North Kirklees Clinical Commissioning Group Annual General Meeting Thursday 11 th September 2014
Who are we? • Established by the Health and Social Care Act (2012) • Statutory body since 1 April 2013 • Clinically- led ‘membership’ organisation • All 30 local GP practices are members For longer, healthier, happier lives
What We Do • Plan and buy healthcare services • Serve a population of 190,000 • Have a budget in the region of £221 million • Work closely with Kirklees Council and neighbouring CCGs For longer, healthier, happier lives
Services We Purchase These include: • Emergency and urgent health care • Community health services • Maternity services • Hospital care eg inpatient and outpatient services • Rehabilitation • Mental health and learning disabilities • Medicines management For longer, healthier, happier lives
Our Vision And Values Enabling the population of North Kirklees to live longer, healthier and happier lives. Patient First Strive for excellence Value each other Lead from every seat Engage, involve and include For longer, healthier, happier lives
Key Challenges • Growing population • Increasing number of elderly people with multiple and long- term conditions • Areas of considerable deprivation • Health inequalities • Financial constraints For longer, healthier, happier lives
Health Issues • Infant mortality • Asthma • Obesity • Smoking • Alcohol consumption • Cardio-vascular disease • Depression and anxiety For longer, healthier, happier lives
Our Priorities • Care Closer to Home • Transforming primary care • Improving hospital services • Urgent and emergency care • Children and young people • Maternity • Mental health • Prescribed medicines For longer, healthier, happier lives
Highlights April 2013 – April 2014 Achieved a number of our national targets in relation to: • Reduction in health care associated infections and treatment of patients suffering from stroke, diabetes, cancer and mental health conditions. We know we have further work to do in relation to: • MRSA, • 18 week referral to treatment • A&E 4 hour wait • 62 day cancer treatment For longer, healthier, happier lives
Highlights April 2013 – April 2014 CONT….. • Meeting the challenge consultation and implementation of first element of plan to improve hospital services. • Increased range of services available in local GP practices including heart and blood tests. • Extended access to end of life/palliative care support through a 24 hour helpline and • seven day access to specialist palliative care beds. • Admissions avoidance team working at A&E to provide on-going care to patients where necessary and reduce the need for hospital stays. • Clarity programme is helping patients to reduce or quit use of sleeping tablets. For longer, healthier, happier lives
Highlights April 2013 – April 2014 CONT….. • Developed a robust primary care strategy with a focus on improving access, reducing variation and improving quality. • Prescription of antibiotics linked to health care associated infections has reduced. • Published 5 year strategic plan which was co-produced with Greater Huddersfield CCG and Kirklees Council • CCG moved offices to Dewsbury town centre. For longer, healthier, happier lives
Highlights April 2013 – April 2014 CONT….. • Consulted widely with patients and the public about range of issues including our five year plan and commissioning intentions, care closer to home, NHS call to action, wheelchair services, urgent care services. • Established patient reference group network. For longer, healthier, happier lives
Challenges This Year… • Scale and speed of change • Public support and engagement • Resource constraints • Geographical and organisational boundaries – working across a wide and complex ‘footprint’ • Working with our members For longer, healthier, happier lives
Looking Forward… • Improving hospital services and ensuring we retain a vibrant hospital in Dewsbury (implementation and investment) • Developing community-based services and achieving greater integration across health and social care • Meeting our financial obligations • Building on strong foundations For longer, healthier, happier lives
THANK YOU For longer, healthier, happier lives
Annual Accounts – Overview 2013/2014 • Programme allocation of £221 million which we use to commission health care services • Running costs allocation of £4.6 million which we use to employ staff and purchase support services we need to commission these services. For longer, healthier, happier lives
Financial Performance • Achieved surplus agreed with NHS England - £3.8m • Managed within running costs allocation - £11k under spend • Paid 96% of non-NHS invoices within target • Achieved efficiency programme of £5.6m • Approved £2m investments in additional out of hospital services For longer, healthier, happier lives
Where the Money Goes 4% 9% 7% 8% Mental Health Care Acute Care Primary Care Continuing Care 16% Community Health Services Other 56% For longer, healthier, happier lives
Kirklees 5 Year Strategic Plan - Rachel Albutt For longer, healthier, happier lives
Mandatory Requirements… 4th April 2014: 1 st Draft of strategic plan, Final draft of Better Care Fund Plan a Final draft of Financial Plan Key Dates Final draft of 2 year operational plan 20th June 2014: Final Version The strategy has been signed off by: • Kirklees Health and Wellbeing Board • North Kirklees CCG Governing Body • Greater Huddersfield Governing Body For longer, healthier, happier lives
Unit of Planning… The 5 Year Strategic Plan co produced on a Health & Wellbeing Board Footprint. Greater Huddersfield CCG, North Kirklees CCG and Kirklees Council have worked together to produce 1 plan The plan links to the Joint Strategic Needs Assessment and refreshed Joint Health and Well-being Strategy We are also working on a West Yorkshire footprint for key work areas. For longer, healthier, happier lives
Planning Footprint… For longer, healthier, happier lives
Voluntary/ PGH HUB admission Third Sector Social care ? LCD Liaison Paediatric Primary Frailty Ambulatory Emergency Psychiatry Assessment care Rapid Response Model Care Care HAT/ESD H Specialist e.g. Consultant, nurse Therapy Community Bed CCTs Base Hospice/EOL Key In scope for procurement Out of scope for procurement, but key dependency
Transformation of Primary Care… • The vision for transforming primary care focuses on strengthening primary care services and up skilling the primary care workforce to ensure that patients receive better quality outcomes and are able to access more proactive and preventative care. • NKCCG Primary Care Strategy outlines what interventions will be undertaken to achieve this • We are in discussion with NHS England regarding co-commissioning of primary care services in the future For longer, healthier, happier lives
The Principles For Transforming Primary Care A re… • Improving access to a broader range of primary care services, including enhancing the range of diagnostics in primary care • Reducing dependency on hospital services and shifting the balance of care from unplanned to planned. This will be particularly valuable for vulnerable patients with long term conditions and complex needs. • Responding to the urgent care agenda with aspirations for 24/7 primary care provision through extended hours and demand and capacity analysis • Reducing variation in services and improving quality • Enhancing the services offered to patients by optimising the use of NHS resources, including the use of technology and referral management systems • The central role of general practice and community based teams in the management of patients with long term conditions and those with complex needs • Practices working collaboratively to deliver services at scale • Supporting patients and carers to manage their own health and care • A sustainable workforce to secure future provision • Working at scale – federation of 30 practices For longer, healthier, happier lives
Reconfiguration/Transformation of Acute Services ‘Mid -Yorkshire Clinical Services Strategy’ • Implementation of the ‘Meeting the Challenge’ Mid Yorkshire Clinical Services Strategy Full Business Case (FBC). • This programme of work aligns closely with the integrated service model which will support the reconfiguration. For longer, healthier, happier lives
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