STAHCOM LTD is a Primary Care Trust (PCT) that aims to enhance primary care services for patients in St Albans and Harpenden. It has several objectives, including improving quality of care, providing a greater range of services closer to home, and monitoring long-term conditions. The PCT is led by a Chief Executive and Board of Directors. It oversees various working groups and has policies in place. STAHCOM has received approval to take on additional commissioning responsibilities at Level 3, such as for clinical assessment and treatment services. It aims to shift appropriate care from secondary to primary settings. The PCT has made progress but also faces barriers from delays in decision making and lack of data and support from
North Tyneside NHS Tripartite primary care strategy v1 7Minney org Ltd
North Tyneside developed a Primary Care Strategy which represents the future of community and GP-led healthcare in the area, covering 215,000 population.
Our objective is to enhance the health and happiness of our population, which we'll do by improving appropriate access to Primary Care (GPs etc); expanding the range of clinics and services you can receive in primary care, improving specialist support, and maximising Prevention and Self-Management.
This document is endorsed by the three main organisations - the GP Federation (TyneHealth - for General Practitioners/ Family physicians); Clinical Commissioning Group CCG, and Local Medical Committee LMC
Health Works: Supporting Health in the Working AgeNHSScotlandEvent
Hear about the innovative practice being developed in Scotland to allow people rapid access to case managed support to help them back to work, using a person‐centred, biopsychosocial model.
North Tyneside NHS Tripartite primary care strategy v1 7Minney org Ltd
North Tyneside developed a Primary Care Strategy which represents the future of community and GP-led healthcare in the area, covering 215,000 population.
Our objective is to enhance the health and happiness of our population, which we'll do by improving appropriate access to Primary Care (GPs etc); expanding the range of clinics and services you can receive in primary care, improving specialist support, and maximising Prevention and Self-Management.
This document is endorsed by the three main organisations - the GP Federation (TyneHealth - for General Practitioners/ Family physicians); Clinical Commissioning Group CCG, and Local Medical Committee LMC
Health Works: Supporting Health in the Working AgeNHSScotlandEvent
Hear about the innovative practice being developed in Scotland to allow people rapid access to case managed support to help them back to work, using a person‐centred, biopsychosocial model.
Guidance for commissioners of financially, environmentally, and socially sust...JCP MH
This guide supports commissioners, local health authorities and providers to think broadly, but practically, about building sustainable, resilient communities that have the potential, over time, to reduce mental ill health.
Sustainable commissioning involves making sure services make the most effective use of financial, environmental and social resources. This includes commissioning services that support secondary (reducing relapse) and tertiary (improving rehabilitation) prevention. It is these aspects, rather than primary preventative measures, that are the focus for this guide. The issue of primary prevention is discussed in the Guidance for commissioning public mental health services.
This guide has been written by a group of experts in mental health and sustainability, in consultation with service users and patients, and strengthened by input from a local government and public health perspective. The content is primarily evidence-based but ideas deemed to be best practice by expert consensus have also been included.
By the end of this guide, readers should:
- understand the concept of sustainability in mental health care, and how using this commissioning framework can create sustainable services
- be aware of the legislation relating to sustainability that the NHS is required to meet
- understand what sustainable commissioning looks like in practice
- understand how and why improving the sustainability of mental health interventions will contribute to achieving the aims of both the mental health, public health, NHS, and social care strategies, as well as improving quality and productivity
- be able to commission sustainable mental health services and interventions.
Find out more and download all the guides published by the Joint Commissioning Panel for Mental Health at http://www.jcpmh.info.
