mental health organisations is 90.5%. Comply with Freedom of Information requests Activity and Performance: The Q1 2013/14 FOI report will be included in the August Integrated Governance and Performance Report  Governance Directorate working with relevant information providers to improve response compliance rates further. To ensure the provision of effective infection control MRSA : There is a zero tolerance approach to MRSA this year. For each MRSA bacteraemia, a Post Infection Review investigation panel meets and reports back to PHE within 7 working days. To date, GSTT have had one case assigned to them, Kings have had two and Lambeth none. CDifficile targets and current figures for 2013/14 are: GSTT – 8 to date (target 47) – 9 to date (target 49)  The statutory infection control committee is continues jointly across Lambeth, Southwark and Lewisham. Lambeth and Southwark shared PH service are providing CCGs with expert IC advice. On 17th May, a very successful CDI was held and an LSL action plan is being developed.
Commence procurement process Akerman Road – Develop an integrated Neighbourhood Resource Centre. Activity: This flagship site is a key enabler for implementation of NHS Lambeth Strategic Plan. Review governance process for building board Opening event was held and well attended by stakeholders and patients  Action: Review utilisation matrix for new premises. Service Integration Plan. Outpatient attendances - Practice Benchmarking Data
Unplanned Care Programme Operates across two main work streams: Frail Older People - To improve the quality of care for and reduce the number of avoidable hospital admissions and readmissions for frail older people Urgent Care - Design and implement improved unplanned care services across the two boroughs that support improved health outcomes through greater planned and co-ordinated care. (Urgent Care Centres, OOHs and 111) Senior Responsible Officer: Andrew Eyres Managing Director Clinical Leads: Gillian Ellsbury/Patricia Kirkman  Objective Update Status Action Development of admission avoidance schemes Activity activity from Jan 2012 to end May 2013 was 560 referrals with numbers of referrals varying from a peak of 82 in February 2013 to a low of 22 in Dec 2012 Details of the patient registration for the top 5 are:- Crown Dale – 112 Paxton Green – 109 Rosendale – 64 Tulse Hill – 63 Herne Hill - 43 This is reflective of the demographic for those practices Reason for referral Admission avoidance 42% Advanced discharge 27% Case management 23% Triage 8% Referrals to the ERR team from Dec 2010 to May  Business case for Homeward roll out completed and to be presented at June Admission Avoidance Programme Board. Funding for the Lambeth and Southwark schemes has been agreed during contract negotiations with GSTT and KCH – total £5.6 million Readmission audits due to take place June/July Meeting with LMC to take place June/July to agree the CCG approach on commissioning the medical model of Homeward Review of other schemes funded by admission avoidance money Ongoing monitoring of KPIs and adjustment of as required
GSTT 95.12% and KCH 95.40 %(All types). To re-commission urgent care centres GSTT UCC Specification finalised. Case for Change was presented at the Unplanned Care Programme Board in March 2013. Further options regarding the new service are being explored at present and an option appraisal has been was presented at the Unplanned Care Programme Board in May 2013. This document has now been distributed to the clinical at leads at Southwark CCG, deadline for comments is Friday 7th June. The recommendation will then be signed off via chairs action via Unplanned Care Programme Board. New service will commence autumn 2013.  Explore pilot co-location of GP OOH in A&E Draft Procurement timeline. Reconfiguration of St Thomas’ ED and UCC is due to commence – Autumn 2013. Anticipated completion of St Thomas’ ED refurbishment is currently February 2015. Implementation of the 111 programme for non-emergency healthcare needs The 111 service has now been launched in Bexley, Bromley and Greenwich (BBG). Due to some capacity issues the service across Lambeth. Lewisham and Southwark (LSL) has not yet gone live. A soft launch date has yet to be agreed. This will require comprehensive sign off from NHS England before this can be agreed. There continues to be considerable improvements with call back times and the provider has shared  Population of the DoS is complete The DoS has been checked and tested in liaison with clinical commissioners and providers There has been a series of 111 events to ensure that all stakeholders are sufficiently briefed on the role and remit of 111 and to ensure that it sufficiently meets the needs of local people. Robust risk register has been shared with commissioners across SEL.
