Annual Public Meeting 2019 Dr Kiren Collison Clinical Chair Agenda - PowerPoint PPT Presentation

Annual Public Meeting 2019 Dr Kiren Collison Clinical Chair

Agenda Chair’s introduction, welcome and Dr Kiren 18.00 Collison (KC) announcements Apologies for absence KC 18.10 Get active warm up Leila Javadi- 18.15 Babreh Financial Accounts 2018/19 Gareth 18.30 Kenworthy Review of the year 2018/19 KC and Board 18.40 members Questions KC 19.05 End All 19.30

Get active warm up Leila Javadi-Babreh

Annual Accounts 2018/19 Gareth Kenworthy Director of Finance

Context of 2018/19  Sixth year of operation of CCG and fifth successive year of delivery of our financial targets in full  Third year of being fully responsible for GP Primary Care Commissioning from NHS England (received a transfer allocation of £94m in order to achieve this)  Management of in year financial risks – Referral to Treatment pressure, Continuing Healthcare and prescribing pressure from “no cheaper stock obtainable”

Financial highlights  Financial accounts produced to national deadlines  Surplus of £16k against planned breakeven position. Together with historic surplus brought forward this means £23.4m was carried forward to 2019-20  All financial duties achieved  Unqualified audit opinion on the financial statements, regularity and value for money

Financial Performance targets Target Position Achieved Position Revenue spend not to exceed Actual revenue surplus £23.4m allocation of £922m (£899m (£16k excluding historic surplus) excluding historic surplus) Revenue administration spend not Actual administration spend of to exceed allocation of £14.7m £12.5m 95% of total value of NHS invoices 99% of total value of NHS invoices paid within 30 days paid within 30 days 95% of total value of non-NHS 96% of total value of non-NHS invoices paid within 30 days invoices paid within 30 days Remain within cash funding Remained within cash funding

Where was the money spent?

External Audit Opinion  Financial statements – an unqualified opinion that the accounts reported fairly on the CCGs finances  Regularity of income and expenditure – an unqualified opinion that financial transactions were conducted within the CCG legal framework  Value for money – no matters to report

How is the money spent?

And what did it buy?  184,394 attendances at A&E & MIU  63,821 emergency inpatient admissions  66,658 planned inpatient admissions and day cases  90,822 ambulance incidents  213,921 calls answered by NHS 111  103,924 calls to out of hours GP services  19,823 people provided with mental health information and advice  11,300 people were given support for their mental wellbeing via TalkingSpacePlus  And more…….

Present and future  For the financial year 2019/20 OCCG received a £43m increase to its funding compared to £23m in 2018/19 and £16m in 2017/18. OCCG however remains below its target funding level by 4.03% equating to £32.8m. OCCG has one of the lowest allocations at £1,535 per person.  OCCG has submitted a plan for 2019/20 that was compliant with financial planning targets including a surplus of £23.4m.  Key risks for OCCG in 2019/20 include prescribing, continuing healthcare & contracts based on activity.  Plus risks that all NHS organisations are facing which is to address the increasing demand for NHS services within the resources available.

Questions?

Review of the year Dr Kiren Collison

Highlights  Tackling winter pressures across Oxon system  Improving diabetes care and prevention  Better access to mental health services  More access to GP appointments  Integrated respiratory team

Long Term Plan Strengthening primary care and community services • Prevention • Tackling health inequalities • Personalisation • Technology •

Primary Care Networks 19 Primary Care Networks in Oxfordshire covering the whole population with GP leads in all of them.

Winter pressures  ‘ Your winter plan’  Reduction in Delayed Transfers of Care  Pocket guide to services  Successful flu jab campaign  Age UK support at John Radcliffe Hospital

Diabetes prevention NHS Diabetes Prevention Programme (NDPP) – behavioural intervention and education to delay or prevent Type 2 diabetes, by achieving: • Healthy weight • Dietary recommendations • Physical activity recommendations • June 2017 to end March 2019: • 2,988 referred to the programme • 1,251 started on programme • Mean weight loss of those on the programme at 6 months ranges between: 2.5kg to 3.75kg

Diabetes care Extra £1.1m investment (2018/19) into initiatives to support 30,000 people with diabetes in Oxfordshire: • Diabetes multi-disciplinary meetings in GP practices bringing primary and specialist care together • Increasing capacity for patient diabetes education • Increasing community diabetes nurses • Diabetes Locality Coordinators – designated GPs and Practices Nurses to focus on diabetes • Multi-disciplinary diabetic foot care team (MDFT) to improve access to specialist foot care with the aim of reducing amputations

Boost to mental health services • TalkingSpacePlus • Oxford Safe Haven • Specialist perinatal mental health support • Trailblazer site for extra £5.4m Child and Adolescent Mental Health funding

Integrated respiratory team Project to pilot an enhanced multi-disciplinary team to support patients with long term respiratory conditions such as COPD and asthma. Operating in Oxford City and North Oxfordshire localities. Aims to: • Improve identification and diagnosis • Reduce hospital admissions and re-admission • Enhance holistic care including mental health and end-of- life care • Bring integrated care closer to home for patients Team is staffed by local NHS providers. OCCG joint working project with Boeringher Ingelheim

Your local GP practice • Improved Access appointments – 98,947 extra appointments in total • 78,947 (60%) provided at evenings and weekends • More time for more complex patients

Your local GP practice • Primary Care home visiting and support teams – carried out 12,452 visits

Questions?