St Helens Integrated People's Services' commissioning intentions 2019-2020

The St Helens Integrated People's Services' commissioning intentions and medicines management work plan for 2019-2020 has now been finalised and is available to view here

Adult Integrated Commissioning

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

 

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

 

Service redesign/national mandate/ implementing national model

IUC Model 31.03.19

Ongoing with improvements

 

Urgent and Crisis Care

Fully Operationalise the Urgent Treatment Centre and monitor progress:

 

Service redesign and evaluation

Q1 for NWAS

Q3 for evaluation CCG

 

Urgent and Crisis Care

GP Streaming

Pathway redesign

Q2 – 19/20

 

Urgent and Crisis Care

GP OOH additional services

 

Service review

Q4 – 18/19

 

Urgent and Crisis Care

Same Day Urgent Care Community and Acute; priority pathways and processes for improvement

Review and pathway redesign

19/20

 

Urgent and Crisis Care

Digital Health

Business Case

Q3 19/20

 

Community and primary care management

Integrated Therapy Review

Service review and recommendation / pathway redesign

19/20

 

Community and Primary Care Management

Moving and handling assessments

Replace use of Personal Care Consultancy with Contact cares occupational therapists

March 2019

 

Community and Primary Care Management

Hospital Avoidance Car

 

Review and business case for continuity of service beyond contract expiry March 2020

September 2019

 

Community and Primary Care Management

Out of Hospital Locality Teams

 

Pathway redesign, service review and evaluation

19/20

 

Community and Primary Care Management

Risk Stratification and MDT approach

Evaluation, report with recommendations for future model at scale

19/20

 

Community and Primary Care Management

Respiratory Model Redesign

Improve patient outcomes and use existing local system investment to strengthen community provision

Q4 19/20

 

Community and primary Care management

Out of Hospital – Specialist Nursing pathways (Cardiology)

Embed StHK new service changes

March 2019

 

Community and Primary Care Management

Out of Hospital- Specialist Nursing Pathways Services

Pathway redesign, service review and evaluation

19/20

 

Community and Primary Care Management

IV Therapy Service

Service redesign

April 2019

 

Community and Primary Care Management

Tissue Viability

Embed new StHK service changes

March 2019

 

Community and Primary Care Management

Lymphedema

Redesign and Procurement with Liverpool, Halton, Knowsley

March 2020

 

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

 

Community and Primary Care Management / Urgent Care

Review of the `domiciliary care’ model. 

Redesign and potential procurement.

19/20

 

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

 

Community and Primary Care Management

Frailty Model

Continue to develop existing service and extend frailty model

March 2020

 

Community and Primary Care Management

End of life

Improve implementation of advanced care planning

March 2020

 

Community and Primary Care Management

Single Handed Care

Pilot single handed care with dom care providers

March 2020

 

Community and Primary Care Management

Homelessness service review

Service redesign

September 2019

 

Community and Primary Care Management

Third sector contracts

Contract monitoring and continued service redesign

March 2020

 

Community and Primary Care Management

Transitional Beds

Healthcare Partnership bid monies priority

19/20

 

Planned Care

Demand Management (RMS)

 

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

 

Planned Care

Demand Management (CQUIN- Advice and Guidance)

This will go via the RMS, see above

19/20

 

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

 

Planned care

Demand management in primary care  MSK first contact practitioners

New pathways

19/20

 

Planned Care

Dermatology Integrated Pathway

Begin service redesign in collaboration with StHK, implementation of NHSE national transformation program for dermatology

19/20

 

Planned Care

Ophthalmology

Implementation of national transformation program for ophthalmology (links to CfV)

19/20

 

Planned Care

Diabetes

Implementation of national transformation program for diabetes (links to Transformation Funding Bid)

19/20

 

Planned Care

ENT Integrated Pathway

Continued service redesign and enhancement of community offer

19/20

 

Planned Care

Continue with implementation of Cancer Strategy 2017-2020

Revised pathways and earlier detection

19/20

 

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

 

Planned care

Streamlining outpatient delivery - innovations

Use of virtual clinics,  telehealth and provider triage

19/20

 

Planned Care

Audiology – AQP re-procurement

Joint procurement across CCGs

19/20

 

Planned Care

Podiatry services

review and redesign

19/20

 

Planned Care (RightCare):

Ophthalmology Pack – Cataracts and Macular Degeneration

Service Review, audit and redesign

Q2 19/20

 

Mental Health / Community and Healthcare

Reduce Out of Area Placements and Increase in-borough availability

 

Business Case Capital funding

Building by October 2019 - determined by CQC

 

Mental Health

Streamline navigation of care pathways and Improved Contract performance

Service review

2020

 

Mental Health

IAPT- The existing IAPT contract will be reviewed

Service review

BY October 31  2019

 

Mental Health

Crisis Home treatment (CRHTT)

redesign

2020

 

Mental Health

111 service for mental health and a mental health triage

New development

2020

 

Mental Health

Dementia

review

March 2019

 

Learning Disability

Implementing a new model for Learning Disability support in St Helens

Business Case/capital funding required

2021

 

Mental Health

Acquired Brain Injury

Review

September 2019

 

Learning Disability/

Autism

LD - Transforming Care

Ongoing work

March 2019

 

