presentation to the portsmouth pensioners’ association

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



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?


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


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


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!


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


WHAT PEOPLE TELL US


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


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


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


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?


presentation to the portsmouth pensioners’ association

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