The Minster Practice, Lichfield

Primary Care Trust

South Staffordshire Primary Care Trust

October 2006 saw the merging of South Staffordshire's PCT in one with head office now based in Rugeley.

Burntwood Lichfield Tamworth Primary Care Trust

Health authorities have been replaced by Primary Care Trusts. Your local trust is the Burntwood, Lichfield and Tamworth Primary Care Trust (BLT PCT). The Trust covers a population of about 152,000 registered with 26 general practices. It has an annual budget of about £115 million (2003/04), has 800 staff and manages 4 community hospitals.

On 26th June 2004, the offices of the PCT will move from Guardian House Lichfield to Merlin House on Ventura Park Tamworth. Telephone 01827 306111. Website www.bltpct.nhs.uk

Burntwood, Lichfield and Tamworth PCT

National Plan Targets for 2004 to 2006 published June 2004

	Target to be Achieved	Target Date	Lead	Focus Group(s)
1. 1	Reduce to four hours the maximum wait in A&E from arrival to admission, transfer or discharge. (98% compliance by January 2005)	January 2005	Anna Hammond	Emergency Care
2. 2	By December 2004 a single call to NHS Direct will be a one-stop gateway to out of hours healthcare, with callers passed on, where necessary, to the appropriate GP co-operative or deputising service.	December 2004	Jim Barlow	Primary Care
3. 3	Maintain the maximum wait of 17 weeks for an outpatient appointment.	Ongoing	Anna Hammond	Commissioning
4. 4	Reduce the number of 13-week waiters for an outpatient appointment by March 2005.	March 2005	Anna Hammond	Commissioning
5. 5	Maintain a maximum wait of 9 months for an inpatient appointment.	Ongoing	Anna Hammond	Commissioning
6. 7	100% booking of all day cases and two thirds of all first outpatient and inpatient elective admissions being pre-booked by March 2004.	March 2004	Anita Tipper	Provider Arm
7. 8	Ensure 100% of patients who wish to do so can see a primary health care professional within 1 working day, and a GP within 2 working days.	Ongoing	Clare Cooper	Primary Care
8. 9	Reduce by 80% the number of 6 month waiters for an inpatient appointment by March 2005 from the March 2003 baseline.	March 2005	Anna Hammond	Commissioning
9. 10	Achieve a maximum wait of 13 weeks for an outpatient appointment by December 2005.	December 2005	Anna Hammond	Commissioning
10. 11	Achieve a maximum wait of 6 months for an inpatient appointment by December 2005.	December 2005	Anna Hammond	Commissioning
11. 11	By April 2004 all patients waiting 6 months will be offered the choice of an alternative provider.	April 2004	Lindsey Smith	Access, Booking and Choice
12. 12	Offer routine choice of hospital provider at point of booking for all patients by December 2005. (4 – 5 providers)	December 2005	Lindsey Smith	Access, Booking and Choice
13.	Develop a pilot offering choice at referral	October 2004	Lindsey Smith	Access, Booking and Choice
14. 13	Maintain existing cancer waiting time standards and set local waiting time targets for 2004/05.	March 2005	Andy Wakeman	Cancer
15. 15	Extend breast screening to all women aged 65 to 70 by 2004.	December 2004	Andy Wakeman	Cancer