Learning Disability

ADHD

Service review/business case

March 2020

 

ASD

ASD

Business case/service is underfunded to meet demand

March 2020

 

Learning Disability

Inpatient and Community Redesign

Redesign and New Service

March 2020

 

Learning Disability/

Autism

LCR Community Alternatives to Residential Care Project (CARC) and the development of a City Region Framework

 

New Flexible Purchasing System

Spring 2019

 

Learning Disability/

Autism

Re-design and Re-procurement of Adult Respite Services

Review

 

Redesign and Re-Procurement

Sept 2019

 

Carers

Re-design and Re-procurement of a Carers Service for St Helens

 

Redesign and Re-Procurement

Sept 2019

 

Mental Health

Core 24 Liaison

 

 

Monitor delivery as it’s a new service

31 March 2019

 

Mental Health

Peri Natal

 

 

Use surplus funding to  support this service

March 2019

 

Mental Health

Acute Inpatients/Risk Transfer funding

 

Redesign

2020

 

Mental Health

Early Intervention

 

 

Bid monies

September 2019

 

Mental Health

Forensic Psychology

Until there is evidence of demand this will be  a spot purchase arrangement

 

March 31 2020

 

 

 

Children, Young People and Families Commissioning

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

Children Urgent and Community Care

Children and Families Community Hub

Regional programme: service redesign and implementation

September 2019

Maternity services

Review of maternity provision and re-design

 

Service review, redesign and implementation

March 2020

Children Urgent and Community Care

Review and re-design of clinical pathways and services to support community based provision

 

Redesign and implementation

December 2019

Looked After Children

Implementation of dedicated LAC Health Team

 

Implementation and evaluation

June 2019

0-19 HCP (Healthy Child programme)

0-19 HCP Delivery and Improvement

National programme implementation; service redesign

July 2019

Children and Young People Mental Health Services

ITHRIVE

Service and pathway redesign and implementation. (Lead provider task and finish group)

April 2019

Children and Young People Mental Health Services

Review of support/ provision to schools

Service review; possible procurement/ service redesign

July 2019

Transforming Care for Children and Young People

Implementation of Transforming Care for C&YP policy and Guidance

National programme implementation

on-going

Early Help and Troubled Families programme

Review of Voluntary sector contracts for Early Help support

Service review

May 2019

Social Care: Missing from Home and Child Exploitation Service

Review of Catch 22 services in line with C&YP Improvement Plan

 

 

 

 

Service review

July 2019

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

Social Care: Drug, Alcohol and DNA testing: regional commissioning approach

Drug, Alcohol and DNA testing

Procurement option and service implementation

June 2019

SEND

Review of Short Breaks

 

 

 

Service review and procurement

September 2019

St Helens Cares

Locality Approach for C&YP through Team Around School model

 

 

 

Service redesign

July 2019

 

 

Primary Care Commissioning

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

Primary Care

Roll out of Signposting Website to Practices

 

 

 

Pathway Re-Design

April 2019

Primary Care

Roll out of Apex/Insight in General Practice

 

 

Service Re-Design

April 2019

Primary Care

Implementation of a new Local Enhanced Service

 

 

 

Service Re-Design

On-going

Primary Care

Procurement of GP Online Access

 

 

 

 

 

Procurement

ITT released 28th January 2019

 

Contract starts 28th March 2019

 

 

 

 

 

 

 

 

Public Health Commissioning

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

Public Health Enhanced Services in Primary Care (General Practice

Review and commission Chlamydia Screening

 

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

 

Review and commission IUCDs

 

Review and commission Contraceptive Implants

 

Review and commission NHS Health Checks

 

Review and commission Shared Care Drugs

 

Public Health Enhanced Services in Primary Care (Pharmacies)

Review and commission EHC Service

 

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

 

Review and commission Supervised Consumption

 

Review and commission Needle & Syringe Service

 

Review and commission NRT (Vouchers)

 

Pharmacy Enhanced Service - Intermediate Smoking Cessation

 

Public Health Systems

Review the Informatica & PharmOutcomes systems

 

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

Public Health Substance Misuse and associated provision

 

Extend the current contract with CGL, using the additional 12-month option/s available.

 

1.     To continue to offer a high quality service for substance misuse

2.     To undertake any service improvements as required

31/1/20

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

Review provision delivered by Footsteps

 

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

Review provision delivered by Hope Centre

 

31/3/20

Public Health Protection

Infection Prevention & Control

 

 

31/3/20

Public Health 0 – 19

Vision Screening

 

1.     Review the service

31/8/19

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

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

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

 

 

Medicines Management

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

Medicines

Blueteq

Monitor ongoing roll out

19/20

Medicines

Biosimilars

Monitor

19/20

Medicines

Medicines Optimisation Strategy

QIPP

19/20

Medicines

Prescribing Incentive Scheme

Quarterly monitoring

19/20

Medicines

Stoma work

Service redesign

19/20

Medicines

Care at the Chemist Minor Ailment Scheme

 

Monitor delivery

19/20

Medicines

Minor Eye Conditions

Monitor delivery

19/20

Medicines

On Demand Availability of Palliative Care Medicines

 

Monitor delivery

19/20