Welcome to NHS Greater Preston CCG Documents/Dr Ann... · Welcome to NHS Greater Preston CCG Dr Ann...
Transcript of Welcome to NHS Greater Preston CCG Documents/Dr Ann... · Welcome to NHS Greater Preston CCG Dr Ann...
Welcome to NHS Greater Preston CCG
Dr Ann Bowman
Welcome to NHS Chorley and South Ribble CCG
Dr Gora Bangi
Why Are CCGs different • Clinicians lead commissioning • CCGs are membership organisations • Organisations with a focus on outcomes and delivery • Learning organisations –
– need to be adaptive to thrive, ethos will be about continuous improvement and learning, the model will be about distributed leadership
• Running costs - £25 per head of population • Health & Social Care Act 2012 (its new we don’t all
fully understand the changes, freedoms, flexibilities & constraints)
• 34 Practices • Population 220,000 – large proportion
ethnic minority and hard to reach groups • Relate to four borough councils • Part of a wider county council partnership, 14
districts, 1.4m population, and two unitary authorities • Highly complex • Little history of collaboration • 17 Single handed practices (50 per cent) • MoU with NHS Chorley & South Ribble CCG with joint
management and risk sharing.
Dr. Ann Bowman Statutory Functions - Complaints / HR / Acute Contracts / Estates / Declaration of Interest / Strategic Partner Engagement / Patient and
Community Engagement / Strategy / Clinical & Corporate Governance / CSO Executive Lead /
Lancashire & Local HWB / CCG Network Overall Delivery / Primary Care Strategy
Dr. Brigid Finlay Quality / Patient Safety Lead / Community Contract
/ Clinical Risk Community Services / Long Term Conditions /
Health Inequalities
Dr. Zak Patel Finance & QIPP / Acute Contracts / Performance /
Audit / Financial Risk Planned Care / Orthopaedics / Specialised
Commissioning
Dr. Dinesh Patel Mental Health Contract / IMT & Business
Intelligence / Continuing Health Care / Individual Funding Requests
Mental Health/ Cancer / Dementia / End of Life
Dr. Manjit Jandu Equality & Diversity
Urgent Care / Medicines Management / Maternity, Children & Newborn
Dr. Sandeep Prakash Education / PETs / Peer Groups / Community
Contract / Safeguarding / Deprivation of Liberty / Mental Capacity Act
Clinical leadership, roles and responsibilities
• 32 practices • 172,500 population • Collaboration with NHS Greater Preston CCG • High rates of CVD, cancer deaths, diabetes and alcohol • 1 in 5 people are carers • Growing elderly population • Health inequalities
Dr. Gora Bangi Corporate functions
Statutory Functions / HR / Acute / Legal / Contracts / Estates / Declaration of Interest / Partner
Engagement / Strategy / Clinical / Corporate Governance / CSO Executive Lead / Organisational
development / SIRO Lead Clinical functions
Overarching accountability / lead for planned care / primary care
Dr. Bob Bennett Corporate functions
IM&T / Finance & QIPP / Mental Health Contract / Audit / CHC / IFR Clinical functions
Long term conditions / Lancashire Health and Wellbeing
Dr. Paul Blake Corporate functions
Quality / Education / PETTs / Performance / Organisational Development
Clinical functions Community services / long term conditions
Dr. Richard Kelsall Corporate functions
Acute Contract / Community Contract / Peer Groups / Stakeholder Engagement
Clinical functions Community Service Redesign / Planned Care /
Cancer / End of life
Dr. Sigrun Baier Corporate functions
Performance / Communications & Engagement / Community Contract / Medicines Management
Clinical functions Local Health and Wellbeing (Chorley & South Ribble) / Urgent Care / Community Services
Dr. Satyendra Singh Corporate functions
Risk Management / Assurance Framework / Mental Health Contract / Equality and Diversity /
Safeguarding Clinical functions
Mental Health
Clinical leadership, roles and responsibilities
The CCGs vision
The purpose of a CCG
To increase the healthy life expectancy of our citizens and to reduce the health differences that exist between communities, improve quality and the
experience patients have of health services
The Health & Social care Act 2012 makes CCGs directly responsible for commissioning services they consider appropriate
to meet reasonable local needs
Rebalancing the health economy
Health improvement
Communication & relationships
Effective commissioning
Integration
How we will deliver and a few examples … • A shift of care closer to home - Examples are LTC, dementia,
diabetes, new tier 2 services (ENT, neurology, gynaecology) • A new strategy for what health care needs to look like in 5-10 years
time.