What Does Commissioning and Quality Improvement Mean to Me?Sarah Amani
This was a good question which got me thinking: there are so many buzz words in healthcare sometimes its good to unpack what we mean. As one of the areas I cover, Cornwall and the Isles of Scilly are of huge importantance and interest to me so I was really happy to be invited to meet with their impressive commissioning and quality improvement team to discuss this topic
Quality, Innovation, Productivity and Prevention in Primary CareNHSScotlandEvent
What do the Quality Ambitions mean for Primary Care? This session describes the ongoing innovative local improvements and national work with NHS
Boards and Primary Care contractors to improve quality, efficiency and outcomes as well as the future plans for Primary Care.
https://userupload.net/yk8shpcpwk19
Dentistry can do so much these days to improve a person’s health, appearance and self-confidence. From barely noticeable braces that straighten crooked smiles to dental implants that replace missing teeth, there is a state-of-the-art solution to virtually any dental problem. Of course, like anything that involves the time and resources of skilled professionals, highly technical and sophisticated dental treatment doesn’t come inexpensively; indeed, the phrase “you get what you pay for” probably applies doubly to dentistry. Also, the types of treatment mentioned above, as well as many others, are often considered elective and therefore may not be covered (or only partially covered) by dental insurance. This can be the case even when a given procedure offers proven health benefits.
Guidance for commissioners of services for people with medically unexplained ...JCP MH
This guide is about the commissioning of comprehensive MUS services across the healthcare system. In developing this guide, we recognise that ‘medically unexplained symptoms’ is an unsatisfactory term for a complex range of conditions.
MUS refers to persistent bodily complaints for which adequate examination does not reveal suf ciently explanatory structural or other specified pathology. The term MUS is commonly used to describe people presenting with pain, discomfort, fatigue and a variety of other symptoms in general practice and specialist care. Whilst recognising that the phrase ‘medically unexplained symptoms’ can be problematic, it is nonetheless widely used, and an appropriate term to use in this guide.
This guide aims to: describe MUS and the associated outcomes: outline current service provision for MUS and detail the components of a high quality comprehensive MUS service, and highlight the importance of commissioning comprehensive MUS services.
Guidance for commissioners of rehabilitation servicesJCP MH
This guide is about the commissioning of good quality mental health interventions and services for people with complex and longer term problems to support them in their recovery.
Guidance for commissioners of mental health services for people with learning...JCP MH
This guide is about the commissioning of mental health services for people with learning disabilities, enabling them to live full and rewarding lives as part of their local communities.
This guide is aimed at all commissioners responsible for mental health services for people with learning disabilities including young people in transition to adulthood. The guide will also be helpful for providers of mental health services and for family carers.
This guide describes what we know about mental health services for adults with learning disabilities, and what effective and accessible services look like based on current policy, the law and best practice.
While this guide does make reference to autistic spectrum disorders and ‘behaviours that challenge’ (which people with learning disabilities who have mental health problems may also experience), the primary focus of this guide is on people with learning disabilities who have mental health problems.
Joint Commissioning Panel for Mental Health briefingJCP MH
This briefing describes the Joint Commissioning Panel for Mental Health (JCP-MH), a collaborative co-chaired by the Royal College of Psychiatrists and the Royal College of General Practitioners. The collaboration includes seventeen leading organisations, inspiring commissioners to improve mental health and wellbeing, using a values based commissioning model. It brings together service users, carers, clinicians, commissioners, managers and others to deliver the best possible commissioning for mental health and wellbeing.
The JCP-MH publishes briefings on the key values for effective mental health commissioning. It also provides practical guidance and a framework for mental health commissioning and supports commissioners in commissioning mental health care that delivers the best possible outcomes for health and well being
Guidance for commissioners of financially, environmentally, and socially sust...JCP MH
This guide supports commissioners, local health authorities and providers to think broadly, but practically, about building sustainable, resilient communities that have the potential, over time, to reduce mental ill health.
Sustainable commissioning involves making sure services make the most effective use of financial, environmental and social resources. This includes commissioning services that support secondary (reducing relapse) and tertiary (improving rehabilitation) prevention. It is these aspects, rather than primary preventative measures, that are the focus for this guide. The issue of primary prevention is discussed in the Guidance for commissioning public mental health services.
