Stahcom role
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STAHCOM LTD is a Primary Care Trust (PCT) that aims to enhance primary care services for patients in St Albans and Harpenden. It has several objectives, including improving quality of care, providing a greater range of services closer to home, and monitoring long-term conditions. The PCT is led by a Chief Executive and Board of Directors. It oversees various working groups and has policies in place. STAHCOM has received approval to take on additional commissioning responsibilities at Level 3, such as for clinical assessment and treatment services. It aims to shift appropriate care from secondary to primary settings. The PCT has made progress but also faces barriers from delays in decision making and lack of data and support from
Stahcom role
- 1. STAHCOM LTD St Albans and Harpenden PBC Group Mr Mo Girach BSc (Hon) MBA Chief Executive STAHCOM PBC LTD “Local GP practices working solely for the wellbeing of local patients”
- 2. STAHCOM OBJECTIVES To enhance and improve the quality and choice of services to patients seeking health and social care To provide a greater range of services to patients and to provide greater convenience to patients receiving the service at home/close to home (shifting care from secondary to primary care) To monitor and provide personalised care to patients with long term conditions To assist the PCT in ensuring the best use of public resources To improve and enhance the quality of care provided by primary care to patients To assist patients in making better educated choice in provision of primary care, including SELFHELP, where appropriate To encourage innovation, enterprise and efficiency and best practice to the local health economy To delivery on the whole of the CATS programme “Local GP practices working solely for the wellbeing of local patients”
- 3. Stahcom – Corporate Structure Chairman: Dr Roger Sage Co Secretary: Andrew Stennett, (Finance) Board of Directors: Dr Jon Clegg - Acute Commissioning Dr Alison Davies - OOH/Prescribing Dr Kapil Kedia - CATS Dr Dylan Phillips - CATS/HMH Co-Opted Members: Dr Steven Laitner (PH) Mental Health Rep. Local Authority Rep. “Local GP practices working solely for the wellbeing of local patients”
- 4. Working Groups/ Committees/ Meetings LMG – (representation from each practice) Board of Directors – meet every 2 wks HMH Task Group – leading on HMH conversion to a Mutual Data Quality Group Remuneration Group Performance Review Group Weekly Meeting with Chief Executive/Co Sec and Chairman SLA Contract Monitoring with PCT CE meets with Practice Managers (monthly) “Local GP practices working solely for the wellbeing of local patients”
- 5. Stahcom Data Quality Group OBJECTIVES: “To guide, advise and facilitate all matters related to Data/Activity (Lead by Stahcom) Membership consists of: Dr Michael Cannell Dr Mike Walton Dr Richard Pile Jo Adams, Practice Manager Linda Ward, Practice Manager Julie Adolph, Nurse Practitioner David Hodson, PCT Yvonne Goddard, PCT Mo Girach, CE, Stahcom “Local GP practices working solely for the wellbeing of local patients”
- 6. Stahcom Policies and Procedures in Place Code of Conduct for Board of Directors Communication Strategy Patient and Public Involvement Policy SLA with all member practice Stahcom Locality Health Profile Financial Protocol A number of others are currently being discussed and consulted upon “Local GP practices working solely for the wellbeing of local patients”
- 7. Our Strategic Direction on Commissioning Unscheduled Care Strategy – OOH/Home Response/Directing Admissions to Minor Injuries/a/e/intermediate care/prescribing/community services/primary care Intermediate Care Strategy Emergency and Intermediate Home Care Self Care Acute Care Care and and Community PbR tariff PbR tariff base Emergency Admissions Community outpatient Directed admissions Directed admission Complex Procedures Day treatment/Diagnostic Timely discharge Timely discharge Admission preventable Directed admission Community services Education Referral reduction Timely discharge Palliative care Compliance Low priority treatment Direct Referral Mental Health outreach Pharmacist Treatment threshold Inpatient care Voluntary organisations Respite care and Telecare Palliative care Pharmacist Integrated Nursin Integrated nursing services CATS “Local GP practices working solely for the wellbeing of local patients”
