Recommended
Recommended
More Related Content
Similar to The Role of the SIT in Screening and Immunisation
Similar to The Role of the SIT in Screening and Immunisation (20)
More from PHEScreening
More from PHEScreening (20)
Recently uploaded
Recently uploaded (20)
The Role of the SIT in Screening and Immunisation
- 1. The Role of the SIT Luke Rollin, Screening and Immunisation Manager, South Yorkshire & Bassetlaw DES networking event, November 2017
- 2. Outline • SIT structure; • Roles and responsibilities; • How we can help: • Health inequalities 2 DES Networking Event November 2017
- 3. Screening & Immunisation Team Structure 3 DES Networking Event November 2017
- 4. How can we help? 4 DES Networking Event November 2017
- 5. How can we help? 5 DES Networking Event November 2017 Local knowledge
- 6. How can we help? 6 DES Networking Event November 2017 Local knowledgeLinks to stakeholders
- 7. How can we help? 7 DES Networking Event November 2017 Local knowledgeLinks to stakeholdersRelationship with practices
- 8. How can we help? 8 DES Networking Event November 2017 Local knowledgeLinks to stakeholdersRelationship with practicesLocal operational groups
- 9. How can we help? 9 DES Networking Event November 2017 Local knowledgeLinks to stakeholdersRelationship with practicesLocal operational groupsLocal improvement plan
- 10. How can we help? 10 DES Networking Event November 2017 Local knowledgeLinks to stakeholdersRelationship with practicesLocal operational groupsLocal improvement planSpecific projects
- 11. How can we help? 11 DES Networking Event November 2017 Local knowledgeLinks to stakeholdersRelationship with practicesLocal operational groupsLocal improvement planSpecific projectsContractual support
- 12. How can we help? Links to other stakeholders 12 DES Networking Event November 2017
- 13. How can we help? Links to other stakeholders 13 DES Networking Event November 2017 Primary Care
- 14. How can we help? Links to other stakeholders 14 DES Networking Event November 2017 Primary Care CCGs
- 15. How can we help? Links to other stakeholders 15 DES Networking Event November 2017 Primary Care CCGs Local Authorities
- 16. How can we help? Links to other stakeholders 16 DES Networking Event November 2017 Primary Care CCGs Local Authorities PHE
- 17. How can we help? Links to other stakeholders 17 DES Networking Event November 2017 Primary Care CCGs Local Authorities PHEHES
- 18. How can we help? Links to other stakeholders 18 DES Networking Event November 2017 Primary Care CCGs Local Authorities PHEHES Third Sector
- 19. How can we help? Links to other stakeholders 19 DES Networking Event November 2017 Primary Care CCGs Local Authorities PHEHES Third SectorOther providers
- 20. Screening Eligibility Screening Eligibility Criteria Programme Men Women Age Group 0 -11 12 - 24 25 - 50 50 - 59 60 - 64 65 66 - 70 71 - 74 75 + Diabetic Eye Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes AAA Yes No No No No No No Yes No No No Bowel Yes Yes No No No No Yes Yes Yes Yes No Breast No Yes No No No Yes Yes Yes Yes No No Cervical No Yes No No Yes Yes Yes No No No No 20 DES Networking Event November 2017
- 21. Screening Eligibility Screening Eligibility Criteria Programme Men Women Age Group 0 -11 12 - 24 25 - 50 50 - 59 60 - 64 65 66 - 70 71 - 74 75 + Diabetic Eye Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes AAA Yes No No No No No No Yes No No No Bowel Yes Yes No No No No Yes Yes Yes Yes No Breast No Yes No No No Yes Yes Yes Yes No No Cervical No Yes No No Yes Yes Yes No No No No 21 DES Networking Event November 2017
- 22. How can we help? Health Inequalities “We protect and improve the nation's health and wellbeing, and reduce health inequalities.” (https://www.gov.uk/government/organisations/public-health-england/about) 22 DES Networking Event November 2017
- 23. Health Inequalities Information on specific population groups 23 DES Networking Event November 2017
- 24. Health Inequalities Information on specific population groups 24 DES Networking Event November 2017 BME Homeless Gypsy & Traveller Prisons Care homes Learning Disabilities Refugees/asylum seekers Unregistered
- 25. Health Inequalities Specific projects DNA mapping: 25 DES Networking Event November 2017
- 26. Health Inequalities Specific projects DNA mapping: 26 DES Networking Event November 2017
- 27. Health Inequalities Specific projects Demographic information: 27 DES Networking Event November 2017
- 28. Health Inequalities Specific projects Demographic information: 28 DES Networking Event November 2017 Ethnicity of men scanned for AAA since 2013 Ethnicity; White 97.60 % Ethnicity; Other 2.33 %
- 29. Health Inequalities Specific projects Demographic information: 29 DES Networking Event November 2017 Ethnicity of men scanned for AAA since 2013 Ethnicity; White 97.60 % Ethnicity; Other 2.33 % 65-69 year olds, 2011 Census data Ethnicity; White 96.81 % Ethnicity; Other 3.19 %
- 30. Delayed Referrals/Validation Issues 30 DES Networking Event November 2017
- 31. Delayed Referrals/Validation Issues 1. Identification of patient; 2. Add to tracker; 3. Share with SIT; 4. SIT contacts practice; 5. Failures to respond escalated to CCG; 6. CCG contact practice; 7. Action taken (or incentives offered). 31 DES Networking Event November 2017
- 32. In Summary • We’re here to support; • Source of contacts; • Can help build links with other stakeholders; • Our aims are the same as yours – improvement; • Be collaborative. 32 DES Networking Event November 2017
- 33. Thank you for listening 33
Editor's Notes
- Public Health side led by SIL with managers taking a lead with programmes and coordinators working as place-based. Commissioning side of things overall responsibility of the Head of Co-Commissioning (or Head of PH) across Yorks & Humber, commissioning managers working on a more local footprint and contract managers working with providers in the locality. PH side focusses on working with providers, oversight & governance of commissioned services, programme boards and incident management, having links to wider stakeholders, providing input and expertise into commissioning decisions, and focussing on quality and improvement. Commissioners focus on contractual relationship with providers, holding providers to account, developing and improving service specifications locally, using contractual levers to drive improvement, commissioning and procurement.
