Peter Mercer

1
Peter Mercer
Working TogetherDelivering ExcellenceNetwork
overview

• Network Director
• North of England Cardiovascular Network
• 15th October 2008

2
Introduction?

• Network background (history, geography,
  structure, whos who)
• Stakeholder breakdown
• Role of the network
• Role of the SIM
• Current work projects and priorities
• Current future challenges
• Questions

3
History

• CHD Collaborative 2000
• CHD Networks NNCC C2C
• Merger of NE Cancer Networks - Jan 2007
• Continuity of Heart Improvement Programme
• Creation of Stroke Improvement Programme
• Creation of NECVN Nov 2007
• Publication of Stroke Strategy Dec 2007

4
Geography
5
Network Stats

• 3 SHAs
• 14 PCTs
• 9 Acute or Foundation Trusts
• 3 Ambulance Trusts
• 3.2 million population

6
Who's Who

• Network Chair Ian Renwick
• Lead Director of Commissioning - Cameron Ward
• Network Director Peter Mercer
• Service Improvement Lead x 2
• Service Improvement Managers x 9
• Information Manager
• Admin team x 3
• Clinical Leads, (CHD x 2, Stroke x 2)
• Primary care x 2

7
Network Structure
8
The Stakeholders

• Dept of Health and NHS Improvement
• Strategic Health Authorities
• PCTs (commissioners providers)
• Primary care GP practices, PBC clusters
• Acute NHS Trusts (DGHs, Foundation Trusts,)
• Community / intermediate care
• Private providers
• Ambulance services
• Patients (CHD Stroke support groups, The Stroke
  Association, BHF )
• Local authority partners
• Voluntary sector
• Universities and other education institutions

9
NHS Improvement programme

• Works with clinical networks and NHS
  organisations to transform, deliver and sustain
  improvements across the entire pathway of cardiac
  care and stroke services.
• www.improvement.nhs.uk

10
Role of the Network core team

• Support delivery of CHD NSF / Stroke Strategy
  across organisations
• Clinical forums
• Service Improvement support
• Commissioning, advice, evidence,
• recommendations for Operating Plans
• Patient and Public Involvement

11
Role of the Network contd

• Information and Performance Monitoring
• Workforce Development
• NICE Implementation
• Healthcare Commission (Heart Failure Audit)
• Engage stakeholders as a virtual organisation.
• To have an oversight of the whole patient journey
  across organisational boundaries

12
What skills can the Network core team offer

• Work across organisations in a non partisan
  (impartial) manner
• Raise awareness of the CHD / Stroke agenda
• Quality and Service Improvement
• Develop guidelines and protocols
• Support World Class Commissioning and post Darzi
  work streams
• Develop Network wide standards
• Assist evidence gathering
• Be a source of advice and guidance

13
Benefits

• Define and develop clinical pathways
• Identify and seek to manage inequity
• Benchmarking
• Audit activity to inform change
• Strategic planning / WCC
• Clinical engagement
• Clear recommendations to commissioners
• Sharing good practice and innovation

14
Network wide projects

• Primary PCI
• Primary prevention toolkit
• Atrial fibrillation guidelines
• Clopidogrel cards
• TIA review
• Hyper acute stroke service model

15
Network priority work areas

• CHD
• - Primary PCI
• - Myocardial Infarction - Standard
  definition
• - Arrhythmias equity of service
  provision
• - Adult Congenital Heart Disease (ACHD)
  and Sudden
• Cardiac Death genetics nurses
• - Primary Prevention
• - Cardiac Rehabilitation
• - Percutaneous Aortic Valve Replacement
  (PAVR)

16
Network priority work areas

• Stroke
• - Support implementation of the Stroke
  Strategy
• - Transient Ischemic Attack (TIA)
• - Stroke Rehabilitation
• - TIA Stroke inpatient and outpatient
  information flows
• - Training Education
• - Hyper acute stroke services
• - Awareness raising
• - National Priority Projects
• - SHA Finance/Expenditure, 2.4 million

17
What's happening now?

• National funding confirmed
• Network Executive / Network Board established
• Development of stroke network structure
• Redistribution of network team/resources
• Network CVD Strategies
• Network Workplan
• Training / Education Strategy
• North East Transformation System ( NETS)
• National activity/priority projects (Heart
  Failure, 18wk pathway cardiac rehab).

18
The new world what are the challenges ?

• World class commissioning
• PCT Commissioner / provider split
• Payment by Results (Tariffs)
• Practice Based Commissioning
• Darzi Better Health, Fairer Health
• Local and national targets
• Effectively engaging the public
• Communication

19
Communication / New Website www.necvn.nhs.uk
20
(No Transcript)
21
(No Transcript)
22

• Coming together is a beginning, staying together
  is progress and working together is success
• Henry Ford

23
Thanks go to.

• Colin Morris
• Stephen Singleton
• Lynsey Dovey
• Margaret Rowe
• Dr Phil Adams
• Carol Marley
• NECVN team