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Money …
Having, at long last, got rid if its historic debt, this PCT might be forgiven for expecting easy times ahead. However, it has a big disappointment. Financial features this year include:
a) Paying back its last £7.7m of legacy debt
b) A requirement to deliver a 1% surplus
c) Finding £12.2m, 3.05% of income, in efficiency savings
d) Playing its part in the NW London Sector plan to support four sector colleagues with big debts
e) Facing costs for developing the North West London Strategy
These are still tough times. The PCT will have to reconsider what it can realistically hope to do this year.
NW London Commissioning Partnership ...
This Partnership now purchases hospital services for eight London PCTs. As this spending accounts for over 50% of Hillingdon’ s total budget, it will lead to many changes but it is expected to bring some savings. However it has also brought one loss already - Hillingdon’s Ann Johnson, has recently been appointed Sector Finance Director. She will be missed.
Hillingdon Community Health ...
Hillingdon has a number of new community services:
a) A new walk-in TB clinic at HESA Centre, Hayes, open every Thursday 2-4.30pm.
b) A musculoskeletal physiotherapy clinic at 145 Station Road, West Drayton, for referral by GPs.
c) Ambulant wound care district nursing services at (i) Northwood Health Centre (ii) Oak Farm Clinic and (iii) Cedar Brook Medical Centre, Hayes, all open Mon. – Fri. 8.30am – 4pm for GP referral.
d) Expansion of the community paediatric nursing service to 7 days per week, with home visits.
e) Expansion of the community heart failure nursing service at Oak Farm Clinic.
f) British Heart Foundation sponsored specialist nurses run heart failure clinics at Mountwood Surgery, Uxbridge Health Centre and HESA Centre and offer home visits.
g) Appointment of (i) A breast feeding coordinator and (ii) Four additional school nurses
Out of Hours Services ...
All General Practitioners in Hillingdon are responsible for providing out of hours services for their patients. Every local Practice has a contract with Harmoni, which runs the local service for the GPs. The PCT is not party to the contracts but it monitors Harmoni’s performance against the National Quality Requirements. In Quarter 4 2009-10 Harmoni met criteria for urgent calls (20 minutes), routine calls (60 minutes) and percentage of calls within two hours. The front end of out of hours services is contracted with NHS Direct, by Hillingdon PCT. In Quarter 4 2009 NHS Direct met its target for answering calls within 60 seconds. |