healthy staffordshire select committee 5 august 2015...
TRANSCRIPT
Local Members’ Interest
n/a
Healthy Staffordshire Select Committee– 5 August 2015
Improving Lives Programme Recommendation/s That
a) the Committee is invited to be assured that the mobilisation of the Improving Lives Contract is progressing as planned to ensure a smooth transition to service commencement on 1st April 2016 to deliver integrated care in East Staffordshire.
b) the Committee is invited to be assured of the particular focus and commitment of
both East Staffordshire CCG and Virgin Care to patient, carer and provider engagement in the development of the appropriate service model for the East Staffordshire population.
c) the CCG and Virgin Care would like to seek the further views and advice of the
Committee as to whether there are more or different ways in which we can continue to build upon the patient and carer involvement and engagement work being undertaken during the mobilisation period and into the Contract term.
Report of the East Staffordshire Clinical Commissioning Group
Summary What is the Select Committee being asked to do and why? The Committee is asked to note the work undertaken to date on the Improving Lives Programme and be assured as to how the work programme is being progressed by East Staffordshire Clinical Commissioning Group and Virgin Care as like-minded and trusted partners.
Report 1. Background 1.1 The Improving Lives Programme aims to improve the life experiences and outcomes of people living with long term conditions and those who are frail and older living in East Staffordshire. This is consistent with the Staffordshire Health and Wellbeing Strategy.
1.2 At the Healthy Staffordshire Select Committee meeting on the 5th December 2014, East Staffordshire CCG committed to providing further updates to the Committee at key stages of the work programme. 1.3 Subsequent to this, the CCG sent a letter to the Committee on the 18th February 2015 and shared the outcomes framework. The supporting letter also answered key queries raised by the Committee in December in relation to the scope and the financial envelope of the procurement and provided detailed information in relation to the extent of patient and public engagement undertaken in the lead up to and during the procurement for Improving Lives, as had been requested. 1.4 This report aims to highlight the work undertaken since attendance at the Committee on the 5th December 2014, provide clarity on next steps and overall assurance to the Committee as to how the work is being progressed. 2. Contract Award 2.1 On the 25th March 2015, East Staffordshire CCG announced the award of the Improving Lives Contract to Virgin Care, as our like minded and trusted partner, following detailed work up of the case for change from 2013 and the completion of a robust and legally sound procurement process. 2.2 The process has been clinically led by the Governing Body for the CCG and is supported by all of the CCG’s 19 membership practices. 2.3 The Contract is an outcomes based, seven year contract for a Prime Contractor who will transform, manage and integrate services across acute, community and voluntary sector organisations. This will be through sub-contracting arrangements with existing or new service providers or via direct delivery. Virgin Care may provide some services themselves but they are not able to be monopoly supplier within the system. 2.4 The Contract is a fixed price contract at a value of £270.4M across the seven years. The CCG will be spending no more than they do currently on this Contract for the services in scope. 2.5 The scope of the Contract is non elective (emergency) admissions and anything that prevents or mitigates against a non elective admission. This includes a proportion of activity from within a range of existing contracts including:
Non electives (Attends and Admissions)
Outpatients (First and Follow Ups and Procedures)
Community Based Services
Some Voluntary Sector Services
Out of Hours Service/ 111 2.6 The contract is an NHS Standard Contract and is therefore subject to the same national and local performance measures in relation to quality, safety and access as our existing NHS contracts. The Outcomes Framework is in addition to these measures and performance against these standards and the outcomes framework will be monitored via an agreed governance process outlined within the Contract.
