Primary Care Dashboard February 2017

Transcription

1 Primary Care Dashboard February 2017 Primary Care Commissioning Committee

2 Introduction The Primary Care Dashboard is an ongoing development and will be used to monitor some areas of quality and performance in General Practice and provide the Primary Care Committee with a brief overview of how our practices are performing. Contents: Updates following the October 2016 dashboard Friends and Family Test Prescribing Controlled Drugs and Antimicrobial Stewardship Registered patient attendance at A&E GP Referrals Dementia Diagnosis Rates The content, data and information presented has been extracted from a range of sources including NHS England, Health and Social Care Information Centre (HSCIC), Public Health England (PHE) and the Care Quality Commission (CQC). Information detailed within subsequent dashboards will provide updates and cover additional areas of primary care practice. 2

3 Updates since December 2016 The dashboards published by NHS Great Yarmouth and Waveney CCG in June and August 2016 included information about the GP Patient Survey, QOF, Infection Prevention and Control Audits, CQC Ratings and Quality Issue Reporting (QIR). The February 2017 dashboard does not cover these areas in detail however an update or rationale for exclusion has been provided below: CQC: There have not been any CQC inspections or published reports for Great Yarmouth and Waveney GP practices since the publication of the December 2016 dashboard. NHS Great Yarmouth and Waveney CCG continues to monitor CQC inspection reports and ratings of primary care services and is involved with regular practice visits. Quality Issue Reporting (QIR): Five QIRs against GP practices remain open and under investigation. QIR 066: Reported on 06/04/16 by ECCH regarding Newtown and Caister Practice. Issue regarding nonavailability of room for smoking clinic. QIR 068: Reported on 31/03/16 by JPUH regarding Coastal Villages Practice. Issue regarding prescription refusal. QIR 070: Reported on 29/07/16 by JPUH regarding Alexandra Road Surgery. Issue regarding clinical equipment. QIR 071: Reported on 27/09/16 by JPUH regarding High Street Surgery. Issue regarding medication. New QIR Reports: QIR 078: Reported on 19/12/16 by IC24 regarding Kirkley Mill Surgery. Issue regarding inappropriate advice to contact 111. QIR 079: Reported on 19/12/16 by IC24 regarding Gorleston Medical Centre. Issue regarding inappropriate 111 referral. IPC Audits / QOF: No updates. 3

4 Friends and Family Test 120% 100% 80% 60% 40% 20% 0% The Friends and Family Test (FFT) is an important feedback tool that supports the fundamental principle that people who use NHS services should have the opportunity to provide feedback on their experience. It asks people if they would recommend the services they have used and, when combined with supplementary follow-up questions, the FFT provides a mechanism to highlight both good and poor patient experience. This feedback is vital in transforming NHS services and supporting patient choice. Comparison of Recommended GP Practices Dec-15 Nov-16 Dec-15 Responses Nov-16 Responses 4

5 Friends and Family Test Recommended by Month Dec-15 Responses Full survey results and the breakdown of responses can be found at: Nov-16 Responses GP NAME Dec-15 Jan-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 CENTRAL 0% 70% 0% 69% 58% 67% 86% 59% 75% 81% 0% 77% 0 43 EAST NORFOLK MEDICAL PRACTICE 0% 81% 100% 0% 77% 0% 88% 91% 78% 94% 84% 0% 2 0 MILLWOOD 89% 91% 92% 97% 89% 88% 100% 81% 94% 87% 96% 96% COASTAL VILLAGES PRACTICE 0% 0% 100% 81% 85% 0% 85% 86% 70% 67% 93% 89% 1 9 THE PARK 100% 100% 100% 100% 100% 93% 100% 100% 100% 96% 100% 98% FALKLAND 100% 100% 0% 0% 89% 0% 0% 100% 0% 0% 0% 0% 9 0 FAMILY HEALTH CARE CENTRE 0% 0% 0% 83% 0% 0% 0% 0% 0% 0% 0% 0% 0 0 THE LIGHTHOUSE MEDICAL CENTRE 100% 88% 63% 0% 65% 0% 0% 0% 0% 0% 0% 0% 6 0 FLEGGBURGH 100% 100% 100% 0% 80% 0% 100% 0% 100% 0% 0% 0% 5 1 GORLESTON MEDICAL CENTRE 100% 100% 94% 100% 0% 86% 0% 100% 91% 100% 88% 0% 5 0 ALEXANDRA RD 87% 73% 80% 78% 83% 92% 83% 86% 71% 80% 90% 84% BECCLES MEDICAL CENTRE 68% 64% 73% 62% 0% 68% 0% 72% 75% 70% 62% 0% 44 0 LONGSHORE SURGERIES 0% 0% 0% 0% 0% 0% 0% 0% 0% 100% 100% 0% 0 0 BRIDGE ROAD 60% 0% 85% 0% 60% 0% 0% 0% 0% 100% 86% 94% 5 34 VICTORIA ROAD 0% 50% 0% 78% 0% 0% 60% 80% 0% 0% 0% 100% 1 7 SOLE BAY H/C 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0 1 HIGH STREET 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0 2 KIRKLEY MILL HEALTH CENTRE 53% 41% 72% 59% 68% 47% 0% 57% 42% 62% 58% 0% 19 0 BUNGAY MEDICAL CENTRE 80% 87% 94% 86% 100% 89% 91% 83% 85% 73% 100% 100% 5 13 CUTLERS HILL 0% 0% 91% 100% 100% 88% 100% 88% 100% 100% 75% 91% 0 54 ROSEDALE 68% 87% 78% 93% 92% 89% 74% 86% 79% 83% 82% 0% 19 0 MARINE PARADE 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0 0 ANDAMAN 0% 0% 0% 0% 0% 0% 92% 100% 0% 100% 0% 0% 0 0 WESTWOOD 0% 0% 0% 0% 0% 0% 0% 0% 0% 80% 0% 0% 0 0 NELSON MEDICAL PRACTICE 95% 0% 85% 88% 77% 0% 88% 100% 0% 90% 86% 100% 39 5 GREYFRIARS HEALTH CENTRE 100% 100% 80% 0% 96% 0% 0% 0% 0% 0% 0% 0%

