This document outlines the West Wakefield Health & Wellbeing initiative, which aims to improve health outcomes through an integrated model of care. Key elements of the model include:
- Establishing an information hub and integrated teams to coordinate proactive care.
- Expanding access through digital tools, extended primary care hours, and initiatives like a schools app challenge.
- Implementing programs to address local health issues like obesity and oral health.
- Facing challenges in workforce, technology, and governance while accelerating the pace of change.
Anticipatory Care Planning: Time To Make It Happen - Early Intervention Using The Life curve Dr Sarah Mitchell (Programme Manager - AHP National Delivery Plan)
Academic Health Science Networks supporting strategic commissioningInnovation Agency
Dr Liz Mear, Chief Executive of the Innovation Agency, presented at NHS Confed 17 on Academic Health Science Networks (AHSNs) supporting strategic commissioning and bringing innovators, commissioners, clinicians and patients to together to develop closer collaboration and a demonstrably clearer understanding of NHS needs and opportunities.
2.5 Partnership working - Anne Forletta, Katherine HewittNHS England
Partnership working. Building partnerships with acute hospitals, voluntary and community services. Featuring examples from Birmingham and Coventry. Anne Forletta, My Healthcare Birmingham; Katherine Hewitt, Gateway Family Services, Birmingham.
“National Patient Safety Collaborative Programme”
The National Patient Safety Collaborative Programme, launched on the 14th October 2014 will be the largest patient safety initiative ever attempted in the world. Led by the 15 Academic Health Science Networks and supported by NHS England and NHS Improving Quality, they will be undertaking a challenging programme of work over the next 5 years. This session will outline the actions to date and the next steps moving forwards.
“#CWPZeroHarm”
Cheshire and Wirral Partnership NHS Foundation Trust (CWP) – a provider of mental health and community physical health services – has responded proactively with an initiative to tackle the patient safety challenge posed by Hard Truths. Its #CWPZeroHarm ‘Stop, Think, Listen’ campaign, underpinned by the 6Cs, aims to drive cultural change to deliver improvements in safe care and provide better outcomes. The case study describes how CWP has invested in a number of plans to tackle unwarranted variations in health care by helping staff to deliver continuous improvement. The campaign has already started to make a positive difference – CWP achieved the highest score in the country for ‘overall experience of services’ in the CQC survey of users of its mental health community services.
“Decisions of value – how the NHS can balance quality and finance in decision-making”
NHS decision-makers have to balance the priorities of quality improvement and financial sustainability, in other words they have to deliver value. This balancing act is increasingly challenging as the demands on the NHS change and grow, with more expected within an ever tighter budget. Decisions of Value is a project commissioned by the Department of Health and led jointly by the Academy of Medical Royal Colleges and the NHS Confederation. It has spent six months studying what influences how decisions are made and brings together a large amount of research to show how factors such as relationships, behaviours and environment influence the value delivered, extending beyond Whitehall to the front line.
The project’s findings have recently been published and emphasise the importance of the cultural, rather than structural, changes needed to move towards delivering better value and look at how they rely on having the right relationships, behaviours and environments in place. It presents insights into how people interact in the NHS and the crucial factors affecting how they operate within a particular context. In many cases, it indicates a ‘back to basics’ approach that involves a fundamental understanding of how humans interact and operate. As such, it doesn’t look to define good decisions, but rather gives an insight into the principles of good decision-making.
For more information, please see: http://www.nhsconfed.org/decisions-of-value
NHS Quality conference - Jonathan BostockAlexis May
“It’s your NHS – a community of influence”
Jonathan will announce the imminent arrival of healthcare’s largest community of influence targeted at engaging over 100,000 people passionate about the future of healthcare in the UK. It’syourNHS.NET will provide the space for providers and commissioners to engage and work collaboratively with service users in a true co-produced environment.
Making a difference: benefits of providing high quality information - Ddan li...CILIP
Benefits and Value of Health Information Services
• What is health literacy?
• Why does health literacy matter?
• What is the impact of health literacy on a population?
• What can be done to improve health literacy?
• Some examples from a mental health NHS Trust perspective.
