Winter engagement event 22 November 2018 1 Working together with the Barnet population to improve health and wellbeing
Welcome Dr Debbie Frost, Chair, Barnet CCG Working together with the Barnet population to improve health and wellbeing
Housekeeping • There is a hearing loop. This is switched on and available • No fire alarm is planned today. If you hear the alarm, please make your way outside • Please turn your mobile phones off or put them on silent • Please speak to a member of Community Barnet staff if you have any questions Working together with the Barnet population to improve health and wellbeing
Focus for tonight’s event Choosing the right care this winter What service would you choose and why? Comfort break – Capture your experiences Some personal reflections from Ian Bretman, Lay Member for Patient and Public Engagement Moving to urgent treatment centres at The Royal Free London What does this mean for Barnet? Q&A CCG senior staff answer your questions Event close Working together with the Barnet population to improve health and wellbeing
Please share your views We are keen to hear about yours/family/friends experience of using these urgent and emergency care services locally. There are flipcharts and post-it notes dotted around the room. During the break, please take a minute to provide your experiences of the various services good and bad. You can also give your views via email to: barccg.communications@nhs.net Working together with the Barnet population to improve health and wellbeing
Supporting the national campaign Working together with the Barnet population to improve health and wellbeing
About the CCG We are a membership organisation, made up of 55 GP practices, responsible for planning and buying most of the local healthcare services for Barnet residents I along with the Governing Body, set the strategy for our CCG Our local leader is Kay Matthews, the Chief Operating Officer of our CCG Working together with the Barnet population to improve health and wellbeing
What we do CCGs are responsible for planning, buying and monitoring: • The care and treatment you may need in hospital and community health services, including district nurses, physiotherapy and other therapies • The care that you may need urgently or in an emergency (including out-of-hours services) • Maternity and newborn baby services • The medicines you may be prescribed by your GP • Mental health and learning disability services In April 2017, the CCG also took over the commissioning of GP services from NHS England Working together with the Barnet population to improve health and wellbeing
What does a CCG not do? CCGs are not responsible for other out of hospital services, which include: • Dentistry • Optometry • Screening programmes, e.g. cancer screening • Immunisations • Stop smoking services • Sexual health services • Health visiting services These are commissioned by teams in NHS England, the Local Authority or Public Health Working together with the Barnet population to improve health and wellbeing
Barnet CCG’s Governing Body Dr Debbie Frost Dr Charlotte Dr Barry Subel Dr Clare Stephens Dr Tal Helbitz Dr Murtaza Dr Aashish Bansal Clinical Chair Benjamin Vice Clinical Chair Khanbhai Other Governing Body members Dr Jon Baker – Board Secondary Care Doctor Ian Bretman – Lay Member: Patient and Public Involvement Dominic Tkaczyk – Lay Member: Finance Claire Johnston – Nurse representative And observers from: Dr Nikesh Datani Helen Pettersen Simon Goodwin Accountable Officer Chief Finance Officer Public Health – Dr Tamara Djuretic NCL CCGs NCL CCGs London Borough of Barnet – Dawn Wakeling Barnet Healthwatch – Selina Rodrigues Working together with the Barnet population to improve health and wellbeing
Who we work with Amongst others we work closely with: • London Borough of Barnet (Barnet Council) • NHS England • Central London Community Healthcare Trust • Royal Free London Hospitals NHS Trust • Barnet, Enfield and Haringey Mental Health Trust • London Ambulance Service • London Central and West Unscheduled Care Collaborative Working together with the Barnet population to improve health and wellbeing
