Health infrastructure for the Inner city

Dr John PattersonMA MRCP MRCGP

Medical Director HCH

Clinical Advisor Urgent Care Oldham CCG

Average Appointment Length

11

11

11

12

13

13

14

15

16

16

16

17

16

21

0 5 10 15 20 25

1

2

3

4

5

6

7

8

9

10

11

12

13

14

Doct

or

Minutes

Percentage of generic items prescribed ≥ 86% 91

Percentage of patients with diabetes in whom the last IFCC - HbA1c is 59 or less in the preceding 15 months (plus percentage of exceptions no greater than for 2009/10)

≥ 60% 73

Percentage of children who have completed their primary immunisations (DTaP/IPV/Hib) by 12 months of age

≥ 95%

Percentage of children having received MMR1 immunisation by age of 24 months ≥ 95%

Percentage of children under 5 years who have MMR2 ≥ 95%

Percentage of children under 5 who have received their preschool DTaP/IPV or dTaP/IPV booster

≥ 95%

96

96

98

96

050

100150200250300350400450

1 2 3 4 5

Hilltop

Admissions per1000

Craig’s story

Focused Care

• Longitudinal care .– old values in a new paradigm

• Intentionally case manage. – As a team– With dedicated skilled workers– Measure

• The culture right.