george campbell maddy ruff - king's fund
TRANSCRIPT
GEORGE CAMPBELL
MADDY RUFF
Together as one community:
Integrating primary, community and
social services
142000 patients with 22 practices Budget £168 m
Hawes to Runswick Bay
Over 80 miles and more than
a two hour drive
Challenges
• Inherited deficit of
£1.8 million
• Ageing population
• Rural & sparsely
populated
• Suspicious public
• Suspicious County
Council
Wanted to do things differently
Partners
Communication with partners
There are no big bang solutions
Small sequential steps
Continually look back & reassess
our progress
Success
• Paid off our debt
• Made a £752K surplus
• Reduced non elective admissions
• Keeping elective admissions virtually static
• Had a good 360 degree stakeholder survey
• Well regarded General Practice
» Nominated for HSJ awards 2014 x 3, including
Health & Social Care Integration
Collaboration
with Yorkshire Ambulance Service
1. GP Triage
2.Paramedics working
with GPs and A&E/OOHs
3. GP urgent-hospital transport
365Response
4. Public Involvement
Removing barriers between health
& social care
Functionally integrated health & social
care teams
GP basket of out of hospital
services
Cooperation between
primary, secondary &
community services
DVT
Ambulance Triage
Ring Pessaries
Community Mx of male
acute urinary retention
Follow up of stable Ca
Prostate
Level 4 anticoagulant
monitoring
Initiation of insulin
Complex wound care
Minor Injury
Re-tendering of services in
Whitby & District
Redevelopment of Whitby Hospital
only 25% of present site utilised
Development of Site
(Preferred Option)Hospital integrated with NYCC Services
PMCF – Together as one community
Impetus to share the
vision - reinvigoration
Primary care no longer a
bystander
Formation and
development of a fully
constituted GP federation
-21 practices
Together as one community
Highly organised enterprise
within 3 months – CSU
partnership.
Face & manage the conflicts
of interest challenge
8-8 access in Whitby from
October
8-8 access in Hambleton &
Richmondshire from
January
Innovative Business Plan
• Preparing to bid for £42m
community services
contract
• Plans for 0ver 75’s
• Telemedicine to address
our geography
• Working together to
further develop high
quality community care
In Conclusion• Clear shared vision
& destination –
owned by all
• Flexibility of
approach
• Route has evolved
• Communication &
listening
• Developing trust