Longer, healthier lives for all the people in Croydon CCG Operating Plan: Commissioning Intentions...

Longer, healthier lives for all the people in Croydon

CCG Operating Plan: Commissioning Intentions

2013 - 14

Health and Wellbeing Board


Introduction and context

• The Operating Plan combines local and nationally mandated priorities for CCG Commissioning in 2013/14 from the NHS Constitution and National Mandate

• The local priorities identified fall out of the CCG Integrated Strategic Operating Plan (ISOP) and cross reference to the priorities identified in the Health and Wellbeing Strategy

• Page 6 of the Plan demonstrates the alignment of the Operating Plan to the Transformation Agenda and the Strategic context for the next 4 years.

• The attached is an early draft for further development. A final draft will be submitted to the National Commissioning Board on 5th April 2013.

• The Plan is set in a challenging context of a (2013/14 – 2015/16) financial recovery arising from an inherited financial position

Longer, healthier lives for all the people in Croydon 3


Overarching Priorities of the CCG

• Prevention of ill-health

• Self-Management and shared decision making

• Long Term Conditions

• Children and Young People

• Planned Care

• Primary and Community Care

• Urgent Care


• Individuals take responsibility for their health

• Integrated pathways

• Care in right settings

• Understand how to use services

• People choose Croydon Health Services

What We Are Doing

How it will look different in 5 years


•Services re-configured:

– CHS: A&E, Maternity, Day cases

– Elsewhere: Planned inpatients

– South London Hospitals changes

– Better Services, Better Value changes

• Stable finances

What We Are Doing

How it will look different in 5 years


Core Operational Principles

• Working with Public Health: Roll out Prevention Programmes

• Emphasis on Self-Care / Shared Decision Making

• Evidenced based commissioning, aligned with Plans

• Collaborate (where adds value) to jointly commission services

– with our Local Authority and Neighbouring CCGs

• Work to integrated clinical and referral pathways/common protocols

Primary & Community Response


Priority Areas Commissioning Intentions

Prevention Implement Prevention Self Care and Shared Decision Making Strategy

Long Term Conditions Risk Stratification Geographical Multi-Disciplinary Team (MDT) Case ManagementBeginning to end Pathways, Cancer, Dementia, Cardiology, DiabetesIncrease uptake of IAPT Roll out TelehealthFair Pricing Continuing Health Care Placements (CHC)

Children and Young People Commitment to Family Engagement Partnerships Increase % Ratio H/V & MidwivesReview access to Tier 3&4 CAHMSFair Pricing CHC Placements

Commissioning Intentions 2013/14


Priority Areas Commissioning Intentions

Planned Care Intermediate Implement Tele-Dermatology Pilot Day Case Drug InfusionUrology Review of Cardiology

Primary and Community Care

Implement Primary and Community Strategy

Urgent Care Reduce Multiple Access PointsReview GP Extended Hours within Networks Rapid Response Care Homes Agree 111 / LAS / OOH: Directory of Services Protocols

Commissioning Intentions 2013/14


National Mandated Priorities

NHS Constitution

•18 week – referral to treatment

•4-hour maximum wait in A&E departments

•62-day - urgent GP referral to 1st definitive treatment for cancer

•8 minute responses for category A red 1 ambulance calls


National Mandated Priorities

NHS National Mandate

•Helping people live longer

•Helping people manage on-going physical and mental health conditions

•Helping people to recover

•Making sure people experience better care

•Providing safe care


3 Local Quality Premiums

In addition to meeting NHS Constitution and NHS Commissioning Board Mandatory

Requirements

3 Local Quality Premiums to support ‘One Plan on a Page’ to be identified e.g.

– Take up of Risk Stratification

– Numbers of People on MDT Caseloads

– Increase Dementia Diagnosis Rate – Stretching Current Target

– Increase in Capacity to Tier 3 and Tier 4 Children CAHMS

– Increase % Health Visitor Ratio

– Increase in Day Case Infusions in Intermediate Care

– Reduction in Emergency Admissions from Care Homes

Longer, healthier lives for all the people in Croydon CCG Operating Plan: Commissioning Intentions...

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