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2.7 The Outcomes Framework for the contract, now called ‘The Improving Lives Plan’ includes clinical measures (e.g. blood pressure measurements, non elective admission rates), patient reported measures (e.g. patients and their families feel more supported, confident and safe) and patient experience measures. The plan has been developed based on patient and carer insights including those heard through the Experience Led Commissioning work and other engagement work, and the clinical evidence base. An updated list of all of the patient and stakeholder engagement work that has been undertaken during the work programme is included as an appendix to this report. 2.8 Service commencement will be from 1st April 2016. We are now mobilising the Contract with Virgin Care and have a Joint Mobilisation Board which governs the process and involves senior clinical and managerial representation from both the CCG and Virgin Care. This provides assurance to each organisation’s respective Boards that mobilisation is progressing to plan and that a smooth transition to service commencement will be achieved. Mobilisation is being carried out in partnership, but the CCG can provide assurance that both parties continue to recognise our respective roles as Commissioner and Provider and our individual responsibilities and accountability. 2.9 Services will be NHS funded and continue to be free at the point of need. In accordance with the contract, termination notices have now been served on all services in scope. However, there will be no change to current services between now and the 31st March 2016 and the CCG will discuss the requirement and plans for consultation in relation to plans for any significant change to services. 3. Community Engagement 3.1 The CCG and Virgin Care continue to be committed to patient and public engagement since contract award and into the mobilisation period for the Contract. An updated list of all of the patient and community engagement that has been undertaken since the beginning of the work programme is included as an appendix to this report. 3.2 Four large scale public events have been held since December 2015 to keep members of the public updated about developments of the Improving Lives Programme and have provided interested parties with the opportunity to ask questions of both the CCG and Virgin Care. These have seen attendance rates between 50 – 100 people each time and have been held in both Burton on Trent and Uttoxeter. Further events like these are planned for late October 2015. 3.3 The patient and carer representatives who were on the Programme Board and jointly appointed by the CCG and Healthwatch for the procurement process are continuing to support the mobilisation period. Their role is one of compliance, to ensure that the CCG and Virgin Care are continuing to seek the views of patients and their carers, listening to their experiences and what matters most to them, reflecting these within future plans for the service model and the Improving Lives Plan and reporting back to patients and carers how their insights have helped shape future service delivery. 3.4 Virgin Care are committed to continued patient and carer involvement and engagement. Plans include the establishment of a Citizens’ Panel (name to be confirmed) which include three levels of involvement for members of the public from being informed (eg. via a newsletter), being asked (eg. completion of surveys) and being engaged (sharing
experiences and helping to shape future services). The launch of the Citizens’ Panel is intended in September 2015. In addition to this, there will also be the Improving Lives Forum (name to be confirmed) which will include key providers, stakeholder groups, voluntary sector organisations and be chaired by a Citizens’ Panel member. This will include performance reporting, including delivery of outcomes against the Improving Lives Plan, progress against the system transformation plans, proposals for future ‘Improving Lives’ strategies and plans and regular input from the Citizens’ Panel on fresh ideas and feedback. 3.5 Patients and their carers will also be involved in the further development of the Outcomes Framework, and in particular developing the measures and methods of data collection and testing processes for the patient defined outcomes that patients have told us are important to them but for which we do not currently have validated measures. This work will progress over the next 12 months. 3.6 The CCG and Virgin Care would like to seek the views and advice of the Committee as to whether there are further ways in which we can continue to build upon the patient and carer involvement and engagement work being undertaken during the mobilisation period and into the Contract term. 4. Service Model Development 4.1 Attached to this report is a briefing that provides details of the key elements of the current thinking of Virgin Care in relation to their service model to meet the following key objectives:
Improve the experience that patients and their carers have
Reduce unnecessary admissions to hospital
Integrate services
Embrace different approaches and providers
Engage the public in the shape of the services 4.2 As this is an outcome based contract, the CCG have not specified the service model that Virgin Care will provide. This is to provide Virgin Care with the flexibility to design, in collaboration with service users, staff and provider organisations, a model which will achieve the outcomes within the Improving Lives Plan to improve health and reduce inequalities, reduce pressure in the system and most importantly provide service users with a patient centred service that meets their needs and preferences and help them to be ‘Confident, Supported and Safe’. This is what patients and carers have told us matters to them most. 4.3 Virgin Care have used the insights from the CCG patient engagement work to develop the initial thinking in relation to the Service model, alongside insight that they themselves gathered during the procurement process about what works well and what needs to be improved in the local system. They will continue this dialogue through the mobilisation phase via the mechanisms outlined in Section 3 above. 4.4 Virgin Care established links with key providers during the procurement process and are now continuing conversations with these providers including Burton Hospitals NHS
