Transcript Lincolnshire East CCG Presentation

Lincolnshire East Clinical
Commissioning Group
• NHS Lincolnshire East Clinical
Commissioning Group
authorised on 1 April 2013
• Skegness & Coast, East
Lindsey and Boston Area
localities include 30 practices
covering 1,060 square miles
including Skegness, Louth and
Boston
• Population 241,246
• Budget 2013/14: £310m
Vision
We have a vision of a CCG where clinicians are working
together to improve the quality and cost effectiveness of care,
with resources based on need, and which benefits all of our
patients as fairly as possible
Mission
Ensure the optimum health and wellbeing of the people we
serve by commissioning high quality health services which
support choice; promoting healthy lifestyles and personal
responsibility; reducing inequalities in opportunity, experience
and health outcome; and managing our allocated resources
effectively and responsibly
•
Lincolnshire East CCG has high level
of deprivation compared to other
areas in Lincolnshire.
•
Around 19% of the population
within Lincolnshire East CCG
boundaries are living in what is
classified as one of the 20% most
deprived areas in England
•
Areas of high deprivation can be
found mainly in Boston (Fenside),
Skegness and Mablethorpe.
•
Deprivation is a key factor in a
person’s health and wellbeing
Health and lifestyle
•
Under 75 mortality rates from cardiovascular disease, respiratory disease
and cancer are higher than rates for England
•
Life expectancy at birth is 77.7 years for males, 81.5 years for females.
Both slightly lower than national average.
•
Obesity prevalence is above the England average: 13.1% (CCG)
compared to 10.7% (England). The prevalence of obesity in Lincolnshire
East is the highest among Lincolnshire CCGs.
•
Hypertension prevalence is significantly above the England average:
17.2% within Lincolnshire East CCG compared to 13.6% in England
Disease prevalence in LECCG
9
7.7
8
7
5.8
6
5.3
5
England
4
Lincolnshire East
3.4
3
2.4
2.3
1.7
2
1.9
1.8
1.7
Cancer
COPD
1
0
CHD
Diabetes
Stroke
Source: www.apho.org.uk/PracProf/Profile
What we have done so far
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Keeping people out of hospital
Decrease acute admissions
Improve working together
Optimise Out of Hours provision
Optimise Urgent Care pathway
Improve medicines management
Optimise use of ambulance services
Improve dementia services
Improve end of life care
Empowering communities
Improve update of screening
services
Optimise diabetes pathway
Optimise atrial fibrillation pathway
Develop ENT pathway
Develop dermatology pathway
Where do we spend the money?
Acute Expenditure breakdown?
Where do we need to be?
Improving Quality
Restructuring the way that care is delivered
• Lincolnshire Health and Care
• Better Care Fund
Any Questions