| NHS Hillingdon Board 26th January 2010 |
 |
 |
 |
| Written by Joan Davis |
| Thursday, 04 February 2010 15:12 |
|
NHS Hillingdon Board 26th January 2010
An update from Hillingdon Primary Care Trust (now known as NHS Hillingdon)
Finance
Month 9 of the financial year showed a slight improvement, reducing the year-to-date deficit to £1,264m, and allowing the PCT to forecast breakeven by en do year. As a result of a 5.1% uplift, NHS Hillingdon will receive an allocation of £399.3m for 2010/11 after repaying £7.7m of its legacy debt plus £700k interest, a total loss of £8.4m from local NHS services. Having taken account of its many expected costs, before any investments, the PCT estimates that it needs to find savings of £12m within that year.
The NHS Operating Framework and NHS planning guidance for 2010/11 has set an equally challenging framework for providers of NHS services. The PCT’s major provider, The Hillingdon Hospital, which has a current budget of £173m, will have to find £6m just to cover inflationary pressures and the PCT’s efficiency plan will reduce THH’s income by about a further £3m.
However, 2011/12 will be much worse, demanding unprecedented efficiency and requiring redesign of care pathways to move care out of hospitals into the community – but simply relocating services will not drive down costs. Radical changes lie ahead.
Feedback from NHS London on the PCT’s December submission on its commissioning strategy highlighted many gaps, noting that its polysystem strategy lacks “affordability analysis” for provision of three polysystems each with a polyclinic offering urgent care facilities 12 hours a day 7 days a week – a revised final plan was required by 25th January.
Provision of NHS acute hospitals
The North West London Commissioning Partnership’s 2009 Review concluded that the sector, covering eight PCTs - Brent Teaching PCT, Ealing, Hammersmith and Fulham, Harrow, Hillingdon, Hounslow, Kensington & Chelsea, Westminster PCTs - should be served by no more than three major acute hospitals to carry out the more complex emergency work including emergency surgery and inpatient paediatric medical care.
Local hospitals will concentrate on providing high quality non-complex medical care, A&E and critical care, with some designated as surgical centres or polysystem hubs. The sector sees significant potential in vertical integration of local hospitals with community services and/or with the major acute hospitals.
Further appraisal of acute provider options is expected to produce concrete proposals by the end of March. Public consultation is expected in the autumn of 2010.
Primary Care Advisors first Report
Individual GP practices are free to determine the extent of services they wish to offer and as a result there is wide variation in patient experience and satisfaction. Primary Care Advisors engage with GPs to improve services beyond the minimum standards of the General Medical Services contract and to deliver the PCT’s Primary Care strategy. A benchmarking exercise has been undertaken covering the following factors:
Financial / Access and Responsiveness / Referrals / Unscheduled Care / immunisation and Screening Targets / Quality and Outcomes
The Primary Care Advisors identify examples of good practice and broaden their use. Bespoke training for reception staff is being offered. Work is underway to extend surgery hours, improve support in the community for frequent A&E and Urgent Care users, improve on-line facilities, and incentivise GPs to offer better services and to engage with Practice Based Commissioning to manage demand and redesign clinical pathways.
National Patient Survey Quarters 1 & 2 2009/10 on satisfaction with access to GPs
Each GP Practice is evaluated on patient satisfaction with: ability to book ahead / see GP in 48 hours / see preferred GP / get telephone access / opening hours. Sheets are available on request to Joan Davis (see below), showing details for each GP practice in Hillingdon.
Daniel Ward at Mount Vernon Hospital
Closure of this ward is still underway. Patients have individualised discharge plans. Three patients are expected to remain in hospital care. Details have still to be resolved.
Joan Davis (Tel 01895 636095)
Bookmark
Email This
Hits: 222 Comments (0)
 Write comment
|
You are here :
Home 
Recent News NHS Hillingdon Board 26th January 2010
Recent News NHS Hillingdon Board 26th January 2010