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Foundation Trust, Staffordshire and Stoke on Trent Partnership Trust, Staffordshire Doctors Urgent Care, Age UK, Derby Hospitals NHS Foundation Trust and Primary Care amongst others. 4.5 Virgin Care are keen to develop the service model in collaboration with existing and new providers and will continue these conversations with key providers and patients over the summer and autumn months. 4.6 Meetings with the key union representatives and also open meetings for nursing and therapeutic staff from the main provider Trusts have been held to provide them with the opportunity to ask questions of the CCG and Virgin Care. These were well attended and more dedicated events for staff are planned for the future. 4.7 The CCG recognises its statutory responsibility to continue to engage and consult, if required, on any proposed significant service change. The CCG and Virgin Care will continue an ongoing dialogue with the Healthy Staffordshire Select Committee as plans develop. It is anticipated that we will be able to share further detail on the model and timelines for implementation with the Committee in October 2015. Link to Trust’s or Shared Strategic Objectives The CCG’s approach is consistent with national policy and the Staffordshire Health and Wellbeing Strategy. Link to Other Overview and Scrutiny Activity This paper follows previous attendance by the CCG at the Health Select Committee on the 21st October 2013, 11th August 2014, 5th December 2014 and the letter sent to Cllr Kath Perry on 18th February 2015. Community Impact The impact of the Contract on the community will be through the commissioning of an outcomes based contract which will improve outcomes and life experiences for patients and their families. Contact Officer Name and Job Title: Emily Davies, Commissioning Programme Manager Telephone No.: 01283 507167 Address/e-mail: [email protected] Appendices/Background papers
Public and Patient Engagement From 2012 to 30 June 2015
Helping local people to live more independent, healthier lives [7]
Improving Lives: Public and Patient Engagement From 2012 to 30 June 2015 Since being in shadow form in 2012, East Staffordshire Clinical Commissioning Group (ESCCG) has been gathering the views of patients, carers and stakeholders on the main local health care issues. All of this work has helped the CCG to identify the care of those people with long term health issues and the care of the frail elderly as key priorities and to develop its vision for improving their lives. This programme of work was given the title of Improving Lives in August 2014 to make it easily identifiable and memorable.
When? What? What was the purpose? Who was involved? What was the resulting learning/outcome?
Documents
13 July 2012 and 10 Oct 2012
ESCCG Stakeholder Events in Burton and Uttoxeter
To discuss ‘How are we going to work together to meet the challenges of a new NHS locally?’
Key stakeholders including patients, providers and voluntary sector representatives.
The priorities for ESCCG - including long term health conditions and more integrated care - were determined.
See pp 61-68 of
Comms-
Engagement-Plan.pdf
20 Aug 2012 Communications and Engagement Workshop
To shape the CCG’s vision for engaging with patients and the public.
Representatives from Patient Participation Groups, CVS and LINks
Identified key stakeholders /methods of communicating and engaging.
See pp 56-60 of Comms-Engagement-Plan.pdf
When? What? What was the purpose? Who was involved? What was the resulting learning/outcome?
Documents
Feb 2013 West Midlands Quality Review of Long Term Conditions Pathways
The aim of the standards and the review programme is to help providers and commissioners of services to
This visit was organised by WMQRS on behalf of the West Midlands Long-term Conditions
The ESCCG was able to use the insights from patients and the public in developing its vision.
Care-of-Adults-with-Long-Term-Conditions.pdf
improve clinical outcomes and service users’ and carers’ experiences by improving the quality of services.
Care Pathway Group. It involved insights from patients and the public.
The major concern was that pathways across primary, secondary and community care were not integrated.
Care-of-Adults-
with-Long-Term-Conditions-Appendix-2.pdf
May/June 2013
Two Patient Engagement Meetings held as part of the Diabetes Review
Formed part of the Diabetes service review.
Diabetes UK group and patients living in Uttoxeter with Diabetes.
Helped development of the vision.
21 Oct 2013 Report to and attendance at Staffordshire County Council Healthy Staffordshire Select Committee held in public
To explain the CCG’s work on Intermediate Care/Frail Older People and Long Term Conditions.
Tony Bruce, Charles Pidsley
Members agreed unanimously that they were in support of the proposals put forward by the ESCCG and thanked the CCG for bringing them to the committee at an early stage. The CCG expressed intention to build further on the engagement already undertaken so that the decisions taken will have been influenced by and will command the confidence of patients. RESOLVED – that the recommendations
Agenda and Minutes (Agenda item 5; Section 39 of minutes)
Helping local people to live more independent, healthier lives [9]
contained in the report be supported by the Committee.
