Commissioning For You - November 2017

Your update from the Worcestershire CCGs

Commissioning

For You

November 2017

New
Prescribing
Policies in
Worcestershire

pg 3

Top Tips
To Stay Well
This Winter

pg 4

Alliance Boards
Everything you
need to know

pg 9

Plus
locality
updates
and more

Produced on behalf of:
NHS Redditch and Bromsgrove Clinical Commissioning Group
NHS South Worcestershire Clinical Commissioning Group
NHS Wyre Forest Clinical Commissioning Group

Welcome What’s happening
in Worcestershire?
to the third edition of
Commissioning For You, a The CCGs are currently working with
newsletter about the work health and social care colleagues to
and activity of the three ensure that the county is as prepared as
Worcestershire Clinical possible for the winter months. Alongside
Commissioning Groups (NHS supporting the national Stay Well This
Redditch and Bromsgrove, NHS Winter campaign, the CCGs have already
South Worcestershire and NHS begun putting plans in place to help meet
Wyre Forest CCGs). capacity and demand needs in the local
area. This includes a new falls pathway
The CCGs are responsible for which was implemented on 2 October and
designing local health services a pilot winter frailty unit at the Alexander
in Worcestershire. They do Hospital in Redditch, which launched on
this by commissioning or 16 October. As well as that, a countywide
buying health and care services GP visiting service is aiming to be
including: launched in November, along with patient
care streaming at the front door of A&E
• Planned hospital care at the Worcestershire Royal Hospital.
• Rehabilitation care
• Urgent and emergency care Keep an eye out for more information
• Community health services about the range of work taking place in
• Mental health and learning Worcestershire aimed at helping people
to stay well this winter.
disability services
• Maternity services For more information on work taking
• Primary Care services place nationally read pages four and five
or visit: www.nhs.uk/staywell
The CCGs work with patients
and healthcare professionals
in partnership with local
communities and local
authorities.

Our CCGs consists of 65 GP
member practices that are
working together to ensure
the local population has high
quality healthcare services,
which are sustainable.

Dr Richard Davies Dr Anthony Kelly Dr Clare Marley

Keep up-to-date with all the latest www.redditchandbromsgroveccg.nhs.uk
news and information from the www.southworcsccg.nhs.uk
CCGs via: www.wyreforestccg.nhs.uk

@RB_CCG fb.com/redditchandbromsgroveccg
@SW_CCG fb.com/NHS-South-Worcestershire-CCG
@WF_CCG fb.com/WFCCG

If you would like any further information on any of the articles covered in this issue of Commissioning
For You please contact the communications team via: [email protected] or call: 01905 681978.

2

New Prescription Policies in Worcestershire

On Monday 18 September 2017, proposals agreed back in July to restrict access to certain medicines,
treatments, products and food items on prescription came into force.

The decision made by the Worcestershire CCG Governing Bodies earlier this year relates to
current prescribing expenditure in the region of £2.6 million, which we hope can be reduced
over the next year as part of the £36 million CCG savings program.

This has not been an easy decision for the CCGs to make, however due to current financial pressures,
the CCGs have had to look at various ways of reducing costs in some areas.

Baby Milks & Specialist Oral Nutritional
Infant Formula Supplements

Over the Counter Gluten-free
Medicines Foods

Posters and leaflets have been sent out to your local surgeries and pharmacists and GPs have all
of the information relating to specific medications. Items no longer supported include:

• Treatments and medicines for short-term, minor conditions
• The prescription of gluten-free foods
• The prescription of some soya milks, thickened infant formula, formula for lactose

intolerance and all infant formula available as ready to use liquid
• The prescription of oral nutrition supplements.

These changes should be seen in the context of the wider Sustainability and Transformation
Partnership for our area, which is about providing safe, effective and sustainable health and care
services longer term.

For more information on any of the above please see the website:
www.worcestershire.nhs.uk/prescribing/

3

As winter approaches, now is a good time to make sure that you’re prepared
for illnesses that commonly affect people over the coming months, such as flu.

Actions that can be taken now, include people in at risk groups having their
flu jab, people making sure they have fully stocked medicine cabinets and
knowing what health services are available in the county.

The national Stay Well This Winter campaign is running from October to March
with the aim of helping people look after their health and wellbeing over the
winter months.

The Worcestershire CCGs will again be supporting the campaign, which
launched on Thursday 12 October.

Act now and get your flu jab

Flu symptoms can hit quite quickly and often include a fever, chills, headaches
and sore muscles, sometimes accompanied by a cough and sore throat.

