Community Voice Health

Hillingdon Issues
Hillingdon Clinical Commissioning Group Governing Body PDF Print E-mail
Written by Joan Davis   
Sunday, 04 December 2016 18:07
Friday 2nd December 2016

1.       Moves towards greater CCG autonomy: All 8 CCGs in NW London took on responsibility for joint co-commissioning of general medical services from April 2016.   They are now applying for fully delegated Primary Care Commissioning, which would provide them with greater autonomy from NHS England from 1st April 2017. It is NHS England’s policy that all CCGs in England should be fully delegated by 1st April 2018.  Potential conflicts of interest are recognised as a risk of full delegation but NHS England has produced extensive guidance on this subject which prescribes the establishment of a Primary Care Commissioning Committee chaired by a lay member and with lay and executive majority to mitigate this issue.

2.      Finance: At end of October the CCG achieved its year to date target of £2.1m surplus. Most of its available reserves have been used already, so achievement of its planned end of year target of £3.6m surplus is tight.

3.      Overperformance at Royal Brompton & Harefield FT: Further work is necessary to understand the cause of this overperformance; the Board is exploring this with the Trust.

4.      Integrated performance: Key performance challenges include London Ambulance Service response times, A&E four hour waits, referral to treatment 52 week waiters, cancer treatment waiters, MRSA, Child & Adolescent Mental Health Services (CAMHS), Musculoskeletal Community Physiotherapy services and NHS 111 call back times.

5.      Quality concerns: Accuracy of data from North West London Healthcare’s Maternity Unit is being questioned. Maternity Units in both that trust and The Hillingdon Hospitals FT both remain below the consultant cover target, but the Royal College of Obstetricians and Gynaecologists is reviewing the mandated 168 hours target.  Dementia diagnosis remains below target for both the above trusts.  Local trusts’ reporting of serious incidents and submission of root cause analyses is slow but deficits are in the maintenance of the process rather than the quality of work that is being done.

6.      Blue light ambulances at Hillingdon Hospital: Concerns about blue light ambulances have been reviewed as part of an extensive review of pressures on the Urgent and Emergency Care Services at this hospital. A sustained and continuing rise in the volume of high-priority ambulances was considered largely appropriate by both LAS and THH clinicians.   Fewer patients arriving at THH need life-saving resuscitation as appropriate patients are now taken to specialist centres eg hyper-acute strokes, myocardial infarcts, major trauma. Sepsis and infections were the primary problem in a third of cases

7.      Hillingdon Community Healthcare Services: The report for 2015-16 has been published. The Health Visiting Service promotes the health and wellbeing of families with children under the age of five years, from before birth until the child is five. It offers a Saturday morning service at two sites in the Borough for parents who are at work during the week.

8.      Identification of patients with atrial fibrillation: The Board’s application for funding for a pharmacist to identify these patients in GP lists has been successful - so that these patients can be described improved medication to reduce their risk of suffering a stroke. The project is expected to come into operation early in the New Year.

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