Annual General Meeting

Transcription

1 Annual General Meeting Tuesday 16th September 2014

2 Welcome Dr Anne-Marie Houlder, Chair

3 Housekeeping There are no planned fire alarms Please switch mobile phones off or on to silence This is a meeting in public not a public meeting Questions will be taken at the end or can be submitted after the meeting

4 Introductions Andrew Donald, Chief Officer Dr Paddy Hannigan, Clinical Lead for Primary Care Jacqueline Brown, Director of Finance (Interim) Paul Simpson, Director of Finance

5 Members of Stafford & Surrounds CCG Governing Body 14 Member practices

6 Agenda Time Item 6. 40pm Presentation of Annual Report 6.55pm CCGs What s the difference? 7.10pm Primary Care Report 7.25pm Support at Home Service 7.40pm Memory First Service 7.55pm Presentation of Annual Accounts 8.10pm 8.25pm Public Questions Close

7 Presentation of Annual Report Andrew Donald, Chief Officer

8 CCGs What s the difference? Dr Anne-Marie Houlder, Chair

9 Health & Social Care Act 2012

10 Before April 2012, 150 Primary Care Trusts (PCTs) were responsible for commissioning local healthcare After April 2012, 211 Clinical Commissioning Groups (CCGs) took on the role in shadow form before being authorised in April 2013 So what is the difference?

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12 Clinical Engagement & Clinical Leadership Clinicians were not actively involved in the commissioning process of PCTs Clinicians can t NOT get involved in commissioning under CCGs Clinical Chair or Clinical Accountable Officer GPs responsible for making decisions, redesigning services and holding providers to account

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14 Stafford & Surrounds CCG Population of 144,000 patients Budget of 158.5million Relatively affluent Above average life expectancy Rise in ageing population Rise of Long Term Conditions Pockets of deprivation

15 Our Vision The people of Stafford receive first class healthcare leading to a high quality patient experience and excellent outcomes.

16 Our Values Quality first Prevention of ill health The views and involvement of patients Integrated with a wide range of partners Openness and honesty in all that we do The contribution of all our members and staff

17 Our Goals A 10% reduction the levels of obesity against the expected prevalence A reduction in the proportion of people with undiagnosed disease from 30% to 10 % A levelling up of health outcomes so that all residents experience the same health care outcomes

18 A reduction in excess winter deaths of 50% A reduction in unplanned admissions to hospital for people with Long Term Conditions of 50%

19 How do we prioritise our resources to address these challenges? Rise in Long Term Conditions An ageing population Increasing expectations How do we prioritise our resources to address these challenges? Example - diabetics up 29% by 2025 to reach 4 million The number of over 80s will double by 2030 Seven day access requested Limited financial resources If we do nothing by 2020, the NHS could face a gap in funding of 30bn

20 MSK Pathway Commissioning new model to go live October 2014 Consultant led in the community Multi-disciplinary team Commissioned on outcomes, including: Patient satisfaction Reduced onward referrals Opportunity for patients to make informed decisions

21 Primary Care in Stafford & Surrounds Dr Paddy Hannigan, Clinical Lead for Primary Care and Information Management & Technology (IMT)

22 Context Reduced proportion of NHS funding Increasing workload Workforce recruitment and retention Increasing complexity (multi-morbidity) CCG in financial deficit ( 9.2m)

23 Primary Care Strategy The aim of the Primary Care Strategy is to support practices to increase capacity and capability through effective, efficient and accessible primary care and the provision of a wider range of primary care services

24 Six Programme Areas 1. Maintaining and Improving Quality 2. Primary Care Operating Model 3. Co-Commissioning of Primary Care 4. IM&T Strategy 5. Communications 6. Medicines Optimisation

25 Maintaining and Improving Quality High quality Primary Care Reducing variability Innovations Group Research Primary Care business intelligence Peer review, practice visits

26 Information Management &Technology (IMT) Single software system across all 14 practices EMIS Web Summary Care Records for all patients by November 2014 Electronic Prescribing rollout commencing October 2014 Intranet launch October 2014

27 Supporting practices with project management, Data Quality Team & local EMIS user group Driving IT development through IM&T strategy & delivery groups Influencing Staffordshire Digital Programme through collaboration

28 Medicines Optimisation 23m medicines budget Medicines Quality and Safety More practice pharmacists working in Primary Care Script switch Electronic Prescribing Increased patient access via online prescription ordering

29 At home, safe and well Support at home service Jane Kirby, Senior Services Manager September 2014

30 Aims of the service To help people build their confidence and achieve a higher level of independence. To facilitate hospital discharge as well as to prevent hospital admission and readmission.

