Welcome to Luton CCGs Annual General Meeting Dr

Welcome to Luton CCG’s Annual General Meeting Dr Nina Pearson Chair

Today’s agenda 1. 2. 3. 4. 5. 6. Chair’s introduction Financial position and improvement plan What we achieved in 2015/16 Questions and comments Have your say (group discussion session) Five year strategy www. lutonccg. nhs. uk @NHS_LCCG

What is a CCG? • Luton Clinical Commissioning Groups is a membership organisation, of which all Luton GP practices are members • LCCG has responsibility for purchasing healthcare service for the people of Luton • CCGs work with patients and partner organisations to ensure that services meet local needs • CCGs are accountable to NHS England www. lutonccg. nhs. uk @NHS_LCCG

Annual Report • Each year we are required to write an annual report • Summary document is available on your tables • Highlights key successes made and challenges faced • Full version available on our website www. lutonccg. nhs. uk @NHS_LCCG

Listening to Luton Ongoing work with the Patient Reference Group allows us to have a constant two-way dialogue with patients Sharing a consultation portal with other local public sector organisations helps us to gain more feedback from the public Feedback and input from patients and carers helped us to shape the re-procurement of our community and mental health services www. lutonccg. nhs. uk @NHS_LCCG

Listening to Luton The vast majority of Luton’s GP surgeries now host regular Patient Participation Groups, ensuring the CCG is aware of patients’ issues across the town We have adopted the equality and diversity 2 model in order to seek out people and communities who we may otherwise not hear from www. lutonccg. nhs. uk @NHS_LCCG Our ‘Is A & E for me’ marketing campaign successfully used new and traditional media to raise awareness and change behaviour

Thoughts on year two People Prevention Partnerships - Participation - Early cancer diagnosis - Mental Health - Strengthening teams - Health checks - Resilience - Flying start - Care at home www. lutonccg. nhs. uk @NHS_LCCG - University of Bedfordshire - Luton Borough Council - Herts Valley CCG and Bedfordshire CCG

Financial performance and improvement plan Carol Hill www. lutonccg. nhs. uk @NHS_LCCG

End of year position 2014/15 Original budget allocation £ 227. 2 m Total expenditure £ 245. 8 m Overspend £ 18. 6 m (cumulative from 13/14 &14/15) www. lutonccg. nhs. uk @NHS_LCCG

Improvement plan • LCCG has developed an improvement plan for 2015/16 and future years to address the financial imbalance. Long-term sustainability will be attained by increasing capacity and capability within the organisation • The plan addresses some of the key challenges we faced in 2014/15 (recruitment, turnover, delivery of QIPP plans etc. ) • A five-year strategic plan, including a financial plan to balance the books, has been agreed with NHS England • Quality Innovation Productivity and Prevention (QIPP) schemes have been implemented for 2015/16, which will help to address the deficit. www. lutonccg. nhs. uk @NHS_LCCG

Our improvement plan looks at a number of key areas, including: • • Performance, reporting and governance Business intelligence and contracting Finance Governing body posts and governing body development Executive team Clinical leadership and GP member engagement Workforce Clinical service strategy www. lutonccg. nhs. uk @NHS_LCCG

What we achieved in 2014/15 Nicky Poulain David Foord Dr Anita Ray Chowdhury Dr Monica Alabi www. lutonccg. nhs. uk @NHS_LCCG

Primary care ACCESS - continued work on ensuring our primary care services meet patient need and demand CLUSTERS - GPs working together to improve the appropriateness of referrals and proactive work of vulnerable patients ENGAGEMENT – regularly seeking the views of our patients through the PRG and other meetings SELF-CARE – supporting patients with persistent health problems to take a leading role in their healthcare WORKING TOGETHER - sharing best practices with our partners to help support frail patients and those with long-term conditions www. lutonccg. nhs. uk @NHS_LCCG

Acute care Performing well against national NHS targets for referral to treatment times National targets for two-week and 31 day cancer screening are being exceeded in Luton We are just below expectation for 62 -day cancer screening but work hard to identify the causes of breaches when they do occur We are conscientiously looking to improve access to stroke services. Joint working with the acute trust will help to improve stroke performance and the overall patient experience. www. lutonccg. nhs. uk @NHS_LCCG

Community care “Productive and reactive services responding directly to patients’ needs. ” • Community • DVT service • Diabetes support Nursing services • Fall service • Respiratory services www. lutonccg. nhs. uk @NHS_LCCG

