Annual General Meeting and Listening Event, 2014

Welcome!

Review of the year 2013/14

Dr William TongChairman

33Bracknell and Ascot Clinical Commissioning Group

A Year of Firsts

• Authorised without conditions • First meetings in public• First Annual Report• First year of assurance by NHS England Area

Team• First new services commissioned as a CCG

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• Primary Care Led• Opened 7 April• Great community

engagement and feedback from Day 1

• Key enabler to 7 day working in primary care

• Innovative fracture pathways to 3 acute trusts

• New provider in the market• Enabler for new

ambulatory care pathways• Support for new falls

services – prevention and intervention

• Children’s evening clinic in place

• Co-located with GP Out of Hours service

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Integrated Care Teams

• Three clusters involving all B&A practices– North Bracknell– South Bracknell– Ascot

• Over 340 people have a multi-agency care plan already

• More investment this year to increase mental health, social work and community matron capacity

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Musculo-skeletal ICATs and physiotherapy• Following the learning from a pilot service, the

contract for a new ICATs was tendered this year• The contract was awarded to Healthshare• New service started from Healthspace in July 2014• Early signs are that more people are being helped to

resolve musculo-skeletal problems without the need for surgery

• Community physiotherapy has been transformed and a new contract awarded to BHFT

• A new knee clinic is also being trialled, in Ascot, which offers people an alternative to knee replacement surgery for those who would prefer this

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We have taken many opportunities to talk and listen..

• Patient assembly• Community forum• Carers conference• GP Council• System leaders• Health and Wellbeing Boards• Retirement Fair• Health promotion talks• Self care week • …. And much more!

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What’s next??

• Urgent care centre expansion of pathways• An explosion in prevention and self-care• Better care fund plans for further integration• Primary care ‘co-commissioning’ and

transformation• Specialist commissioning

• What would you like to see????

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Today’s workshops• You have the chance to participate in all three

workshop discussions as each one will run three times

• Urgent Care• Primary Care• Prevention and Self-care• And if there is anything else you would like to

add – stick it on the graffiti wall or catch one of us during the afternoon

Financial Performance 2013-14

Nigel FosterChief Finance Officer

1111Bracknell and Ascot Clinical Commissioning Group

In 2013-14 we spent…

£130m That’s…£955 per person a year£356,000 per day £255 per minute

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Where does £955 / person go?

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£510 / head - Acute Hospitals & Ambulance£213 (42%) Frimley Park£132 (26%) Heatherwood & Wexham Park£81 (16%) Royal Berks

OR (across all providers)• 38,000 A&E attendances• 108,000 outpatient appts • 11,400 non-emergency • admissions • 10,700 emergency • admissions

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£28 / head - Ambulance

• 17,850 calls to South Central Ambulance

• 13,600 “blue light” responses• 8,100 convey to hospital • 34,000 calls to 111

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£125 / head - Primary Care• £117 /hd prescribing (£15.9m pa)– 1.6 million prescription items ie 12 per person pa– Range in cost from 37p to £3000

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…and some other examples• £55 /hd (£7.5m) on nursing home places or

other packages of care in patients homes• £99 /hd (£14m) on community health– 42,000 district nursing visits– 1,000 diabetic appointments– 5,750 speech & language therapy appointments

• £23 /hd (£3m) on CCG running costs – 2% of total spend

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CCG financial responsibilities

Financial duties…. Revenue Resource Limit Achieved

Surplus of £3.9m (3%) Cash Limit Achieved Unqualified audit report Unqualified regularity opinion Unqualified “value for money” opinion

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Listening Exercise and workshops• Urgent Care• Primary Care• Prevention and Self-care

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Primary Care Transformation

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Workshop Feedback

2121Bracknell and Ascot Clinical Commissioning Group

Thank you for attending !