Anticipatory Care Planning: Time To Make It Happen - Early Intervention Using The Life curve Dr Sarah Mitchell (Programme Manager - AHP National Delivery Plan)
Academic Health Science Networks supporting strategic commissioningInnovation Agency
Dr Liz Mear, Chief Executive of the Innovation Agency, presented at NHS Confed 17 on Academic Health Science Networks (AHSNs) supporting strategic commissioning and bringing innovators, commissioners, clinicians and patients to together to develop closer collaboration and a demonstrably clearer understanding of NHS needs and opportunities.
2.5 Partnership working - Anne Forletta, Katherine HewittNHS England
Partnership working. Building partnerships with acute hospitals, voluntary and community services. Featuring examples from Birmingham and Coventry. Anne Forletta, My Healthcare Birmingham; Katherine Hewitt, Gateway Family Services, Birmingham.
“National Patient Safety Collaborative Programme”
The National Patient Safety Collaborative Programme, launched on the 14th October 2014 will be the largest patient safety initiative ever attempted in the world. Led by the 15 Academic Health Science Networks and supported by NHS England and NHS Improving Quality, they will be undertaking a challenging programme of work over the next 5 years. This session will outline the actions to date and the next steps moving forwards.
“#CWPZeroHarm”
Cheshire and Wirral Partnership NHS Foundation Trust (CWP) – a provider of mental health and community physical health services – has responded proactively with an initiative to tackle the patient safety challenge posed by Hard Truths. Its #CWPZeroHarm ‘Stop, Think, Listen’ campaign, underpinned by the 6Cs, aims to drive cultural change to deliver improvements in safe care and provide better outcomes. The case study describes how CWP has invested in a number of plans to tackle unwarranted variations in health care by helping staff to deliver continuous improvement. The campaign has already started to make a positive difference – CWP achieved the highest score in the country for ‘overall experience of services’ in the CQC survey of users of its mental health community services.
“Decisions of value – how the NHS can balance quality and finance in decision-making”
NHS decision-makers have to balance the priorities of quality improvement and financial sustainability, in other words they have to deliver value. This balancing act is increasingly challenging as the demands on the NHS change and grow, with more expected within an ever tighter budget. Decisions of Value is a project commissioned by the Department of Health and led jointly by the Academy of Medical Royal Colleges and the NHS Confederation. It has spent six months studying what influences how decisions are made and brings together a large amount of research to show how factors such as relationships, behaviours and environment influence the value delivered, extending beyond Whitehall to the front line.
The project’s findings have recently been published and emphasise the importance of the cultural, rather than structural, changes needed to move towards delivering better value and look at how they rely on having the right relationships, behaviours and environments in place. It presents insights into how people interact in the NHS and the crucial factors affecting how they operate within a particular context. In many cases, it indicates a ‘back to basics’ approach that involves a fundamental understanding of how humans interact and operate. As such, it doesn’t look to define good decisions, but rather gives an insight into the principles of good decision-making.
For more information, please see: http://www.nhsconfed.org/decisions-of-value
NHS Quality conference - Jonathan BostockAlexis May
“It’s your NHS – a community of influence”
Jonathan will announce the imminent arrival of healthcare’s largest community of influence targeted at engaging over 100,000 people passionate about the future of healthcare in the UK. It’syourNHS.NET will provide the space for providers and commissioners to engage and work collaboratively with service users in a true co-produced environment.
Making a difference: benefits of providing high quality information - Ddan li...CILIP
Benefits and Value of Health Information Services
• What is health literacy?
• Why does health literacy matter?
• What is the impact of health literacy on a population?
• What can be done to improve health literacy?
• Some examples from a mental health NHS Trust perspective.
LTC year of care commissioning early implementer sites workshop held on 1 December 2014. Featuring Dr Martin McShane, Rob Meaker and Renata Drinkwater.
Nhs Sustainability Day 2016 Liverpool Road Show4 All of Us
March 26th this year saw over 300 healthcare organisations take action to promote sustainability and increase public health awareness and we are fortunate enough to have the support of; Public Health England, Department of Health, Department for Energy and Climate Change and The Prime Minister, David Cameron. Working with these stakeholders we aim to further develop the links between health and sustainability thus improving economical and health outcomes within the UK.
