Health infrastructure for the Inner city Dr John Patterson MA MRCP MRCGP Medical Director HCH Clinical Advisor Urgent Care Oldham CCG

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%

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.