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WYRE FORES CLINICAL COMMISSIONING GROUP 2014/15 PRIORITIES Heather Macdonald

WYRE FORES CLINICAL COMMISSIONING GROUP 2014/15 PRIORITIES Heather Macdonald. 2014/15 Local Priorities. Integrated Care Supporting General Practice Reducing Health Inequalities Long Term Conditions Review of Integrated Intermediate Care Services Frail Older People.

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WYRE FORES CLINICAL COMMISSIONING GROUP 2014/15 PRIORITIES Heather Macdonald

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  1. WYRE FORES CLINICAL COMMISSIONING GROUP 2014/15 PRIORITIES Heather Macdonald

  2. 2014/15 Local Priorities • Integrated Care • Supporting General Practice • Reducing Health Inequalities • Long Term Conditions • Review of Integrated Intermediate Care Services • Frail Older People

  3. Integrated Care • Urgent Care • GP Consultant pairings • ICMs • Emis IT Project

  4. Supporting General Practice “We want to maintain or increase the capacity and resilience in Primary Care in the Wyre Forest”

  5. Supporting General Practice • Over 75’s • Long Term Conditions • Under 5’s • Variation • Self- help • Access • Mental Health • GP Education and Training

  6. Reducing Health Inequalities • 0-5 years • Wellbeing ‘Centre’/ model – focus on wellbeing • Mental Health – early support/lower level interventions

  7. Long Term Conditions (LTC) • LTC Pathways • Self Care • Preventative Care • WMQRS – Neurological conditions

  8. Review of Integrated Intermediate Care Services • Bedded facilities in Wyre Forest

  9. Frail Older People • 11,005 patients aged 75 and over • 10% of our population • Emergency Admissions in over 75s = 2,348 • 28% of all emergency admissions • Emergency Admissions in over 65s = 3,709 • 44% of all emergency admissions • >75s = 3,898 A&E attendances • >65s = 7,013 A&E attendances

  10. Frail Elderly Session/Primary Care Session • Patients are lonely • Bypass number (1 number/HUB) • Need to be able to share records - EMIS community • Specialist nurses (Integrated/Standards/Falls) • Enhanced Care Team working in a different way • Explore night sitting • More visits/Admissions earlier in the day – Left Shift • Variation/Info (Emergency/OOH/Care homes OOH/Ambulance/ A & E presentation) • Demand on appointments • Patient expectation higher • Multiple number of prescriptions • Only 10 minute consultations – not enough time for complex patients • Worried well – anxiety / isolated/ lonely

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