If you’re fit and healthy there’s normally no need to see your GP, the best way
to treat flu is by staying at home, keeping warm and drinking plenty of fluids
to stay hydrated. You can also take paracetamol or ibuprofen to lower a high
temperature and relieve aches and pains.

For some people though getting flu can be more serious, such as:
• People aged over 65
• People with a serious medical condition, such as a heart complaint,

lung disease such as asthma, liver disease or have suffered a stroke
• Pregnant women
• Young children

It’s important that people in these groups are prepared, as they are more vulnerable and could
develop complications. One way to make sure you’re ready is by having the flu jab; most GP surgeries
will already be running their flu clinics.

It’s important to remember that you still need to have the jab even if you’ve had it in previous years
as strains of flu vary from year to year, so this is the best way to make sure that you’re protected.

The needle-free nasal vaccination is also available as an alternative way for parents to have at risk
children vaccinated in a quick, easy and pain-free way.

If you think you need the flu vaccination, check with your GP, practice nurse or local pharmacist.

For more information visit www.nhs.uk/staywell

4

Know your healthcare options

Emergency departments can be extremely busy during winter months, so it’s important to remember
that A&E is for serious and life-threatening emergencies only. There are a number of other health
services available for other health needs.

Patients can contact their own GP during surgery hours, visit their local pharmacist, dial 111 for
medical advice and information about alternative services, such as out of hours GP appointments and
there are five Minor Injury Units across the county in Malvern, Evesham, Kidderminster, Tenbury and
Bromsgrove.

To find out the opening hours of your local Minor Injury Unit visit
www.hacw.nhs.uk/our-services/minor-injuries-units.

Stock up to stay well Look out for
vulnerable
Having medicines on hand is a good idea for friends, relatives
anyone when they become ill, but it’s especially and neighbours
important for those with long-term health
issues, who are more vulnerable when the Older people and those with long-term
temperature drops. health conditions are particularly susceptible
to illness and isolation at this time of year,
Alongside regular medication, a well-stocked yet it can sometimes be difficult for those at
medicine cabinet should include the following: risk to admit they need help.

• A first-aid kit including bandages, plasters, Here are some tips for how to help elderly
thermometer, antiseptic, eyewash solution, and vulnerable people you may know:
sterile dressings, medical tape for dressings
and tweezers • Drop in to see them and check if they
are well at least once a week – and more
• Pain relief such as aspirin, paracetamol often if the weather turns very cold.
and ibuprofen for aches, pains and high
temperatures • If they are feeling ill, encourage them to
visit their local pharmacist without delay
• Oral rehydration salts to replace lost minerals – and give them a lift if you can.
and fluid after a fever or vomiting and
diarrhoea • Ask if you can collect any prescriptions
they need or take them to their GP for
• Anti-diarrhoea tablets to relieve symptoms any appointments.
of diarrhoea (though these will not help with
the underlying cause). • Make sure their home is heated to at
least 18°C to 21°C throughout the winter.

• Ensure they are eating well and have
a good supply of essential and store-
cupboard food to keep them going – and
offer to help them with shopping if they
struggle with mobility.

• If it snows, clear their path, front steps or
doorway areas for them – or better still,
encourage them to stay in.

A little bit of effort could make a
huge difference to someone’s life.

5

Financial recovery update

We are now half way through the current financial year which provides the opportunity for a
‘stocktake’ of where the CCGs are with financial recovery – and it’s fair to say that the majority of
savings programmes are working well with significant progress in most areas.

Primary Care

In terms of primary care, through the Promoting Clinical Excellence (PCE) arrangements, all
practices across Worcestershire are now working in groups to review referrals and prescribing
expenditure and all practices are also signed up to review repeat prescribing processes. This
is a significant achievement in itself and a real credit to the speed at which practices have
responded. The financial recovery programme is critically dependent on the actions being taken
by practices and a recent meeting of PCE clinical leads confirmed good progress is being made
and that the whole process is having positive benefits. From a savings perspective, early signs
are of a reduction across Worcestershire in referrals, and of a drop off in some elements of
prescribing expenditure. We are still anticipating upwards of £7m in savings from the actions
being taken by practices, which is the largest component of the financial recovery programme.

