Annual General Meeting Transforming local care Our year in review
Our role as a CCG • We are responsible for developing, planning and purchasing health services in Portsmouth. • We have a budget of nearly £300m to buy services from local providers including Portsmouth Hospitals NHS Trust, Solent NHS Trust and local GPs. • Our role is to ensure that, through the work we do with every GP surgery in the city and our public, Portsmouth people have access to the best possible NHS services, as and when they need them.
Our priorities for the city • Access to health services in the right place at the right time. • Safe health services that treat you with compassion, dignity, respect. • Joined up care, so you only have to tell your story once, with no unnecessary assessment or treatment. • Working together to tackle the biggest causes of ill health and death, promoting wellbeing and positive mental health.
So, what progress have we made? • Working more closely with GP practices through new commissioning responsibilities. • 92% of patients received treatment in less than 18 weeks from initial referral, 99% had a diagnostic test within six weeks and generally people are seen very quickly after cancer referral. • We have introduced improved patient record systems that enable information to be shared between service providers. • Acute GP visiting service for patients who might otherwise need hospital care has been well-received. • Funding for a range of voluntary schemes. • Financial balance achieved, all duties met.
Financial picture secure…for now • We managed to meet all our statutory financial duties • This included a surplus of around £3m
Spend per head of population Acute Hospital Care £618 Primary Care £163 £293m Continuing Health Care £73 equates to: Social Care & £64 £1,330 per Voluntary Sector head Community Health £127 Running Costs £22 Mental Health £145 Co-commissioning £118
Typical costs for treatments 999 Call 111 Call Minor Injury £228 £7.43 £61 Non-Elective Knee Cataract inpatient Replacement Procedure £1,885 £5,196 £782 Elective Critical Care Pathology Test Outpatient £1,481 £1.77 £195
Urgent care improvement ‘a priority’ • We know things have to improve quickly with A&E. • CQC report demands immediate action from Portsmouth Hospitals NHS Trust. • All NHS organisations and local authorities are working together to ensure that patients are cared for appropriately from admission to discharge… and follow up care. • Range of alternative urgent care services in place including enhanced St Mary’s Treatment Centre and wider role for pharmacies ( PHARMACY FIRST ).
Where else do we need to do more? • Demand for primary care services (eg getting an appointment with a GP) continues to be an issue that concerns people locally. • GP recruitment/retention is becoming more difficult, which may lead to different ways of providing services. • Need to keep scrutiny on waiting times – particularly our 18 week targets. • Financial pressures will be greater in the year ahead – for NHS and local authorities. Public health services are already facing review.
What you have told us Your feedback helps us plan more effective services. In the past year: • Many of you commented on our proposals for urgent care walk-in services in the city, leading us to review our original plans and retain a city centre GP practice. • Hundreds attended our first Your Health, Your NHS event in Guildhall Square and gave us an insight into what was most important to them about NHS care. • Several focus groups helped us hear about priorities, challenges and worries for people with long-term conditions.
How will we face up to the challenges ahead? • Health & Care Portsmouth – sets the strategic context for the next few years. • Underpinned by a joint Transformation Programme to join up services around the care of each individual - right time, right setting leading to healthy, safe and independent lives. • We want to bring together some services, provide others at scale, embrace technology, ensure people only go to hospital when really necessary and that social care needs can be met in the community.
Implementing Health & Care Portsmouth • Our aim is a single health and care system for the city – this includes delivery of services, planning, commissioning and managing these services. Primary and community care is at the core of our strategy. • GPs will need to be at the heart of making this work effectively alongside primary, community and social care and community care colleagues. • Proposals are in line with the NHS Five Year Forward View and we are already working on the first steps to deliver this ambitious programme.
Annual General Meeting Questions
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