NHS Nottingham West Clinical Commissioning Group

The membership of our CCG is made up of 12 local GP Practices who are working together to plan and pay for local health services for 94,000 patients. Our area includes Eastwood, Kimberley, Stapleford, Beeston, Bramcote and Chilwell.

Updated:
10 February 2017
Location:
East Midlands
Sectors:
Health, Clinical Commissioning Group, Commissioners Sector
Local Alliances:
Nottinghamshire Dementia Action Alliance

1. Action Plan

1. The National Dementia Declaration lists seven outcomes that the DAA are seeking to achieve for people with dementia and their carers. How would you describe your organisation’s role in delivering better outcomes for people with dementia and their carers?

The membership of our CCG is made up of12 GP Practices who have been working together since April 2007 and in this time, we have created several innovative clinical pathways which have brought high quality patient care closer to home. 

Our Practices are:

-     Abbey Medical Centre, Beeston 
-     Bramcote Surgery, Bramcote
-     Church Street Medical Centre, Eastwood
-     Church Walk Surgery, Eastwood
-     Hama Medical Centre, Kimberley
-     Hickings Lane Medical Centre, Stapleford
-     Linden Medical Group, Stapleford
-     Saxon Cross Surgery, Stapleford
-     The Manor Surgery, Beeston
-     The Oaks Medical Centre, Beeston
-     The Valley and Chilwell Meadows Surgery, Chilwell
-     West End Surgery, Beeston.   

Everybody has a right to expect good quality local health services.  We all want patients to be treated as individuals, with respect and compassion, and for all services to become more integrated around the needs of patients and their families and carers.  As local commissioners we will continue to demand evidence of quality and access improvements from our healthcare providers and participate in quality reviews as well as contractual and service reviews.

Our values are at the heart of our decision-making.  They guide us in the priorities we set for service change and in the way we approach new challenges:  

-    Clinical leadership at the heart of the organisation
-    Constantly innovate to improve quality and experience for patients
-    Work closely with local providers and partners for the benefit of the          whole of our population
-    Apply the best evidence available to improve local services and reduce      health inequalities
-    By good governance, openness and sensible use of resources produce        the maximum health outcomes for the whole of our population.

Nottingham West CCG will continue to:  

Reduce health inequalities in the local population by targeting the health and wellbeing of people with the greatest health needsImprove the quality of our local health services, particularly around health outcomes, patient safety, access and patient satisfactionOrganise services around the needs of local service users wherever possible Maintain and optimise the health of people with long term or chronic illness living in our community Focus our available resources where they will deliver the greatest benefit to our population.

2. What are the challenges to delivering these outcomes from the perspective of your organisation?

An ageing population, significant rises in the prevalence of a number of long term conditions including dementia and the current finincial situation in the NHS pose challenges. 

Having a strong GP clinical lead and collaborating with other local health and social care commissioners is essential. This ensures economies of scale and the delivery of intergrated care for patients. 

2. Actions

  • Training and support to General Practice

    Provide training and support to General Practice in line with NICE guidelines and current best practice.

    Status:
    Planning

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    In progress

    2013 - First Quarter Update

    PLT session has taken place. And further requests for more sessions.

  • Better integrate local health and social care services

    Better integrate local health and social care services.

    Status:
    Initial Scoping

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    In progress

    2013 - First Quarter Update

    Pilot project currently being scoped to work with residents and carers in retired living schemes, to raises awareness amongst care workers about the early signs of dementia.

  • Develop awareness campaigns

    Develop awareness campaigns to support earlier diagnosis.

    Status:
    Implementation

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    In progress

    2013 - First Quarter Update

    New member

  • Reduce inappropriate use of antipsychotic drugs

    Reduce inappropriate use of antipsychotic drugs through reviews of existing prescribing and implementation of new guidelines on use of antipsychotics for people with dementia.

    Status:
    Implementation

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    In progress

    2013 - First Quarter Update

    New member

  • Improve staff skills and knowledge

    Improve staff skills and knowledge of dementia in local acute and community providers.

    Status:
    Planning

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    In progress

    2013 - First Quarter Update

    Working with General Practices to make all reception staff and practice nurses Dementia Friends

  • Improve GP support

    Improve GP support into and relationships with, care homes improving quality of care and reducing inappropriate admissions to hospitals.

    Status:
    Implementation

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    In progress

    2013 - First Quarter Update

    New member

  • Engage with programmes

    Engage with programmes to deliver telecare and telehealth.

    Status:
    Implementation

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    In progress

    2013 - First Quarter Update

    New member

  • Work closely with the Mental Health Intermediate Care service

    Work closely with the Mental Health Intermediate Care service to ensure their case-mix is appropriate and that they use their skills efficiently with patients that are going to benefit from their interventions.  Advertise their services amongst local GP practices. 

    Status:
    Planning

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    In progress

    2013 - First Quarter Update

    Increasing the capacity of the team, and assessing referral criteria.

  • Seek improvements in quality

    Seek improvements in quality and detail of information regarding mental health services.

    Status:
    Implementation

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    In progress

    2013 - First Quarter Update

    New member

  • Consider ways to encourage people

    Consider ways to encourage people to access support who traditionally are reluctant to seek it.

    Status:
    Implementation

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    In progress

    2013 - First Quarter Update

    New member

  • Continue to encourage practices

    Continue to encourage practices to make an early diagnosis and referral of patients with suspected dementia.

    Status:
    Implementation

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    In progress

    2013 - First Quarter Update

    New member

  • Memory Assessment Service

    Support the implementation of the new Memory Assessment Service through helping Nottingham West practices to engage with the service and its aims. Work with other CCGs to ensure that the local procurement of Any Qualified Providers of talking therapies delivers a service that meets the needs of patients and clinicians, whilst improving access to mental health services. Undertake work with primary care colleagues to promote patient choice within this service to ensure users are given the opportunity to select a provider that best suits their individual needs.

    Status:
    Implementation

    2013 - Fourth Quarter Update

    In progress

    2013 - Third Quarter Update

    In progress

    2013 - Second Quarter Update

    In progress

    2013 - First Quarter Update

    New member