can pcts make a difference? chris humphris, chief executive, cambridge city pct yes they can!!
TRANSCRIPT
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Can PCTs Make a Difference?
Chris Humphris, Chief Executive, Cambridge City PCT
Yes they can!!
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Bit about me
• Started in the NHS near this very spot
• Acute hospital
• Health Authorities
• Community Trusts
• Health Action zone
• Nursing / Residential Care Company
• Community Trust
• Primary Care Group
• Primary Care Trust
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You may know Cambridge as
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But it is a city of contrasts
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Cambridge City PCT
• Started in April 2002
• Well resourced PCG
• 143,000 population (108,000 live in the City)
• Budget of £108 million
• 18 GP Practices
• Community Hospital, Hospice, and range of community services
• Big teaching hospital (Addenbrooke’s) in the city
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What does a PCT actually do?
a) Provide Community Services • Manage Brookfields Hospital, Arthur Rank
Hospice, Community Nursing, Intermediate Care and other community services (some on behalf of South and East/Fenland PCTs)
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b) Commission Services
• Commission services from Addenbrooke’s NHS Trust and other organisations
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c) Develop primary care• Serving a population of 143,000, registered with
18 General Practices• We also support the development of Pharmacy,
Dentist and Optician services
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d) Work in partnership with Local Authorities
• Work closely with Social Services to integrate health and social care (e.g. Occupational Therapy and Discharge Planning)
• Work closely with the City Council and others to improve the health of the population (e.g. accident prevention, addressing inequalities, reducing smoking, Sure Start)
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Who is the PCT?
• The Board
• The Professional Executive Committee
• The Senior Management Team
• “Headquarters” Staff
• Employees of the PCT
• GPs and their staff
• Dentists, Pharmacists, Opticians
All of the above!
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Ask not what the PCT can do for you
Ask what you can do for the PCT
Can we make a difference?
Yes we can!!!
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Making Connections
The strength of the PCT lies in our ability to make connections
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Some Cambridge Examples - Delayed Discharges
Friday 8am meeting!
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Tackling Delayed Discharges
• Building nursing and residential care capacity
• Building domicilary care capacity
• New Integrated Discharge Planning Team
• New process (estimated date of discharge)
• Marlowe House
• Continued focus on numbers
• Using the “fines” money up front
• Community support for vulnerable older people
• Investing in Rapid Response
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Homeless Service
• Special PMS for the “Homeless”
• City Council funding premises
• Joint Strategy
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Trumpington Branch Surgery
• 3 months notice from previous practice
• Assistance from local entrepreneur
• Persuaded a City practice to take it on
• Temporary accommodation with a view to the future
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Operation Ortolan
• Preventing crack cocaine from taking a hold in Cambridge
• Had to move quickly to deal with the threat
• Criminals targeting vulnerable people in North Cambridge
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Sure Start
• Unexpectedly selected
• PCT led the process
• Creating an “inclusive” Board
• Identifying local need
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Health and Social Care Integration
• OT - Tackling waiting lists
• Equipment
• Aids and adaptations
• Social Services Manager in PCT Senior Management Team
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• Mapped pathways across whole system:-
- Falls - Stroke - CHD - COPD
• Maps populated with activity data
• 4 maps ‘generic’ medical pathway
• The 4 pathways were redesigned
• Some changes within existing resources
• Proposals developed for additional funding
Care Pathways
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So what about the Local Delivery Plan?
……and all those targets!!!!!
……..and all those pressures!!!!!!
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Dealing with the Pressures
We are in this for the long term
Trying to avoid short-term expedient measures if at all possible
if they get in the way of the long-term plan
Make connections
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Some of our challenges
• To reduce the demand for secondary care services by doing more, and doing it differently, in Primary Care
• Integrating health and social care for older people in a way that improves services and offers better value for money
• Working with the public to reduce drug expenditure
• Developing mental health services outside Cambridge
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Can PCTs Make a Difference?
Yes we can!!!