When? What? What was the purpose? Who was involved? What was the resulting learning/outcome?
Documents
7 Nov 2013 Patient Engagement Event
Event, held at Burton Library to listen to patients with long term conditions.
Patients with long term conditions.
This event provided key insights and the information was used to develop the strategy and vision.
ESCCG Report of
patient listening event 7 11 13.pdf
13 Nov 2013 Patient Listening Event
This event at Branston Golf Club, Burton, was focused on the quality agenda, following Burton Hospitals NHS Trust being identified as a ‘Keogh’ hospital.
Patients and members of the public.
Long Term Condition management and support was raised in some groups and the feedback used by the CCG.
20 Nov 2013 Long Term Conditions Stakeholder Event
To gather views on the current provision of services for long term health issues. This event was to test the feasibility of the CCG’s vision for patients with long term conditions for the future. It was part of the Prior Information Notice (PIN) process to establish the feasibility of the vision, outcome based contracting, draft outcomes framework and commissioning using the Prime Provider model.
This included patients, voluntary sector, NHS and private providers and commissioners.
The key learning was that the Prime Provider model was sound and achievable. It was endorsed by patients and carers. Commissioning to an outcome based framework would provide an opportunity to tailor services to patient need and allow and promotes innovation in the service delivery model.
Documented in
ESCCG Report to Governing Body June 20141.pdf
A number of organisations had experience of or expressed an interest in the prime contractor role. The prime contractor role provides an improved experience for patients by integrating pathways of care/support and can drive integration through moving organisations to a shared vision and core value set. Voluntary Sector participants are keen to be an equal partner and an integral part of any future developments. A significant number of credible specific service providers engaged in the PIN processes and are keen to be a part of any future integrated service model.
Helping local people to live more independent, healthier lives [11]
There is significant overlap between LTC/FE/IC provision, with multiple services supporting the same individual. A population based approach with a simple definition of what is in and out of scope would reduce complexity and would enable a single prime contractor contract, preventing arguments between prime contractors and proactively encourage the delivery of holistic provision to the individual.
27 Nov 2013 Intermediate Care/Frail/Elderly Stakeholder Event
This was an Experience Led Commissioning (ELC) Positive Futures Planning Event which took place in Tamworth. Again, this was to test the feasibility of the vision for intermediate care, outcomes based commissioning, the Prime Provider model and included a draft outcomes framework.
The event involved a range of stakeholders, including people who use services, family carers, community groups, the voluntary sector; a range of NHS and private sector providers and commissioners
Conclusions were that the model and the approach were feasible. The community’s recommendations were fed back to ESCCG’s GP Steering Group and Governing Body and influenced its decision making when planning its main priorities for
Analysis-of-ELC-
Programme-Data (1).pdf
the coming years. The report of the event was shared with bidders to help inform the development of solutions.
Dec 2013 The Commissioning Support Unit (CSU) Experience Led Commissioning (ELC) team spent four days working with people with experience of using intermediate care services and their family carers, whom they met in a number of care settings
To gather the experiences of patients and their carers on: What current experience looks
like
What their desired experience looks like
What matters most to patients and carers.
People with experience of using intermediate care services and their family carers
The essence of the feedback was that the essence of good intermediate care is that patients and carers should feel ‘confident’, ‘supported’, and ‘safe’. (The participants in the intermediate care group also live with long-term health issues, and so the raw data from this work has been re-analysed and combined with further insights into the lived experiences of those with long-term conditions gathered in July 2014.)
Results captured in the above report
When What? What was the purpose? Who was involved? What was the resulting learning/outcome?
Documents
3 Dec 2013 East Staffordshire Borough Council
Update on the transformational change for
Councillors and CCG reps: Charles Pidsley,
The Committee resolved to
Agenda and minutes
Helping local people to live more independent, healthier lives [13]
Scrutiny meeting held in public
intermediate care, long term conditions and the frail elderly.
