Strengthening the patient voice

West Bromwich Albion

5 July 2012

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Sandwell and West Birmingham CCG

Healthcare Without BoundariesOur journey so far…Dr Nick HardingMBChBBSc FRCGP MFLM DRCOG DOccMedPGDip(Cardiology)

5 July 2012

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NHS Changes

An introduction to Sandwell and West Birmingham

Clinical Commissioning Group

Progress towards authorisation so far

The wider context for delivery

Overview

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• Clinical Commissioning Groups to take over responsibility of commissioning health services for local populations – abolition of PCTs and Strategic Health Authorities by 2013

• Creation of NHS Commissioning Board *(*primary care contracts)

• Establishment of HealthWatch and local Health and Wellbeing Boards to increase accountability for patients and the public

• Creation of Public Health England to improve the health of the population and public health transfer to local authority

• Commissioning Support Services

Health and Social Care Act 2012

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Before Now After April 2013

Department of Health

Department of Health

Department of Health

Department of Health

Strategic Health

Authorities (SHA)

10 SHAsWest Midlands

4 SHA Clusters (Midlands & East)

NHS Commissioning Board

Local Health Economy

151 PCTse.g. Sandwell. Heart of Birmingham

50 PCT Clusters e.g. Birmingham &Solihull, Black Country

27? Local offices for NHS Commissioning Board

Local 230 CCGs 200? CCGs(tbc)

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How things are changing

From 2013 new organisations will take on PCT responsibilities

Public Health

Commissioning Support Service

Clinical Commissioning Groups

Local Office (NHS Commissioning Board)

NHS Property Co.

Individual PCTs Transition to Cluster Flip Future

Heart of Birmingham Teaching PCT

Up to 2010 2011 April 2012 2012 and beyond

Sandwell PCT

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From 1st April 2012, as part of a phased approach for transition, after a rigorous Board to Board Challenge pre-authorisation process, NHS PCT Clusters started delegating some responsibility to CCGs such as:

Commissioning and monitoring of servicesDelivery of improvements and savings (QIPP)Improving quality and safetyAchieving financial balanceHitting Key Performance MeasuresCommunications and engagement

..To help achieve a seamless transition for patient care

A phased approach

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►We are passionate about improving the healthcare for the people of Sandwell and West Birmingham.

►Our vision is for transforming services to ensure excellence for everyone and in everything we do.

►Our aspiration is to create a new kind of organisation really rooted in its membership, relationships and local knowledge.

►We will be using local and clinical knowledge for change and improvement in health for our patients.

An Introduction to CCG

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Our health priorities

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CCG area

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Our health needs

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• SWBH commissioning area is around 530,000SWBH commissioning area is around 530,000• West Birmingham West Birmingham ranked ranked 1010thth most deprived most deprived Local Local

Authority in England with Authority in England with 68% BME 68% BME populationpopulation• SandwellSandwell ranked ranked 1212thth most deprived most deprived Local Authority Local Authority

in England in England with approx with approx 20% BME 20% BME populationpopulation• Health challenges against rising costs and demands Health challenges against rising costs and demands

for healthcarefor healthcare• Absolute commitment to improving quality of careAbsolute commitment to improving quality of care

12Unsafe Journey © Amy Helene Johansson 12

Who we are

Building on long standing foundation of partnership working through

Right Care Right Here between Sandwell and West Birmingham

NHS and local authorities.

“Serve a unique population - diversity unifies us”.

Bridging the health gap

The journey so far

2002 PCT arrives

2003 Right Care Right Here partnership forms

2007 Practice Based Commissioning

2008 Primary Care Collaborative Clinical Commissioning Directors appointed

2009 Partnerships form: Vitality Partnership, ICOF 10 Strategic Models of Care and clinical strategies agreed

2010 GP Consortia HealthWorks, ICOF, Black Country Alliance and Pioneers for Health22 Care Pathway Reviews agreed across health economy

2011 Sandwell and West Birmingham Clinical Commissioning GroupSeptember - agree vision values with clinical leaders

2012 Interim Board is formed with five LCGs

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Our roleBy April 2012 - shadow form as a CCG in readiness for 2013. We want to:

1. Be clear on the health needs of our population and how we are going to

improve their health

2. Get the balance right between local and strategic decisions

3. Show real clinical leadership and development across the health economy

4. Do this new role in the most effective way we can

5. Create a Clinical Commissioning Group that leads by example

6. Be effective in communications within our organisations and the people

we serve

7. Be ready to lead and manage the NHS as a system by April 2013.

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Our Clinical Commissioning Group

Local Commissioning Groups Chair Practices Population

Black Country Dr George Solomon 20 112,228

HealthWorks Dr Nick Harding 22 132,985

ICOF Dr Samar Mukherjee 27 106,953

Pioneers for Health Dr Vijay Bathla 10 46,151

Sandwell Health Alliance Dr Basil Andreou 31 127,519

Clinical Commissioning Group Chair Practices Population

Sandwell and West Birmingham Dr Nick Harding(Interim Chair)

110 525,836

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Black CountryPractices – 20Population – 112, 228

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HealthWorksPractices – 22Population – 132,985

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ICOFPractices – 27Population – 106,593

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Pioneers for HealthPractices – 10Population – 106,593

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Sandwell Health AlliancePractices – 31Population – 127,519

Strengthening the patient voice

Questions

5 July 2012

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