This guide has been written by a group of experts in mental health and sustainability, in consultation with service users and patients, and strengthened by input from a local government and public health perspective. The content is primarily evidence-based but ideas deemed to be best practice by expert consensus have also been included.
By the end of this guide, readers should:
- understand the concept of sustainability in mental health care, and how using this commissioning framework can create sustainable services
- be aware of the legislation relating to sustainability that the NHS is required to meet
- understand what sustainable commissioning looks like in practice
- understand how and why improving the sustainability of mental health interventions will contribute to achieving the aims of both the mental health, public health, NHS, and social care strategies, as well as improving quality and productivity
- be able to commission sustainable mental health services and interventions.
Find out more and download all the guides published by the Joint Commissioning Panel for Mental Health at http://www.jcpmh.info.
What Does Commissioning and Quality Improvement Mean to Me?Sarah Amani
This was a good question which got me thinking: there are so many buzz words in healthcare sometimes its good to unpack what we mean. As one of the areas I cover, Cornwall and the Isles of Scilly are of huge importantance and interest to me so I was really happy to be invited to meet with their impressive commissioning and quality improvement team to discuss this topic
Quality, Innovation, Productivity and Prevention in Primary CareNHSScotlandEvent
What do the Quality Ambitions mean for Primary Care? This session describes the ongoing innovative local improvements and national work with NHS
Boards and Primary Care contractors to improve quality, efficiency and outcomes as well as the future plans for Primary Care.
https://userupload.net/yk8shpcpwk19
Dentistry can do so much these days to improve a person’s health, appearance and self-confidence. From barely noticeable braces that straighten crooked smiles to dental implants that replace missing teeth, there is a state-of-the-art solution to virtually any dental problem. Of course, like anything that involves the time and resources of skilled professionals, highly technical and sophisticated dental treatment doesn’t come inexpensively; indeed, the phrase “you get what you pay for” probably applies doubly to dentistry. Also, the types of treatment mentioned above, as well as many others, are often considered elective and therefore may not be covered (or only partially covered) by dental insurance. This can be the case even when a given procedure offers proven health benefits.
Guidance for commissioners of services for people with medically unexplained ...JCP MH
This guide is about the commissioning of comprehensive MUS services across the healthcare system. In developing this guide, we recognise that ‘medically unexplained symptoms’ is an unsatisfactory term for a complex range of conditions.
MUS refers to persistent bodily complaints for which adequate examination does not reveal suf ciently explanatory structural or other specified pathology. The term MUS is commonly used to describe people presenting with pain, discomfort, fatigue and a variety of other symptoms in general practice and specialist care. Whilst recognising that the phrase ‘medically unexplained symptoms’ can be problematic, it is nonetheless widely used, and an appropriate term to use in this guide.
This guide aims to: describe MUS and the associated outcomes: outline current service provision for MUS and detail the components of a high quality comprehensive MUS service, and highlight the importance of commissioning comprehensive MUS services.
Guidance for commissioners of rehabilitation servicesJCP MH
This guide is about the commissioning of good quality mental health interventions and services for people with complex and longer term problems to support them in their recovery.
Guidance for commissioners of mental health services for people with learning...JCP MH
This guide is about the commissioning of mental health services for people with learning disabilities, enabling them to live full and rewarding lives as part of their local communities.
This guide is aimed at all commissioners responsible for mental health services for people with learning disabilities including young people in transition to adulthood. The guide will also be helpful for providers of mental health services and for family carers.
This guide describes what we know about mental health services for adults with learning disabilities, and what effective and accessible services look like based on current policy, the law and best practice.
While this guide does make reference to autistic spectrum disorders and ‘behaviours that challenge’ (which people with learning disabilities who have mental health problems may also experience), the primary focus of this guide is on people with learning disabilities who have mental health problems.
