4.1 Planned care programme Clinical lead: Drs John Balazs and Ruth Jeffrey Executive lead: Moira McGrath, Director of Care Pathway Commissioning Programme lead: Sara White /Sally Rickard, Joint Acute Commissioning & Redesign Manager Purpose To develop and deliver an outpatient strategy which reduces premature mortality and improves quality of life, reducing reliance on hospital services and improving the quality of primary care by: Improving the control of long term conditions (including HIV) Preventing risk of events in people with a Long Term Condition (LTC) Early detection Secondary prevention Securing the quality, equity and productivity in the management of elective conditions Identifying the most appropriate settings for treatment i.e. local v hospital based Facilitating patient-centred care, with a shift in service provision along the care pathway, for identified priorities, from treatment to prevention Educating Primary Care Clinicians Promoting appropriate referral Reducing variability in care Developing multi-disciplinary teams to look after patients closer to home To patient involvement objectives and monitor achievement against them The Planned Care Programme operates across three main work streams: Long Term Conditions Elective Sexual Health The strategy will inform and be informed by the developing East London Community Based Stratgey and be developed and managed jointly with Southwark Clinical Commissioners. 4.1.1 Long term conditions Development of East London Out of Hospital Programme as part of South London Healthcare Trust (SLHT) Trust Special Administrator (TSA) process. Patient involvement to shape redesign of services and implementation of changes in identified pathway redesign work. Equalities work –implementation of baselines and monitoring of key objectives in Cardiac Vascular Disease (CVD) and diabetes programmes to: reduce variation between practices,
Campaign to improve awareness of cancer in disadvantaged groups specifically for colorectal and lung cancer Improving patient experience for out of hospital care particularly communication with patients about transition to palliative care Improving advance care planning across all sectors Work with NHS England on commissioning and delivery of and access to screening services, particularly cervical. Scope management of chronic cancer patients and supporting those in survivorship. Agree funding and contractual requirement for anti cancer drugs including those through the Cancer Drugs Fund 4.9 Specialised Commissioning Lead clinician: Dr Adrian McLachlan (through SEL Clinical Strategy Group) Executive Lead: Sarah Cottingham, Head of Acute Contracting, South London CSU Programme Lead: ?? NHS England in its Statement of Intent for Collaboration identified the following issues that the CCG is working with them to address: Ensuring that the 2013/14 commissioning round is organised to prevent costs rising, present a unified approach to providers and commission new and exacting national specifications which have implications for primary and secondary services. Managing a safe transfer of commissioning from PCTs, to CCGs and NHS England. This is both a consequence of being able to accurately define specialised from non-specialised workload to ensure the correct activity and finance is identified and then monitoring the system to ensure that work is accurately coded and invoiced by providers. Organising care for the of patients who move between tertiary services and primary and secondary care Reducing the number of patients requiring tertiary care. Specific local issues for NHS Lambeth CCG are: Work with NHS England to deliver ongoing demand management savings in mental health Work with NHS England on developing pathway and quality standards for care of people with HIV. NOTE: [We will still have specialist commissioning (i.e. as opposed to being specialised commissioning remaining with SLaM – these are services that have been developed by SLaM but don’t fit the identification rules – we have a QIPP for this. 4.10 Estates [note: need to confirm lead roles] Clinical lead: Adrian McLachlan Executive lead: Christine Caton, Chief Finance Officer/Moira McGrath (Estates Strategy) Programme lead: Therese Fletcher, AD Primary & Community Commissioning