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Adult Integrated Commissioning |
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Category |
Description 19/20 commissioning intention |
Objective e.g. procurement, service review, service redesign, pathway redesign, evaluation, Report with recommendations, business case (etc) |
Suggested Timeframe / Target completion date |
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Urgent and Crisis Care |
Ongoing development and delivery of a robust integrated urgent care model in line with the expectation of the Five Year Forward View
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Service redesign/national mandate/ implementing national model |
IUC Model 31.03.19 Ongoing with improvements |
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Urgent and Crisis Care |
Fully Operationalise the Urgent Treatment Centre and monitor progress:
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Service redesign and evaluation |
Q1 for NWAS Q3 for evaluation CCG |
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Urgent and Crisis Care |
GP Streaming |
Pathway redesign |
Q2 – 19/20 |
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Urgent and Crisis Care |
GP OOH additional services
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Service review |
Q4 – 18/19 |
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Urgent and Crisis Care |
Same Day Urgent Care Community and Acute; priority pathways and processes for improvement |
Review and pathway redesign |
19/20 |
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Urgent and Crisis Care |
Digital Health |
Business Case |
Q3 19/20 |
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Community and primary care management |
Integrated Therapy Review |
Service review and recommendation / pathway redesign |
19/20 |
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Community and Primary Care Management |
Moving and handling assessments |
Replace use of Personal Care Consultancy with Contact cares occupational therapists |
March 2019 |
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Community and Primary Care Management |
Hospital Avoidance Car
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Review and business case for continuity of service beyond contract expiry March 2020 |
September 2019 |
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Community and Primary Care Management |
Out of Hospital Locality Teams
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Pathway redesign, service review and evaluation |
19/20 |
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Community and Primary Care Management |
Risk Stratification and MDT approach |
Evaluation, report with recommendations for future model at scale |
19/20 |
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Community and Primary Care Management |
Respiratory Model Redesign |
Improve patient outcomes and use existing local system investment to strengthen community provision |
Q4 19/20 |
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Community and primary Care management |
Out of Hospital – Specialist Nursing pathways (Cardiology) |
Embed StHK new service changes |
March 2019 |
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Community and Primary Care Management |
Out of Hospital- Specialist Nursing Pathways Services |
Pathway redesign, service review and evaluation |
19/20 |
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Community and Primary Care Management |
IV Therapy Service |
Service redesign |
April 2019 |
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Community and Primary Care Management |
Tissue Viability |
Embed new StHK service changes |
March 2019 |
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Community and Primary Care Management |
Lymphedema |
Redesign and Procurement with Liverpool, Halton, Knowsley |
March 2020 |
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Community and Primary Care Management / Urgent Care |
Supporting independence by Improving Discharge Pathways and community response to support admissions avoidance: · Reablement / Domiciliary Care · IDT review · Trusted Assessor and Home first approach · Intermediate Care |
Service review and pathway redesign |
19/20 |
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Community and Primary Care Management / Urgent Care |
Review of the `domiciliary care’ model. |
Redesign and potential procurement. |
19/20 |
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Community and Primary Care Management / Urgent Care |
Develop a Care Home Strategy |
Development of a market position statement and local system aligned approach to care homes |
September 2019 |
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Community and Primary Care Management |
Frailty Model |
Continue to develop existing service and extend frailty model |
March 2020 |
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Community and Primary Care Management |
End of life |
Improve implementation of advanced care planning |
March 2020 |
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Community and Primary Care Management |
Single Handed Care |
Pilot single handed care with dom care providers |
March 2020 |
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Community and Primary Care Management |
Homelessness service review |
Service redesign |
September 2019 |
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Community and Primary Care Management |
Third sector contracts |
Contract monitoring and continued service redesign |
March 2020 |
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Community and Primary Care Management |
Transitional Beds |
Healthcare Partnership bid monies priority |
19/20 |
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Planned Care |
Demand Management (RMS)
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Use to facilitate advice and guidance, support reduction in C2C, increase range of triagers, Review of clinical triage model with recommendations for future model |
19/20 |
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Planned Care |
Demand Management (CQUIN- Advice and Guidance) |
This will go via the RMS, see above |
19/20 |
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Planned Care |
Demand Management (Criteria based clinical treatments): phase 3 |
New pathways, equality of access, phase 3 review and update complete. Implementation of NHSE pathways |
19/20 |
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Planned care |
Demand management in primary care MSK first contact practitioners |
New pathways |
19/20 |
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Planned Care |
Dermatology Integrated Pathway |
Begin service redesign in collaboration with StHK, implementation of NHSE national transformation program for dermatology |
19/20 |
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Planned Care |
Ophthalmology |
Implementation of national transformation program for ophthalmology (links to CfV) |
19/20 |
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Planned Care |
Diabetes |
Implementation of national transformation program for diabetes (links to Transformation Funding Bid) |
19/20 |
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Planned Care |
ENT Integrated Pathway |
Continued service redesign and enhancement of community offer |
19/20 |
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Planned Care |
Continue with implementation of Cancer Strategy 2017-2020 |
Revised pathways and earlier detection |
19/20 |
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Planned Care |
Reducing variation and demand management: |
Review of consultant to consultant, deep dive of FTFU in key specialties, review of surgery rates in key specialties |
