1. Annabelle Legg, Taunton Deane Primary Care Trust1 KAISER PERMANENTE IN WEST SOMERSET RE-CAP KAISER PROJECT OBJECTIVES. RE-CAP KAISER PROJECT OBJECTIVES. PROGRESS REPORT. PROGRESS REPORT. KEY ACHIEVEMENTS TO DATE. KEY ACHIEVEMENTS TO DATE. MOVING TO MAINSTREAM. MOVING TO MAINSTREAM.

2. Annabelle Legg, Taunton Deane Primary Care Trust2 PILOT PROJECT - OBJECTIVES Integration between primary and secondary care. Integration between primary and secondary care. A strong focus on quality and increased productivity. A strong focus on quality and increased productivity. Focus on patient education and self- management Focus on patient education and self- management Improved demand management, increase patient choice and improve access. Improved demand management, increase patient choice and improve access.

3. Annabelle Legg, Taunton Deane Primary Care Trust3 THE PILOT PROJECTS KEY PROJECTS Medical and social screening clinic. Medical and social screening clinic. buddy practices buddy practices Community Joint Action Group Co-ordinator. Community Joint Action Group Co-ordinator. Fluoroscope in O/P Fluoroscope in O/P K P FUNDING Acute trust - £23K Acute trust - £23K Buddy practices £3K each. Buddy practices £3K each. Ad hoc Project costs - £5K Ad hoc Project costs - £5K TOTAL funding - £40K TOTAL funding - £40K

4. Annabelle Legg, Taunton Deane Primary Care Trust4 PROGRESS PREP CLINIC STARTED FEB 2004 for 6 MONTHS. PREP CLINIC STARTED FEB 2004 for 6 MONTHS. PREP CLINIC EVALUATION REPORT PUBLISHED DEC 2004. PREP CLINIC EVALUATION REPORT PUBLISHED DEC 2004. 2 BUDDY PRACTICE WORKSHOPS HELD. 2 BUDDY PRACTICE WORKSHOPS HELD. FLUOROSCOPE EVALUATED. FLUOROSCOPE EVALUATED. JAG INCORPORATED INTO SERVICE RE-DESIGN. JAG INCORPORATED INTO SERVICE RE-DESIGN.

5. Annabelle Legg, Taunton Deane Primary Care Trust5 KP AS PART OF A COMMUNITY WIDE PROGRAMME. MSS Interface (PREP) service. MSS Interface (PREP) service. Expansion in Primary Care Physio. Expansion in Primary Care Physio. Direct Access Physiotherapy. Direct Access Physiotherapy. Community Back Pain Project. Community Back Pain Project. Somerset Referral Management Centre. Somerset Referral Management Centre. Pathways to work (Incapacity Benefit). Pathways to work (Incapacity Benefit). Independent Treatment Centre. Independent Treatment Centre. Kaiser Permanente Programme. Kaiser Permanente Programme.

6. Annabelle Legg, Taunton Deane Primary Care Trust6 KEY ACHIEVEMENTS TO DATE Access Times have reduced. Access Times have reduced. Referrals to Secondary Care have reduced. Referrals to Secondary Care have reduced. Choice for patients at point of referral. Choice for patients at point of referral. The patient seen by the right person at the right time. The patient seen by the right person at the right time. Expansion in capacity. Expansion in capacity.

7. Annabelle Legg, Taunton Deane Primary Care Trust7 MOVING TO MAINSTREAM MSS Programme part of Local Delivery Plans for 2005/06. MSS Programme part of Local Delivery Plans for 2005/06. Kaiser approach integrated into plans for long term condition management. Kaiser approach integrated into plans for long term condition management. Pilot innovative community patient self care programme for Level 1 patients. Pilot innovative community patient self care programme for Level 1 patients. Support for GPs to adopt motivational interviewing techniques. Support for GPs to adopt motivational interviewing techniques. Part of wider modernisation agenda of Improving Hospitals Partnership and 10 High Impact Changes. Part of wider modernisation agenda of Improving Hospitals Partnership and 10 High Impact Changes.