- 8. So where are we with PBC? Application to PCT for Level 3 - Approved August 2007 CLINICAL ASSESSMENT AND TREATMENT SERVICES (CATS) To deliver care closer to home and to better manage demand for secondary care services by shifting appropriate services into primary care under GP clinical leadership; working in partnership with our local hospitals and other providers. CATS aims to provide a more patient centred, cost effective service in the local community, whilst establishing mechanisms to align clinical responsibilities with financial responsibility for commissioning services for individual specialities. “Local GP practices working solely for the wellbeing of local patients”
- 9. CATS Speciality Status Provider MSK In place Local GP Ophthalmology In place Private Dermatology Sept 2007 West Herts. EN&T Sept 2007 Local GP Gynaecology July/Aug 2007 Local GP Cardiology Sept/Oct 2007 Local GP Urology Sept 2007 Local GP Gastro Sept/Oct 2007 Local GP “Local GP practices working solely for the wellbeing of local patients”
- 10. STAHCOM LTD Other areas of interest for commissioning are as follows: COPD Integrated Nursing Services Diabetes Unscheduled Care etc, etc Orthotics Podiatry services Partnership working with acute clinicians and active engagement in acute service level agreement Quick wins Huge benefits for patients Value for money PPI (a must) “Local GP practices working solely for the wellbeing of local patients”
- 11. What are we doing now? Application to PCT Level 3 – approved Management monies (over £100,000) – 31/3/2008 Formal monthly meetings with Andrew Parker (PCT) Regular meetings/dialogue with PCT Newsletter in place – informative Service Re-design – Diabetes and COPD Finalising the review of Integrated Nursing Service Feasibility Study in place for HMH Data Analyst recruitment in place Purchase of QUTE software to assist with data validation Stahcom member of PCT/Acute Contracts Monitoring Group (only PBC in W Herts) Supporting all our practices “Local GP practices working solely for the wellbeing of local patients”
- 12. Stahcom Ltd – The Future Mo Girach to continue 3 days per week from 1/1/08 – Advisory to Board, LMG and provide strategic leadership Appointment of part time Secretary to support Board, Co Secretary and CEO Focus on Data Quality/Analysis Look at commissioning of community services Implementation of the Revised and Agreed Integrated Nursing Service Specification Preparation of our 08/09 Business and Commissioning Plan Agree the Re-investment Plan for savings made at 31/3/2008 “Local GP practices working solely for the wellbeing of local patients”
- 13. Potential Barriers At times it takes a long time for the PCT to make a decision, eg, funding of £5000 towards QUTE PCT must define the PCT support manager’s role more clearly and simply with the PBC – “how to avoid conflict/misunderstanding, but also increase harmony and joint working Undertake, an agreed and calculated (risk free to patient) undertaking commissioning, innovation and creation for undertaking commissioning of services and shifting care from secondary into primary care Lack of information (activity/data) – timing, support and analysis Unbundling tariff – taking a long time? Delay in us moving forward “Local GP practices working solely for the wellbeing of local patients”
- 14. How the PCT can Enhance and Fully Support Stahcom More in the Future Speed up decision making by PCT Commence “seconding” relevant staff (with no money flow), commencing with Data Analyst and PA Agree lines of accountability and boundaries of roles and responsibility of PCT Support Manager in relation to PBC Managers/CEO PCT to have in place a Commissioning Strategy Data verification with full IM&T PBC support – no clear PCT strategy More involvement in SLA meetings and Performance Management of Acute Contracts PCT to formulate/support PBC dialogue with PCT Provider Arm “Local GP practices working solely for the wellbeing of local patients”
- 15. So? Do we have opportunities? “We shall not fail or falter ;we shall not weaken or tire……. Gives us the tools and we will finish the job” Si r W ns t on Chur c hi l l i “Local GP practices working solely for the wellbeing of local patients”