19/20 |
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Planned care |
Streamlining outpatient delivery - innovations |
Use of virtual clinics, telehealth and provider triage |
19/20 |
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Planned Care |
Audiology – AQP re-procurement |
Joint procurement across CCGs |
19/20 |
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Planned Care |
Podiatry services |
review and redesign |
19/20 |
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Planned Care (RightCare): |
Ophthalmology Pack – Cataracts and Macular Degeneration |
Service Review, audit and redesign |
Q2 19/20 |
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Mental Health / Community and Healthcare |
Reduce Out of Area Placements and Increase in-borough availability
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Business Case Capital funding |
Building by October 2019 - determined by CQC |
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Mental Health |
Streamline navigation of care pathways and Improved Contract performance |
Service review |
2020 |
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Mental Health |
IAPT- The existing IAPT contract will be reviewed |
Service review |
BY October 31 2019 |
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Mental Health |
Crisis Home treatment (CRHTT) |
redesign |
2020 |
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Mental Health |
111 service for mental health and a mental health triage |
New development |
2020 |
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Mental Health |
Dementia |
review |
March 2019 |
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Learning Disability |
Implementing a new model for Learning Disability support in St Helens |
Business Case/capital funding required |
2021 |
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Mental Health |
Acquired Brain Injury |
Review |
September 2019 |
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Learning Disability/ Autism |
LD - Transforming Care |
Ongoing work |
March 2019 |
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Learning Disability |
ADHD |
Service review/business case |
March 2020 |
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ASD |
ASD |
Business case/service is underfunded to meet demand |
March 2020 |
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Learning Disability |
Inpatient and Community Redesign |
Redesign and New Service |
March 2020 |
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Learning Disability/ Autism |
LCR Community Alternatives to Residential Care Project (CARC) and the development of a City Region Framework
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New Flexible Purchasing System |
Spring 2019 |
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Learning Disability/ Autism |
Re-design and Re-procurement of Adult Respite Services Review
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Redesign and Re-Procurement |
Sept 2019 |
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Carers |
Re-design and Re-procurement of a Carers Service for St Helens
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Redesign and Re-Procurement |
Sept 2019 |
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Mental Health |
Core 24 Liaison
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Monitor delivery as it’s a new service |
31 March 2019 |
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Mental Health |
Peri Natal
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Use surplus funding to support this service |
March 2019 |
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Mental Health |
Acute Inpatients/Risk Transfer funding
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Redesign |
2020 |
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Mental Health |
Early Intervention
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Bid monies |
September 2019 |
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Mental Health |
Forensic Psychology |
Until there is evidence of demand this will be a spot purchase arrangement
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March 31 2020 |
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Children, Young People and Families Commissioning |
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Category |
Description 19/20 commissioning intention |
Objective e.g. procurement, service review, service redesign, pathway redesign, evaluation, Report with recommendations, business case (etc) |
Suggested Timeframe / Target completion date |
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Children Urgent and Community Care |
Children and Families Community Hub |
Regional programme: service redesign and implementation |
September 2019 |
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Maternity services |
Review of maternity provision and re-design
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Service review, redesign and implementation |
March 2020 |
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Children Urgent and Community Care |
Review and re-design of clinical pathways and services to support community based provision
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Redesign and implementation |
December 2019 |
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Looked After Children |
Implementation of dedicated LAC Health Team
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Implementation and evaluation |
June 2019 |
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0-19 HCP (Healthy Child programme) |
0-19 HCP Delivery and Improvement |
National programme implementation; service redesign |
July 2019 |
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Children and Young People Mental Health Services |
ITHRIVE |
Service and pathway redesign and implementation. (Lead provider task and finish group) |
April 2019 |
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Children and Young People Mental Health Services |
Review of support/ provision to schools |
Service review; possible procurement/ service redesign |
July 2019 |
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Transforming Care for Children and Young People |
Implementation of Transforming Care for C&YP policy and Guidance |
National programme implementation |
on-going |
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Early Help and Troubled Families programme |
Review of Voluntary sector contracts for Early Help support |
Service review |
May 2019 |
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Social Care: Missing from Home and Child Exploitation Service |
Review of Catch 22 services in line with C&YP Improvement Plan
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Service review |
July 2019 |
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Social Care: LAC-CIN Placement provision/ Dynamic Purchasing System |
Review of commissioning approach to provision of placement requests |
Service review; possible procurement/ service redesign |
September 2019 |
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Social Care: Drug, Alcohol and DNA testing: regional commissioning approach |
Drug, Alcohol and DNA testing |
Procurement option and service implementation |
June 2019 |
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SEND |
Review of Short Breaks
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Service review and procurement |
September 2019 |
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St Helens Cares |
Locality Approach for C&YP through Team Around School model
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Service redesign |
July 2019 |
