Update from the Clinical Commissioning Group
Dr Katie Coleman
Joint (Clinical) Vice Chair ICCG
What has changed:?Primary care trusts and strategic health authorities
will go as of April 2013In their place, 100s of clinical commissioning groups
(CCGs) will be set up. £60-£80 billion of health care funds will be divided up
between the CCGs and each one will be expected to make the decisions about what services their local populations need (known as commissioning).
In addition to the development of the CCG a number of other new organisations have been set up:1. NHS Commissioning Board2. Public Health England3. Healthwatch
The Health & Social Care Act
• Build on the strengths of LINks• Gather local peoples views on, and
experience of, the health and social care system
• Have a vote on the Health and Well Being Board (HWBB) and so will be able to influence decisions about which local health services are needed (commissioned)
• Support individuals by providing information about local services and choice e.g. signposting
• Support people to if they want to talk about their experiences, concerns, compliments and complaints.
Local Healthwatch
• Makes decisions about what health services the local population needs (commissioning).
• Made up of all the GP practices in the area it covers.• The practices decide how the CCG operates by
developing a constitution• The CCG elects a governing body made up of lead
clinicians and NHS managers• The CCG will be accountable to patients and the
population as well as to the NHS Commissioning Board.
• They have to work jointly with the Health and Wellbeing Board and in partnership with the local authority to help improve health and wellbeing and ensure integrated health and social care for their patients.
Clinical Commissioning Groups
• Ensuring every child has the best start in life
• Preventing and managing long-term
conditions to extend both length and quality of
life and reduce health inequalities
• Improving mental health and wellbeing
• Delivering high quality, efficient services within
available resources
Health and Wellbeing Strategy
6
•21 months Maternity (QIPP) Breastfeeding•You’re welcome •Healthy Children’s Centre•Childhood obesity•Connexions•Safe guarding
Cancer (QIPP)Cardiovascular (QIPP)
NHS Health ChecksCVD and Cancer prevention
Long term conditionsAffordable housing
• Mental health (QIPP)• IAPT
• Mental health first aid• Training
• Mental Health promotion• Victims of violence
• Black, Asian, Minorityethnic and refugee outreach
Islington council's corporate plan 6 priority areasIslington Fairness Committee
Quality, innovation, productivity and prevention (QIPP)NHS North Central London and Islington CCG
Medicine’s management/care closer to home/unscheduled care/primary care/Treatments of limited effectiveness/decommissioning/specialist commissioning
Community budget pathfinder; parental employment partnership and family outreach support
Priority Programmes
Violence against women and girlsMaternityChildren, young people and familiesCAMHSTeenage pregnancyParenting and family supportImmunisationPlacement commissioningChildren looked afterSafe guardingDisabled children and their families
Health inequalities strategyUnscheduled care/elective care/care closer to
home/primary careDebt management/overcrowding reduction/temporary
accommodation
Older people/prisons/homelessness prevention
Disabilities including learning disabilities, autism, and physical disabilities
Mental healthSubstance misuse
Alcohol
Strategies & Enablers
8
Healthand wellbeing
in Islington CCG
Priority outcomes
Delivering high quality, efficient services within available resources
21 months Maternity (QIPP)BreastfeedingYou’re welcome Healthy Children’s CentreChildhood obesityConnexionsSafe guarding
Cancer (QIPP)Cardiovascular (QIPP)NHS Health ChecksCVD and Cancer preventionLong term conditionsAffordable housing
Mental health (QIPP)IAPTMental health first aidTrainingMental Health promotionVictims of violenceBlack, Asian, Minorityethnic and refugee outreach
Priority programmes
Quality, innovation, productivity and prevention (QIPP)NHS North Central London and Islington CCG
Medicine’s management/care closer to home/unscheduled care/primary care/low priority treatments/decommissioning/specialist commissioning
Community budget pathfinder; parental employment partnership and family outreach support
Strategies and enablers
MaternityChildren, young people and familiesCAMHSTeenage pregnancyParenting and family supportImmunisationPlacement commissioningChildren looked afterSafe guardingDisabled children and their families
Mental healthSubstance misuseAlcohol
Older people/prisons/homelessness preventionDisabilities including learning disabilities, autism, and physical disabilities
Violence against women and girls
Qua
lity
Value for money
Health and wellbeing
Ensuringevery childhas thebest start in life
Preventing and managing long-term conditions to extend both length and quality of life and reduce health inequalities
Improvingmentalhealthandwellbeing
Islington CCG council's corporate plan 6 priority areasIslington CCG Fairness Committee
Health inequalities strategy
Unscheduled care/elective care/care closer to home/primary careDebt management/overcrowding reduction/temporary accommodation
• Participation is key to everything we do • Vision • Mission Statement • One of four core strategies for the CCG
• Participation in decision making - representatives on all our committees
• Participating to improve quality – all practices have patient participation groups
• Participating in care through the promotion of self care
Patient & Public Participation
• We’re involving patients in what services we need in Islington• Sit on working groups to influence decisions
made• Attend the locality patient participation
groups• Attend practice patient participation groups
• Helping patients to self care • Encouraging patients with long term
conditions to attend local self management training sessions
• Expanding the network of peer support groups so more patients can attend
How can you become involved?
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