LEICESTER, LEICESTERSHIRE AND RUTLAND PCT ... - NHS

More documents

Recommendations

Info

Paper PLLR <strong>PCT</strong> Cluster Integrated Board Meeting8 September 201118 The FOP Project Initiation Document (PID) has received widespread supportand final amendments are being made following further GP engagement.19 Implementation of the Geriatric outreach clinics and assessments hascommenced in county community hospitals20 An interim project manager has been brought in to work across a whole rangeof stakeholders involved in re-ablement, including acute trusts, LPT, localauthority, voluntary sector; in order to agree options and preferences forinvestment of ring fenced re-ablement monies. This exercise is estimated tobe completed by mid Sep 2011.21 In terms of Intermediate Care (a now identified related programme) targetsand work streams have been set for County re: integrated health and socialcare vision, including shared re-ablement plans; communication of city bedavailability to GPs; re-ablement data analysed and priorities agreed for all 3Local Authority areas; specification for Intermediate Care bed requirementsconsulted on and confirmed; project plan for procurement of IC beds outlinedand approved by Competition and Procurement Committee.22 Transformation funds that impact upon the FOP programme have beenapproved by the Cluster Board in July 2011 for Interface Geriatrics (£1.014m),Liaison Psychiatry (£356k) and Integration of the single point of access(£207k). Confirmation of delivery plans and evidence of early implementationagainst key milestones has been requested by 27 August 2011 and paymentof 33% of the transformation funds will be made subject to Delivery Groupapproval in September 2011.Right Care23 The Right Care Programme consists of four key areas of work. These aretreatments of limited value, reduction in follow-up ratios, undertaking surgicalprocedures in the lowest cost setting and reductions in clinical variation.24 The first three streams totalling £2.091m has been approved at the JointConfidential section of the Board in March 2011 and the methodology forreductions in clinical variation totalling £2.0m has been initially discussed atthe Commissioning Collaborative Board in May 2011 and activity targets havesubsequently been agreed with CCG’s.25 The Right Care Steering Group has been established as a sub group of theUHL Contract Performance Meeting (UHL CPM). The UHL CPM will monitorprogress and hold the provider to account for delivery and for release ofagreed transformational funding to support the change.26 Referral thresholds have been implemented from 1 June 2011 and are beingoverseen on a monthly basis by the Right Care Steering Group. The tablebelow displays the performance to date but it is important to note that therewill be a time lag for implementation to become apparent and activity reported(apr –jun) will be for those already booked in the system before the projectwent ‘live’.3
Right Care ProceduresYTDActualsYTDTargetFOTActualPaper PLLR <strong>PCT</strong> Cluster Integrated Board Meeting8 September 2011AnnualTargetYear toDate RunRateClinical Commissioning GroupYTD TargetTargetthe YearLeicester, Leicestershire and Rutland 2,847 2,586 262 11,388 10,342 10.1% 949 833Leicester City 828 783 45 3,312 3,131 5.8% 276 256Crescent 897 865 32 3,588 3,460 3.7% 299 285West Leicestershire 1,122 938 184 4,488 3,751 19.6% 374 292Right Care ProceduresYTDActualsYTDTargetPositionagainstPositionagainstFOTActualAnnualTargetPositionagainstAnnualPositionagainstAnnualYear toDate RunRateRequired RunRate ForRemainder ofRequired RunRate ForRemainder ofClusterYTD TargetTargetthe YearLeicester, Leicestershire and Rutland 2,847 2,586 262 11,388 10,342 10.1% 949 833Hernia Surgery 436 313 124 1,744 1,250 39.5% 145 90Septoplasty 77 72 5 308 287 7.3% 26 23Tonsillectomy 223 166 57 892 663 34.5% 74 49Cataract 1,387 1,281 106 5,548 5,123 8.3% 462 415Carpal Tunnel 234 216 18 936 865 8.2% 78 70MSK Hips 214 278 -64 856 1,113 (23.1%) 71 100MSK Knees 276 260 16 1,104 1,041 6.1% 92 8527 The Right Care Plans developed by UHL to address the in year changes toachieve a reduction in new to follow up rates and the shift in care to as lowercost setting as possible were presented at a confirm and challenge session onTuesday the 16th of August led by Dr. Dave Briggs and Dr Simon Freeman.28 Assurance was sought at the meeting about several areas, including the levelof clinical sign up to the plans, the confidence within the organisation thatthese were deliverable. Further work was requested between commissionerand provider to develop the plans for addressing multiple same day outpatientattendances.29 Recommendations about specific additions to the plans in terms of identifyingappropriate clinical leads and the setting of clear milestones for delivery wererequested. On completion of this it was then recommended that the RightCare plans be approved and the first instalment of 33% of the £3.7milliontransformation funds be paid following the CPM on 23 August 2011.30 A Clinical Variation (planned care) performance monitoring schedule has beendeveloped to allow monitoring of activity reductions at CCG level. This isdiscussed at the Delivery Group and fed into the relevant contractmanagement leads.4
Page 1 and 2: Paper PLLR PCT Cluster Integrated B
Page 3: Paper PLLR PCT Cluster Integrated B
Page 7 and 8: Paper PLLR PCT Cluster Integrated B
Page 9: Paper PLLR PCT Cluster Integrated B

LEICESTER, LEICESTERSHIRE AND RUTLAND PCT ... - NHS

Create successful ePaper yourself

Delete template?

Save as template?