Tony Bruce, Nicola Harkness, Emily Davies.
support the CCG’svision for the transformation of local healthcare for intermediate care and care of frail older people and for people with one or more long term conditions, in order to address the impact of a growing elderly population on the provision of healthcare in East Staffordshire.
3 March and 7 April 2014
Patient Board Meetings
Attendance by ESCCG staff to discuss the long term conditions and frail/elderly project and its aims.
Patient Board Members Patient Board briefed and discussion around the work and future public events.
11 June 2014 Email letter To explain the CCG’s vision for services for long term conditions, intermediate care and frail elderly and the procurement process.
Patient Board, District Patient Group, voluntary sector, Overview and Scrutiny, public membership etc
Long-Term-Conditions-Intermediate-Care-and-Frail-Elderly-Services-Letter.pdf
11 June 2014 Media Release To explain the CCG’s vision and launch the Pipeline Notice to gain expressions of interest from organisations in the Prime Contractor model.
Local community Press Release 11 June 2014 Burton Mail coverage
19 June 2014 Call to Action/ Join the Debate Event
This event for the general public was held at the Pirelli Stadium. As well as updating the public on the work of the CCG over its first year, the CCG launched its procurement to the public, who were asked to comment on the overall vision for improving lives in East Staffordshire. 71 people participated in this event.
Local public and patients
The feedback influenced how the CCG would involve communities in developing the outcomes for the contract the CCG intends to award in 2015 and how it expects the Prime Contractor to engage with the East Staffordshire community going forward.
Agenda, feedback and themes
When What? What was the purpose? Who was involved? What was the resulting learning/outcome?
Documents
23 June 2014 District Patient Group Opportunity for the Chair of the DPG and Lay Member of the Governing Body, Ann Tunley, to check that members understood the CCG’s vision and ask for any questions.
District Patient Group members
26 June 2014 Governing Body Meeting
Report summarising the work so far on long term conditions and frail elderly.
Meeting held in public ESCCG Report to
Governing Body June 2014.pdf
Helping local people to live more independent, healthier lives [15]
Late June / July 2014
The CSU ELC team spent five days interviewing people with experience of living with long term health issues
This further outreach work was undertaken to broaden the sample to include younger people living with long-term health issues who were notably absent from earlier work.
People with experience of living with long term health issues ; both those work do not work and those who still work.
Informed the Improving Lives plan/ outcomes for the contract and shared with the bidders to inform solutions. Key insights can be found in the summary document.
Appendix-One-
Experience-led-insights-people-living-with-long-term-conditions-in-East-Staffordshire.pdf
11 Aug 2014 Staffordshire County Council - Healthy Staffordshire Select Committee
Opportunity to brief the committee members and answer questions on Improving Lives
Committee members and members of the public.
The Committee noted the work and engagement undertaken to date. The CCG offered a workshop meeting to discuss further.
Report and minutes
When What? What was the purpose? Who was involved? What was the resulting learning/outcome?
Documents
14 Aug 2014 Improving Lives Workshop for Peer Support Group Organisers
This workshop gave the CCG the chance to hear from organisers of support groups about the role that peer support groups can play in supporting patients and their carers .
Around 30 representatives of support groups and health-related charities attended.
Feedback will be used to progress peer support networks. The CCG needs to be on the large amount of work already being undertaken by voluntary sector to support people to manage their conditions.
Improving-Lives-
Support-Groups-
Workshop-14-August-2014[.pdf
14 Aug 2014
Newsletter Article To update Public Members Summer-2014-
Newsletter.pdf
Sep 2014 Lay Representatives appointed to Improving Lives Programme Board
To have patient and carer representation on the Improving Lives Programme Board to ensure that the CCG listen to and act upon patient/carer views and experiences.
The CCG enlisted the help of Healthwatch Staffordshire in making these appointments.
Rachael Proudlove and John Bentley appointed.
Patient-Care-Reps.pdf
24 Sep 2014 East Staffordshire Borough Council – Healthier Communities and Older People Committee
To update and answer questions.
Committee members. Meeting held in public.
The Committee advised the CCG representatives that they had provided significant reassurance that they had engaged with the service users/providers and general public, in carrying out the consultations for this proposal so far. They were pleased at the positive nature of the presentation and requested that the CCG keep the Committee updated on future developments.