Intermediate care Flexible and responsive services closer to home Reducing hospital admissions across physical and mental health services www. lutonccg. nhs. uk @NHS_LCCG Increasing independence – letting people recover in their own home

Mental health - Responsive and proactive dedicated mental health provider - A new model of mental health care with an emphasis on care in the community www. lutonccg. nhs. uk @NHS_LCCG

Children and young people • Through our flying start programme with Luton Borough Council we are working to give all 0 -5 year old children in Luton the best possible start to life. • We developed and reviewed a pathway model for Occupational Therapy children’s teams which we plan to now deliver • By working collaboratively, we will be able to improve the user journey, reduce waiting times and simplify service treatments • It is anticipated that we will be able to apply this model to otherapy services www. lutonccg. nhs. uk @NHS_LCCG

Better Together By pooling money and resources, we are able to improve health and social care services for the people of Luton. Being joined up in our work ensures that we can integrate services effectively and allows us to innovate. www. lutonccg. nhs. uk @NHS_LCCG

Any questions or comments? www. lutonccg. nhs. uk @NHS_LCCG

Group discussions: What does the future look like across Luton health and social system? Topic 1: How do we support people taking more responsibility for their own health? www. lutonccg. nhs. uk Topic 2: How can we deliver care in different settings and in different ways from the traditional acute hospital? @NHS_LCCG

Table feedback www. lutonccg. nhs. uk @NHS_LCCG

Five year strategy Carol Hill John Webster www. lutonccg. nhs. uk @NHS_LCCG

www. lutonccg. nhs. uk @NHS_LCCG

Strategic challenge • We are refreshing the CCG 5 -year strategy, reflecting: – New providers joining the system – The hospital re-development at the L&D – Designing commissioning decisions linked to the Better Care Fund/Better Together • The CCG’s strategic objectives must not be developed in isolation…. • And nor should anyone else’s • The whole system is facing significant financial challenges • We will need to work hard to align our various plans • We are agreed on the principles, but we must quickly agree as a system how we will meet them www. lutonccg. nhs. uk @NHS_LCCG

www. lutonccg. nhs. uk @NHS_LCCG

Strategic Programme Areas URGENT CARE q Prevention / Self Care q Procurements / Recommissioning • NHS 111, OOH, WIC, UGPC • Redefine the role of Community Services linked to potential procurements and developments in primary and secondary care services q Mental Health q Enablers • Workshops – clinical engagement • Data collection / analysis PRIMARY CARE q Primary Care Joint Commissioning • Joint Committee with NHSE operational from October and in shadow from September, with a focus on: • • • Appropriate needs assessment and identification of gaps in primary medical care services Prioritise needs and redesign services Delivery of agreed service improvements linking closely to emerging strategies (e. g. , urgent care) Performance manage the range of GP contracts Design local schemes to reduce inequalities and improve access to primary care Work towards delegated commissioning PLANNED CARE q Pathway/Service Redesign • Respiratory • Stroke • Diabetes • Cardiology • MSK (procurement) • Dermatology • Rheumatology q All aligned to commissioning workplan INTEGRATED CARE q Better Together programmes • • Better Together Integrated Team Proactive and integrated primary care services Improving 7 -day a week working Re-ablement Therapy services Reducing childrens’ emergency admissions Social prescription q Enablers • Joint commissioning • Workforce skills • Improved technology/data sharing

Systems Resilience Group • We are system leaders for the SRG • Working with partners to ensure services are robust in the event of an emergency • Ensuring contingencies are in place if a service becomes overburdened www. lutonccg. nhs. uk @NHS_LCCG

Commissioning differently Drawing on our strategic objectives around urgent care, planned care, primary care and integrated care, we aim to keep three themes in mind when commissioning. Efficiency Innovation Integration www. lutonccg. nhs. uk @NHS_LCCG

Open forum discussion – key issues going forward www. lutonccg. nhs. uk @NHS_LCCG

Any final questions? www. lutonccg. nhs. uk @NHS_LCCG

Tell us your thoughts Please fill in the evaluation sheet on the table to let us know how you thought our event www. lutonccg. nhs. uk @NHS_LCCG

Thank you for coming, for more information visit www. lutonccg. nhs. uk or follow us on Twitter @NHS_LCCG www. lutonccg. nhs. uk @NHS_LCCG