1. Chester Ellesmere Port & Neston Rural Making sure you get the healthcare you need Primary Care CQUIN PPG Chairs Meeting – 20 th April, 2015

2. Making sure you get the healthcare you need  The standard GP Contract is commissioned by NHS England (although CCGs are now looking to do this in partnership with the advent of co-commissioning)  The CCG can commission additional services over and above what is considered standard practice  One of these schemes is the Primary Care CQUIN (or Commissioning for Quality and Innovation Scheme) What is a CQUIN?

3. Making sure you get the healthcare you need  In the past, the CQUIN asked GP Practices to carry out additional tasks for certain long-term conditions:  Cancer  Respiratory conditions  Recording incidents  Dementia Friends  The requirements often meant GP Practices had to make additional administrative submissions in addition to clinical input What was in the previous CQUIN?

4. Making sure you get the healthcare you need  Patient feedback has told us that care needs to be more integrated, so that the patient does not need to tell their story multiple times to different health care professionals, especially when they are feeling vulnerable  GP Practices are telling us that they are increasingly busy, due to an ageing population and the need to move care into the community Why is the CQUIN changing?

5. Making sure you get the healthcare you need  The CQUIN in 2015/16 aims to meet the challenges and feedback given to the CCG by patients and GP Practices  It does this by improving the integration of care for those patients that are at most need and use our local health care services the most  By asking GP Practices to work in partnership with other health care providers, the most vulnerable patients can be cared for in the community, and supported to return home when they have been into hospital The CQUIN in 2015/16

6. Making sure you get the healthcare you need  The Primary Care CQUIN aims to achieve the overall NHS outcomes that have been translated into 7 local “Deliverables” Outcomes NHS Strategic OutcomesWest Cheshire CCG Deliverables Preventing people from dying prematurely (additional years of life for those with treatable mental and physical conditions) Safer Services and Avoidable Mortality Keeping patients in our care protected from avoidable harm (eliminating avoidable deaths in our hospitals) People with LTCs getting the best quality of life (for those with one or more LTC including mental health) Increasing patient empowerment and self-care Increase provision of care closer to home Patients are able to recover quickly and successfully (reducing time people spend in hospital, integrating community care and increasing proportion of elderly people living independently following discharge from hospital) Reducing avoidable admissions and readmission to hospital Integrated care (through case management, care planning and risk stratification) Improved continuity of care Patients have a great experience of all their care (increasing the number of people having a positive experience of hospital care and care outside the hospital) Improved patient experience

7. Making sure you get the healthcare you need  The CCG will not require GP Practices to make administrative submissions to evidence that they have achieved these outcomes  Instead, the CCG will use available data across the whole system to see that outcomes are being achieved by all Providers  The outcomes are the same for Community Services, the Countess of Chester Hospital and local GP Practices working together in Clusters via their Integrated Teams The Whole System

8. Making sure you get the healthcare you need  Practices are asked to implement evidence based interventions that have been proven to improve patient outcomes  E.g. to ensure that visits to patient’s homes take place in the morning – evidence shows that by doing this, patients can stay in their own home for longer, or if they do need to be admitted to hospital, are more likely to be able to come home earlier  Practices are asked to follow a timetable (or “Milestones”) over the next 12 months Milestones

9. Making sure you get the healthcare you need  As part of these milestones, Practices are asked to speak to their patients and PPG about their plans and ensure the services they implement reflect patient need and experience  The CCG will be talking to each Cluster of Practices every quarter to ensure they have engaged with their patients and are implementing services in the right way  Also, Clusters will be measured by their patient satisfaction rates and responses to the GP survey (in addition to other quantitative data sources) How can patients get involved?

10. Making sure you get the healthcare you need  The Patient Leader for Primary Care (Ken Salter) has already been involved with the development of this scheme  However, Ken felt that PPGs may have additional ideas of how patients can get involved with the Primary Care CQUIN and ensure feedback is received throughout the year  If you have any comments, please share these with us today or contact:  Tanya.jefcoate-malam@nhs.net Tanya.jefcoate-malam@nhs.net  01244 650300 Next steps and further information

11. Making sure you get the healthcare you need Thank you