6 CENTRAL HEALTHCARE CENTRE EAST NORFOLK MEDICAL PRACTICE MILLWOOD COASTAL VILLAGES PRACTICE THE PARK FALKLAND FAMILY HEALTH CARE CENTRE THE LIGHTHOUSE MEDICAL CENTRE FLEGGBURGH GORLESTON MEDICAL CENTRE NELSON MEDICAL PRACTICE GREYFRIARS HEALTH CENTRE ALEXANDRA & CRESTVIEW SURGERIES BECCLES MEDICAL CENTRE LONGSHORE SURGERIES BRIDGE ROAD VICTORIA ROAD SOLE BAY H/C HIGH STREET KIRKLEY MILL HEALTH CENTRE BUNGAY MEDICAL CENTRE CUTLERS HILL ROSEDALE ANDAMAN WESTWOOD Prescribing: Controlled Drugs Costs and Items All Controlled Drugs costs per 1,000 patients (April 2016 November 2016) 35,000 30,000 25,000 20,000 15,000 10,000 5, ,000 All Controlled Drugs items per 1,000 patients (April 2016 November 2016) 6,000 5,000 4,000 3,000 2,000 1,

7 Prescribing: Antimicrobial Stewardship Overview The development of drug resistant strains of microorganisms such as Methicillin-Resistant Staphylococcus Aureus (MRSA) is an increasing national challenge. The adoption of good prescribing practice for antimicrobials is essential for effective resistance management. Antibiotic prescribing and antibiotic resistance are inextricably linked, as overuse and incorrect use of antibiotics are major drivers of resistance. Number of prescription items for antibacterial drugs per Specific Therapeutic group Age-sex Related Prescribing Unit (September 2016 November 2016) 7

8 Prescribing: Antimicrobial Stewardship Co-Amoxiclav, Cephalosporins and Quinolones % Items (September 2016 November 2016) 8

9 Prescribing: Antimicrobial Stewardship Antibacterial items per Specific Therapeutic group Age-sex Related Prescribing Unit per practice (September 2016 November 2016) (Great Yarmouth and Waveney CCG Total: 0.284) 9

10 A&E Attendance: per 1000 population Attendance at James Paget University Hospitals NHS Foundation Trust (JPUH) and Norfolk and Norwich University Hospital NHS foundation Trust (NNUH) Accident and Emergency Department (A&E) by GP Practice (per 1000 Population) April to November

11 GP referrals: to JPUH & NNUH 300 GP Referrals to JPUH & NNUH by Practice per 1000 population April to November 2016/ NNUH JPUH 0 11

12 Dementia diagnosis rates per practice: The percentage of people registered with GPs as living with dementia against forecast dementia prevalence rates (from the 2014 Dementia UK report) Data source: NHS England Monthly Dementia Diagnosis Workbook, accessed 07/02/

13 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Dementia diagnosis progress to target: Number of additional patients required per practice to meet target 66.7% diagnosis rate Number of Additional Patients to 66.7% Diagnosis Rate CENTRAL HEALTHCARE CENTRE EAST NORFOLK MEDICAL PRACTICE MILLWOOD COASTAL VILLAGES THE PARK FALKLAND Merged with Central to become Central Healthcare FAMILY HEALTH CARE Centre THE LIGHTHOUSE MEDICAL CENTRE Became part of East Norfolk FLEGGBURGH GORLESTON MEDICAL CENTRE ALEXANDRA RD BECCLES MEDICAL CENTRE LONGSHORE SURGERIES BRIDGE ROAD VICTORIA ROAD SOLEBAY HEALTH CENTRE HIGH STREET KIRKLEY MILL BUNGAY MEDICAL CENTRE CUTLERS HILL ROSEDALE ANDAMAN WESTWOOD NELSON MEDICAL PRACTICE GREYFRIARS Closed CCG TOTAL

14 Future dashboard The CCG continues to develop the dashboard and this will include both performance and quality. The dashboard will shared with NHS Great Yarmouth and Waveney s Patient Safety and Quality Committee for information and the next dashboard will be developed for publication in April It is proposed that the content of each dashboard will thematically change; in line with national focuses and priorities, although it will include a core data set to be guided by the Primary Care Commissioning Committee and will provide an update relating to information previously reported as data becomes available. The Quality and Safety Team continue to work with the Information Team to progress the dashboard in terms of core data requirements and align the content with the evolving Primary Care Strategy and Primary Care Framework. 14