Primary Care Dashboard December 2016

Transcription

1 Primary Care Dashboard December 2016 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 October 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 October 2016 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 October 2016 dashboard. NHS Great Yarmouth and Waveney CCG continues to monitor CQC inspection reports and ratings of primary care services. 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. New QIR Reports: QIR 071: Reported on 27/09/16 by JPUH regarding High Street Surgery. Issue regarding medication. QIR 075: Report on 06/11/16 by EEAST regarding Beccles Medical Centre. Issue regarding the availability of the Out of Hours GP. IPC Audits / QOF: No updates. 3

4 Friends and Family Test 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 120% 100% 80% 60% 40% 20% 0% Oct-15 Sep-16 Oct-15 Responses Sep-16 Responses 4

5 Friends and Family Test Recommended by Month Oct-15 Sep-16 GP NAME Oct-15 Nov-15 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Responses Responses ALEXANDRA RD 56% 69% 87% 73% 80% 78% 83% 92% 83% 86% 71% 80% 9 25 ANDAMAN 0% 100% 0% 0% 0% 0% 0% 0% 92% 100% 0% 100% 1 30 BECCLES MEDICAL CENTRE 75% 73% 68% 64% 73% 62% 0% 68% 0% 72% 75% 70% BRIDGE ROAD 0% 100% 60% 0% 85% 0% 60% 0% 0% 0% 0% 100% 0 14 BUNGAY MEDICAL CENTRE 100% 100% 80% 87% 94% 86% 100% 89% 91% 83% 85% 73% CENTRAL 71% 50% 0% 70% 0% 69% 58% 67% 86% 59% 75% 81% COASTAL VILLAGES PRACTICE 0% 94% 0% 0% 100% 81% 85% 0% 85% 86% 70% 67% 4 6 CUTLERS HILL 100% 0% 0% 0% 91% 100% 100% 88% 100% 88% 100% 100% 6 12 EAST NORFOLK MEDICAL PRACTICE 83% 92% 0% 81% 100% 0% 77% 0% 88% 91% 78% 94% FALKLAND 0% 0% 100% 100% 0% 0% 89% 0% 0% 100% 0% 0% 0 0 FAMILY HEALTH CARE CENTRE 0% 83% 0% 0% 0% 83% 0% 0% 0% 0% 0% 0% 4 0 FLEGGBURGH 0% 0% 100% 100% 100% 0% 80% 0% 100% 0% 100% 0% 0 3 GORLESTON MEDICAL CENTRE 94% 88% 100% 100% 94% 100% 0% 86% 0% 100% 91% 100% GREYFRIARS HEALTH CENTRE 94% 78% 100% 100% 80% 0% 96% 0% 0% 0% 0% 0% 32 0 HIGH STREET 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0 0 KIRKLEY MILL HEALTH CENTRE 33% 77% 53% 41% 72% 59% 68% 47% 0% 57% 42% 62% LONGSHORE SURGERIES 0% 100% 0% 0% 0% 0% 0% 0% 0% 0% 0% 100% 4 6 MARINE PARADE 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0 0 MILLWOOD 98% 100% 89% 91% 92% 97% 89% 88% 100% 81% 94% 87% NELSON MEDICAL PRACTICE 80% 0% 95% 0% 85% 88% 77% 0% 88% 100% 0% 90% 5 52 ROSEDALE 82% 100% 68% 87% 78% 93% 92% 89% 74% 86% 79% 83% 22 6 SOLE BAY H/C 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 1 0 THE LIGHTHOUSE MEDICAL CENTRE 0% 0% 100% 88% 63% 0% 65% 0% 0% 0% 0% 0% 2 0 THE PARK 100% 100% 100% 100% 100% 100% 100% 93% 100% 100% 100% 96% VICTORIA ROAD 98% 100% 0% 50% 0% 78% 0% 0% 60% 80% 0% 0% 64 0 WESTWOOD 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 80% 2 5 Full survey results and the breakdown of responses can be found at: 5

6 CENTRAL 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 September 2016) 10,000 8,000 6,000 4,000 2, ,400 1,200 1, All Controlled Drugs items per 1,000 patients (April 2016 September 2016) 6

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 (June 2016 August 2016) 7

8 Prescribing: Antimicrobial Stewardship Antibacterial items per Specific Therapeutic group Age-sex Related Prescribing Unit per practice (June 2016 August 2016) (Great Yarmouth and Waveney CCG Total: 0.265) 8

9 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) for Quarter 1&2 2015/16 and Quarter 1&2 2016/17 (per 1000 population) 9

10 GP referrals: to JPUH & NNUH All referrals by practice per 1000 population Q1/Q2 2016/17 10

11 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) 11

12 Dec-15 Jan-16 Feb-16 Mar-16 Apr-16 May-16 Jun-16 Jul-16 Aug-16 Sep-16 Oct-16 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 NELSON MEDICAL PRACTICE LONGSHORE SURGERIES COASTAL VILLAGES THE PARK FALKLAND FAMILY HEALTH CARE ROSEDALE GORLESTON MEDICAL CENTRE GREYFRIARS ALEXANDRA RD BECCLES MEDICAL CENTRE FLEGGBURGH BRIDGE ROAD VICTORIA ROAD SOLEBAY HEALTH CENTRE THE LIGHTHOUSE MEDICAL CENTRE KIRKLEY MILL BUNGAY MEDICAL CENTRE CUTLERS HILL EAST NORFOLK MEDICAL PRACTICE ANDAMAN WESTWOOD MILLWOOD HIGH STREET CCG TOTAL

13 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 February 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. 13