full integration is planned by 2020. Hillingdon’s Accountable Care Partnership (ACP) was agreed in 2015-16. It will initially apply to older people with long term conditions, but will progress to cover all older people and other population groups with long term conditions. Shadow services will be provided in 2016. By 2019-20 the model of care is expected to include:
  1. Early identification of susceptibility to disease with a focus on prevention.
  2. Residents and carers actively involved in care planning.
  3. Hillingdon Hospital admission only when acutely ill, with shorter stays.
  4. Fewer people living in residential care.
  5. Initiatives to encourage older people to be mentally and physically active.
  6. 3. Out of Hospital Seven Day Working Standard Action Plan 2016-17: This includes:
  • Clinical community health support in place prior to discharge: Ensure District Nurse/Community Matron involvement pre-discharge for high risk patients 7–days per week.
  • Social care support at Hillingdon Hospital: Ensure this is available 7-days per week.
  • Nursing Home admissions: Ensure admissions are possible 7-days per week.
  • Sufficient transport: Ensure sufficient capacity to support discharges 7-days per week.
4. Delayed Transfers of Care Action Plan 2016-17: This includes:
  • Development of a joint discharge policy / procedure: Clarity about all roles involved.
  • Timely ordering of community equipment: So that it is available on discharge
    • Psychiatric Service involvement: Ensure mental health needs are met.
    • Develop palliative homecare and hospice provision: For patients who are dying.
5. Care plans for people with learning disabilities, autism or challenging behaviour: Transitional costs of developing community services and close inpatient provision over the next three years for these patient groups is to be supported nationally by NHS England with £15m capital funding plus other funding conditional on matched funding from local commissioners.
6. Seven Day Services: As one of the “early adopter” areas, NW London acute trusts have agreed to deliver four Clinical Standards by April 2017 for 100% of the population.
  • 24/7 access to specific interventions including: Critical care, emergency general surgery, thrombolysis, urgent radiotherapy, and other services
  • Radiology / diagnostics: Imaging in-patients within 24 hours and other services.
    • Discharge improvement: Use of a single NWL–wide discharge assessment form and other improvements.
    • Inpatient Model of Care: Development of evidenced based models of care including consultant  requirements.

NB Increased weekend access in Primary Care has previously proven to be of low value.

7. Community Learning Disability Service: The national drive to halve the number of inpatient beds for this group of patients goes in hand with expectation of increase community provisions, which is supported by national funding, but also requires considerable, probably matched, commissioner funding. Full details are awaited.
8. CCG Improvement and Assessment Framework 2016-17: These NHS England initial ratings on cancer, dementia, diabetes, mental health, learning disabilities and maternity care will be published on-line from June 2016 with an annual assessment in June 2017.

Published in Hillingdon Clinical Commissioning Group on 18 May 2016. Updated on 28 May 2016
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