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Primary Care Commissioning |
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Category |
Description 19/20 commissioning intention |
Objective e.g. procurement, service review, service redesign, pathway redesign, evaluation, Report with recommendations, business case (etc) |
Suggested Timeframe / Target completion date |
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Primary Care |
Roll out of Signposting Website to Practices
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Pathway Re-Design |
April 2019 |
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Primary Care |
Roll out of Apex/Insight in General Practice
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Service Re-Design |
April 2019 |
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Primary Care |
Implementation of a new Local Enhanced Service
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Service Re-Design |
On-going |
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Primary Care |
Procurement of GP Online Access
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Procurement |
ITT released 28th January 2019
Contract starts 28th March 2019
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Public Health Commissioning |
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Category |
Description 19/20 commissioning intention |
Objective e.g. procurement, service review, service redesign, pathway redesign, evaluation, Report with recommendations, business case (etc) |
Completion date |
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Public Health Enhanced Services in Primary Care (General Practice |
Review and commission Chlamydia Screening
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1. To undertake an analysis of current delivery 2. To form options for future service delivery models that meets patient need and supports reducing budgets 3. To ensure the most effective and quality driven services are commissioned |
31/3/20
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Review and commission IUCDs
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Review and commission Contraceptive Implants
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Review and commission NHS Health Checks
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Review and commission Shared Care Drugs
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Public Health Enhanced Services in Primary Care (Pharmacies) |
Review and commission EHC Service
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1. To undertake an analysis of current delivery 2. To form options for future service delivery models that meets patient need and supports reducing budgets 3. To ensure the most effective and quality driven services are commissioned |
31/3/20
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Review and commission Supervised Consumption
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Review and commission Needle & Syringe Service
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Review and commission NRT (Vouchers)
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Pharmacy Enhanced Service - Intermediate Smoking Cessation
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Public Health Systems |
Review the Informatica & PharmOutcomes systems
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1. To undertake an analysis of current delivery and also understand existing Primary Care systems and future needs / intentions of St Helens Cares. 2. To form options for future service delivery models that meets patient need and supports reducing budgets 3. Commission something that fits with St Helens Cares |
30/6/20 |
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Public Health Substance Misuse and associated provision
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Extend the current contract with CGL, using the additional 12-month option/s available.
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1. To continue to offer a high quality service for substance misuse 2. To undertake any service improvements as required |
31/1/20 |
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Review the GMW contract for Inpatient Detox and utilise options to extend |
1. To continue to offer a high quality service for substance misuse 2. To undertake any service improvements as required |
31/3/20 |
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Review provision delivered by Footsteps
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1. To undertake an analysis of current delivery 2. To form options for future service delivery models that meets patient need and supports reducing budgets 3. To ensure the most effective and quality driven services are commissioned |
31/3/20 |
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Review provision delivered by Hope Centre
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31/3/20 |
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Public Health Protection |
Infection Prevention & Control
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31/3/20 |
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Public Health 0 – 19 |
Vision Screening
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1. Review the service |
31/8/19 |
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Public Health Integrated Wellbeing Service |
Mobilisation of the Integrated Wellbeing Service |
1. Transfer the existing services to the successful provider 2. Mobilise an integrated service 3. Develop a new integrated model based on the new service specification |
31/3/20 |
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Public Health Sexual Health |
Mobilisation of the Integrated Sexual Health Service |
1. TUPE transfer of TAZ service into Sexual Health Service 2. Amalgamate estates into a single hub, with community spokes 3. Undertake service improvements and developments 4. Refresh the Sexual Health Strategy and develop a new action plan |
31/8/19 |
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Planned Care |
Diabetes |
1. To continue to improve Diabetes provision in St Helens (Structured Education / Treatment targets / Diabetes Inpatient / MDFT) 2. To achieve referral and initial assessment targets for Diabetes Prevention 3. To train Practice staff in Foot Screening |
31/3/20 |
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Medicines Management |
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Category |
Description 19/20 commissioning intention |
Objective e.g. procurement, service review, service redesign, pathway redesign, evaluation, Report with recommendations, business case (etc) |
Completion date |
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Medicines |
Blueteq |
Monitor ongoing roll out |
19/20 |
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Medicines |
Biosimilars |
Monitor |
19/20 |
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Medicines |
Medicines Optimisation Strategy |
QIPP |
19/20 |
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Medicines |
Prescribing Incentive Scheme |
Quarterly monitoring |
19/20 |
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Medicines |
Stoma work |
Service redesign |
19/20 |
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Medicines |
Care at the Chemist Minor Ailment Scheme
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Monitor delivery |
19/20 |
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Medicines |
Minor Eye Conditions |
Monitor delivery |
19/20 |
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Medicines |
On Demand Availability of Palliative Care Medicines
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Monitor delivery |
19/20 |