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Southampton City Clinical Commissioning Group

Our purpose as a Clinical Commissioning Group (CCG) is to help meet the health and care needs of local people. We are allocated a budget of just over £350 million a year to achieve this and use it to plan and pay for (or ‘commission’) health and care services from a number of service providers (such as hospitals, mental health and community trusts). A key part of what we do is working closely with Southampton City Council (SCC) and other health and care partners to ensure the right services are in place for our community. We have: • 29 member GP practices • the same boundaries as Southampton City Council. Our population: • 276,260 people are registered with GP practices in the city • the population is growing rapidly – between 2014 and 2017 there is expected to be an increase of 20% in the number of people under 10 and in those over 70 • deprivation is higher than England average • 22.3% of residents are from an ethnic group other than White British compared to 20.2% nationally (2011 Census). The Integrated Commissioning Unit (ICU), a key part of Better Care Southampton, is a partnership between Southampton City Clinical Commissioning Group (SCCCG) and Southampton City Council (SCC) which aims to make the most of pooled expertise and funding when commissioning health and care services. Throughout the year the ICU has enabled more efficient working across organisations, including the community and voluntary sectors, in order to improve both health and social outcomes for the people of Southampton. Significant progress has been made in ensuring services identify and respond proactively to early signs of difficulty and prevent health and care needs escalating. We have done this by redesigning services to enable local people to access the most appropriate support and manage independently, without needing to resort to specialist help. We will continue to work together to make the best use of our resources to commission sustainable, high quality services which meet the needs of local people now and in the future. Southampton Clinical Commissioning Group, working in partnership with Southampton City Council is committed to the promotion of health and wellbeing for its residents, which includes ageing and living well.

Updated:
11 July 2017
Location:
South East
Sectors:
Clinical Commissioning Group
Local Alliances:
Dementia Friendly Southampton (Southampton DAA)

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 ICU aims to deliver better outcomes for people affected by dementia, and to ensure that all our services are appropriate and accessible.

We will maintain a diagnosis rate equal to or above the national standard of 66.7%.We will work with GP’s, our hospital and other partners to identify people earlier and refer them for appropriate diagnostic services and support. Our acute Trust is screening over 65’s with a referral to the GP if further investigations are needed. GPs have received guidance around identification of patients at clinical risk of dementia, and details about the increasing range of services that are available for primary care to refer patients with dementia as appropriate.The care pathway will be reviewed for improvements, and we will provide plans on how we will meet the national waiting time standard for diagnosis and treatment when this is available.We will work with our partners to provide services and support to enable people to live well with dementia, and offer support to carers and families.We will promote dementia friendly environments within our GP practices, community services, and other healthcare settings including staff awareness and training to improve the patient and carer experience.We will review the provision of end of life care services for people with dementia, and identify any improvements needed within the pathway. 

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

The NHS and social care continues to be challenged, demands on services have been increasing along with continued pressure on the resources we have available to support local people. In spite of this, healthcare professionals across Southampton have maintained high-quality services, risen to the challenges posed and continue to have a positive input into developing services.

There will be increasing numbers of people over the age of 65 living in Southampton for the foreseeable future. This also means that we can assume the numbers of people with dementia will increase at similar rates.

Southampton is a diverse City, with a higher proportion of residents of an ethnic group other than White British compared to other Cities considered ‘most similar’ to Southampton. The number of people with dementia from Black, Asian and Minority Ethnic (BAME) groups in the UK is expected to rise significantly as the BAME population ages. The number is expected to rise nearly seven-fold in 40 years, compared to just over two-fold increase in the number of people with dementia across the whole UK population in the same time period.

2. Actions

  • Maintain and increase diagnosis rates

    We will maintain a diagnosis rate equal to or above the national standard of 66.7%. We will work with GP’s, our hospital and other partners to identify people earlier and refer them for appropriate diagnostic services and support. Our acute Trust is screening over 65’s with a referral to the GP if further investigations are needed. GPs have received guidance around identification of patients at clinical risk of dementia, and details about the increasing range of services that are available for primary care to refer patients with dementia as appropriate.

    Status:
    Being implemented
  • Review care pathways and waiting times

    The care pathway will be reviewed for improvements, and we will develop plans on how we will meet the national waiting time standard for access to treatment when this has been published.

    Status:
    Planning
  • Promote dementia friendly environments

    We will promote dementia friendly environments within our GP practices, community services, and other healthcare settings including staff awareness and training to improve the patient and carer experience.

    Status:
    Being implemented
  • Accessible services and support to enable people to live well with dementia

    We will work with our partners to provide services and support to enable people to live well with dementia, and offer support to carers and families. We will ensure that information about services and support is accessible to health and care professionals, and the residents of Southampton affected by dementia.

    Status:
    Being implemented
  • Review the care of those people with dementia at the End of Life

    We will review the provision of end of life care services for people with dementia, and identify any improvements needed within the pathway. 

    Status:
    Planning