Commissioner: Hull PCT Providers: Hull PCT Community Services Hull and East Yorkshire Acute Hospitals Trust

1. Integrated Service Improvement Programme Hull LHC Dermatology Project Original Programme Aims • To enable people with skin disease to achieve their optimum health potential • To improve the management of the population with skin disease • To stimulate a range of provision which provides safe care which is of quality and value • To maximise the opportunity of service improvement resulting from relocation of service Commissioner: Hull PCT Providers: Hull PCT Community Services Hull and East Yorkshire Acute Hospitals Trust Hull PCT GPs/GPSIs Registered Population: 249,100 Desired Outcomes Appropriately commissioned, cost effective and patient directed care pathways for sufferers of skin disease Proposed Benefits • Improved access for diagnosis and treatment of skin disease, meeting and exceeding national targets. • Provision of care closer to home Intended Measures • Increased number of people receiving care in a community setting • Reduction in DNAs • Increased use of community facilities • Reduction in the number of beds for Dermatology patients Hull has a well established Dermatology Patient User Group – we used members of this group to define the care pathway as well as contributing to the project board We used the agenda for change pay modernisation framework to undertake a nursing skill mix assessment. This helped up to consider where care can be provided and which competencies are needed to deliver that care

2. Hull LHC Dermatology Project Integrated Service Improvement Programme • Progress to Date • Prevalence and demand based Needs assessment completed • Economic evaluation of providing Dermatology care closer to home completed • Review of in-patient requirements completed • Model of Care for Dermatology developed • Commissioning intentions document completed and agreed with commissioners • Commissioning implementation plan developed • Community premises identified • Future Key Milestones • Implementation project group to be established • Framework for delivery to be developed and agreed • Assessment of Public Consultation requirements to be finalised • Cost Benefit analysis to be completed • Establish Governance arrangements including NICE compliance • Service Model to be implemented • Robust integrated pathway for community and specialist leg ulcer treatment finalised Local Contacts Annie Macleod, Service Redesign Team, Hull PCT Annie.macleod@hullpct.nhs.uk