16. 16	By December 2005 there should be a maximum of one month from diagnosis to treatment and two months from urgent referral to treatment for all cancers.	December 2005	Andy Wakeman	Cancer
17. 17	Three month maximum wait for angiography by March 2005.	March 2005	Christine Adams	CHD
18. 18	Three month maximum wait for revascularisation by March 2005.	March 2005	Christine Adams	CHD
19. 19	Deliver assertive outreach to adult patients with severe mental illness and complex problems who regularly disengage from services.	Ongoing	Alison Wynne	Mental Health
20. 20	Improve mental health care in prisons so that all prisoners with severe mental illness have a Care Plan.	Ongoing	Nikki Church	Mental Health
21. 21	Ensure that protocols are in place across all health and social care systems for the care and management of older people with mental health problems.	Ongoing	Alison Wynne	Mental Health
22. 22	Reduce the duration of untreated psychosis to a service median of less than three months (individual maximum of six months).	December 2004	Alison Wynne	Mental Health
23. 23	Offer 24-hour crisis resolution to all eligible patients.	January 2005	Alison Wynne	Mental Health
24. 24	Each year there will be less than 1% growth in emergency hospital admissions and no growth in readmissions (older people).	Ongoing	Sandra Walker	Older People
25. 25	All assessments of older people will begin within 48 hours of first contact with social services and will be completed within four weeks – 70% within two weeks.	December 2004	Sandra Walker	Older People
26. 26	All general hospitals caring for people with stroke to have a specialised stroke service.	Ongoing	Sandra Walker	Older People
27. 27	All health and social care systems to have an integrated falls service.	December 2004	Sandra Walker	Older People
28. 28	A minimum of 80% of people with diabetes to be offered screening for the early detection (and treatment if needed) of diabetic retinopathy as part of a systematic programme.	December 2005	Christine Adams	Diabetes
29. 30	Introduce ward housekeepers in hospitals.	December 2004	Sandra Walker	Provider Arm
30.	1570 Adults to quit smoking at 4 weeks (403 to quit smoking at 4 weeks March 2004)	March 2006	Nikki Church	CHD/ Cancer
31. 34	Deliver an increase of 2% in breastfeeding initiation rate.	Ongoing	Nikki Church
32. 35	Contribute to a national reduction in death rates from CHD of at least 25% in people under 75, compared to 1995 - 1997.	December 2005	Andy Wakeman	CHD
33. 36	Contribute to a national reduction in death rates from cancer of at least 12% in people under 75, compared to 1995 - 1997.	December 2005	Andy Wakeman	Cancer
34. 37	Achieve the target of 70% uptake in influenza immunisation in people aged 65 and over.	Ongoing	Jim Barlow	Primary Care
35. 38	Improve GP premises, to contribute to national target of 3000 GP premises refurbished or replaced by the end of 2004.	December 2004	Jim Barlow	Primary Care
36.	Increase in drug misusers accessing treatment – 100% increase from 1998 baseline by 2008.	Ongoing	Alan Snuggs	DAT
37.	Achieve financial balance (remain within resource limit).	March 2005	Colin Thomas	Finance Panel
38.	Implement new Payments by Results regime.	Ongoing	Colin Thomas	Finance Panel