For the 2016 campaign, beginning in September, and to celebrate our 5th year of the campaign we will be promoting 50kg of carbon. This is effectively promoting what the public and health professionals can do to save 50kg of carbon. This could be achieved through; walking to work, cycling, planting a tree etc.
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Better Care
Germain Bukassa Kazadi
Improving quality, safety and lives - the Patient Safety Collaborative Programme 2014-2019
Presentation from Chief Nursing Officer for England's Summit 2014
26 November 2014
Improving Access to Healthcare for Impoverished Communities Rotary International
Interested in global public health? Bridge to Health Medical and Dental has worked in partnership with local grassroots organizations in rural communities in southwestern Uganda and Ethiopia to provide education and training, clinical services, and build innovative solutions to complex problems. Come learn about these initiatives, connect with Rotarians who build sustainable collaborations to improve health and education, and be inspired to take action.
Dr Michael Sullivan
Associate Professor of Paediatric Oncology, University of Otago; Consultant Paediatric Haematologist/Oncologist in the Children’s Haematology Oncology Centre, Christchurch Hospital
Presentations from Session I11 at the International Forum on Quality and Safety in Healthcare, London 21-24 April. http://internationalforum.bmj.com/
Introduced by Robert Varnam, this session reviewed the lessons being learned since groups of primary care practices were given 75% of the health budget of England in 2013.
More information can be found in our Storify at
Nick Goodwin: making a success of care co-ordinationThe King's Fund
Nick Goodwin, Chief Executive at the International Foundation for Integrated Care, looks at how care could be better co-ordinated around people with complex needs, and the challenges around delivering joined-up care.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
2. West Wakefield Health & Wellbeing
MCP Vanguard
Dr Chris Jones, GP Chair, Programme Director
The Five Year Foreward View
Sharing Best Practice
Open Forum Event Manchester
Dec 9th 2015
@westwakefield www.westwakefieldhealthandwellbeing.nhs.uk
5. 1. Local health profile
@westwakefield www.westwakefieldhealthandwellbeing.org.uk
High mortality rate high for
cardiovascular, respiratory
disease and cancer in under
75’s
High rate of tooth decay in 5
year olds
19.6% of children in year 6 are
obese
High rates of teenage
pregnancy, alcohol related
admissions, road injuries and
deaths.
Low rates of breast feeding and
high rates of smoking in
pregnancy.
Wakefield 2015 Health Profile
6. 2. Rationale for change
NATIONAL
• Demographic changes - Ageing population, increasing burden of LTC
• Pressures on primary care
LOCAL
• Meeting the Challenge: Bed reductions
• Pressures on A&E attendances
• Workforce challenges: GP and nursing
• HealthWatch Young Persons Survey on GP access
So immediate pressures on hospital services which will worsen, with access
difficulties and a workforce in crisis lead to the creation of three hypotheses…
@westwakefield www.westwakefieldhealthandwellbeing.org.uk
7. @westwakefield www.westwakefieldhealthandwellbeing.org.uk
2. The Hypotheses
50% of work done by GPs could be carried out by a more
cost effective resource
30% of elderly people admitted to hospital acutely for a
short stay of between 0 and 5 days do not need to be
admitted and could be cared for differently in an
alternative setting
30% of patients occupying an acute hospital bed do not
need to be there because their episode of acute care is
over
We have devised 90 logic
models with which to
evaluate the programme
and test these
hypotheses.
The new model of care
must also achieve the
three objectives of the
Triple Aim.
