Issue - meetings

-        Progress report (pages 41-44)

-        Priority 5: Long Term Conditions –

       report and presentation by Dominic Blaydon (pages 45-68)

Dominic Blaydon, Head of Urgent Care and Long Term Conditions, gave the following powerpoint presentation:-

Long Term Conditions Programme

Programme incorporates 4 key workstreams

-          Risk profiling

-          Integrated neighbourhood teams

-          Self-management

-          Alternative levels of care

Areas for consideration moving forward

-          Does risk management tool identify high intensity social care users?

-          Explore development of personal health and social care budgets

-          Patient and practitioner skills programme for health and social care

-          Specialised psychological support services for people with long term conditions

-          A local network to promote self-management

-          Integrated person held record including self-management plan

-          Effective use of alternative levels of care

4 Ways you can support the Programme

-          Workforce development programmes on self-management

-          Identification of high intensity health and social care users

-          Development of a person held health and social care record

-          Strong leadership to break down barriers on joint working

The Board also considered the latest workstream progress report giving an update on each of the 6 outcomes.

Discussion ensued on the presentation with the following issues raised/clarified:-

-          Development of a personal health social care record for those with a long term condition enabling them to monitor their condition and track the progress of their care plan

-          A pilot was underway with RFT looking at an electronic vehicle for a patient owned record which was centred around the self-management objective

-          Use of the patient’s unique NHS identification number

-          Self-Management Strategy underpinned some of the work – useful to have a stakeholder group with champions.  Could include Service users

Resolved:-  (1)  That the workstream progress report be noted.

(2)  That the 4 proposals for Priority 5 Long Term Conditions be supported.