Joint Commissioning Panel for Mental Health briefingJCP MH
This briefing describes the Joint Commissioning Panel for Mental Health (JCP-MH), a collaborative co-chaired by the Royal College of Psychiatrists and the Royal College of General Practitioners. The collaboration includes seventeen leading organisations, inspiring commissioners to improve mental health and wellbeing, using a values based commissioning model. It brings together service users, carers, clinicians, commissioners, managers and others to deliver the best possible commissioning for mental health and wellbeing.
The JCP-MH publishes briefings on the key values for effective mental health commissioning. It also provides practical guidance and a framework for mental health commissioning and supports commissioners in commissioning mental health care that delivers the best possible outcomes for health and well being
“Delivering the public spending cuts facing the new Government will not be easy. But those who argue it will be impossible without slashing services should take a look at BT.” - David Wighton Business and City Editor, The Times May 2010
Question of Quality Conference 2016 - Patient Experience - Innovation in pati...HCA Healthcare UK
The South Somerset Symphony Programme is one of nine Primary and Acute Care systems (PACs) Vanguards born out of Simon Stevens’ Five Year Forward View. To address the problems of an ageing population and an increased burden of long-term conditions, it is essential to have a coordinated response across sectors, putting the patient at the centre of care. The session will look at a joint venture that will hold a single budget for the population and how this enables them to target resources to parts of the system where they can make the most difference to patients.
Current State of Pain Management Services in Primary Care in the UKepicyclops
This lecture was given by Dr Martin Johnson, a General Practitioner from Barnsley, Yorkshire, to the North British Pain Association Spring Scientific Meeting in Edinburgh on Friday 18th May, 2007. This lecture forms part of a conference "Blurring the Boundaries - Managing Pain in Primary Care and Secondary Care".
www.wspg.org.uk
Presentation by Terry Whalley, Director of Delivery, Cheshire & Merseyside Health & Care Partnership at ECO 19: Care closer to home on Tuesday 9 July at Deepdale Stadium.
QIPP end of life care event report - Great practice showcase – Birmingham (28 February 2012) - 05 September 2011
The Midlands and East QIPP end of life care great practice showcase event was held in February 2012. It brought together over 80 commissioners, end of life care managers and clinical staff to learn more about the tools and resources available to meet the QIPP challenge at end of life.
The event report summarises the key learning from the day, including an overview of presentations, links for further information on marketplace exhibitors and good practice case studies looking at:
Find your 1% campaign
e-Learning for care homes in the East of England
Time to Talk initiative across NHS East Midlands
The use of mobile working devices for Birmingham hospice staff.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
Working together for Better Care in Richmond HW_Richmond
Presentation from Richmond CCG, Healthwatch Richmond, Hounslow and Richmond Community Healthcare, Kingston Hospital, West Middlesex University Hospital and the Richmond GP Alliance on the changes happening to community services in Richmond.
NHSIQ LTC Year of Care Commissioning Programme shortlisted for HSJ Awards 2014:
HSJ Awards Dragon’s Den presentation on enhancing care by sharing data and information
More at: http://www.nhsiq.nhs.uk/improvement-programmes/long-term-conditions-and-integrated-care.aspx
Katrina Percy: Working with partners to deliver high quality health and socia...The King's Fund
Katrina Percy, Chief Executive of Southern Health NHS Foundation Trust, talks about the health system in Hampshire and the key elements of Southern Health’s integrated care strategy.
Using simulation to drive changes in health and care - long term conditions Year of Care model
Bev Matthews and Claire Cordeaux
Presentation from Day 1 of the Health and Care Innovation Expo 2014, Manchester Central
LTC Year of Care Commissioning Model
Lesley A Callow, Delivery Support Manager - Long Term Conditions Year of Care Commissioning Model
NHSIQ
Fionuala Bonnar, Year of Care Programme Manager
LTC Year of Care benefits:
Improved outcomes and wellbeing:
Patients receive care that is better managed, more seamless across different care services and more needs focused.
Reduction in acute admissions to hospital; and shorter lengths of stay when these are required.