Lower
Cost
Better patient
experience
Improved
outcomes
THE TRIPLE AIM
8. Disruptive
Prevention
Self Care Care
Navigation
Improved
Access
Support at
Home
Admissions
Avoidance
Early
Supported
discharge
Schools App Challenge
Oral Health
• Fluoride Varnish
• Flouridation
• Joint consent
Childhood Obesity
Mental Health
Digital
• Service Directory
• Symptom Checkers
• App Library
• Big White Wall
Patient Education
Expert Patients
Care Planning
Social Prescribing
Micro-commissioning
Care Navigators
• Phone, Email,
Chat, Web
• ‘Apple Store’
Kiosks
Care Navigation App
7-day service
Physiotherapy First
Pharmacy First
Pharmacist in GP
Social Worker
Mental Health Worker
Triage
Video Consultations
E-Messaging
Shared visiting service
Care Home ProjectHealthPod
Integrated Multi-Professional Community Teams inc Nursing, Carers and VCS
Information Hub
Proactive Care
Primary Care Champions Consultants in the Community: Elderly, Cardiology, Respiratory, Mental Health
Intermediate Tier Beds in CommunityIntensive Home-Based Therapy
For physical and mental health
Connected Home
Prime Minister’s Challenge on GP Access Connecting Care
3. The model of care
Shared records: Citizen-held care record
“Through expanded primary care, proactive teamwork and new technology to deliver
health and social care at scale to the GP registered list of West Wakefield”
Working with Wakefield CCG and building on the Prime Minister’s Challenge to generate
primary care workforce engagement as a key catalyst for lasting change.
@westwakefield www.westwakefieldhealthandwellbeing.org.uk
9. The Vision
GP
Admissions avoidance
Early Supported Discharge
Call
Centre
Central Hub
Waterton House
Connected
Home
Assistive
Technology
Improved
Access
Integrated Teams
Video, E-messaging
HealthPod
Extended Hours
Care Homes
Consultants
Citizen-held care record
Care Navigation
Digital self-care
Social PrescribingUnified Communications
Federation & Collaboration
Pharmacy First
Physio First
Nursing United Carers Framework
Provider Alliance: MYT, SWYPFT, WMDC, WDH, Nova (all VCS), Age UK, YAS (111,999), LCD, Spectrum
Integrated Teams
C3 Ops Centre
@westwakefield www.westwakefieldhealthandwellbeing.org.uk
10. @westwakefield www.westwakefieldhealthandwellbeing.org.uk
4. Integrated MDT
Elderly Care
Consultant
Respiratory
Consultant
Community
Psychiatrist
VCS
Specialist Nursing
Teams
Therapists
Social Worker
Community
Matron
Community Nurse
Community Mental
Health Nurse
Care Navigator PharmacistHub Manager
Community
Cardiologist
Hub Clinical Lead
Practice Nurse GP
Acknowledgement for images: Lesley Carver NHS NW Surrey CCG
Co-located
Shared mission
Shared culture
Shared records Mutual trust
Authority to act
Daily virtual meeting
Proactive approach
Information Hub Access 24/7
Tactical TeamsGenerates Care Package
Strategic View
Health Visitor
11. @westwakefield www.westwakefieldhealthandwellbeing.org.uk
4. Information Hub
GP System Notifications
GP System Population Data
Ambulance Service
A&E Metrics & Notifications
Hospital Admissions
Hospital In-patient Status
Community Notifications
Met Office
Local Authority Records
Mental Health RecordsPublic Health Statistics
Police Comms Link
Housing Comms Link
Fire Comms Link
Smart Home Notifications
Informs the Integrated MDT
12. 4. Citizen-held care record
• Owned by the individual, cloud based
• Fully sharable
• Health and well-being information, LTC management, care plans, social
network, social care package data, EOL planning etc.
