Ruislip Residents' Association

Hillingdon Health & Wellbeing Board Meeting in public – 3rd December2015

Only items of particular interest are noted below – a huge number of issues were covered in the papers.

1. Primary Care Co-Commissioning: Hillingdon Clinical Commissioning Group (CCG) entered Primary Care co-commissioning arrangements with NHS England in April 2015.  Currently this is restricted to General Practice as dentist, pharmacists and optometrists continue to be wholly commissioned by NHS England.  Originally it was proposed that the eight North West London CCGs would work jointly with NHS England, but it has now been agreed that Joint Committees will be held locally and only meet in common when necessary to secure strategic alignment across NWL.
Hillingdon GPs work under one of three different contracts.
  • General Medical Services (GMS): Most work under this nationally negotiated contract.
  • Personal Medical Services (PMS): 10 work under this locally negotiated contract with premium funding to support specific service initiatives.
  • Alternative Provider Medical Services (APMS): One such contract is held in Hillingdon.  This is locally negotiated and can be held by a non-GP who employs salaried GPs.
2. Proposed new Yiewsley Health Centre: Due to funding difficulties, the proposal to build on the former Yiewsley Pool site will not now go ahead.  NHS Property Services now seek a new site.
3. New Uxbridge Health Hub: Developers of the St Andrews Park site were released from their obligation to provide an on-site health facility by their payment to the Council of £624,507.94 in August 2014.  Therefore, if a Health Hub site is negotiated in the St Andrews development it will be a commercial arrangement.  As location of a suitable site could take years, Hillingdon CCG is increasing capacity at the existing Uxbridge Health Centre as an interim measure, with three additional consultation rooms and an interview room.
4. S106 health contributions held by the Council: As at September 2015 the Council held a total of  £1,108,823 for provision of health care facilities in the Borough.  Allocation of these funds will be considered after NHS England has announced its imminent decision on how it will distribute its 2015/16 budget of £250m for investment in primary care premises.  Only one local S106 contribution has to be spent before March 2016 -  £37,723 allocated for refitting the now abandoned proposal for a new Yiewsley Health Centre, which will be reallocated locally
5. Hillingdon’s Joint Strategic Needs Assessment: The health and wellbeing of local residents is generally good in comparison with London and England, but there are some local challenges:
  • Historically higher levels of violent crime in Hillingdon
  • Higher rates of homelessness
  • Higher rates of sexually transmitted infections and tuberculosis
  • People diagnosed with diabetes is higher than average in Hillingdon

Certain lifestyle factors increase the risk of ill health including smoking, poor diet, lack of regular exercise and higher levels of alcohol consumption and/or binge drinking.  24% of Hillingdon adults are estimated to be obese.  Age and other related conditions also affect health and wellbeing.  Many people over 65 years have one or more long term conditions.  It is also estimated that 4,600 Hillingdon children have a specific mental health need which requires support.

6. “Like Minded”: This North West London CCG's mental health programme recognises that too many people think that mental illness will not affect them, but it could.  It affects more people than cancer, heart disease, stroke or diabetes.  In the course of a year almost one in four people will have a diagnosable mental illness.  The CCG's mental health programme faces eight major issues:
  • Too many people face mental health needs alone
  • Not enough people know how to keep mentally well
  • Quality of care needs improvement for those with serious and  long term mental health needs
  • Too many people experience common mental illness, such as depression and anxiety, in silence
  • 3 in 4 mental health disorders start before the age of 18 years
  • New mothers, those with learning difficulties, the homeless and people with dementia do not get the right mental health care when they need it
  • Too many people with long-term physical health conditions do not have their mental health taken into account – and vice versa
  • Our systems often get in the way of providing high quality care

Published in Other Local NHS Services on 15 December 2015.
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