Other areas performing well Challenges

Other financial recovery programmes The urgent care work stream particularly is more of a
that are also progressing well: challenge with a higher level of growth in emergency
admissions than anticipated. However, key elements of the
• Increasing range of procedures programme are now in place, or about to be, including
now subject to prior approval the ‘frailty assessment unit’ at the Alexandra Hospital,
Redditch expanded ‘ambulatory emergency care’ capacity
• Clinical reviews undertaken of at Worcestershire Royal Hospital and an offer out to all
follow-up outpatient attendances practices to undertake ‘urgent GP visiting’. All of these
should see a significant reduction in admissions to the
• Exceptionally good progress hospital and a shorter length of stay for those that are
on strengthening the processes admitted, which is also critical to help the hospital cope with
around Continuing Healthcare the volume of patients during the winter.
and mental health packages of
care.

Looking forward

All in all there continues to be a high level of confidence that the financial recovery programme will
deliver close to its original target, with a current forecast of £34.2m against the plan of £36m.

The savings challenge continues however, with the need to find a further £30m savings for 2018/19.
Much of this is expected to be delivered by doing more of the same, optimising the things that we’re
doing this year with an increasing focus on ‘end to end’ pathway reviews, streamlining and joining up
the patient journey and work with Worcestershire Acute Hospitals NHS Trust in particular to reduce
activity at the hospitals. With the emergence of ‘accountable care’ there needs to be a different
approach to managing money and next year will be very much about working with providers to
reduce expenditure to be affordable within the funding that’s allocated as a county.

6

New community transport schemes
launched

Two new community transport schemes have launched in Worcestershire, offering improved
access to health services in the county.

Both schemes are available for anyone unable to travel by any other means. All transport will
need to be pre-booked and will be provided at a small cost, using volunteer driven cars and
multi-purpose vehicles.

Initially these are pilot projects, running until March 2018. They have been funded by the
Department for Transport’s Total Transport initiative and supported by Worcestershire County
Council and healthcare organisations.

Community

Transport Journeys to Health offers patients a way of
attending GP and hospital appointments.
Connections
It is available for patients registered with any
Your Road to Health Wyre Forest GP Surgery, as well as Tenbury
Wells Surgery and Great Witley Surgery.
Community Transport Connections
is available for patients and The service is provided by Wyre Forest
visitors travelling to either the Dial a Ride, Tenbury Transport Trust and
Alexandra Hospital, Redditch and Community Transport Wyre Forest.
the Worcestershire Royal Hospital,
Worcester. To book transport or to find out more
call 0300 3301246.
The need to improve transport between
the two hospitals was highlighted
during the Future of Acute Hospital
Services in Worcestershire work.

The service is delivered by the county’s
existing Community Transport operators.

To book transport or to find
out more call 0300 3239965.

7

Terry’s story to beat
Type 2 diabetes

Terry recently completed our Diabetes Prevention It gave me the
Programme in Worcestershire and shares his means to change
experiences and results with us. the way I live
to ensure a
Terry’s story The next thing was fitness. I healthier me
always thought I was fit as I
I have worked hard all my life and keep myself busy at home doing rather just do things when I feel
now that I am retired, I find out I gardening, painting, and house I need to and complete them as
have pre-diabetes. I was shocked, work for at least 5 to 6 hours a soon as possible, so setting future
but I took it as a wakeup call. The day. With the help of this course goals was hard. However that’s
doctor had previously told me that I have been able to get fitter just me as an individual, I know
there were good, normal, and bad through various exercises. I take this would work well for others.
levels of glucose and that I was on one half hour fast walk after my
the bad side of normal. main meal and I combine this with How has the programme
my hobby of photography. I also changed your life?
The first thing I did was stop complete the band exercises in a
having sugar that was added to chair whilst having a cup of tea. This programme has been a great
anything. However, the next blood All the changes that I have made way for me to implement small
test showed that my glucose were easy, but more importantly changes which lead to a healthier
levels had not lowered. I had a easy to maintain for life. lifestyle. I have implemented the
phone call from the doctor telling various exercises from the course
me that I needed to lose weight What was the best part of into my daily routine which is
and the best way to do so was the programme for you? helping to improve my fitness.
enrolling onto the pre-diabetes My aim was to lose one stone in
prevention programme. I had two The best part for me was that it weight and I have nearly reached
pre-conceptions; I was going to showed me the way forward with that goal. Some may say that the
eat rice and yogurt for every meal, my health and lifestyle. It gave me hardest part is to keep the weight
or run a marathon every other day. the means to change the way I live off, but I’m confident that with
Yet, neither of these conceptions to ensure a healthier me. I was the knowledge I have acquired, I
were true. The programme is really surprised how everything will achieve this.
about making small changes has changed for me; I have a
that make a big impact. Without definite understanding now of Will you continue to
this programme, I would be well what is ‘good and bad for you’. follow the programme
on my way to Type 2 diabetes. I now you have finished?
changed eating habits and started What was the hardest
to lose weight in no time. I also part of the programme Most definitely. The changes are
cut back on snacks and reduced for you? small, it has been simple to follow
the number of carbohydrates I and is easy to maintain. It is an
was eating. I have almost reached I found it difficult to set new goals easy lifestyle change which keeps
my goal of losing one stone. as I’m a doer, not a talker. I’d me healthy. I will absolutely stick
to it.
“If you have been told you are at risk of
developing Type 2 diabetes and haven’t Would you recommend
already been referred to the service: the programme to
Ask your GP, nurse or NHS Health Check others?
professional to refer you to the NHS
100%, yes.
“Diabetes Prevention Programme.
8 www.preventing-diabetes.co.uk