• Complementary to NHS record
• Several example in development
– Patient Knows Best
– Leeds Care Record
– Kirklees Self care Hub
– Vitality/Digital life Sciences
– eRed Book
– Vitrucare
@westwakefield www.westwakefieldhealthandwellbeing.org.uk
13. • Growing array of monitoring and wearable tech
• Develop the smart home concept
• Start with social housing stock – all have broadband
• Already wide array used in Wakefield
• Make people feel connected, safe and looked after
• Detect signs of illness. Raise alerts
4. Connected Home
@westwakefield www.westwakefieldhealthandwellbeing.org.uk
14. @westwakefield www.westwakefieldhealthandwellbeing.org.uk
4. Extended Hours
• 6.30pm – 8.00pm Weekdays,
• 8am – 8pm Weekends
• Routine & Urgent appointments
• Routine booked during normal hours
• Urgent from 111 as ITK message into
SystmOne
• Staffed by internal personnel
• Run from dedicated premises inside high
quality new build Health Village
• Augmented by the 24/7 digital access
solutions
NEXT STEPS
Create consistent service across
three networks to cover full
population of 152,000 with
consistent offer
Consider hours of operation
Broaden skill mix
15. 4. Extended Primary
Care Team
• Physiotherapy First
• Pharmacy First
• Heath & Wellbeing Worker
• Care Navigators
• Health Champions
NEXT STEPS
Pharmacist in General Practice
Mental Health worker
Community Consultants
Social Worker
Primary care
0
20
40
60
80
100
120
140
Physio First Contacts
Viral cough
No cough Fever
without viral
symptoms
Sore throat
HayfeverAllergy
symptoms
(skin)
Insect
bite/sting
Oral thrush
Vaginal
thrush
Teething
Cold sore
Headache/mi
graine
Threadworm
s
Other
16. 4. Pharmacist in General Practice
• 0.5 Session per 1,000 patients
• Post-discharge medication reconciliation
• Medication reviews, reduction in polypharmacy
• Minor ailments advice
• Interface with community and hospital pharmacists & CCG MO team
• Management of repeat prescribing process and formularies
• Implement MRHA guidance, safety alerts and changes in indications
and availability
• Medicines advice to whole team
17. 4. HealthPod
• Out reach
• Hard to reach
• Menu of services
– CAB
– Housing
– Carers Wakefield
– Age UK
– Youth groups
– Mental health worker
– Sexual health outreach
– and more…
• Own Twitter account
• Tracking app
Wakefield Clinical Commissioning Group
Working in Partnership
18. 4. Care Navigation
• Care Navigators
• Training Course devised
• Over 70 trained
• Supported by primary care health champions
• Using Service Directory and other on-line tools
21. 4. Kiosks
• Care Navigation App & web site
• Kiosks in Reception
• Part of West Wakefield web site
• Service Directory
• Real-time signposting to resources
• App Library
22. @westwakefield www.westwakefieldhealthandwellbeing.org.uk
4. Schools App Challenge
• Year 6
• Design a health and wellbeing app
• Think about healthy living and own
family and friends
• Strong prevention messaging
• Supported by Microsoft
– Touch develop
– Mentors by Skype
• Teamwork, coding, presentation skills
• Dragon’s Den style judging
• Engagement with Schools
NEXT STEPS
Roll out to wider population
Version 2.0
Lessons learned
Sponsorship
Team Friendship Forever (Dragon in the Attic)
23. 4. Dragon in the Attic
@westwakefield www.westwakefieldhealthandwellbeing.org.uk
25. MCP
Network 3
Network 5
West
Wakefield
MYT
Nova
CCG
(partner)
WDHSWFPFT
Spectrum
Age UK
YAS
Fire &
Rescue
Local
Authority
HOS
T
• Shared accountability
• Hosted by West Wakefield – contract holder
• Chaired by CJ
• Supported by JJ
• CCG as invited attendee, not present for
commercial/sensitive provider discussions
What about other providers?
To develop:
• MoU/Business Rules
• Terms of Reference
6. Accountability Model
@westwakefield www.westwakefieldhealthandwellbeing.org.uk
26. MCP
NHS England
Connecting Care Executive (Commissioning)
Adults, Children & Young People
Vanguard
Subcommitte
e
CC Health &
Social Care
Partnership
Operational
Commissioning
Group
Wakefield CCG
Wakefield District
Health and
Wellbeing Board
Wakefield
Council/Cabinet
6. Governance model
@westwakefield www.westwakefieldhealthandwellbeing.org.uk
27. 7. Milestones
@westwakefield www.westwakefieldhealthandwellbeing.org.uk
• Hub Manager in place 12/12/15
• Mental Health Worker roles embedded in Hub 11/01/16
• CrossLead Senior leadership event 21/01/16
• Schools App v2 Judging 28/01/16
• HealthPod 2 operational 01/02/16
• Community Consultants in Hub 15/2/16
• Information Hub IOC and SOP established 18/01/16, Full
07/03/16
Editor's Notes
Primary care access, digital enablement and development. Community service integration
What has worked well and what has not.
Kiosks in waiting room Supplemented by Care Navigators
Care Navigation app: real-time navigation through options ranging from self-care/symptom checkers to correct use of A&E and 999.