31 About the service Funded by the CCG and working collaboratively with referrers Person centred support for up to 6 weeks for people aged over 18 years Available to people registered with a GP in the CCG catchment area Delivered by trained staff and volunteers

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33 Examples of support Emotional support Practical support Transport support Support to access local services and opportunities Provision of information and advice about other organisations who may be able to help

34 The difference we make

35 The difference we make > Improved wellbeing > Increased ability to manage daily activities > Increase in leisure activities > Improved resilience and ability to cope

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37 Accessing the service Via a GP Via Stafford or Cannock Hospital Via Social Services Via a Community Nurse Via a family member or carer Direct 1:1 contact

38 Contact details Call the team: the team:

39 Memory First Lynn Millar, Director of Primary Care

40 About the service Award winning dementia support service Brings care closer to home Patients assigned a Care Facilitator Provides support for patients and their families and carers Help to access the services and support patients need

41 Locally-based memory clinics led by a consultant psychiatrist or advanced nurse practitioner with support Patients able to access care in their own community under care of their own GP Expert support from South Staffordshire and Shropshire Healthcare Trust when needed Service is commissioned through South Staffordshire and Shropshire NHS Foundation Trust

42 Kate Gallear Care Facilitator

43 Presentation of Annual Accounts Jacqueline Brown, Director of Finance (Interim)

44 Stafford and Surrounds CCG Financial Summary Budget Actual Variance 000's 000's 000's Allocation (Budget) 158, ,474 0 Expenditure Acute Contracts 89,943 94,821 4,878 Ambulance Services 4,305 4, Mental Health 13,294 13, Community Services 13,052 13, Total Hospital and Community Health Services (HCHS) 120, ,020 6,426 Continuing Healthcare 10,172 11,778 1,606 Primary Care Services 22,939 24,405 1,466 Other Programme Services 999 1, Corporate Costs 3,770 3,563 (207) CCG Total 158, ,119 9,645

45 Material variances The deficit was largely driven by the following variances: 1. Activity over performance at Mid Staffordshire Hospital 0.7m 2. Activity over performance at University Hospital of North Staffordshire 0.4m 3. Shortfall created by the transfer of funding to Specialised Services Commissioners 2.8m 4. Excess growth in Continuing Healthcare placements 1.1m 5. Overspend on GP prescribing 1.1m 6. Shortfall on in year savings plans 2.0m

46 How we spent our money

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48 Forward look 2014/15 Budget Stafford and Surrounds CCG Financial Plan 2013/ /15 % Budget Budget Movement 000's 000's Allocation (Budget) 158, , % Expenditure Acute Contracts 89,943 87, % Ambulance Services 4,305 4, % Mental Health 13,294 16, % Community Services 13,052 14, % Total HCHS 120, , % Continuing Healthcare 10,172 12, % Primary Care Services 22,939 25, % Other Programme Services 1,113 1, % Reserves (114) 2, % Corporate Costs 3,770 3, % CCG Total 158, , % Revenue Resource Limit prior to repaying previous year deficit 158, ,953 In Year Position (Surplus)/Deficit 9,167 Repayment of previous year deficit 9,646 Cumulative Position (Surplus)/Deficit 18,813

49 Public Questions

50 Closing Remarks Dr Anne-Marie Houlder

51 What s next? Stronger focus on prevention Patients and service users actively involved in the design, implementation and monitoring of their care Integrated care, co-ordinated around the needs of patients and service users

52 Thank you for attending