Clinical professionals contribute to a more holistic service for patients by working within an integrated patient-centred care plan
Local health and Social Care economies:
Provide care that delivers value for money and is better managed by integrated teams.
Incentive to improve services for patients
Improved joint working and shared responsibility for outcomes
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
1. STAHCOM LTD
St Albans and Harpenden PBC
Group
Mr Mo Girach BSc (Hon) MBA
Chief Executive
STAHCOM PBC LTD
“Local GP practices working solely for the wellbeing of local patients”
2. STAHCOM OBJECTIVES
To enhance and improve the quality and choice of
services to patients seeking health and social care
To provide a greater range of services to patients and
to provide greater convenience to patients receiving the
service at home/close to home (shifting care from
secondary to primary care)
To monitor and provide personalised care to patients
with long term conditions
To assist the PCT in ensuring the best use of public
resources
To improve and enhance the quality of care provided by
primary care to patients
To assist patients in making better educated choice in
provision of primary care, including SELFHELP, where
appropriate
To encourage innovation, enterprise and efficiency and
best practice to the local health economy
To delivery on the whole of the CATS programme
“Local GP practices working solely for the wellbeing of local patients”
3. Stahcom – Corporate Structure
Chairman: Dr Roger Sage
Co Secretary: Andrew Stennett,
(Finance)
Board of Directors:
Dr Jon Clegg - Acute Commissioning
Dr Alison Davies - OOH/Prescribing
Dr Kapil Kedia - CATS
Dr Dylan Phillips - CATS/HMH
Co-Opted Members: Dr Steven Laitner (PH)
Mental Health Rep.
Local Authority Rep.
“Local GP practices working solely for the wellbeing of local patients”
4. Working Groups/ Committees/
Meetings
LMG – (representation from each practice)
Board of Directors – meet every 2 wks
HMH Task Group – leading on HMH
conversion to a Mutual
Data Quality Group
Remuneration Group
Performance Review Group
Weekly Meeting with Chief Executive/Co
Sec and Chairman
SLA Contract Monitoring with PCT
CE meets with Practice Managers (monthly)
“Local GP practices working solely for the wellbeing of local patients”
5. Stahcom Data Quality Group
OBJECTIVES:
“To guide, advise and facilitate all matters related to
Data/Activity (Lead by Stahcom)
Membership consists of:
Dr Michael Cannell
Dr Mike Walton
Dr Richard Pile
Jo Adams, Practice Manager
Linda Ward, Practice Manager
Julie Adolph, Nurse Practitioner
David Hodson, PCT
Yvonne Goddard, PCT
Mo Girach, CE, Stahcom
“Local GP practices working solely for the wellbeing of local patients”
6. Stahcom Policies and Procedures in
Place
Code of Conduct for Board of Directors
Communication Strategy
Patient and Public Involvement Policy
SLA with all member practice
Stahcom Locality Health Profile
Financial Protocol
A number of others are currently being
discussed and consulted upon
“Local GP practices working solely for the wellbeing of local patients”
7. Our Strategic Direction
on Commissioning
Unscheduled Care Strategy – OOH/Home Response/Directing Admissions to Minor
Injuries/a/e/intermediate care/prescribing/community services/primary care
Intermediate Care Strategy
Emergency and Intermediate Home Care Self Care
Acute Care Care and and Community
PbR tariff PbR tariff base
Emergency Admissions Community outpatient Directed admissions Directed admission
Complex Procedures Day treatment/Diagnostic Timely discharge Timely discharge
Admission preventable Directed admission Community services Education
Referral reduction Timely discharge Palliative care Compliance
Low priority treatment Direct Referral Mental Health outreach Pharmacist
Treatment threshold Inpatient care Voluntary organisations
Respite care and Telecare
Palliative care Pharmacist
Integrated Nursin Integrated nursing services
CATS
“Local GP practices working solely for the wellbeing of local patients”
8. So where are we with PBC?
Application to PCT for Level 3 - Approved August
2007
CLINICAL ASSESSMENT AND
TREATMENT SERVICES (CATS)
To deliver care closer to home and to better manage demand for secondary
care services by shifting appropriate services into primary care under GP
clinical leadership; working in partnership with our local hospitals and other
providers.
