Update June 2015 Julia Mizon Director of Commissioning and Partnerships Erica Daley Strategic Lead Planning and Integration Jackie Hadwen Project Manager Paul Jackson Project Board Chair ID: 466798
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Hull Integrated Care CentreUpdate – June 2015
Julia Mizon – Director of Commissioning and Partnerships
Erica Daley – Strategic Lead Planning and Integration
Jackie Hadwen – Project Manager
Paul Jackson – Project Board Chair
John Parker – Project Clinical LeadSlide2
ObjectivesTo provide an update about the proposal for establishing Hull Integrated Care CentreTo discuss the proposed service profile/ service issues/ seek your views
To outline the timetable for the development
To discuss and agree clinical engagement preferences going forward
To answer any queriesSlide3
Progress to date……Hull PID approved August 2014Design development underwayInitial clinical protocol workshops held
OBC development advanced
Affordability appraisal underway
Option benefits appraisal complete
Implementation of Communications & Engagement plan including completion of formal consultation April 2015Slide4
Case for Change - Clinical Principles for Service Delivery EstablishedBroad agreement between commissioners and providers that alternatives are needed for some GP admissions to hospital
Broad agreement that improvements to co-ordination
between GP and community services
could
maintain people in their own
home longer
Broad agreement that there should be primary
care direct access to diagnostics and senior clinical
reviewSlide5
Facility Requirements Identified Rapid Assessment and Diagnostics – reception/ patient lounge/ assessment and treatment facilities
Schedulable appointments – clinic rooms
Diagnostics – x-ray, ultrasound, bloods, scans
Functional rehabilitation
facility
and associated therapies, including
telehealth
,
telecare
Community information , third sector
inputSlide6
Preferred Site – Former David Lister SchoolSlide7
Initial Concept Site PlanSlide8
Future service profile development principlesAmbulatory care pilot expansion to rapid access and diagnosis facilityDirect GP/Clinician access/ not a walk in serviceLTC clinics/ support
Rehabilitation and reablement facilities/ teams
Future service profile factors in growth in population +65 years
Range of occupancy scenario’s will be run from 80% to 60%.
Pan organisational working to maintain people in their own homesSlide9
Future service profileThe future service profile has to be developed and agreed to support:new models of service provisionservice shift from an acute to a community settingdemand and capacity analysis
d
evelopment of clinical protocols
Revenue analysisSlide10
Potential impacts?Ambulatory AssessmentElderly MedicineStroke rehabilitation
Dementia
Neurological rehabilitation
Falls and #neck of femur
reablement
/ rehabilitation
Discharge support
Community support
Development of service offer under community services
procurement-
Care Group 3 Slide11
Key Challenges and RisksKey ChallengesFire service proposalNHSPS/CHP/DoH
position and scheme sign off
Maintaining an affordable scheme
Maintaining programme
Appropriate and sensitive management of service shift
Key Risks
Affordability
Transition management via community services re-procurement including workforce planning
Public sector affordability/ social care
Failure to effect system changeSlide12
Timetable SummaryMonthOBC Development and Approval
Planning Development and Consent
Jun 2015
Jul 2015
OBC/Stage
1 Submission
Aug
2015
Planning Pre-application
Sept 2015
FBC/Stage 2
Submission
Oct 2015
Planning Application
Nov 2015
Dec 2015
Jan 2016
Planning Consent
Feb 2016
Financial CloseSlide13
Questions and DiscussionThank you