• Strong effective partnerships upper and lower tier health and well being board delivering on joint priorities to reduce inequalities in access and outcomes.
• Effective challenge – Delivery groups • Close working with colleagues in public health
• Clinically led change via the Clinical Senate • Clarity about our commissioning intentions • Public and patient involvement – ownership council, patient
participation groups with every practice
• Delivering Quality Innovation Productivity & Prevention • Working closely with all providers, voluntary and charity sectors • Clinically led – delivery groups, urgent care strategy & model • Evidence based – intelligence led • Supported by excellent commissioning support
• Greater levels of joint working – e.g. LTC developing neighbourhood teams; end of life care
• Primary mental health services • To deliver new whole system pathways e.g. dementia, pain
management.
Summary of our plans for 2013/14… • We need to deliver at local level all of the national
requirements as a minimum
• In addition, our local data and evidence indicates that we also need to:
– Prevent avoidable admissions: especially unplanned
hospitalisation for asthma, diabetes and epilepsy in Under 19s – Tackle long term conditions including dementia: plan in place
already with specific targets
– Improve access to diagnostic services: move to 7 day working; speed up reporting of results; GP direct access
Some examples of what we are doing… • Improving quality in primary care
and reducing variation • Peer groups in place to support
improvement and learning • Supporting GPs to deliver many
more services in practices eg. diabetics on insulin, patients on anticoagulants
• Reviewing frequent A&E attenders prevent inappropriate A&E attendance
• RAIDR being implemented – system to identify at risk patients
Health inequalities
Continued …… • Rebalancing the health economy –
shift services closer to home via integrated neighbourhood teams and investment in primary care and Tier 2 services
• New pathway and services for people with dementia: diagnosis, treatment and support will be mostly in primary care
• Improving access to diagnostics • GPwSI for Gynae (10% reduction in
out patients) • GPwSI for Neurology (community
service/reduced waiting time) • Major review of urgent care
pathways in primary and secondary care
Health inequalities
Mostly NHS
Lancashire level District level
Public services working together
CCG collaboration around service redesign
and rebalancing the health economy
Reducing variation and improving quality in
primary care
Lancashire CCG network
collaborative work programme
Lancashire HWB Reducing health
inequalities
Neighborhood management
Preston Healthy
Cities Alcohol cquin
We are partnering strategically to navigate the challenges
Clinical Senate • The CCG has established a clinical senate which includes
Lancashire Teaching Hospitals NHS Trust, Lancashire Care NHS Foundation Trust and the Local Authority
Agreed priorities include: • To stimulate the modernisation of local health services ( Key
work includes Dementia , Admission Avoidance , Long Term Conditions)
• To develop close working relationships between all partners, • To work together in the interest of the public purse maintaining
and improving standards including three priorities Long Term Conditions , Dementia and admission avoidance
Health and Well Being Board • This strategy commits to a series of
priorities which are to;
• Work towards interventions that prevent ill health and reduce demand for hospital and residential services
• Build and utilise the assets, skills and resources of our citizens and communities
• Promote and support greater individual self-care
• Commit to delivering accessible services
Partnership Working Established Partnerships and joint working with the following Group • District Council Event • Local Health and Wellbeing Groups • Public Health • Voluntary Community Network • Local Partnership Groups (Preston
Strategic Partnership)
How do patients & public engage • Ownership Council - over 1500 members • Practice patient participation groups – every
practice will have one • Working and strategy groups – a developing
area • Visit our stands at local health melas • On line – website address
www.chorleysouthribbleccg.nhs.uk & www.greaterprestonccg.nhs.uk
• Write to us at Chorley House, Lancashire Business Park, Centrurion Way, Leyland