Our place in North Central London Enfield CCG / Enfield Council GP registered population: 320,000 GP practices: 48 Chase�Farm� Hospital St� Michael ’ s� Barnet CCG / Barnet Council Barnet� General� Hospital Primary� Care� GP registered population: 420,000 Centre GP practices: 55 Stanmore� Hospital Haringey CCG / Haringey Council North� Middlesex� Edgware� Community� Hospital GP registered population: 296,000 Hospital GP practices: 45 Finchley� Memorial� Hospital St� Ann ’ s� Hospital Islington CCG / Islington Council GP registered population: 233,000 The� Whittington� Hospital Highgate Hospital GP practices: 34 Royal� Free� Hospital Central� Middlesex� Tavistock Clinic,�Portman� Clinic,� Camden CCG / Camden Council Hospital Gloucester�House� Day� Unit GP registered population: 260,000 St� Pancras Hospital GP practices: 35 Moorfields Eye� Hospital University� College� Hospital London�Ambulance�Service Great� Ormond� Street� Hospital East� of� England� Ambulance� Service
Choosing the right care this winter What service would you choose and why? Working together with the Barnet population to improve health and wellbeing
Urgent & Emergency Care Landscape in Barnet • Barnet has a growing diverse population which is projected to increase by 6% by 2030 with a significant increase in people aged 65 and over • Urgent & Emergency Care (U&EC) demand is all year round, with increased pressures over the winter period • Four-hour A&E waiting time standard is not being consistently met • There were higher than average attendances at both Barnet Hospital and Royal Free Hospital A&E Departments during November 2018 • New National Guidance Urgent Treatment Centre Working together with the Barnet population to improve health and well being
Self-care • Self Care − A lot of common illnesses can be treated in your home by using medicines and getting plenty of rest. Self-care is the ideal choice to treat very minor illness and injuries. • Local Pharmacist − Over the counter medicines − Your local pharmacist can give you friendly, expert advice about over-the-counter medicines that can help with lots of common conditions, without the need for an appointment. • Online resources − such as www.nhs.uk/staywell, https://www.nhs.uk/live-well • Flu − Every year NHS England rolls out a flu programme with Public Health England. Certain people are more likely to develop potentially serious complications of flu and these people are advised to have a free flu vaccine. You can find more information at www.nhs.uk/getflujab Working together with the Barnet population to improve health and wellbeing
Contact your GP practice • Make an appointment with your GP when you have an illness or injury that will not go away. GPs are responsible for providing care, including seeing patients in an emergency Monday to Friday 8- 6.30pm (excluding bank holidays) • Not registered? You have the legal right to choose a GP practice that best suits your needs. You can find practices in your local area here: https://www.nhs.uk/Service-Search/GP/LocationSearch/4 Working together with the Barnet population to improve health and wellbeing
GP Extended Access Hub • Barnet Federated GPs provide an extra 48,000 GP appointments per year in Barnet • Barnet residents can now access GP services from 8.00am to 9.00pm, seven days a week and are provided from several GP practices or “hubs” • Extra appointments are available from 6.30pm to 9.00pm on weekdays and 8.00am to 9.00pm on weekends and bank holidays • To book one of these appointments, contact your own GP practice during normal working hours and when your practice is shut, call 020 3948 6809 until 8.00pm Working together with the Barnet population to improve health and wellbeing
GP Extended Access Hub • The service is setting aside a number of appointments on weekends for people who have attended A&E but would be better off being seen by a GP in a nearby practice. • This will help to free up A&E and help those people who need it most to be seen quicker. • More information on the Enhances Access Service, visit https://barnetfederatedgps.org.uk/ • More information on services this winter is available at www.barnetccg.nhs.uk. Working together with the Barnet population to improve health and wellbeing
NHS 111 Integrated Urgent Care Service • The service combines 111 and GP Out-Of-Hours services into a single integrated service operating a ‘clinical hub’ with GPs, nurses and pharmacists • The service operates 24 hours a day, 365 days a year. Calls to 111 are free, including from mobiles • Calls to 111 will be assessed, advice given and, if needed, patients will be directed and or booked into the most appropriate local health service such as GP Out of Hours • NHS 111 online also is available Working together with the Barnet population to improve health and wellbeing
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