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
44Bracknell and Ascot Clinical Commissioning Group 4
• 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
55Bracknell and Ascot Clinical Commissioning Group
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
66Bracknell and Ascot Clinical Commissioning Group
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
77Bracknell and Ascot Clinical Commissioning Group
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!
88Bracknell and Ascot Clinical Commissioning Group
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????
99Bracknell and Ascot Clinical Commissioning Group
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
1212Bracknell and Ascot Clinical Commissioning Group
Where does £955 / person go?
1313Bracknell and Ascot Clinical Commissioning Group
£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
1414Bracknell and Ascot Clinical Commissioning Group
£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
1515Bracknell and Ascot Clinical Commissioning Group
£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
1616Bracknell and Ascot Clinical Commissioning Group
…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
1717Bracknell and Ascot Clinical Commissioning Group
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
1818Bracknell and Ascot Clinical Commissioning Group
Listening Exercise and workshops• Urgent Care• Primary Care• Prevention and Self-care
1919Bracknell and Ascot Clinical Commissioning Group
Primary Care Transformation
19
2020Bracknell and Ascot Clinical Commissioning Group
Workshop Feedback
2121Bracknell and Ascot Clinical Commissioning Group
Thank you for attending !