Alliance Boards

Across Worcestershire there are a wide range of high quality health and social care services available
to provide support and care to people when they need it. However, people sometimes say these
services are complex to access and navigate, and too often patients fall between the gaps in these
services, resulting in poor outcomes such as an admission to hospital that may have been avoided.

Commissioners and service providers from across the county are coming together to redesign services
and care pathways, so that they are more integrated. For patients, this will mean that their care is
co-ordinated, with professionals across health and social care working closely together. It will also
benefit staff working in these services, as much of the bureaucracy associated with transferring
individuals between services will be eliminated.

Alliance Boards have been established in the Integrated Neighbourhood Teams
three Worcestershire CCG areas to take forward
this work based on the different needs of the One of the first challenges being addressed by
populations they serve. Each Alliance Board the Alliance Boards is to develop Integrated
has representation from the CCGs, local GPs as Neighbourhood Teams, which bring together many
well as GP Federations, Worcestershire County of the existing community services available to
Council, Worcestershire Health and Care NHS support people in their own homes. Neighbourhood
Trust and Worcestershire Acute Hospitals NHS Teams have been formed around the registered
Trust. Of course, there are some challenges population of two to three GP surgeries. Each
that are common to all three Alliance Boards, team will include a range of community nurses
and where it makes sense for solutions to be with a wide range of skills, as well as therapists
developed at a county-wide level. This role is and dedicated social workers, working closely with
undertaken by the overarching Worcestershire general practice. The team will provide a rapid
Alliance Board, which also provides executive response service for people who need a short-term
level leadership and oversight. period of care to help them recover and regain
their independence following an illness, injury or
The common aim of the Alliance Boards is hospital admission. It will also support people with
that: ‘Local people will live well in a supportive ongoing health and social care needs, who may
community with joined up care underpinned need a more long-term element of planned care at
by specialist expertise, and delivered in the best home (including people in care homes).
place, by the most appropriate people.’
During a crisis, many people need the input
The role of the Alliance Boards is to provide from a number of health and social care services.
support to unblock the barriers that currently Currently, the referrer needs to complete a number
get in the way of staff delivering services of lengthy referral forms to individual services,
in a more integrated way; the finances, resulting in numerous telephone calls, which the
the governance structures, the information individual professionals need to manage alongside
technology systems, and the needs and delivering patient care. In the new model of care,
priorities of individual organisations. referrers will be able to call one telephone number,
and have a conversation with a senior professional
Four key priority areas have been who will take responsibility for co-ordinating care
identified by the Alliance Boards as a within the multi-disciplinary team. Once the needs
focus for developing new models of of the patient are identified, the most appropriate
care: members of the team will be identified to
undertake an assessment and provide the necessary
1. Improving access to care, seven days care. Care will be co-ordinated to provide continuity
per week. for the patient. If a problem arises, the patient or
their carers will have just one number to call to seek
2. Integrating primary, social and help from all professionals involved in their care.
community care
The development of the Integrated Neighbourhood
3. Integrating specialist support Teams is well underway across the county, and it is
4. Promoting prevention and self- expected that these will be operational by the end
of December 2017.
management.
9

Catheter Passport launched Staff at
across Worcestershire. Worcestershire
Royal Hospital
pose with the
new passports

