The briefing comprises:
Members and Co-opted Members have been provided with advance copies of the briefing via email. The briefing is also available on the Council’s website at the following link:
HWBB Information Briefing 300513
Printed copies of the briefing are available on request by contacting the Democratic Services Officer. helen.long@bromley.gov.uk
Minutes:
Dr. Andrew parsons gave a short presentation on the Joint Strategic Needs Assessment (JSNA) and the Clinical Commissioning Group Strategic Plan.
The Chairman asked how people in need were identified. In response
Dr Bhan explained that it was the people in greatest need and they were indentified through the JSNA. She added that the mortality rates were higher in areas of deprivation and a low level of immunisation and screening. These people were reached through the Primary Care team. In North West Bromley there was a higher rate of stroke and therefore the management of GP’s to indentify patients to prevent stroke.
Other services were being considered as to how to identify these people such as voluntary and community group. She added that the JSNA was key to supporting people in deprived areas.
Councillor Adams reported that he had a number of residents who felt they had been discharged too early, usually from a London hospital, and he asked how the CCG would influence.
In response Dr. Bhan said that is people were feeling like this it indicated that things had not been explained to them correctly and so patient communication was an issue. In addition she added that patient re-admission was slightly higher in Bromley and therefore it was important for people to be discharged appropriately. There also needed to be community support to ensure patients felt adequately supported.
Dr Parsons added that it was important there was communication with 2nd tier health professionals to identify key risks such as changes in medication. There also needed to be better community medicines monitoring.
Board Members commented that GP’s were notorious for “doing their own thing” and wanted to know how the CCG would control this.
In response they were informed that the GP’s contracts and performance monitoring but this was under the jurisdiction of NHS England and not the CCG. However there were lots of measures monitored by the CQC which monitored the outcomes. The CCG had an interest on the overall impact of care. It would also look at discrepancies in referral and management of cases. GP’s received feedback on how they have performed against the targets in Prescribing, referral pathways and new ideas.
One member queried the the number of residents in Bromley appeared to be less than the numbers of people registered with Bromley GP’s. It was explained that this was due to the fact that Practices had to pick up non-residents in their area.
The CCG had to ensure that a service was provided for all registered patients including out borough residents. However if patients resided in another authority and needed social care this would be referred to the “home” borough.
In relation to the Elderly, Councillors reported that pre-retirement employees received advice on finance but not health and wondered if there was another way of ensuring the elderly planned for old age.
Dr Bahn explained there was a work stream that addressed this and asked GP’s to identify patients with the greatest need and encourage self help. There was a web site aimed at residents who required extra help but were under the threshold.
A representative of the Voluntary Sector asked what involvement was expected of them. Dr Bhan said the work programme was clear and there were areas where the voluntary sector would be approached to deliver services. The chairman added that voluntary representation was an intrinsic part of the board.