Annual General Meeting 26 September 2017
Annual General Meeting (AGM) • Our Annual Report and Accounts for 2016/17 is available online, on request and also here today on our stand • The minutes of our last AGM are enclosed in the information pack
112,000 population 18 GP practices Three neighbourhoods: Ormskirk and Aughton Skelmersdale Burscough and Northern parishes £163m Funding allocation £1,455 per person
Merseyside from a West Lancs perspective • Acute patient flows are largely towards Merseyside (Southport Hospital) - but also Greater Manchester (Wigan) • Urgent Care Board (A&E and Emergency Care) is North Mersey • Cancer and end of life care • Maternity and children’s vanguard
Lancashire from a West Lancs perspective • County and district councils • Public health and social care • Third sector network • Mental health, largely in Lancashire • Community health services • GPs in Lancashire • Regulated care sector in Lancashire • Out of Hours GP and Walk in Centres • Ormskirk site in Lancashire • Edge Hill University
How we spend your money
Financial Duties • Delivered our statutory duty to break-even on our revenue allocation • Managed within our cash limit • Operated within running cost allocation • Achieved our Better payment practice code • Clean audit report from External audit, including value for money opinion
Mike Maguire Chief Officer, NHS West Lancashire CCG
Opportunities and challenges
Primary Care Commissioning • Level three co-commissioning is the highest level of commissioning available to a CCG • The CCG now leads on decisions on how funding shall be spent across primary care • Primary Care Committee established – no voting rights for GPs • Steve Gross appointed, lay member for primary care and leads on Primary Care Committee
Patient Participation Groups (PPGs) • The PPG Forum was established in 2016 • Every practice has a PPG and anyone registered can sign up and join the forum • Chaired by Greg Mitten, lay member for patient and public involvement
Mental Health • The CCG has completed a scoping exercise to get views of people on how we can transform mental health services • Two mental health beds available at Birchwood Crisis Centre • Eating Disorder Service is now an all age service • The CAMHS service extended the age of referrals to 19 • Children’s A&E now includes a low stimulae, safe area
Joint Health • Integrated MSK Service (Redesign of the Musculoskeletal Clinical Assessment Service (MCAS) and Routine Musculoskeletal Physiotherapy Service) • Specialist service which consists of doctors, physiotherapists and podiatrists who specialise in orthopaedic/MSK medicine • Provided by Southport and Ormskirk Hospital NHS Trust • As of winter 2016, all GP orthopaedic referrals went directly into Joint Health • CCG recently decided to extend pilot
Social Prescribing • Big focus on prevention and health inequalities • Not every request for support requires a medical prescription • Need to support patients with a holistic view • Starting a social prescribing pilot in Skelmersdale • Carrying out a procurement process to identify suitable provider
Extended Hours • Patients now have greater access to a GP at evenings and weekends • This meets the requirements of NHS England’s GP Forward View • Currently a pilot scheme rolled out across West Lancashire in Skelmersdale, Upholland, Tarleton and Ormskirk
Community Health Services/Urgent Care Services • Services delivered by Virgin Care since 1 May 2017 • No changes have been made to local services since the transfer • All services remain FREE for patients to access • Local residents can join the new Citizen’s Panel to help shape future services • To sign up, please visit: www.citizenspanel.co.uk or visit the Virgin Care stand today.
Ophthalmology • Identifying a new ophthalmology tier 2 service and a Age Related Macular Degeneration service • Many patients travel outside of the area for treatment • Need to bring care closer to home that is accessible • New provider will be announced late 2017/early 2018 • Holding a patient focus group in October
Medicines management • Prescribing pod pilot launches in Skelmersdale • Changes to prescriptions to gluten free products and items of low clinical value. • Self-care programme launched this month
Urgent care • Improvements being made to urgent care • Falls Car pilot extended summer 2017 • Aims to reduce hospital admissions by responding to patients that have fallen at the scene
Primary Care Transformation • GP Practice Forward View focuses on easing pressures while also providing access to primary care services for patients • CCG concentrating on areas such as technology and workforce • New roles emerging such as Care Navigators, Clinical Pharmacists and Physician Associates • Integration of services through CCG’s vision for joined up care and schemes like extended hours will increase access
Chronic pain • Many patients living with chronic pain • Currently visit their GP or hospital treatment • Invited views from patients in early 2017 • Procuring a new specialist chronic pain service (with Innovation Partnership) • Service will be called iHELP • Intention that new provider will be delivering service from early 2018.
Patient and Public Participation • Committed to involving others in our work • Sign up to My View via our market stall today • We publish an annual Duty to Involve Report – copies of the 2016/17 report are available online and via our stand • Patient story forms are available today if anyone would like to share their experiences
Any questions? Please submit your question by writing it on a post it note and handing it to a member of our team Submitting questions before lunch in advance of the Q&A session will help us make sure we can offer a full response from the most appropriate member of our team. If we are unable to answer your query here, we will follow it up after the event All Q&As will be published on our website after the event and distributed to you via the CVS.
Get in touch NHS West Lancashire CCG T: 01695 588 000 Email: myview@westlancashireccg.nhs.uk @WestLancsCCG @NHSWestLancsCCG www.westlancashireccg.nhs.uk To receive regular health advice and news, please visit our stand and ask about joining our My View group.
Thank you
Meeting the challenges - The wider system – our partners & us Jackie Moran Karen Tordoff NHS West Lancashire CCG NHS West Lancashire CCG
The Challenges • People living longer - projections show over 75s will increase by 64% between 2017 and 2037 (ONS). • Increase in Long Term Conditions (e.g. Diabetes, COPD, Heart Failure etc) and the role of Mental Health. • Role of Health Inequalities – differences across the West Lancashire patch. • National direction: Joining-up care. Role of the different ‘jigsaw pieces’
What we know … ‘Do nothing’ isn’t an option …
A new model of care - Voice of our partners & the community; You said… When using more than one system, better co-ordination is needed We did… Joining up systems and processes Began in 16/17 … Standardising IT systems E – transfer of data Single Point of Access (SPA) developed – Through 17/18 one telephone number for community services
The voice of our partners and the community - You said, • Bringing care closer to home / the community We did… • Increased the scope of the community services Began in 16/17 … Recruit extra staff into IV team Identify high risk respiratory patients & begin to support Through 17/18 Recruited more staff – IV, Tissue Viability, Extended Respiratory team in operation
The voice of our partners and the community - You said, • Having access to information & support to help understand how to manage your own health We did… • Increased focus on self care Began in 16/17 … Introduction of Flo across the WL patch Support of the VCFS. Focus on prevention Increasing role of pharmacists / pharmacies Through 17/18 Well Skelmersdale – social prescribing pilot embedded
The voice of our partners and the community - You said, • Joining up care We did… • Working to create a seamless service Began in 16/17 … Intermediate care step up / step down Early supported Discharge Through 17/18 111, AVS, Walk in Centre, Out of Hours – working collaboratively
Measuring success - • Governance established which oversees delivery of these initiatives • Outcomes framework – what public and partners told us was important to them has been fed into a document with various measures to monitor delivery • Importance of co-design – your voice has resulted in the improvements we are focusing on now. We will continue to listen, develop and continue on our journey
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