A new patient passport has been launched across of patient catheter care plans between health
Worcestershire with the aim of boosting catheter and social care professionals in hospital and the
care. community ensuring that an up-to-date record is
available.
The patient held passport aims to support the
reduction of urinary infections and reduce the It is designed as a patient held document which
number of unnecessary catheter related hospital provides practical advice to patients or their
visits. It also empowers patients to live healthily carers on how to look after their catheter, as
with their device and improve communication well as informing them of the services that are
and information sharing between health and available to them and who to contact if they
social care professionals about the management have any concerns. It is hoped that it will support
of patients’ catheters. someone to live as independently as possible with
their catheter.
The passport was developed by a health
economy working group, including the three The passport has been issued to all patients across
Worcestershire CCGs, healthcare providers Worcestershire with a urinary catheter. This will
and Public Health, to ensure patients have the ensure that all health care professionals will have
right information regarding their catheter. access to relevant information about the catheter
This collaborative approach allows the sharing regardless of where they are seen.

10

RB New SW Local diabetes
Healthcare sufferer receives
Navigation Alan Nabarro Medal
Scheme set
to launch A patient at Upton Surgery has received a
commemorative medal from Diabetes UK in
From 1 November, GP practices recognition of 50 years of managing his condition.
in Redditch and Bromsgrove will
be launching a new Healthcare Denis Chirgwin, 66, from Malvern was awarded the
Navigation Scheme which aims to Alan Nabarro medal at Upton Surgery for his triumph
offer patients the choice to see the in living with the long-term condition. The Alan
most appropriate person, without the Nabarro medal is a special award given to people
need to see a GP each time. who have lived with diabetes for 50 years.

The Healthcare Navigator role will Denis and his wife Shelley attended the ceremony on
be introduced in GP practices in the his 66th birthday and he said, “I was 16 when I was
Redditch and Bromsgrove area and will first diagnosed with diabetes and had to spend many
consist of GP practice staff (including weeks in hospital. The future was uncertain back then
administration and clerical staff) being and I thought I’d end up losing a limb. I’ve had to
trained to provide a greater role in administer over 90,000 injections on myself and I’m
signposting patients when they call up working towards 100,000.”
their GP surgery for an appointment.
Denis has seen dramatic changes in diabetes care in
With the support of funding from the past 50 years and offers advice to anyone who has
NHS England, GP Practice staff had a recent diagnosis.
have received training delivered by
Birmingham City University which Denis said, “Diabetes has never stopped me from
includes a mixture of online learning living a full and wonderful life and I’m still working
and face-to-face training sessions to this day. I hope that new diabetics will see there
along with in-practice training and is no need to fear for their future and I have always
support. Redditch and Bromsgrove appreciated the doctors and staff who have helped
CCG has worked with the University me over the years to cope with diabetes.”
to develop a training programme that
covers all of the essential elements GP partner, Dr Gail Wetmore, who presented Denis
of this framework along with with his award, said: “I am extremely pleased to be
local information that is useful for able to present Denis with this award.
Healthcare Navigators to undertake Living with this condition
this new way of working. is not always easy and
Denis is a great example
Patients will notice that Healthcare of how diabetes doesn’t
Navigators will ask for more have to control your
information about the difficulties life. Congratulations.”
that they have been having. The
Healthcare Navigators are bound by a Diabetes UK have Denis
confidentiality agreement so patients other medals, Chirgwin,
should feel comfortable to discuss the which are all and Dr Gail
basic details relating to their situation. named after a Wetmore
In this way Healthcare Navigators leading figure
might be able to provide other options in the diabetes 11
which may be more beneficial to the community,
patient than simply seeing the GP. to present to
people who
have had type 1
diabetes for 60,
70 and 80 years.

SW Breathe Easy – Malvern

A new peer support group The group takes place every really stood out is the quality
launched earlier this year in second Monday of the month, of peer support provided
Malvern for those affected by 2-4pm at the Malvern Cube, by group members to each
lung disease, including family, Albert Road North, Malvern, other. I know that a number
friends and carers. WR14 2YF. of patients attending the
group have already benefited
The Malvern Breathe Easy Richard Vakis-Lowe, Practice from both the clinical input
Group offers an opportunity Manager at St Saviour’s and peer support. We need to
to socialise and make new Surgery has been involved look at rolling out setting up
friends as well as finding in the implementation other support groups like this
out more about conditions of the group in Malvern, for other long-term conditions
such as Chronic Obstructive commented: “The Malvern across South Worcestershire.
Pulmonary Disease (COPD). Breathe Easy Group is a
fantastic example of clinicians I would like to thank the
The British Heart Foundation from both primary care and British Lung Foundation and
and GP surgeries in Malvern secondary care working all of the local clinicians who
developed the group, with together, with the support have given up their time to
support from the well- of the voluntary sector, help establish this group.”
established Breathe Easy to support patients with
Group in Redditch. In total respiratory problems. If you would like to know
there are 230 groups across I have attended a couple of more, call 03000 030 555 or
the country. meetings now and what has visit: blf.org.uk/helpline

SW Heartstart Malvern Malvern Town Centre

Heartstart Malvern is a registered charity which
is trying to increase the survival rate from
cardiac arrests in Malvern.