Link to minutes of meeting
When What? What was the purpose? Who was involved? What was the resulting learning/outcome?
Documents
25 Sep 2014 Annual General Meeting (Governing
To update and answer questions.
Meeting held in public. CCG keeps Improving Lives as a standing
Minutes not yet available
Helping local people to live more independent, healthier lives [17]
Body) agenda item on all Governing Body meetings.
2 Oct 2014 Diabetes UK event
To present and answer questions on Improving Lives.
Local patients with diabetes.
Diabetes UK
event 02 10 2014.pdf
23 Oct 2014 An ELC event for working people with long term health issues.
To explore what needs to happen so that these people keep well and can live life to the full.
Working People with Long Term Health Issues.
The insights and emerging findings informed the Improving Lives plan and were shared with the shortlisted bidders to inform their solutions.
See 12 November for report.
When What? What was the purpose? Who was involved? What was the resulting learning/outcome?
Documents
29 Oct 2014 Briefing Note To update on the Improving Lives procurement and announce the names of the shortlisted bidders.
Patient Board, District Patient Group, voluntary sector, Overview and Scrutiny, etc.
Improving-Lives-
Briefing-29-October-2014.pdf
29 Oct 2014 Media Release To update on the Improving Lives procurement and announce the names of the shortlisted bidders.
Public/ local community.
PRESS-RELEASE-
FOR-ISSUE-MIDDAY-WEDNESDAY-29-OCTOBER-2014 (1).pdf
12 Nov 2014 Interviews with working people with
To speak to more working people to gather their views.
People with experience of living with long term
FINAL INSIGHTS
WORKING
long term health issues
health issues who work.
PEOPLE LTC East Staffs CCG v1 1411141.pdf
17 Nov 2014 Meeting with Dr Charles Pidsley
To answer questions and update on Improving Lives
Patient Board members.
19 Nov 2014 ELC Challenge Event To ensure that patients’ views have been considered and are reflected
Improving Lives project team and lay representatives.
20 Nov 2014 Community Leaders Event
To give community leaders the opportunity to hear from and meet with representatives from the two shortlisted bidders.
Community Leaders, Patient Board, DPG, Support Group organisers
Invitation to
Community Leaders Event.pdf
When What? What was the purpose? Who was involved? What was the resulting learning/outcome?
Documents
21 Nov 2014 Newsletter Article To update on the project.
Public Members Autumn-2014-Newsletter.pdf
27 Nov 2014 Comms & Engagement Group Meeting
To discuss stakeholders and the format of future public events.
Chair and Vice Chair of Patient Board plus the two lay representatives of the IL Programme Board.
Added to list of local stakeholders and support groups and developed outline plans for future events.
2 Dec 2014 Email Invitation To invite and publicise 15 January public event.
Patient Board, District Patient Group, voluntary sector, Overview and Scrutiny, public membership etc
ESCCG Invitation
to Improving
Lives Event 15 Jan 2015.pdf
Helping local people to live more independent, healthier lives [19]
3 Dec 2014 Patient Board meeting
To discuss Improving Lives and introduce the two lay representatives to Patient Board.
Patient Board members, Lay Patient and Carer Representatives.
4 Dec 2014 Media Release To publicise Improving Lives public update event on 15 January
Community and public. Press Release 4 Dec 14
5 Dec 2014 Staffordshire County Council - Healthy Staffordshire Select Committee
Opportunity to brief the committee members and answer questions on Improving Lives
Committee members and members of the public.
Resolved that CCG would return to Committee in April 2015 and would meanwhile supply further information on outcomes framework, finances and engagement.
Agenda and Minutes (Agenda item 3; Minutes section 49)
When What? What was the purpose? Who was involved? What was the resulting learning/outcome?
Documents
11 Dec 2014 Comms & Engagement Group Meeting
To discuss the format and content of the January public event.
Chair and Vice Chair of Patient Board plus the 2 Lay Representatives of the IL Programme Board
Developed format for January event
13 Jan 2015 Comms & Engagement Group Meeting
To review the format and content of the January public event.
Chair and Vice Chair of Patient Board plus the 2 Lay Representatives of the IL Programme Board
Finalised arrangements for 15 January public event.
14 Jan 2015 Staffordshire Healthwatch Board meeting
To update on Improving Lives and answer questions.
