04a JSNA Appendix , item 5. PDF 6 MB - Lambeth Council

DRAFT
Lambeth PCT Commissioning Strategy Plan – 2007-2012
The PCT has identified its commissioning priorities for the next five years.
The three historic priority areas mentioned under this paragraph have benefited
hugely from the focus they have received and there is widespread confidence in
the strategies that are currently in place to deliver improved outcomes and reduced
inequalities in both the short and long term. However, for each of these priorities,
there were particular areas that it was considered would benefit from further work
over the next five years:
Children & Young People - pre-natal to under 5s
Sexual Health - health promotion, prevention & screening
Long Term Conditions – co morbidities and acute conditions
There was strong consensus that there were three new priorities emerging that the
PCT would increasingly like to put more focus on in the next five years:
1. Staying Healthy
Focused specifically on increasing investment over the strategic period in
health promotion and prevention activity and in doing so on addressing
key health risk factors in Lambeth such as smoking, obesity, alcohol and
drug abuse.
2. Mental Health
The PCT is a clear outlier in terms of prevalence of serious mental illness
despite the fact it is also an outlier on how much it spends on mental
health services. It was considered that current care pathways are complex
and difficult for both users and professional to navigate through.
3. End of Life Care
This represents an area where there is significant scope for service
redesign and the development of more responsive and better quality
models of care with greater choice for patients.
The PCT has completed work to develop draft-commissioning intentions for each
for each of these six areas, plus the other key areas of commissioning work. In
addition the PCT has considered further the implications of implementing the
proposed commissioning intentions on primary and community services, as many
of the proposals include a focus on shifting services from hospital-based settings to
community-based settings.
In summary, in developing this 5 year Commissioning Strategy, Lambeth PCT has
identified these key areas of work over the next five years:
1. Children & Young People Current priorities to be
2. Sexual Health‘ phased out’ over
3. Long Term Conditions the next 3 years
4. Staying Healthy New local priorities
5. Mental Health to be ‘phased in’
Lambeth JSNA – Preliminary Assessment
Version 4
October 2008
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