NHS DARTFORD, GRAVESHAM AND SWANLEY CCG 61.85% 10 practices not submitting data regularly each month Commissioners will be contacting these practices individually and providing support to establish mechanisms for regular monthly reporting Practices identified and one to one discussions will be arranged to discuss and establish processes within the practice to ensure data is collected. Attendance at all GP Locality meetings to discuss mandatory reporting. Attendance at Practice managers meeting to identify issues and develop processes to ensure mandatory data collection is upheld. Plan to meet ambition of 66.7% by March 2016 NHS COASTAL WEST SUSSEX CCG 61.85% Extensively carried out data harmonisation across all GP practices, and have robust contract in place with their MAS. Were part of the star chamber. GP Dementia fellowship in place. "• Dementia GP education event planned • Targeted data harmonisation • Writing to all surgeries including Professor letter • To undergo care home reviews in targeted area • visit GP localities meetings • Look at efficiency of and plan changes Plan to meet ambition of 66.7% by March 2016 MAS contract with provider which is compliant to access standard. NHS EASTBOURNE, HAILSHAM AND SEAFORD CCG 61.01% They have developed GP led MAS with automated letters that include data harmonisation + have workforce dementia programme in GP referral rates, service capacity, care home diagnosis rates. Data Submission Practice level dashboard produced and presented at all Locality meeting with Memory Assessment Service clinician promoting referrals. 25% increase in capacity. Data submission issue now appears to have been resolved Plan to meet ambition of 66.7% by March 2016 Contract increased for MAS services. Care Home diagnosis commissioned from November NHS MEDWAY CCG 60.54% They have 25 care homes, limited GP locality development, and leadership to continue developing data harmonisation Data Submission Developing plans with the dementia friendly practice approach with nhs England and SCN. Continue to embed dementia harmonisation and care home case finding late February this year we have had a data analyst visiting practices to run reports for them practices don’t then input the codes for the patients, our GP lead has visited them and I have emailed them and their locality leads All practices have received read code information Regular messages in our GP Newsletter ‘Start the Week’ Plan to meet ambition of 66.7% by March 2016
NHS Kent Coast CCG 61.30% 4 practices have had issues with data submission in the past 2 months. Practices have been contacted to provide current position and trajectory is updated with latest figures. One remaining high volume practice did not run the data exercise last year. Work is underway to support this practice. Estimates suggest that this work could provide sufficient movement to meet the target. GPs will be provided with ongoing updates and supported with submission guidance. Plan to meet ambition of 66.7% by March 2017 NHS Thanet CCG 57.8% 2 practices not submitting data via CQRS GPs reluctant to diagnose patients with dementia in care homes and care homes (nursing). Lack of awareness of dementia by practice staff. GPs reluctant to diagnose or see no in diagnosis and increasing pressure on memory services. . Practices to be contacted to understand any issues preventing submission of data. Support to be provided as appropriate. Older adult psychiatrist from mental health trust has offered bespoke training for practices, but only one practice has taken up offer to date. Target practices with greatest number of patients in care homes and care homes (nursing) and bespoke training. Contact national intensive team for support. Training session arranged for GP admin and reception staff on dementia awareness, attended by people with dementia and voluntary Dementia CQUIN developed with the aim of improving interface between primary and secondary care. Outcomes include; Agreement of when diagnosis can take place in primary care and when referral should be made to secondary care, An agreed protocol for neuro-imaging, Agreement of when and how patients with a diagnosis can be discharged back to primary care., Ensuring people with dementia and their carers can access appropriate post diagnostic support at the right time. Plan to meet ambition of 66.7% by March 2017 CQUIN with KMPT
Provider Current Performance Underlying Issue Actions Recovery Trajectory Contractual levers used Somerset CCG 61.20% Latest data extracts indicate performance is broadly on track with CCG plans at 65.8% Prevalence have been shared with practices and outliers have been contacted individually. The CCG is planning to explore the opportunity to access the intensive support team to assist in meeting its diagnosis ambition. Working with CCG to bring performance back on track None at this time South Gloucestershire CCG 59.20% Latest data extracts indicate performance is broadly on track with CCG plans 64.1% The Clinical Operational Executive approved a plan to achieve the target, and since then implementation has been ongoing. Practices not performing well against the indicator have been informed of comparative lack of progress and reminded of the support available. Working with CCG to bring performance back on track None at this time Kernow CCG 44.50% CCG reports a data extraction issue due to high number of practices on microtest system CCG has flagged these issues with their local assurance lead, the SCN and the national team. An urgent review of the read codes used and the data extraction system is currently underway to rectify the issue. This is expected to be completed within the next two weeks. Recent identification of the problem lies with the provider of micro-test and they will rectify the problem today (16/11/15) which would mean the upload for next month should be accurate Once the data collection issues have been clearly identified a challenging recovery trajectory will be set. None at this time