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.
- 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.
- 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