presentation to the portsmouth pensioners’ association
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Presentation to the Portsmouth Pensioners’ Association
Tuesday 8 May 2012
Improving health services…
Portsmouth CCG: Our ambition and our plans
Dr Tim WilkinsonChair of the CCG Board
Improving health services…
Improving health services…
WHAT IS THE CCG?
Formally established from April 2013 GPs working in a membership model Designing local health services Work with:
patients and the public Local authority Other healthcare professionals
Commissioning services including: Elective hospital care Rehabilitation care Urgent and emergency care Most community health services Mental health & learning disabilities
Not: Primary care Specialist services Public health
215,000 registered patients 27 member practices Delegated budget 11/12 c.£127m Full delegated budget 12/13 c.£268m Co-terminous with Portsmouth City Council
Four main providers:- Portsmouth Hospitals- Solent - Care UK (ISTC and primary care)- South Central Ambulance Service
Portsmouth & South East Hampshire system c. 600,000 population
Inherited strong financial and performance track record from predecessor PCT but system surrounding us is in difficulty
Key Facts about Portsmouth CCGWhat does a CCG do?
Improving health services…
HOW DO WE OPERATE?
Practice Members Forum
CCG Governing Body
Public and patients
Local Authority
Providers
Stakeholders
NHS Commissioning Board
Health & Well Being Board
Public Health
Improving health services…
WHO ARE WE?
CCG GOVERNING BODY MEMBERS
Dr Jim Hogan Clinical Leader & AO Dr Tim Wilkinson Chair of Board, GP executive
Dr Elizabeth Fellows GP executive Tom Morton Deputy Chair & Lay member
Dr Dapo Alalade GP executive Jackie Powell Lay member
Dr John Thornton GP executive Innes Richens Chief Operating Officer
Paul Cox Practice Manager Jo Gooch Chief Finance Officer
Vacant Registered Nurse Vacant Secondary Care Doctor
Dr Paul Edmondson-Jones Director of Public Health Margaret Geary Portsmouth City Council
CCG CLINICAL LEADS
Jim Hogan Urgent Care Tim Wilkinson Planned Care
Linda Collie Children & Families, Maternity Simon Wernick Mental Health, Learning Disabilities
Jonathan Price End of Life, Continuing Care Jan Matthews Practice Manager representative
Kevin Vernon Long-term conditions, prescribing Vacant Frail Elderly, Community Services
Improving health services…
OUR PURPOSE AND OUR VALUES
Enable GP surgeries as our members to:
Work with our patients,
the public & our partners
Within our available resources
To invest in improving & better health
services
IMPROVING YOUR HEALTH SERVICES
What do we do? And why do we do it?: Our mission
GETTING THE BEST FOR THE PORTSMOUTH POUND!
Improving health services…
OUR CITY : A PORTRAIT OF PORTSMOUTH
City is an area of only 15 sq miles 207,000 people live within the City 100% urban Most densely populated city in
Europe (outside London) Strong university and naval base
presence 7.6m visitors a year generating
£373m 90 languages spoken in schools
Record for the most times a football club has gone into administration!
1 in 4 children and 1 in 5 older people live in poverty (up to 67% in places)
16% of children live in an household with no wage earner
Life expectancy is rising particularly for female which are now above the national average
1% of households without toilet, bath or shower19% of households do not have central heating
30% of men have no qualifications
Many children have not been to the seaside
40% of households do not have internet access
70% of schools have healthy school status
68.4% of children get 5 GCSE A*-C making the City the second worse in the country
Improving health services…
WHAT PEOPLE TELL US
Improving health services…
WHAT DO WE WANT TO ACHIEVE?
WHAT WILL IT LOOK LIKE?
Access to services
Individual responsibility & accountability
Communications, information &
data
Primary Care
• Continuity of care with someone who has access to your records• Local but resilient • practices working formally together • community & social care wrapped around the practice• Integrated nursing teams• Access to specialist advice
• An IT system across practices • Choices clearly signposted • Pathways uncomplicated & easy to access • Referrals/forms populated directly from patient records• Results & discharge information electronic & at speed
• Greater recognition of individual responsibilities
• High awareness of cost• Choose well – right time as well as right
place• Unplanned care requested/ accessed
only when cannot be avoided
• Services accessible & convenient to those that need them
• Range of services 7 days per week for those things that should not wait
• Specialised services provided in community
• Range of local centres• St Marys Health Campus as local hub• Consistent care every day & hour• Extended hours access• Good physical access
Improving health services…
HOW WILL WE KNOW?
The CCG Corporate Wheel
Each domain in the wheel has several measurable segments that will be reported routinely to the CCG Board
We are developing a set of outcomes measures that will
tell us whether we are achieving what we set out to
do
Improving health services…
OUR MAIN PRIORITIES
OUR JOURNEY TO AUTHORISATION
April 2012Pre-application review by Strategic Health Authority
June 2012Stakeholder Survey
July 2012Application submitted
September 2012Site Visit by NHS Commissioning Board
October 2012Authorised
April 2013Statutory organisation
June to October 2012Application and Assessment Process
Apr 12 Apr 13
• Around 45 stakeholders• Experience of CCG to date• Potential to deliver in the future
Timeline for Wave one applicants
Delivering and improving health services
Improving health services…
OUR AMBITION
The CCG wants to be:
Making a difference to the health of our population
Being responsive to local circumstances and needs
Not driven by targets set for us, but working bottom up
Visible and engaging with our patients and public
Perceived as competent and capable by our stakeholders
Achieving early and full authorisation
Any questions?
Improving health services…
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