Nicky Harkness and Emily Davies .
Offered to attend future meetings and asked for suggestions on ways of
HealthWatch 14 01 2015.pptx
extending engagement.
Healthwatch ELC.pdf
15 Jan 2015 Public Meeting at Burton Town Hall
To update and to give local people the opportunity to ask questions and express views. 85 members of the public attended.
Charles Pidsley, Tony Bruce, Governing Body members, Patient Board and Lay Representatives of IL Programme Board.
CCG gained a better understanding of patients’ and local peoples’ concerns and views.
Burton Town Hall - Slides Open Conversation Summary Additional Q&As Burton Mail coverage
When What? What was the purpose? Who was involved? What was the resulting learning/outcome?
Documents
29 Jan 2015 Alrewas Patient Participation Group Improving Lives Event
To update and to answer questions from local people, in particular, Patient Group members, and hear their views.
Dr Charles Pidsley, Dr Chris Gunstone, Tony Bruce and representatives from shortlisted bidders: Virgin Care and Optum.
Further learning gained from the views expressed and the questions posed.
Questions & Answers
Burton Mail coverage
2 Feb and 23 Feb 2015
Comms & Engagement Group Meeting
To review the January public event and plan March event and review brochure contents.
Chair and Vice Chair of Patient Board plus the 2 Lay Representatives of the IL Programme Board
Changes to format for March public meeting and amendments to brochure content.
4 March Public Meeting at Uttoxeter Racecourse
To update and to give local people the opportunity to ask questions and express
Charles Pidsley, Tony Bruce, Governing Body members, Patient
CCG gained a better understanding of patients’ and local
Uttoxeter Slides Open Conversation
Helping local people to live more independent, healthier lives [21]
views. Around 35 members of the public attended.
Board and Lay Representatives of IL Programme Board.
peoples’ concerns and views.
Summary Additional Questions & Answers Uttoxeter Advertiser coverage
When What? What was the purpose? Who was involved? What was the resulting learning/outcome?
Documents
13 March Publication of booklet Improving Lives – the story so far
To summarise the Improving Lives work and share the outcomes framework for the contract.
CCG and patient representatives.
Patients and public had the opportunity to see the outcomes framework for the contract.
Brochure
25 March Briefing for all Stakeholders/ Media
Email briefings/Press release Announcement of award of contract to Virgin Care
CCG Public aware that Virgin Care had been awarded the contract.
Press release
7 April Briefing for Stakeholders
Email briefing giving information on why the CCG was giving notice on some contracts.
CCG A better understanding that the giving notice was part of the process towards Virgin Care’s contract in 2016.
Briefing
30 April Governing Body meeting in public
To update on Improving Lives CCG Opportunity for public to hear update and ask questions.
Board Report on Page 31
12 May Briefing note for all stakeholders
To update all stakeholders on the programme.
CCG and Virgin Care Update on progress. Briefing
15 May Stand at Uttoxeter 50s plus event
To meet public, answer questions and share information.
CCG and Virgin Care Public had opportunity to meet Virgin and CCG and ask questions.
19 May Public Meeting in Burton at Pirelli Stadium
To update the public, introduce the Virgin Care team, answer questions and hear views.
CCG and Virgin Care Over 100 members of public/patients had the opportunity to ask questions and meet Virgin Care and the CCG team.
Slide Presentation Questions & Answers
When What? What was the purpose? Who was involved? What was the resulting learning/outcome?
Documents
3 June Stand at Diabetes UK event in Burton
To meet public, answer questions and share information.
CCG and Virgin Care Public and patients had opportunity to ask questions and meet some of the team.
18 June Stall at De Ferrers School event
To meet pupils and public, answer questions and share information.
Virgin Care Pupils and public had opportunity to ask questions and meet some of the team.
20 June Stand at Tutbury Health and Wellbeing Open Day
To meet public, answer questions and share information.
Virgin Care and CCG Public had opportunity to meet Virgin and CCG and ask questions.
25 June AGM and Governing Body in public
To share information and give public opportunity to ask questions.
CCG Opportunity for public to hear update and ask questions.
