Issue - meetings

Presentation by Chris Edwards, Chief Officer, and Dr. Robin Carlisle, Deputy Chief Officer

Chris Edwards, Chief Officer, Robin Carlisle, Deputy Chief Officer, and Lydia George, Rotherham CCG, referred to the powerpoint presentation which had recently been given to SCE/GPs which covered:-

-          2014/15 commissioning plan was available on the intranet – www.rotherhamccg.nhs.uk/our-plan.htm

-          2015/16 Plan was a refresh rather than a complete re-write

-          CCG transformation capacity was finite so it was important that if new initiatives were prioritised some exiting initiatives were stopped

-          Strategic Clinical Executive

-          Clinical Referrals, Medicine Management and Mental Health

-          Medicines Management

-          Mental Health

2014/15 Progress and Issues

-          Clinical Referrals

Early 2014/15 data show referrals and electives rising after 2 flat years

Audit programme and feedback via PLT working well, TRFT starting medical directorate ‘PLT’

Follow-up audits failing to identify many opportunities to reduce follow-ups

-          Medicines Management

Cost growth currently on track

33 out of 36 practice plans agreed

Service redesign projects performing well but some risks regarding TRFT re-organisation

Waste

2015/16 Proposals

-          Clinical Referrals

Develop a “Plan B” for the increase in referrals

Monitor and address issues with “other referrals”

Closer involvement of CCG in the development of RFT medical pathways

Improve access to neurology and develop appropriate pathways

Bench marking for GPs to improve quality and consistency

Development of pathways to provide advice on access to blood tests and imaging

Explore opportunities for self-care and non face-to-face consultations

Explore the market for primary care based Dermatology and Diabetes Services

Develop the prevention agenda with Public Health England

-          Medicines Management

Same priorities plus realising the benefits of electronic prescribing (decreased waste)

Address the high admission tate for respiratory conditions and prescribing rates

Consider local and national risk of reducing waste

Address waste in term of general waste and in particular nursing home waste

Plan for the risk to special projects due to TRFT restructuring

-          Mental Health and Learning Disabilities

3 reviews carried out (Adults, CAMHS and Learning Disabilities)

Learning Disability – following consultation would implement the decision taken at 3^rd September Governing Body

Action plan for RDaSH Services due to be agreed in September/October, common messages agreed, included being minded to contract with RDaSH as main provider but investing QIPP in voluntary sector or general practice

Adult and Older Peoples Mental Health Liaison Services most urgent issue

Issues with partnership working

-          Adults and Older People

Implement action plan including improved data and pathways, Adult Mental Health liaison, primary care focussed model, improved IAPT, improved Dementia Services

Increase the number of mental health patients on the case management programme

Develop a dementia pathway with more focus on Primary Care and “one stop shops”

Involve the voluntary sector on the dementia pathway

Improve RDaSH communication with stakeholders and providers

Support RDaSH management of change

Obtain patient experience of instances of poor service in respect of long waiting times and poor communication

Parity of esteem and 7/7 working

Long term impact of Child Sexual Exploitation

Learn from CRMC referral pathway work

Address the acute management of the  ...  view the full minutes text for item 51