The charity is doing this by installing public
access defibrillators and providing free
resuscitation training to the local community
and local schoolchildren.

During its first year Heartstart Malvern provided
training to over 800 people and has installed
five defibrillators in Malvern. Heartstart is now
looking to recruit more volunteer trainers. No
previous training experience is needed and the
time commitment is about two hours a month.

For more information about Heartstart Malvern
please visit: www.heartstartmalvern.org.uk
or contact Richard Vakis-Lowe on: 07716 345300.

12

Dates for
your Diary

Upcoming Governing
Body meeting dates:

Walkers show off Redditch and Bromsgrove Cli
their snazzy socks Clinical Commissioning Group Thursd

Thursday 23 November in Bromsgrove IV Co
Council Chamber 9:00 - 12:00 Mo
and
More details about the meetings
and for agendas and papers, visit: Clin
Wedne
http://bit.ly/1KxoTMd District

Kidderminster MemoryWF Mo
Redditch and Bromsgrove South Worcestershire and
Clinical Commissioning Group Clinical Commissioning Group

Walk Thursday 23 November in Bromsgrove Thursday 30 November in King George
Council Chamber 9:00 - 12:00 IV Community Centre 14:00 - 17:00

NHS Wyre Forest CCG is an activeMmoreemdebteairlsoafbothutethe meetings More details about the meetings
Kidderminster Dementia Action aAnldliafonrcaeg,ewndhaos aonrdgpaanpiesresd, visit: and for agendas and papers, visit:
the Kidderminster Memory Walk thahttttpo:o//kbipt.llayc/1eKoxnoTMd
Sunday 1 October. http://bit.ly/2n2cUlc

CliRneiuTcdahndleiitCtceMohmteaommngdieosstBrihyrooenWmrintasgoglkrGroaorvoifesfueeprmedonaenyofpoprCotlhirnteiuScAaonluiltzCtyhhoefmWoimmroripescrese’iossotpnSeolirnescghiteioGrteyro. up Wyre Forest
ThursdaPye2o3pNleovoefmablelraingeBsroamnsdgraobveilities Tjohuinrseddayin3,0fNroovmemgbrearnindpKainrgenGtesorge Clinical Commissioning Group

Coutnocigl Crahnamdcbheril9d:r0e0n-, 1a2n:0d0even furryIVfCooumr-mleugngiteydCefrniterend14s.:00 - 17:00 Wednesday 6 December in Wyre Forest
District Council Chamber 9:00 - 12:30
aMndorfeTorhdeaistgaeyilnesdaaarbsooauvntedtrhpe1ap1me0er,se0,t0ivn0isgistp: eople acraoMnsdosrfEeonrdgeatglaaeinlnsddaa,bsWoaunatdltehpseaapmenerdse,tivnisgist:
hNotfotpwr:t/ha/blekirtinn.lygI/r1etoKlagxnoedTthMceodrmtpoleceteledbtrhaetewloavlke,dhwtotipnt:he//stbhaitef.flyem/c2atnein2dcaUbilymc More details about the meetings
dementia, and raise money to reclaim the future. and for agendas and papers, visit:

http://bit.ly/2n29uyD

Worcestershire-wide performance update

Cancer Waiting Times Progress
All patients referred urgently by their GP with suspected cancer will be seen within 14 days.
Patients to wait no more than 31 days from diagnosis to treatment of all cancers.
Patients are treated within a maximum of 62 days from urgent suspected cancer referral to treatment.
Patient waits in A&E
Target is at least 95% of patients are to be seen, treated and admitted or discharged within four hours.
18 Weeks from Referral to Treatment

The referral to treatment target is set as the maximum time it takes from the GP referring a patient for treatment to
time that treatment starts. Within that 18 week period all diagnostic tests and outpatient visits for test should occured.

Mental Health
The proportion of people with depression and / or anxiety disorders who receive psychological therapies – IAPT.
Patients on a Care Programme Approach receiving a follow up within seven days of discharge from psychiatric care.
Estimated diagnosis rate for people with Dementia.

13