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Commissioning Intentions

Commissioning Intentions. Sarah Casemore Deputy Director of Clinical Commissioning sarahcasemore@nhs.net. These intentions span across the

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Commissioning Intentions

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  1. Commissioning Intentions Sarah Casemore Deputy Director of Clinical Commissioning sarahcasemore@nhs.net

  2. These intentions span across the Transforming Elderly Care, Planned Care, Unplanned Care, Mental Health and Learning Disabilities and End of Life Care priorities of the NHS G&W CCG. They are high level and depend upon clear and detailed plans being agreed through the Clinical Commissioning Committee. The NHS Guildford and Waverley CCG (NHS G&W CCG) has developed commissioning intentions for 2014/15. These commissioning intentions extend beyond those agreed in 2013/14 to ensure that the delivery of Quality, Innovation, Productivity and Prevention (QIPP) enables the NHS G&W CCG to establish a sustainable financial footing into the future. • Eliminating excess bed days through enhanced discharge from community services • Improve Community Nursing productivity and integration with Primary Care • Develop urgent care strategy to reduce A&E attendances

  3. The agreed commissioning intentions are:- • Out of Hours (OOH) procurement aimed at integrating OOH with our agreed clinical pathways • Enhance the Referral Support Service to ensure right time, right place, right person for management of all patients • Review internal referrals within acute Hospitals and eliminate those where GPs could manage the patient • Incorporate telephone follow ups rather than face to face clinic appointments • Incorporate community clinics into specialties such as dermatology, gynaecology and ophthalmology • Targeted stop smoking interventions to specific populations • Implement structured education and support to clinicians, for long term conditions such as diabetes

  4. Commissioning Intentions Continued • Increase access through Improving Access to Psychological Therapies (IAPT) to 15% by April 2015 • Redesign rehabilitation services across mental health and learning disability services to ensure care and support is provided in people communities • Improved liaison psychiatry at Royal Surrey County Hospital (RSCH) 8am-8pm 7 days a week • Implement new palliative care bed provision in RSCH

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