- Population, demographics, areas of deprivation, vulnerable groups
- Contacts in CCG, local authority, PHE, wider commissioning organisations
- Work closely with practices, relationship with practice managers, undertake practice visits. Can be helpful in dialogue with practices, get people round the table to discuss issues, review practice level performance data and highlight areas for improvement.
- Each local area has a local group of some description. Some have different titles but all have a focus on improvement. Involve membership from local authority, CCG, providers and third sector. Good forum for discussions of issues and to target improvement work.
- Each geographical patch has a local S&I improvement plan, developed by SIC and jointly owned by us, local authority and CCG. Areas for improvement identified through reviewing of available performance data, discussions with stakeholders and providers. Useful tool to drive improvements, reduce inequalities, target specific hard to reach population groups and increase uptake through collaboration with wider stakeholders.
- SICs can coordinate pieces of work locally, make sure issues you may have are raised and are visible on the local agenda, but can also lead specific projects – more detail towards the end of presentation.
- Commissioners can raise issues with provider organisation – e.g. screeners off sick/on mat leave etc. and Trust won’t support business case for a replacement this can be identified as a risk – commissioners can raise with provider through contract meeting and put pressure on to resolve. In some cases additional funding can be supplied.
- Have links locally but also at a regional level and with wider commissioners – can be useful to DESPs if issues need escalating
- Mentioned links to practices but also can raise issues with NHSE primary care team
- Local relationship at coordinator level but also at regional level through SIOG – good place to escalate issues if struggling to resolve (e.g. validation issues, practices not allowing access etc)
- Links with local authority public health – we have a responsibility to assure LAs that services we commission are delivering. LAs can help with promotion, access to alternative venues for screening, information on local population, links to wider services that they commission.
- Links to wider pHE – might be some shared priorities (e.g. stop smoking campaigns, health eating/reducing obesity).
- HES commissioned by CCG not us but likely to have contract with HES provider for some of our other services so contract meetings can be good place for issues to initially be raised informally.
- Links to volunteer/charity/third sector organisations. Can support with promotion messages
- Other screening programmes are out there covering the same population and will have encountered the same challenges.
- Have a role to play in addressing health inequalities – part of PHE’s mission statement
- Mentioned local knowledge previously – We have access to local info on specific population groups.
- Have info on who they are, where they are, how a particular group might link into local priorities. Also have info on what may have been done target a particular group previously, what worked, what didn’t etc. Can bring local stakeholders round the table – coordinators and local operational groups. Can e.g. put programmes in touch with G&T liaison officer in local authority; or with homeless shelters locally.
- Looking at DNA rates – want to know who they are, but also where they are.
- Piece of work led by one of SY&B coordinators looking at non-attenders for MMR 2nd dose, working with Child Health and PHE KIT. CHIS supplied postcodes of DNAs, KIT produced the maps. Mapping of non-attenders against deprivation allowed for identification of specific geographies where DNAs were higher – where do these people live, what else is in those areas, how can we target them? No reason this couldn’t be replicated for DES – looking to do this in SY&B currently.
- Recent audit by one of Y&H AAASPs looking at ethnicity of those who attended for screening.
- At face value the data seems to suggest an inequality – doesn’t appear to be representative of demographics of the area as a whole.
- Using 2011 census data one of our coordinators looked into the ethnicity demographics of the area as a whole amongst the 65-69 age group – surprisingly seems to closely match that of the attenders – maybe not such an inequality after all. No reason that this couldn’t be repeated for DES and shows that you’ve not always got a problem where you think you do.
- Lots of examples for other programmes but not as many for DES. Lots of attention and time taken up with validation issues, delayed referrals and associated incidents.
- In SYB we have a delayed referral process in place – not perfect and is continually being refined but has given us a base to build on and has got buy in from CCG. May be similar to processes in place locally – labour intensive but it’s hoped that continuous contact with practices to highlight where they may be going wrong will start to raise awareness and reduce number of cases we’re seeing.