WYRE FORES CLINICAL COMMISSIONING GROUP

2014/15 PRIORITIES Heather Macdonald

2014/15 Local Priorities

• Integrated Care• Supporting General Practice• Reducing Health Inequalities• Long Term Conditions • Review of Integrated Intermediate Care

Services• Frail Older People

Integrated Care

• Urgent Care • GP Consultant pairings • ICMs • Emis IT Project

Supporting General Practice

“We want to maintain or increase the capacity and resilience in Primary Care in

the Wyre Forest”

Supporting General Practice

• Over 75’s• Long Term Conditions• Under 5’s• Variation• Self- help• Access• Mental Health• GP Education and Training

Reducing Health Inequalities

• 0-5 years • Wellbeing ‘Centre’/ model – focus on

wellbeing• Mental Health – early support/lower level

interventions

Long Term Conditions (LTC)

• LTC Pathways• Self Care • Preventative Care • WMQRS – Neurological conditions

Review of Integrated Intermediate Care Services

• Bedded facilities in Wyre Forest

Frail Older People

• 11,005 patients aged 75 and over– 10% of our population

• Emergency Admissions in over 75s = 2,348 – 28% of all emergency admissions

• Emergency Admissions in over 65s = 3,709 – 44% of all emergency admissions

• >75s = 3,898 A&E attendances • >65s = 7,013 A&E attendances

Frail Elderly Session/Primary Care Session • Patients are lonely • Bypass number (1 number/HUB)• Need to be able to share records - EMIS community• Specialist nurses (Integrated/Standards/Falls)• Enhanced Care Team working in a different way • Explore night sitting• More visits/Admissions earlier in the day – Left Shift• Variation/Info (Emergency/OOH/Care homes OOH/Ambulance/ A & E

presentation)• Demand on appointments• Patient expectation higher• Multiple number of prescriptions• Only 10 minute consultations – not enough time for complex patients • Worried well – anxiety / isolated/ lonely