North Somerset Clinical Commissioning Group Priorities Dr Mary

North Somerset Clinical Commissioning Group Priorities Dr Mary Backhouse Chief Clinical Officer

North Somerset

North Somerset CCG – our context • Health better than UK average • Growing Older population – 20% over 65 (England & Wales = 16%) • There a greater proportion of people in nursing homes in North Somerset in comparison to England • Health Inequalities - Gap in life expectancy (10. 7 year for males and 7. 5 for females) and disability-free life expectancy (12. 2 for males and 9. 3 for women) • Drug misuse higher than UK average (rehab centres in Westonsuper-Mare) • The biggest causes of premature death in North Somerset are circulatory diseases, which include heart disease and stroke, and cancer. • The single biggest cause of disability is mental health. Suicide rates are significantly higher than the national average

Our patients needs are changing with demography • North Somerset will see around a 32% increase in the number of people aged over 75 in next 5 years compared with national average of 11% 8

CCG Strategic Priorities • Developing a model of care which is clinically safe and sustainable • Achieving financial sustainability • Improving health outcomes and reducing inequalities.

Current priorities • • • Prevention and early intervention Self care Care plans Urgent care Appropriate use of planned care Mental health especially CAMHS, IAPT and dementia

Transformation of Provider Landscape • Integrated care with care closer to people’s homes including Mental Health – 4 teams • Increasing involvement of Voluntary sector • Care homes • Primary Care • Community Care (current procurement) • Acute Care (acquisition of Weston)