Highlights for Arden & GEM CSU by Anne Gray, Knowledge Officer, Arden & GEM CSU
Papers available here. Video will be available here:
Agenda
1. Minutes of the Previous Meeting
2. Chairman’s report
3. Chief Executive’s report
4. Expansion of the GP International Recruitment - Programme implementation plan
5. NHS performance and progress on implementation of ‘Next Steps on the NHS Five Year Forward View’
6. Consolidated month 4 2017/18 financial report
7. Update on winter resilience preparation 2017/18
8. Report on the use of the NHS England seal
9. Reports from Board Committees
i. Commissioning Committee
ii. Investment Committee
iii. Specialised Services Commissioning Committee
iv. Audit and Risk Assurance Committee
Highlights :
4. Expansion of the GP International Recruitment - Programme implementation plan
- The number of GP vacancies reported via NHS Digital from 1 April 2015 to 31 March 2016 was 308. This was based on data provided by just 16% (1,246) of practices….From 1 October 2017, practices will be required through the 2017/18 GP contract to allow collection of data relating to the NHS Digital Workforce Census.
- The Government has set an objective of an extra 5,000 doctors working in general practice by 2020.
- A GP International Recruitment Office will be set up by the beginning of November to organise and run this scaled up international recruitment operation. The Office will work with regional and local teams and communities to connect international doctors with local practices. NHS England will continue to invite proposals from STPs and CCGs, coordinated on behalf of local practices by the end of November to be part of this expanded national scheme.
5. NHS performance and progress on implementation of ‘Next Steps on the NHS Five Year Forward View’
- Focus on the progress in addressing the priorities identified in ‘Next Steps’: • Urgent and emergency care • Primary care • Cancer • Mental health • Integrating care locally
- Highlights
- All acute trusts should have a front-door primary care streaming service in place by October 2017
- There should be 24 hour ‘Core 24’ mental health teams in A&Es in nearly half of acute hospitals by March 2019
- Enhanced GP access to all country by March 2019
- It was noted that while Q1 activity is as planned, cost per case has increased.
- A range of key initiatives will be put in place to support financial performance, including availability of a “Memorandum of Opportunities”, initially developed in Midlands and East but to be rolled out nationally, with efficiency programmes and case studies.
- A&E attendances growth YTD is at 0.9%, below the medium term growth rate of around 2.0%.
- GP referrals growth YTD is at -1.1%, below the long term growth rate of 4.0-5.0%.
- 50% of the population will have access to evening and weekend primary care appointments by March 2018, expected 100% by March 2019.
- NHS 111
- Move from an ‘assess and refer’ to a ‘consult and complete’ model of service delivery to reduce subsequent A&E attendance. (See service specification 25 August 2017)
- All CCGs have been set a target that at least 30% of calls should receive clinical input. Target March 2018 – 50%.
- By October 2017, all Type 1 A&E departments should have a primary care streaming service. Note - this is not seen as a long term solution.
- The importance of ‘flu vaccination in light of the experience of the strain currently circulating in the Southern Hemisphere (H3N2) which particularly impacts the elderly.
- Significant increase in delayed discharges - 40% in the last three years – a key focus will be timely CHC assessment.
- In-hospital processes
- a new Emergency Flow Improvement Tool (EFIT) which plays trust data back from a patient pathway perspective (alpha testing is underway and the beta version was launched at Expo in September).
- NHS Improvement’s General Surgery GIRFT project has stated that engagement by consultant surgeons in A&E departments can reduce, by one-third, the number of general surgery emergency admissions where no operation is delivered.
- There is ongoing consideration of a “continuous monitoring and influencing model” to manage the changes required by winter conditions in hospitals, possibly by different pathways through the system.
Date of Next NHS England Board meeting: 30 November 2017