CATS aims to provide a more patient centred, cost effective service in the local
community, whilst establishing mechanisms to align clinical responsibilities with
financial responsibility for commissioning services for individual specialities.
“Local GP practices working solely for the wellbeing of local patients”
9. CATS
Speciality Status Provider
MSK In place Local GP
Ophthalmology In place Private
Dermatology Sept 2007 West Herts.
EN&T Sept 2007 Local GP
Gynaecology July/Aug 2007 Local GP
Cardiology Sept/Oct 2007 Local GP
Urology Sept 2007 Local GP
Gastro Sept/Oct 2007 Local GP
“Local GP practices working solely for the wellbeing of local patients”
10. STAHCOM LTD
Other areas of interest for commissioning
are as follows:
COPD
Integrated Nursing Services
Diabetes
Unscheduled Care etc, etc
Orthotics
Podiatry services
Partnership working with acute clinicians and active
engagement in acute service level agreement
Quick wins
Huge benefits for patients
Value for money
PPI (a must)
“Local GP practices working solely for the wellbeing of local patients”
11. What are we doing now?
Application to PCT Level 3 – approved
Management monies (over £100,000) – 31/3/2008
Formal monthly meetings with Andrew Parker (PCT)
Regular meetings/dialogue with PCT
Newsletter in place – informative
Service Re-design – Diabetes and COPD
Finalising the review of Integrated Nursing Service
Feasibility Study in place for HMH
Data Analyst recruitment in place
Purchase of QUTE software to assist with data validation
Stahcom member of PCT/Acute Contracts Monitoring
Group (only PBC in W Herts)
Supporting all our practices
“Local GP practices working solely for the wellbeing of local patients”
12. Stahcom Ltd – The Future
Mo Girach to continue 3 days per week from
1/1/08 – Advisory to Board, LMG and provide
strategic leadership
Appointment of part time Secretary to support
Board, Co Secretary and CEO
Focus on Data Quality/Analysis
Look at commissioning of community services
Implementation of the Revised and Agreed
Integrated Nursing Service Specification
Preparation of our 08/09 Business and
Commissioning Plan
Agree the Re-investment Plan for savings made at
31/3/2008
“Local GP practices working solely for the wellbeing of local patients”
13. Potential Barriers
At times it takes a long time for the PCT to make
a decision, eg, funding of £5000 towards QUTE
PCT must define the PCT support manager’s role
more clearly and simply with the PBC – “how to
avoid conflict/misunderstanding, but also
increase harmony and joint working
Undertake, an agreed and calculated (risk free to
patient) undertaking commissioning, innovation
and creation for undertaking commissioning of
services and shifting care from secondary into
primary care
Lack of information (activity/data) – timing,
support and analysis
Unbundling tariff – taking a long time? Delay in
us moving forward
“Local GP practices working solely for the wellbeing of local patients”
14. How the PCT can Enhance and Fully
Support Stahcom More in the Future
Speed up decision making by PCT
Commence “seconding” relevant staff (with no
money flow), commencing with Data Analyst
and PA
Agree lines of accountability and boundaries of
roles and responsibility of PCT Support
Manager in relation to PBC Managers/CEO
PCT to have in place a Commissioning Strategy
Data verification with full IM&T PBC support –
no clear PCT strategy
More involvement in SLA meetings and
Performance Management of Acute Contracts
PCT to formulate/support PBC dialogue with
PCT Provider Arm
“Local GP practices working solely for the wellbeing of local patients”
15. So? Do we have opportunities?
“We shall not fail or falter ;we
shall not weaken or tire…….
Gives us the tools and we will
finish the job”
Si r W ns t on Chur c hi l l
i
“Local GP practices working solely for the wellbeing of local patients”