Our Achievements 2014/15 Board Report Page 33
Improving Lives: Update 20 July 2015 Improving Lives is focused on supporting residents of East Staffordshire with long-term health conditions and the frail elderly to:
ohave more control over their own care ohave improved health outcomes oimprove their experience of living with their long-term conditions.
From April 2016, Virgin Care will manage the Improving Lives programme and will be responsible for working with all of the partners locally to arrange for services within the Improving Lives Programme to be delivered.
There are nine months until Virgin Care’s contract formally starts so the services won’t change at all for the moment. The mobilisation phase, i.e. the months leading up to next April, is progressing well.
Virgin Care are actively engaging with local providers of services and will continue to do so over the summer/autumn months to ensure smooth transition.
Virgin Care will also be talking to other local groups interested in supporting the Improving Lives programme. These discussions are at a very early stage, so limited details can be shared at the moment. As soon as there is more clarity and confirmed details these will be shared. Virgin Care are keen to get moving though, and as the CCG’s like-minded and trusted partner, are already speaking with a wide range of organisations and patient groups.
VC will continue to listen to patients and staff, to learn what works well and to incorporate all of this in their plans for the service.
While Primary Care services are not within the scope of this contract, GPs will continue to be engaged over coming months to ensure that they are closely aligned and involved in this programme.
The CCG and Virgin Care will continue the dialogue with local people, charities, voluntary groups and clinicians to make sure that are involved in the development of these services and the improvements deliver better outcomes for patients and staff.
Around 50 members of the public attended the meeting in Uttoxeter on 7th July and over 100 came to the Pirelli Stadium in Burton in May. More public events are being planned for the autumn.
While details of the implementation of the Improving Lives programme are still being worked through, it is possible to outline some of Virgin Care’s priorities, which include:
1. Improve the experience that patients and their carers have 2. Reduce unnecessary admissions to hospital 3. Integrate services 4. Embrace different approaches and providers 5. Engage the public in the shape of the services
Improve the experience that patients and their carers have VC will introduce integration across IT systems into the community teams so patients do not have to repeat their story over and over again.
Devise a robust information and education pathway with expert patients, and support delivery of this through voluntary sector.
Extend Carer’s Club to support carers.
Reduce unnecessary admissions to hospital VC will introduce risk assessment of ‘frequent flyers’ and ensure proactive community care through care coordinators to help people stay well and healthy at home.
There is a need for mental health professionals to play a role (even though it falls outside of the scope of this contract), as more than 25% of people over the age of 65 admitted through A&E have a mental health condition (dementia being the most common).
Greater provision of care in the community, closer to home.
Integrate services There will be roles for specialist GPs focused on specific Long Term Conditions.
Introduce data analytics to identify ‘at risk’ groups and proactively target them with support.
Create single access points to make getting through to the right person easier.
Also creating an integrated health and care record, supporting patients to only have to tell their story once and making sure all of a person’s health professionals have the right information at the right time.
Helping local people to live more independent, healthier lives [25]
Embrace different approaches and providers Establish care coordinators to support people with their care.
Enable staff with mobile working technology to improve community based care.
Subcontract to voluntary sector organisations and involve them more closely in care pathways.
Engage the public in the shape of the services
VC will be setting up a Citizens’ Panel to ensure the services offer the very best outcomes for patients and that all local residents have the opportunity to be informed, asked or involved in the design of the services.
Patient feedback will be measured in innovative ways. VC are a feedback focused organisation and were one of the first providers to introduce the Net Promoter Score into their services and were the first provider to get more than 1 million pieces of patient feedback. There will be a variety of different feedback methods that suit different groups.
Continue meeting with public in open meetings, to hear views and act upon them.
Virgin Care’s solutions may include:
• offering people access to local support networks where they can meet and socialise, either face to face or online, with others who have similar conditions
• targeted education programmes which provide information and support to enable people to make better lifestyle choices
• tailored telephone helplines led by clinically trained professionals which will offer information and support to people during difficult times
• Supporting more people earlier in the management of their condition
• Where appropriate, using modern techniques such as Telehealth, Skype, Mobile Apps and the Internet
• Helping those people who want to and are able, to self-care through education and skills development.
More information can be found at http://www.eaststaffsccg.nhs.uk/improving-lives
Any questions about Improving Lives or comments or ideas can be emailed to