Transcript Document Title: Sub title: - NHS Birmingham CrossCity CCG

Be Part of the Conversation
on Patient Participation
Welcome
Introduction to the Day
• Introduction – Aim of the Conference
• Jointly developing a Patient Participation Plan
• Agenda and Speakers
• Networking Lunch
• Workshops
• What happens next
Contacts – Involvement & Engagement
Emma Chambers – 0121 255 0634
Christine De Souza – 0121 255 0875
Tracey Thorne – 0121 255 0536
Email: [email protected]
Website: www.bhamcrosscityccg.nhs.uk
Birmingham CrossCity CCG: An overview
Dr Louise Lumley
What is a Clinical Commissioning Group?
• Local GP practices working together – GP (Member) led
• Operating across a defined geography
• Services provided by: Elective hospital care, Rehabilitation
care, Urgent and emergency care, Most community health
services, Mental health and learning disability services
• Transparency – open public meetings – continuous
engagement
• Working with stakeholders: Local Authorities
Birmingham – the configuration challenge
Birmingham one of the
eight Core Cities:
• 2nd city and 2nd most
deprived
• slipping behind the other
cities – Why?
The configuration
challenge:
• 2010 meeting at Aston
Villa towards one PCT
• Health and Social Care Bill
Birmingham
East and North
Size 404,000
Sandwell
Size 289,000
Heart of
Birmingham
Size 274,000
South
Birmingham
Size 380,000
Current configuration
Population:
• 730,000 patients
Number of practices:
• 117 practices across 125 sites
Budget:
• over £900 million
• opening gap £24.8 million
• QIPP plans identified for
£22.8 million
• £2 million gap
Birmingham
CrossCity CCG
What our patients say
• Improved access
• Continuity of care
• Joined up care
across agencies
• Information
What do we need to do?
• Improve health services
• Developing better integration
• Evolving services so we’re more efficient
• Develop a keen understanding of our local
population
Local
Commissioning
Sutton
Networks
Coldfield,
Washwood
Heath
Bordesley,
Small Heath,
South Yardley,
Acocks Green
Castle Vale
and Shard
End
East
Birmingham
South
Birmingham
Birmingham
CrossCity
Governing
Body
Edgbaston
Northfield
North
East
Small enough to care,
big enough to make a
difference
Hall Green
Kingstanding
www.bhamcrosscityccg.nhs.uk
/member-practices
LCN’s identified local priorities
Bordesley,
Small Heath,
South Yardley,
Acocks Green
Historically low
levels of
influenza and
pneumococcal
immunisations,
link to deaths
from
respiratory
Washwood
Heath
East
Birmingham
Diabetes, link
to deaths from
CHD
Chronic
Obstructive
Pulmonary
Disorder
(COPD)
East
Birmingham
Prostate
Cancer
Edgbasto
n
Birmingham CrossCity CCG Governing Body
Local Commissioning Networks x10
Local Commissioning Network Chairs Committee
Chair of Local Commissioning Network / Clinical Vice Chair
Chair - Gavin Ralston
Lay Vice Chair Barbara Webster
Interim
Accountable
Officer
Catherine
Griffiths
Chief
Finance
Officer
Phil Johns
Contracting
& QIPP
Secondary
Care
Redesign
Barbara
King
Louise
Lumley
Primary
Care
Redesign
& Quality
Ajay Singal
Partnership
Comm’ing
Information
& Quality
Assurance
Aqil
Chaudary
Masood
Nazir
Chief
Nursing
Officer
TBC
Consultant
Advisor
Martin
Miller
x2
Lay Advisor
Stephen
Beck
+ TBC
Board support 20 GP Clinical Leads for:
Contracting | Urgent Care | Planned Care | Primary Care | Maternity | Medicines Management | Informatics
Management Structure
Contracting
Service Redesign
Commissioning
Support
Urgent Care
Quality
Medicines
Management
Finance
Head of
Corporate
Affairs /
Assistant
Accountable
Officer
Key people
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Chair – Dr Gavin Ralston
Clinical Vice Chair – Dr Peter Thebridge
Vice Chair and Lay Advisor – Dr Barbara Webster
Interim Accountable Officer – Catherine Griffiths
Lay Advisor – Stephen Beck
Clinical Board Lead for Contracting & QIPP – Dr Barbara King
Clinical Board Lead for Secondary Care Redesign – Dr Louise Lumley
Clinical Board Lead for Primary Care Redesign and Quality – Dr Ajay Singal
Clinical Board Lead for Partnerships – Dr Aqil Chaudary
Clinical Board Lead for Information and Quality Assurance – Dr Masood Nazir
Consultant Medical Representative – Dr Martin Miller
Senior Nursing Representative – Dr Peter Rookes
Chief Finance Officer – Phil Johns
CCG Authorisation
Approach
• Not as an end in itself, but as a first step on a journey
towards ongoing improvement
• Full potential of the clinical leadership of commissioning
will emerge over time through learning, innovation and
experience
• NHS CB has key role in supporting the development of
CCGs as they move through authorisation
• Assurance that CCGs are able to commission safely, use
their budgets responsibly, and exercise their functions to
improve quality, reduce inequality and deliver improved
outcomes within the available resources
Where are we now?
Authorisation process is a rigorous but
supportive and developmental process for new
and growing organisations. It requires
cooperation and support from partners.
Questions and answers
Involvement, Engagement and Partnership
Outlining the Involvement, Engagement and
Partnership Strategy
• We want people to be fully informed to make their choices and
we want to get around some of the barriers people face in
choosing health
• We want to equip people with the knowledge, know how and
potential to influence and shape their health and the health
care system
• This means making every contact count, using every touch
point as an opportunity to inform, transform and inspire.
• Equality strategy – engaging the whole community, improving
health services and addressing inequality
• Important role to listen to the views of patients experiences –
safeguarding and looking at the quality of services
• Learning the lessons – the anticipated Francis Inquiry Report
Involvement and Engagement
Excellence in commissioning can only be achieved through
informed decision making
Involvement:
• Members at practice, Local
Commissioning Networks (LCN) N
and CCG level
• Responsibility to get involved
• Effective use of resources
• Collaborating and creating
solutions
• Involvement in pursuit of good
practice
• Activating excellence through
learning and development
Engagement:
• Patients, public and communities
• Watching out for health concerns
and expectations
• Working together to make a
difference
• Choosing health
• Activating opportunities and
supporting self service
• Empowerment
Local
Commissioning
Sutton
Networks
Coldfield,
Washwood
Heath
Bordesley,
Small Heath,
South Yardley,
Acocks Green
Castle Vale
and Shard
End
East
Birmingham
South
Birmingham
Birmingham
CrossCity
Governing
Body
Edgbaston
Northfield
North
East
Small enough to care,
big enough to make a
difference
Hall Green
Kingstanding
www.bhamcrosscityccg.nhs.uk
/member-practices
The Public Engagement and Partnership
Committee
• New Involvement Engagement and Partnership
Committee
• 1 x Lay advisor for Patient and Public Involvement
• 2 x patient representatives
• Key role is to lead on ensuring that patients are
engaged and that their voices help shape local
health care commissioning
Making it happen
Priorities
• Ensuring that patients and the public are able to be
involved in shaping commissioning of local health services
• Developing a clear Implementation Plan for Patient
Engagement
• Provide opportunities for our patients, the public and
partners to help shape this plan
• Most importantly starting to build a relationship with
patients and the public where we can work together
• To improve health outcomes for patients
Patient Participation: Making a Difference
National Association for Patient Participation
(N.A.P.P)
Charity Number 292157
Patient Participation Groups
• Active volunteer patients working in partnership
with practice staff and GPs
• Built on mutual trust and respect
• Meet face to face and ‘virtual groups’
• First PPGs formed in 1972!
• Over 50% practices in England have a PPG
• Now in Dental practices and pharmacies
What groups do
• The patients’ perspective of services – a ‘critical
friend’
• A link to and communication with the wider
patient community e.g. newsletters
• Practical support e.g. patient surveys, health
awareness events
• Information, signposting and support to help
other patients make informed decisions
The PPG ‘model’
PPG
GP PRACTICE TEAM
GPs,
Practice Manager,
Practice Nurses etc
Face to face
meetings with
practice team
(monthly?)
Core group of
20 patients?
Why are PPGs important to commissioning?
• A mechanism for gathering and sharing patients
views and priorities
• Hear patients experiences and perspectives from
their locality
• Hear views of local citizens/community
• A PPG in every member practice can provide
patient feedback CCG wide
What PPGs can offer the CCG
• Insight into local needs, experiences, priorities and
ideas….
• A ‘users’ view of services ‘bought’ by
commissioners from start to finish
• A range of views from whole community
• A way of continuously engaging with patients and
communities
How feedback from PPGs can make a difference
• Identify where needs are not being met
• Challenge assumptions being made about
priorities and services
• Inform the design of new approaches and care
pathways
PPGs can help commissioners
• Build relationships with patients and citizens as
partners
• Have a conversation with patients and the public
when difficult decisions have to be made
• Anticipate demand for services in the future
• Research patients’ views – practical help with
surveys etc
BSA (Bordesley Green,
South Yardley, Small
Heath, Acocks Green)
CCG
CCG
East Birmingham
Kingstanding & New
Oscott
Washwood Heath
Edgbaston
Northfield
Other user groups
e.g Local Healthwatch
Locality PPG Network
X 10
Hall Green
North East
South Birmingham
(Locality Commissioning
Network LCN)
Sutton Coldfield, Castle
Vale & Shard End
GP
GP Practice
Practice
(PPG)
(PPG)
GP
GP Practice
Practice
(PPG)
(PPG)
GP Practice
Practice
GP
(PPG)
(PPG)
GP
GP Practice
Practice
(PPG)
(PPG)
Support from N.A.P.P.
• Support and advice to group and practice (in
person, by phone or email)
• ‘How to’ Guides, Case studies, toolkits
• