Commissioning Group (CCG) Dr Geoffrey Hollier, GP Board Member Sima - PowerPoint PPT Presentation

Merton Clinical Commissioning Group (CCG) Dr Geoffrey Hollier, GP Board Member Sima Haririan, Senior Manager

Context  Health Strategy “Equity and Excellence” for improving productivity and efficiency:  Focus on outcomes and not targets  Safety, quality and competition  Integration of health and social care with greater role for Public Health  Introduction of Clinical Commissioning- abolition of PCTs/ SHAs by 2013  Improving health outcomes for all  Savings of £20 billion by NHS over 5 years  Health and Social Care Act 2012 “No decision about me without me”

Structure  Clinical Commissioning Groups- delegated responsibility to build a track record with full statutory responsibilities in April 2013  NHS Commissioning Board  Health and Wellbeing Boards –  Health  Local authority- Elected members, Public Health  Patient and public representatives – LiNKs, CEN,  Meaningful patient, carer and public participation  NHS Foundation Trusts

Structure  Care Quality Commission (Health Watch)- quality inspectorate  NHS Outcomes Framework-  NICE- independent public body-  setting standards and social care  Quality, Innovation, prevention and productivity (QIPP) – focus on clinical leadership  Information

Local Care Centre Hospital A: St George’s Hospital B: Mayday University Hospital G: Nelson C: Nelson Hospital H: St Helier D: St Helier Hospital I: Wallington E: Sutton Hospital

Merton CCG 26 GP Practices in Merton 211,000 registered patients  GP Practices in Merton CCG Cricket Green Medical Practice Wandle Road Merton Medical Centre Graham Road Surgery Colliers Wood /Lavender Fields River House Medical Practice Mitcham Medical Centre Wilson GP Led Health Centre Wide Way Surgery Central Medical Centre Tamworth House Figges Marsh Rowans Surgery Pepys Road Practice Centre Stonecot Surgery James O'Riordan Medical Centre Wimbledon Village Surgery Grand Drive Surgery Princes Road Surgery Alexandra Surgery The Vineyard Hill Road Surgery Freeman & Partners Cannon Hill Lane Medical Practice The Church Lane Practice Francis Grove Surgery Morden Hall Medical Centre

Merton CCG Board  Dr Howard Freeman Chair (designate)  Dr Geoffrey Hollier GP Board Member  Dr Paul Alford GP Board Member  Eleanor Brown Accountable Officer (designate)  Peter Derrick Lay member (governance) and Chair of Audit Committee  Dr Val Day Acting Director of Public Health Other roles to be appointed in Summer 2012:  Chief Finance Officer  Lay member- Patient and public involvement  Nurse  Hospital Consultant

Role of Clinical Commissioning Groups (CCG) “ Accountable for delivering outcomes & financial performance”  Commissioning services for all - not only GP registered patients  Improve healthcare and health outcomes  Greater responsibility for wider impact of clinical decision making  Duty to promote equality (tackling inequalities in outcomes of health)  East vs West Merton health outcomes  Wider feedback- local Health Watch  Commissioner performance

Which Services?  GP practices – contracts & performance by NHS CB  Out of hours GP Services  Hospital clinical services except very specialised areas  Mental Health  Community Services e.g. nursing, health visiting, therapies

July-Sept End of June: October 2012: Winter 2012 to 2012: April 2013: Finalising our Submission of Collecting structure and authorisation Working evidence for governance evidence - towards authorisation arrangements Wave 3 authorisation

What have we been doing?  Strong clinical leadership to:  commission services and  monitor performance of providers of services  Establish Merton CCG Governance Board  Stakeholder communication and engagement  Establish Shadow Health and Wellbeing Board and work on a joint strategy and set priorities

What have we been doing? Work on improving services and patient experience   Work with NHS Sutton and Merton and other CCGs  Decision making for best use of resources and services for patients  Contracts e.g. GP Out of Hours services Setting up patient participation group at each GP practice 

Clinical priorities 2012-13  To improve clinical outcomes and experience of people with long term conditions and reduce costs- e.g. diabetes, asthma, COPD, angina, epilepsy:  Enabling patients & their carers to access high quality, local, comprehensive community & GP care  Supporting people to understand and manage their own conditions  End of Life Care  Care of patients with dementia  Integrated primary care teams

Questions