A Clinical Commissioning & Primary Care Perspective

Dr Dawn MoodyGPwSI Geriatric Medicine & Clinical Associate for the

Care of Frail Older People

Jo WilliamsHead of Commissioning for Unplanned Care

North Staffordshire CCG

Key Principles

Older people should have access to NHS services which are:

- patient centred- needs based- equitable- free at point of delivery

Commissioning Objectives

Integrated patient-centred journeys which:

– recognise scope & complexity of need

– proactive when possible, reactive when necessary

– maximise continuity of care

– minimise sudden or unplanned transitions of care

– we would accept for ourselves or our loved ones

Challenges in Commissioning for Older People

• Commissioning commitment & resources• Evidence base for commissioning • Effective collaboration

Challenges in Commissioning for Older People

• Commissioning commitment & resources• Evidence base for commissioning • Effective collaboration

Response to ‘Failing the Frail’:North Staffs Nursing Home project

Unscheduled admissions of North Staffs Nursing Home residents

‘Good news stories’

Possible opportunities for service improvement

Challenges in Commissioning for Older People

• Commissioning commitment & resources• Evidence base for commissioning • Effective collaboration

Effective Collaboration

Thank YouDawn.Moody@northstaffs.nhs.uk