Content

RESOLVED: that
Cabinet:
a)   
Adopted and agreed the recommended model of care for
redesigning our service, improving access to NHS Health Checks for
early detection of CVD diseases and preventing premature mortality
due to CVD and its complications.
b)   
Agreed to initiate the commissioning process of the
recommended service delivery model for the NHS Health Check
programme in West Northamptonshire for its implementation for
five-years (2+2+1).

 
REASONS RESOLVED:
·        
The existing NHS Health Check programme does not
meet national expectations. The CVD prevalence across West
Northamptonshire has risen and continues to rise, and CVD related
mortality in the area is higher than the national
average.
·        
The recommended model of service delivery
will:
o  
provide capacity to deliver a tailored service aimed
at improving CVD related health outcomes.
o  
focus on targeting inequalities in accessing the NHS
Health Check service, supporting improvements to the quality of
life in groups experiencing inequalities and inequity.
o  
improve service delivery by aligning community
providers with General Practices and increasing resident’s
opportunities of receiving Health Checks and thereby
uptake.
o  
better aligned service delivery with the prevention
strategy, helping to reduce delays in treatment and increase
referrals to community behavioural interventions that will reduce
the risks of developing CVD diseases. This will result in a reduced
demand on primary healthcare systems and have a reduction in the
number of CVD complications, and CVD related admissions to the
hospitals.
o  
offer providers an enhanced payment package, which
supports process improvements and performance outcomes.
o  
provide an improved training package for providers
that enhances the quality of Health Check delivery and incorporates
Basic Life Support, Mental Health First Aid and Making Every
Contact Count(MECC). Community providers will also be offered
condensed IPC (Infection Prevention and Control)
training.
o  
enable enhanced collaboration in primary care
between General Practices, community providers and independent
providers.
o  
provide a model that is financially and clinically
effective at achieving health benefits of the NHS Health Check
screening programme.
o  
provide a service that aligns to: o statutory
requirement under the Local Authorities Regulation Act
13.
o  
NHS Ambition Core 20PLUS5 to support in reducing
healthcare inequalities by increasing hypertension case
finding.
o  
the ‘All our Health’ framework, ensuring
the NHS Health Check programme reaches high-risk and vulnerable
communities.
o  
the objectives of the West Northamptonshire Local
Area Partnerships (LAP) who aim to make a difference of those who
live in the area through tailored and targeted support.
o  
to the West Northamptonshire Health and Wellbeing
Strategy ambitions three (opportunities to be fit, well and
independent) and nine (access to health and social
care).
o  
the Integrated Care Network’s Live your Best
Life Strategy ambitions three (opportunities to be fit, well and
independent) and nine (access to health and social
care).
o  
the three levels of the recommended preventative
approach (primary, secondary, and tertiary).
 
ALTERNATIVE OPTIONS:
 
The recommended model is
detailed in section 5.4.3 of the report, as one of the most cost
and clinically effective model of care in achieving health benefits
of the NHS Health Check screening programme.
 
There is an option of adopting
either of the other two proposed models. However, the analysis did
not find them to be feasible, considering the current CVD health
needs of the West Northamptonshire population and the system
requirement of service provision.
 
The equality impact assessment
identified that the recommended option meets the need of all layers
of demography and is equitable to all by applying a proportionate
universalism approach to improve the health of the entire
population, whilst signposting most disadvantaged
faster.
 
One of the tests of
implementing this model of NHS Health Check, is to manage two
separate commissioning models that include payment by activity and
block contract to best fit the need of our population