Council of Members 13 February 2019
Welcome Dr Jonathan Love, CoM Chair Dr Mitu Pandey, CoM Deputy Chair
Minutes of the previous meeting: 19 September 2019 Dr Jonathan Love, CoM Chair
CCG clinical lead: portfolio presentation Dr Emily Gibbs CCG Clinical Lead for Primary and Community Care
Clinical leadership role • Governing Body Member, collective responsibility with GB clinical leads for commissioning in Southwark • Commissioning activity, delivery, issues and planning • Locality meetings with member practices, sharing objectives for commissioning • Getting better quality health services for the people of Southwark.
Clinical Portfolio • Delegated Primary Care Commissioning in Southwark • Primary care contracts and PMS Premium Specification • Supporting sustainable general practice • Working with GP federations • Community services development • NHS Long Term Plan impact for Southwark
Involved in • Clinical Effectiveness Southwark • eRS service for primary care • Digital primary care development • GP access and extended hours primary care • Planned care services development and clinical offer (consultant connect/ visual DX, Advice and Guidance • Cancer and end of life care development
Key relationships • Primary Care Commissioning and Integrated Commissioning team • Conflict of Interest Guardian • NHS England • NHS Southwark CCG members, patient & public stakeholders and provider organisations • LMC • NELCSU • Healthwatch Southwark
Question and answer session of CCG Governing Body Practice representatives
NHS Long Term Plan and what this means for Southwark CCG Discussion at Council of Members meeting 13 February 2019
Objectives for this discussion The purpose of this session is to start a discussion with the Council of Members about what the Long Term Plan means for us within Southwark. Today, we will focus in particular on three areas: • What the LTP means for the development of ICSs and how we commission . • What the LTP means for Community based Care, in particular the development of Primary Care Networks (PCNs) • What enablers and infrastructure are needed, particularly Digital, Information and Workforce In each case we will set out: • What the LTP is telling us • What our local plans are that are already in place and / or need to respond to this We will discuss: • What are the ideas, considerations and expectations raised by the LTP • How we engage further with General Practice in Southwark around the LTP. 11
The Long Term Plan sets out how we will make the NHS fit for the future, and get the most value for patients out of every pound of taxpayers’ investment Published on 07 January 2019 , the NHS Long Term Plan (LTP) has been drawn up by those who know the NHS best, including frontline health and care staff, patient groups and other experts. They have benefited from hearing a wide range of views, whether through the 200 events that have taken place, and or the 2,500 submissions we received from individuals and groups representing the opinions and interests of 3.5 million people. The plan sets out how the NHS will increasingly be: • more joined-up and coordinated in its care • more proactive in the services it provides • more differentiated in its support offer to individuals. Our local strategy, the Southwark Five Year Forward View , and the other programmes of work we are undertaking as a CCG, are very well aligned with the LTP. However the Plan goes further in setting the vision and ambition for the NHS over the next five to ten years, and as a CCG we need to consider how we respond through our own local plans, building on the foundation of our work to date. 12
What the LTP will deliver for patients over the next ten years: • Focused action on prevention (smoking, obesity, alcohol, air pollution ) and stronger reducing stillbirths and mother and child deaths during birth by 50% • ensuring most women can benefit from continuity of carer through / beyond pregnancy • providing extra support for expectant mothers at risk of premature birth NHS action on health inequalities, alongside the key roles of Local Authorities Making sure • expanding support for perinatal mental health conditions • everyone gets the taking further action on childhood obesity • increasing funding for children and young people’s mental health best start in life • bringing down waiting times for autism assessments • providing the right care for children with a learning disability • delivering the best treatments available for children with cancer • preventing 150,000 heart attacks, strokes and dementia cases • providing education and exercise programmes to tens of thousands more patients with heart problems, preventing up to 14,000 premature deaths Delivering world • saving 55,000 more lives a year by diagnosing more cancers early class care for major • investing in spotting and treating lung conditions early to prevent 80,000stays in hospital health problems • spending at least £2.3bn more a year on mental health care • helping 380,000 more people get therapy for depression and anxiety by2023/24 • delivering community-based physical and mental care for 370,000 people with severe mental illness a year by 2023/24. • increasing funding for primary and community care by at least £4.5bn • bringing together different professionals to coordinate care better • helping more people to live independently at home for longer Supporting people • developing more rapid community response teams to prevent unnecessary hospital spells, and speed up discharges home to age well • upgrading NHS staff support to people living in care homes • improving the recognition of carers and support they receive • making further progress on care for people with dementia • giving more people more say about the care they receive and where they receive it, particularly towards the end of their lives. 13
Five major, practical, changes to the NHS service model to bring this about over the next five years: Boost ‘out -of- hospital’ care , and dissolve the primary and community health services divide 1. 2. Redesign and reduce pressure on emergency hospital services 3. People will get more control over their own health , and more personalised care 4. Digitally-enabled primary and outpatient care will go mainstream across the NHS 5. Local NHS organisations will increasingly focus on population health and local partnerships with local authority-funded services , through new Integrated Care Systems (ICSs) everywhere 14
1. Integrated Care Systems What will be different as a result of the LTP? Local NHS organisations will increasingly focus on In Southwark, this will help to support and population health – moving to Integrated Care Systems accelerate our plans including: everywhere • By April 2021, ICSs will cover the whole country, • Working as an Integrated Care ‘System of growing out of the current network of STPs Systems’ across south East London • ICSs will have a key role in working with Local Authorities at ‘place’ level • Working to deliver commissioning functions at the level of scale and collaboration that • ICSs will need streamlined commissioning makes most sense : arrangements typically involving a single CCG for each ICS area • As an alliance of CCGs across south • Local approaches to blending health and social east London (SELCA) • care budgets Through joint working with our Local Authority • CCGs will become leaner, more strategic • In collaboration with our local providers organisations that support providers to partner with (e.g. Partnership Southwark) local government and community organisations on population health, service redesign and LTP • Commissioning based on populations and implementation outcomes through our Southwark Bridges to Health and Wellbeing model. • Funding flows and contract reform will support the move to ICSs • ICSs will agree system-wide objectives with NHS England / NHS Improvement and will have the opportunity to earn greater autonomy as they 15 develop .
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