Working together for better health NHS Lewisham CCG

Working together for better health NHS Lewisham CCG Annual General Meeting 2015 -16 15 September 2016

§ Welcome § Presentations § Annual report and accounts for 2015 -16 § Q&A § Transforming community based care § Table discussions on our plans for improving community based care § Closing remarks

Annual Report 2015/16 Full report available at www. lewishamccg. nhs. uk

Improving health and care Priority areas that we worked on Developmental Objectives: • Establish Neighbourhood Care Networks • Strong Primary Care delivering improved patient experience and outcomes, working within Neighbourhood Care Networks Core Objectives: • Commission high quality care for all • Ensure robust governance arrangements are in place • Public engagement is intrinsic to all commissioning activities

How are we doing? Access Suspected cancer referrals to be seen within 2 weeks of referral: target 93% - actual 94. 2% Patients treated within 18 weeks of referral to psychological therapies: target 95% - actual >95% Patients treated within 6 weeks of referral to psychological therapies: target 75% - actual >75% Psychological therapies accessed by the proportion of the population assessed to need them target 15% - actual >15%

How are we doing? Access Patients needing planned treatment within 18 weeks from referral target 92% - actual 91. 6% Patients have diagnostic test within 6 weeks of referral target 99% - actual 98. 96% Category A 999 calls result in ambulance arriving within 8 minutes target 75% - actual 68. 19%

How are we doing? Access Patients seen in A&E admitted or discharged within 4 hours target 95% - actual 89. 8% Patients referred by a GP and diagnosed with cancer start treatment within 62 days target 85% - actual 78. 1% Patients reaching recovery after psychological therapy target 50% - actual 44. 49%

How are we doing? Quality § Improved diagnosis of dementia target 66. 7% - actual 69. 99% Increased vaccination rates: § Pneumococcal Vaccine: 72. 6% of over 65 s - the highest across London § Flu immunisation in over 65 s: 68% of patients (above the London average) § Flu immunisation in under 65 s at risk: 44. 3% of patients (above the London average) § Flu immunisation in pregnant women: 43. 6% (5% more than the London average and 5 th highest in London)

How are we doing? Quality § § Redesigning fall prevention and management services and working towards implementing a community falls team and physical activity exercise programme Enhancing enablement services to maintain independence, to reduce unplanned emergency admissions and to reduce lengths of stay in hospital Improving core general practice access (including progress towards 8 am to 8 pm, seven days a week) Designing a new diabetes service that will reduce admissions and complications and improve life expectancy

NHS England rating Requires improvement: Planning Performance Good: Well led Delegated functions Financial management

Annual Accounts and Financial Review 2015/16

Summary Lewisham CCG achieved all of its financial duties under the NHS Act 2006 (as amended).

Financial performance targets Statutory Measure Expenditure not to exceed income Capital resource use does not exceed the amount specified in Directions Revenue administration resource use does not exceed the amount specified in Directions (RCA) Target Outcome Duty achieved? £ 412, 378 k £ 405, 010 k Yes £ 0 Yes £ 409, 860 k £ 402, 217 k Yes £ 6, 881 k £ 6, 141 k Yes

Financial performance targets - Other Measure Deliver agreed surplus against budget against a revenue resource limit of £ 390, 975 k Make prompt payments within expectations of the Better Practice payments Code (within 30 days of receipt of valid invoice) Cash spending not to exceed maximum cash drawdown limit Cash balance at year end < 1. 25% of March cash drawdown Target Outcome Target achieved? £ 7, 600 k £ 7, 663 k Yes 95% 97. 2% Yes £ 402, 792 k £ 402, 808 k Yes £ 417 k £ 116 k Yes

Independent auditors opinion The annual accounts have been audited by Grant Thornton LLP (External Auditors) Audit Opinion Issued Financial statements present a true and fair view Unqualified opinion issued Regularity of the financial statements Unqualified opinion issued

Expenditure by Category

Annual Accounts and Financial Review 2015/16

Summary Lewisham CCG achieved all of its financial duties under the NHS Act 2006 (as amended).

Financial performance targets Statutory Measure Expenditure not to exceed income Capital resource use does not exceed the amount specified in Directions Revenue administration resource use does not exceed the amount specified in Directions (RCA) Target Outcome Duty achieved? £ 412, 378 k £ 405, 010 k Yes £ 0 Yes £ 409, 860 k £ 402, 217 k Yes £ 6, 881 k £ 6, 141 k Yes

Financial performance targets - Other Measure Deliver agreed surplus Make prompt payments within expectations of the Better Practice payments Code (within 30 days of receipt of valid invoice) Cash spending not to exceed maximum cash drawdown limit Cash balance at year end < 1. 25% of March cash drawdown Target Outcome Target achieved? £ 7, 600 k £ 7, 643 k Yes 95% 97. 2% Yes £ 402, 792 k £ 402, 808 k Yes £ 417 k £ 116 k Yes

Independent auditors opinion The annual accounts have been audited by Grant Thornton LLP (External Auditors) Audit Opinion Issued Financial statements present a true and fair view Unqualified opinion issued Regularity of the financial statements Unqualified opinion issued

Expenditure by Category

Questions from the floor

Transforming community based care Dr Marc Rowland Chair, Lewisham CCG 11/06/2021 24

The perfect storm

Revenue/expenditure (£millions) The affordability challenge

Life expectancy (years) 75. 1 81. 1 78. 0 82. 3 New Cross Crofton Park

Public feedback

What is community based care? Advice, support and care provided outside a traditional hospital setting: Includes physical and mental health services provided by: • GPs • Social workers • Pharmacists • Opticians • NHS and local authority services • Voluntary and community sector • Other organisations (eg care homes) North Central South East South West 29 11/06/2021