CCG and NHSE met NHS Lambeth / Lewisham met with SCG/NCB March 2013 in order to address interface and plans for QIPP 13/13. commissioned (due to concerns over pilot deliverables.) to report Sept 2013. Payment by Results Activity Acute overspill – 19 beds as at 31 May 2013 Finance PbyR workshop (CCGs/SLaM) being held June 2013 to work through future reporting on activity etc. Performance/Process Fortnightly LSL meetings (facilitated by NHS Lambeth) taking place to progress planning work. SLaM contract value 2013/14 agreed plus a CQUIN to support PbyR development.  Activity schedules for Slam contract (AMH services) – will require substantial revision following proposed AMH remodelling and roll out of LWN. Assumptions have been built into the CCG business plan but these will need further testing as the change programme progresses. CCG will need to consider what levers/incentives it introduces to ensure demand reduction plans are effective in relation to secondary care services when PbyR goes live April 2014. This includes agreeing how we manage gatekeeping to secondary care services. . Integrated Talking Therapy Services Activity IAPT target for nos into treatment met Waiting list for TT service reduced following application of recovery plan. Performance/Process CCG Board agreed award of contract to consortium led by SLaM Nov 2012. Following invite to tender, ten submissions received, panel agreed preferred provider 4 June 2013.  New service commenced Nov 2012 Talking Therapy board chaired by clinical network lead monitoring activity and performance Evaluation of service to commence June 2013 – completion September 2013. Mental Health Older Adults: Consolidation of SLaM continuing care provision QIPP 2013/14 - £750k provisionally agreed for continuing care, joint risk share with SLaM/CCG  Joint Governance Group established with agreed terms of reference, reporting to MHIP Identified for: Engagement and communication Project management Clinical Meeting monthly Initiated 3 engagement process regarding consolidation of service on 14 May 2013 with carers/families affected
Assessment against nationally mandated continuing care criteria ongoing. Mental Health Older Adults: Pilot Home Treatment Team (HTT) QIPP 2013/14 - £200k provisionally agreed for reduction in acute utilisation as a consequence of HTT interventions  Quarterly meeting with HTT to review monitoring data. Full evaluation October-December 2013 to inform commissioning 2014/15 and confirmation of QIPP Mental Health Adults: Improve diagnosis and care of people with Dementia Clinical Network Lead for Dementia (CNLD) to support practices who are low/not referring to Memory Service Introduction of shared care for  CNLD visited four practices CNLD review of Lambeth practice diagnostic data using national dementia tool to support practice visits CNLD supported Medicines Management discussions. Decision re shared care for drugs to be agreed at SE London Joint Prescribing Committee June 2013 Staying Healthy Programme Improve health outcomes for Lambeth residents through the commissioning of systematic health promotion and prevention services that have the effect of improving mortality reducing morbidity and reducing the prevalence of key risk factors Clinical Leads: John Balazs/Raj Mitra/Adrian McLachan  Objective Update Status Action To reduce health inequalities and improve health, identifying the need for interventions that improve population health Activity Further develop the Staying Healthy with local government to support transfer of public health and organisational knowledge and expertise to local government.  Agree way forward with LBL new Terms of Reference for the Programme Board Identify revised membership Tobacco control/Smoking quitters Activity DH has set challenging target for 2012/13 which will require focus on current providers. Latest figures show performance of 2269 quitters against a final year end target of 2262. A number of practices are still yet to report Q4 figures. Final 2012/13 figures will be published in July 2013.  Support providers to systematically improve success rates and the recording of status, reinforcing this through SLA with providers QUIT Manager rolled out to all pharmacies
Qtr 1 1320, Qtr 2 1705, Q3 1625, Q4 1732 Lewisham and Southwark. Dementia guidelines to be included within current dataset. LSL joint approach, including marketing. New standardised template rolled out in all practices Further work required to ensure people take up Childhood Obesity The results of the National Child Measurement Programme (NCMP) for the 11/12 academic year were published in Dec 2012 and showed a narrowing of the gap between Lambeth and London The measuring of Reception and Yr 6 pupils for the NCMP 2012/13 academic year is complete and the result letters to parents/carers were sent out in Feb 2013. Breastfeeding at 6-8wks strong performance: 12/13 Q4 coverage 98.6% and prevalence 80.26%. Effective partnership working to achieve Baby Friendly Initiation (BFI) accreditation is ongoing through the Breastfeeding strategy group and operational group.  Key documents were submitted to UNICEF for assessment of Level 1 Baby Friendly Initiative accreditation. Formal notification of accreditation will be given in Late July. Once achieved the more challenging task of achieving stage 2 accreditation begins, which involves site visits and interviews with staff across the partnership. The BFI post is advertised and will hopefully be recruited to begin work in September 2013 The Breastfeeding Peer Support Programme is being rolled out with 2 ‘helpers’ training courses and 1 ‘Supporters’ training course planned over the next year. Once the volunteers