Annual General Meeting Wednesday 21 September 2016
Annual report and accounts
The CCG objectives Objective 1 Improve health outcomes Objective 2 To improve the quality of care and patient experience of care Objective 3 Improve value for money by moving care closer to home
The local context… Increasing Very limited demand money Workforce New contract shortages with Bolton FT Greater North West Manchester Sector Alliance Devolution
Our achievements: 2015/16
More beds for Bolton Hospice • We provided further funding to support medical, nursing, and operational costs of four more beds. • As a result, 88 more patients each year can receive hospice care in Bolton. • Hospice care close to home… • Can reduce the risk of unnecessary hospital admissions • Means patients can be near to family and friends
Better emergency care for stroke patients • We supported changes to stroke care across Greater Manchester. • Any Bolton resident with stroke symptoms now taken to Salford Royal – a specialist centre. • This change is expected to save up to 50 lives each year. • Patients are treated at Salford for a few days and then recover in Bolton – in hospital or at home.
Mental health Reducing young suicides • Funded delivery of the Suicide Safer Communities Programme for Young People. • Volunteers aged 16-35 were recruited and trained to deliver suicide prevention activities. Improving access to talking therapies Only area in the region to achieve • targets on access and recovery. Joint work with providers to • streamline referrals.
Bolton Macmillan Cancer Information and Support Service All sites now open providing a drop in service to anyone affected by cancer at… • Giles House, Bolton Hospice • Royal Bolton Hospice • Bolton One The service is delivered in partnership with Macmillan, Bolton Hospice, a patient and user group.
Joining up patient care & preventing hospital admissions We’ve continued work with Bolton Council and local partners to join up patient care. Our aim: the right care, in the right place, at the right time – tailored to the needs of the patient. Intermediate care - working better for • patients, in their own home or a care home. • Admissions Avoidance Team – working with GPs and other health professionals to provide extra support when it’s needed most. • Care planning – more support for GP practices • Integrated Neighbourhood Teams
Reducing waste NHS resources are limited so the Bolton pound must be spent carefully. We need to consider carefully what NHS money can, and should, be spent on. Last year, we worked hard to reduce waste and invest in services that meet the needs of Bolton people. We’ll need to do more this year! 28% reduction in We can protect Saving of procedures with Bolton NHS so it’s £750,000 limited benefits there when YOU for patients need it most!
Financial achievements Section Description Financial Performance Targets Expected Performance 2 Revenue Position Operate within approved revenue resource allocation in each and every year. Deliver a cumulative surplus carry forward of 1% minimum. Hold a contingency of at least 0.5%. Green Spend 1% non-recurrently. 3 Running Costs Not to exceed the Running Cost Allowance of £6,320k. Green 4 Cash Green Operate within its approved cash maximum draw-down limit in each and every year. 5 Business Conduct Comply with the Better Payments Practices Code. Green 6 Deliver an efficiency across the CCG’s expenditure baseline in Quality, Innovation, order to meet the QIPP challenge. Green Productivity & Prevention (QIPP 7 Financial Risk Green Financial risks and mitigating actions are identified and reviewed on a monthly basis. 8 Net Current Assets matches Taxpayers Equity. Green Statement of Financial Position
CCG assurance The CCG is reviewed quarterly by NHS England. We provide assurance of our performance against national requirements. We received an overall assurance rating of ‘good’ for 2015 -16. Well led organisation • Finance • Performance and outcomes • Planning • Delegated functions •
Working with practices to boost primary care
Introducing the first ever Bolton Quality Contract… • £3.4m of CCG investment to Bolton GP practices. • All practices signed up to delivering new standards of care – over and above the national contract. • Standards included • Access • Prescribing • Health improvement • Health screening • Mental health • Cancer referral • End of life care
Achievements so far… Now being used • 60,000 more appointments per year. by NHS • Same day assessment for children England as under 12. national best • Saved £2.2m on prescribed practice! medicines. • 82% of adults screened for diabetes. • 77% of people with dementia have a formal diagnosis. • More GPs, nurses, and reception staff. • Better care for patients with asthma or heart failure. • 90% of patients would recommend their practice to family and friends.
Looking to 2016-17 The Bolton Quality Contract is in place again for 2016-17. This year’s contract supports joined up care to help frailer residents to stay independent in their homes. More help for those who need it most.
Table discussions
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