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Commissioning Intentions 8th October 15

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Joint working with Islington Council

Our four shared priorities are:

To make sure every child

has the best start in life

To prevent and manage long-term

conditions to extend the length and quality of life, and reduce health

inequalities

To improve mental health and wellbeing

To provide high-quality,

efficient services within the resources

available

To help us provide the best service, we listen carefully to what local people tell us. We meet regularly with them so they can ask questions and tell us what

concerns them about their care. The services we buy reflect their needs.

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Our communityBreakdown of ages

64% of 16- to 74-year-olds are

employed 8,600 single-parent

households 6,000 people live in

shared accommodation

Breakdown of ethnic backgrounds

Registered with a GP: 228,000

Resident population:

224,600

Resident population by

2025:246,500

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AchievementsMore GP appointments A total of 65 extra hours a week.

Better care for people with mental ill health doctors and mental-health professionals work together closely, while our new specialist service means fewer people need to stay in hospital.

Help for people with long term mental ill health The Hillside Clubhouse ‘re-ablement’ service helps people with long-term mental ill health to return to work.

More personal co-ordinated care Our team of health navigators help people find out about things like housing, social care and writing a will.

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Challenges

most densely populated UK borough and the 5th most deprived in

London

London’s second highest level of

child poverty, with 13,000 children (34.5%) living in

low income families

highest level of psychosis in

England

high level of long-term conditions

(such as diabetes) that will need a different kind of care over

10 years

Population Children’s health

Mental health and wellbeing

Long-term conditions

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CCG & Council collaboration

Joint working example: cancer and cardiovascular diseaseWorking together to tackle Islington’s three leading causes of death• cancer• cardiovascular disease• respiratory disease

PreventionOur best chance to tackling these are through promotion of healthy lifestyle behaviours, part of the NHS Five Year Forward View

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Where the money goes

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Our financial performance

We spent a total of £315.3m and met all of our financial targets for the year

  Plan Actual Achieved

To stay within plan and deliver a surplus of £8.2m (including the £6.5m brought forward surplus) £6.5m £8.2m √Achieve a minimum in-year breakeven or surplus position 0 £1.7m √

To meet our cash target £286.5m £286.5m √To deliver our QIPP savings programme £15.2m £14.9m √To deliver our investment programme (strategic/internally generated, £8.2m, as well as nationally funded, £4.1m)

£12.3m £12.3m √

To meet our running cost allowance £5.9m £5.2m √To meet the better payment practice code target (value) 95% 96% √To meet the better payment practice code target (volume) 95% 90% x

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Our plans for 2015/16

engaging with our local population about Islington’s health priorities, and providing information about appropriate access to care, including self-

care

supporting local GPs in launching iHubs with funding from the Prime Minister’s Challenge Fund

continuing our work on integrating care with our partners - children’s health, long term conditions, mental health and wellbeing

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Our plans for 2015/16 and beyond

developing Islington’s health and social care workforce through our Community Education Provider Network

building clinical leadership with insight from Islington’s GPs to drive commissioning in partnership with patients and service users

working across north central London to jointly commission general practice to improve the quality of services and care for local people

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Your views

Email: islingtonccg@nhs.net Twitter: @islingtonccg

Overall services: What do you think our priorities should be for next year (2016/17)? Where do you think services are meeting needs of local community? Where do you think there are gaps in services? What are you concerned about when supporting the local community to

look after their health? • Prompts Accessing services Looking after your health Treatment in services? Lack of support.

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Your views

Email: islingtonccg@nhs.net Twitter: @islingtonccg

Planned care: Do you think certain hospital appointments could be better

provided in a community or GP setting?

Would this better support the local community’s needs?

Could you support delivering some of this change or services?

Primary care:

Is primary care meeting the needs of the local community?

Where could there be improvements? E.g. Extended opening hours?