BLT PCT - LOCAL TARGETS 2004/06 published June 2004

	Target	Target Date	Lead	Focus Group(s)
1	Ensure the PCT remains on course to deliver the new hospital by late 2005. The aim is to have the first brick laid by late summer 2004	Late summer 2004	Sandra Walker Colin Rickard	Project Board Project Team
2	Introduce a new, locally based Human Resources service.	June 2004	Julie Tanner	HR&OD
3	Fully prepare for a CHAI visit to take place in 2005 ensuring the PCT is ready for the review process. Harness this opportunity to further develop our organisational wide approach to Clinical Governance.	ongoing	Heather Evans Nikki Church	Clinical Governance
4	Work with East Staffs PCT and Queens Hospital to develop ways of reducing inappropriate admissions	Changes expected and documented from September 2004	Phil Ballard Dr VJ	Commissioning
5	Work with the GP Working Group and relevant clinicians to prevent unnecessary GP referrals and improve the quality of referrals	Changes expected and documneted from September 2004	Phil Ballard Dr VJ	Commissioning
6	Review the local Mental Health Services in its entirety agreeing specific objectives with SSHCT and other key partners.	January 2005	Alison Wynne	Mental Health
7	Engage in the North Birmingham/South East Staffordshire Review on Good Hope Services, ensuring focus on achieving optimum balance between hospital and community services.	Ongoing	Phil Ballard Alan Snuggs	Project Board
8	Work in partnership with Queens Hospital and East Staffs PCT to develop the Burton Treatment Centre to its full capacity.	Ongoing	Colin Thomas	Project Board
9	Enhance the public health infrastructure within the PCT with a particular focus on support to both LSPs. This will include a new consultant post.	September 2004	Andy Wakeman	Public Health Network
10	Implement the national sexual health strategy across BLT. Agree action plan.	Ongoing	Nikki Church	Sexual Health
11	Prepare for the implementation of the new Out of Hours service.	December 2004	Gerbo Huisman - clinical Jim Barlow – managerial	Project Board
12	Develop an health economy wide Children’s Strategy for BLT working with partner organisations and in parallel with the review across the health economy.	December 2004	Yvonne Sawbridge	Children’s
13	Improve the working lives of our employees so that they are supported and developed to achieve a work-life balance. (Practice plus by March 2005)	Ongoing	Julie Tanner	HR&OD
14	Develop a ten year plan for improving primary care premises	August 2004	Jim Barlow	Primary care
15	Begin first phase of implementing Agenda for Change	October 2004	Steve Foster	HR/OD
16	Strengthen the IM&T Directorate	September 2004	Colin Thomas	IM&T
17	Work closely with CSC (the new Local Service Provider) to identify local IM&T priorities and strategy	Ongoing	Colin Thomas	IM&T
18	Promote a minimum of one positive news story per week in each local newspaper. Produce a quarterly internal bulletin. Work with the GP Working Group to improve communications with GPs	Ongoing	Anna Foote	Chief Executive’s Department
19	Produce a comprehensive and integrated education and development strategy	June 2004	Yvonne Sawbridge	Education
20	Produce a comprehensive work force plan for the PCT	June 2004	Yvonne Sawbridge	Education
21	Produce a financial recovery plan for 2004 / 2005	June 2004	Colin Thomas Alan Snuggs	Trust Board PEC
22	Implement phase II of the Community Nursing Review	March 2005	Hazel Shaw	Professional Development Group
23	Develop a coherent local approach to improving drug and alcohol services reducing waiting times for assessment and treatment	March 2005	Alan Snuggs	Joint Commissioning Group DAT
24	Develop the public health role of health visitors and agree a core health visiting service which is standard across the PCT.	January 2005	Yvonne Sawbridge	Professional Development Group
25	Develop a strategy for non-medical prescribing across the PCT, which includes clinical governance arrangements and education and development needs.	February 2005	Hazel Shaw	Medicines Management Group and Professional Development Group

Local Delivery Plan 2003/06

In May 2003, BLT PCT published its Local Delivery Plan (LDP) for 2003/06 detailing how the extra NHS investment (8.9% revenue increase for 2003/04) was to be used. Local priorities have been added to the national priorities such as improving access, capacity, choice and the "patient experience". The PCT priorities for 2003/04 quoted in the LDP are:

	Invest in radical solutions to meet traditional capacity and demand gap
	Develop whole systems approach to managing demand e.g. Burton Diagnostic & Treatment Centre
	Plan to implement national sexual health strategy and improvement of local services
	Improve mental health services across all three localities
	Secure funding and start building new community hospital [in Lichfield]
	Develop radical solutions for improving recruitment and retention of GPs, including Personal Medical Services (PMS)
	Strengthen the public health function within BLT

The PCT's focus for 2004-2006 is

	Development of care pathways for the Diagnostic and Treatment Centres at Queen's Hospital Burton and at Good Hope Hospital [Sutton Coldfield]
	Commission community hospital for end 2005
	Ensure patient choice for routine elective [surgical] procedures
	Manage new financial flows as a consequence of increased patient choice
	Further improve waiting times and patient access
	Develop a comprehensive health needs analysis for BLT

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The PCT achieved 2 stars in the CHI ratings for year ending March 2003. Click here for more details about ratings.