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2Windsor, Ascot and Maidenhead Clinical Commissioning Group 2

Review of the Year 2013/14

Annual Report for Windsor, Ascot and Maidenhead CCG

2013/14

Dr Adrian Hayter, Clinical Chair

3Windsor, Ascot and Maidenhead Clinical Commissioning Group 3

Review of the Year 2013/14

The CCG….

• 149,000 local residents• 19 GP practices working together to buy and monitor local health

services• Budget of £151m• 6 Year difference in life expectancy between those living in least

and most deprived areas• More and more people living with long term conditions• Twice as many care homes as neighbouring areas• Heart disease is the most common cause of premature death

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Review of the Year 2013/14

Top priority for the CCG has been to focus on older people.

Working to support older people to stay healthy and independent for as long as possible.

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Review of the Year 2013/14Helping Phyllis stay in her own home

• I want to tell my story only once.

• I would like one phone number to call if I am worried and need help.

• I want one friendly person to coordinate whatever care I need.

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Review of the Year 2013/14

Care Homes Project

Small changes making a big difference

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Review of the Year 2013/14

We are a dementia-friendly community

• Working with the Royal Borough

• Dementia Directory• National recognition of

this work

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Review of the Year 2013/14

Better care for children and families

• Advice for worried parents about range of common childhood illnesses

• Wide engagement of children and young people about mental health services

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What’s ahead?

Big challenges ahead

• Staying focussed on what’s important

• Ensuring quality while managing the money

• Strengthening the clinical engagement and leadership

• Doing more in primary care

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Interested in getting involved?• Join your GP

practice Patient Participation Group

• Come to a meeting of the Community Partnership Forum

• Register on our website

• Come to a meeting of the Governing Body

• Follow us on twitter

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Financial Performance 2013-14

Annual General MeetingFriday 19th September 2014

Nigel FosterChief Finance Officer

12Windsor, Ascot and Maidenhead Clinical Commissioning Group

In 2013-14 we spent…

£151m That’s…£1,005 per person a year£414,000 per day £287 per minute

13Windsor, Ascot and Maidenhead Clinical Commissioning Group

Where does £1,005 / person go?

14Windsor, Ascot and Maidenhead Clinical Commissioning Group

£593 / head - Acute Hospitals & Ambulance

£392 (66%) Heatherwood & Wexham ParkOR (across all providers)

• 33,500 A&E attendances• 120,000 outpatient

appointments • 12,000 non-emergency

admissions / operations• 11,250 emergency admissions

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£28 / head - Ambulance

• 18,600 calls to South Central Ambulance

• 14,000 “blue light” responses• 8,500 convey to hospital • 38,000 calls to 111

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£126 / head - Primary Care• £117 /hd prescribing (£17.6m pa)– 1.9 million prescription items ie 13 per person pa– Range in cost from 37p to £3000

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…and some other examples• £50 /hd (£7.5m) on nursing home places or

other packages of care in patients homes• £84 /hd (£12.5m) on community health– 62,000 district nursing visits– 2,500 diabetic appointments– 5,500 speech & language therapy appointments

• £22 /hd (£3m) on CCG running costs – 2% of total spend

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CCG financial responsibilities

Financial duties…. Revenue Resource Limit Achieved

Surplus of £2m (1.3%) Cash Limit Achieved Unqualified audit report Unqualified regularity opinion Unqualified “value for money” opinion