Organisational Performance and Delivery (OPD)
3rd Feb 2015
Actions
Agenda Item / Lead Manager/AD / Lead Director/AD / Clinical Lead / 7 Jan 2015 Actions2. Locality Commissioning
-Primary Care strategy and co-commissioning
-Locality dashboards / James Gleed
Helen Edmondson
Trudi Southam / Dee Boardman / Primary care strategy and co-commissioning:
Develop options/elements for co-commissioning framework (JG)
Develop proposal for a CCG GP IT group to be considered at April OPD. (JG)
Provide an update on planned housing developments in CCG area to April OPD (JG)
Provide an update on research activities to April OPD (JG)
To summarise PN training plan for 15/16 and discuss with Sheilagh (JG)
Locality:
Review of information from Post Death Audits to be reviewed in context of SHMI. (RJ & SR with HE)
Bring back locality actions plans based on issues identified in dashboards to March OPD (HE, TS).
Develop proposal for locality dashboards to build in metrics from schemes and quality of primary care to March OPD (HE, TS).
3. Falls / Chris Badger / Sharn Elton / Fiona Sinclair / Local falls campaign to be ‘launched’.
Pathways and business case for community falls prevention and rapid response provision to come back to next OPD meeting in March 2015. Phased implementation of service provision.
4. Joint Commissioning & Partnership Board / Jacqui Bunce / Beverley Flowers / Prag Moodley / Winterbourne View/Transforming Care – this scheme should be Red rated as whilst we have plans for move of 11 patients, we do not currently have a forward strategy, we continue to address on a patient by patient basis.
Dementia diagnosis and pathway to be discussed/addressed through locality structures. Development session (25/2/14) has been arranged to review the revised countywide strategy in more detail.
Beverley Flowers to draft letter to Tom Cahill regarding HPFT CAMHS activity and performancerequesting trajectory, and challenging safeguarding issues regarding high level of multiple DNA’s.
HPFT CAMHS performance to come back to March 2015 OPD meeting.
5. Transport Update / Jacqui Bunce / Beverley Flowers / CCG to develop a more links betweencommunity transport and the developing primary care strategy and the Community Wellbeing Team in the HCC. Update to come back to April OPD.
6. End of Life Care / Trudi Southam / Dee Boardman / Clearly articulate the role of the HomeFirst Clinical Nurse specialist and ensure KPI’s are agreed.
Develop a role description for GP clinical lead and ensure there is a process for recruitment to this in line with working being undertaken through Governing Body for all clinical lead roles.
Scope the practice with regard to gold standard meetings (where do these take place) and advanced care plans (Commissioning Framework, HCT and acute) to inform future arrangements.
EOL business case(s) to come to April OPD meeting.
7. Proposal from HCT to move to an 8 week physio pathway / Neil Hales / Alan Pond / Rachel Joyce / The request from HCT was agreed to clear waiting list.
The permanent solution to be address through MSK / Physio project to come back to April OPD.
8. Contract Headlines re 2015/16 / Neil Hales / Alan Pond / Lesley requested breakdown of main provider contract values.
Spring House activity to be added into ENHT baseline.
HomeFirst will need to go out to tender (paper regarding full implementation to go to (Feb) Governing Body)
Tom Cahill to come to present Integrated Care Programme Board proposition.
PAH stroke CQUIN will not continue and performance will be managed through contractual arrangements.
9. Performance Exceptions / Gerry Moir / Sharn Elton / Sharn Elton to write formally to East and North Herts NHS Trust regarding RTT performance trajectory.
The operations team should focus on challenging the Trust regarding their ability to respond to demand, which is a fairly predictable pattern, and how they flex when there is higher demand.
Review short stay admissions through quality review meeting.
Staffing information to be reviewed against information and SPC data.
10. Operations & Systems Resilience / Jo Burlingham
Gerry Moir
Phil Lumbard / Sharn Elton / EEAST request for trolleys for “cohorting” needs to be resolved, Sharn Elton to review.
Age profiles of admissions over 7 days to be reviewed.
Winter resilience schemes – KPIs only give cost per case not impact. KPIs need to demonstrate impact to SRG. Locality managers to visit and ‘walk’ primary care schemes to provide feedback.
11. Acute in Hours Visiting Service Update / Kay Dhesi / Dee Boardman / Nicky Williams / Capacity mapping has to be completed when considering winter schemes as there was an impact on Out of Hours staffing in 14/15.
Skill mix and case mix to be reviewed.
Escalation process does need to be in place but not for ‘business as usual’.
Formalise AIHVS contract basis from April 2015.
12. Outstanding Dec 2014 and Jan 2015 actions
13. Items for Governing Body / All actions from December 2014 and January 2015 OPD are completed or are in progress through scheduled Development sessions.
3 items for future (February) Governing Body meetings:
- Integrated care programme board proposition
- Integrated business case for in practice and care home resource
- HomeFirst
Brought forward agenda plan / Lead AD/Manager / Lead Director / Clinical Lead / Month
Medicines Management and Optimisation Team core offer and options for additionality
(Business case for in practice and care home support) / Pauline Walton / Chris Badger / March
Interface Geriatrician / Trudi Southam / Trudi Southam / Robin Christie / March
Over 75 health checks progress update / Trudi Southam / Dee Boardman / March
Neurological Services (including coproduction bid) / Jill Catchpole / Beverley Flowers / March
Map of Medicine / Trudi Southam / Trudi Southam / Robin Christie / March
Locality commissioning (actions noted in February) / Helen Edmondson
Trudi Southam / Dee Boardman / March
Falls pathways and business case / Chris Badger / Sharn Elton / Fiona Sinclair / March
HPT CAMHS performance and trajectory / Jacqui Bunce / Beverley Flowers / Steve Kite / March
Operations & System Resilience
- Winter schemes
- Vanguard bids Herts and Essex care homes
Primary care strategy and co-commissioning (actions noted in February) / James Gleed / Dee Boardman / April
End of Life Care (business case) / Trudi Southam / Dee Boardman / Rachel Joyce / April
MSK / Physio / Kay Dhesi / Dee Boardman / Rachel Joyce / April
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