SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

Feedback received
Stakeholders who
provided this
feedback
Our consideration of the feedback
DMBC reference
Are London Health
Programme (LHP)
standards consistent
with the SaHF clinical
standards
SaHF Clinical
Board.
LHP standards were being developed when SaHF went to consultation in
July 2012, and proposed standards were reviewed in late 2012. The final
standards are due to be published by mid-February.
During the post-consultation period the Clinical Board, U&EC, Paediatric and
Maternity CIGs reviewed the proposed LHP standards against the standards
our clinicians proposed pre-consultation to understand alignment. The three
CIGs have all recommended adopting the proposed LHP standards.
Clinical standards:
Chapter 7
Greater consideration
needs to be given to
social care
Harrow HOSC/
Council
Imperial College
Healthcare Trust
Richmond Council
Kensington &
Chelsea HOSC
Brent LINk
Brent HOSC
Hillingdon HOSC
JHOSC
Hillingdon LINk.
We worked with the eight CCGs to develop their out of hospital strategies,
and this work considered joint working with social care.
We continue to support CCGs through the out of hospital work in developing
their relationships with social care. This includes engagement with Health and
Wellbeing Boards and the expectation is that CCG Commissioning Intentions
would be signed off by each Boroughs Health and Wellbeing Board.
CCGs are also progressing implementation of the integrated care model of
local health and social care, working with local authorities to manage care
needs of patients in a coordinated way; this includes work by the tri-borough
on their community budget programme and whole systems ICP.
Carers analysis:
Chapter 13, Section
13.6.3
Post consultation we undertook work to explore the impact of the OOH
strategies on carers, the outputs of this work are detailed in this document
and support the detailed planning of each CCGs OOH initiatives.
Assurances required
that UCCs are safe
and staff will have
necessary
competencies
including providing
junior staff training
College of
Emergency
Medicine
Public
Ealing Council
Ealing HOSC
Brent LINk
Brent HOSC
The CIG is proposing that UCCs operate within a network to provide
appropriate clinical governance and that they have a relationship with an A&E
at a major hospital to support the safe delivery of emergency services. Where
the proposal is for the UCC to be co-located with the major hospital then this
would be the ‘partner’ A&E, where the UCC is on a local hospital site or stand
alone then a neighbouring major hospital would provide the ‘partner’ A&E.
The U&EC CIG has developed a common UCC specification which details
the services a UCC should provide and the required quality standards. This
UCC specifications:
Chapter 7, Section
7.6.2 and Chapter 8d
6. Consultation, feedback and how we responded 78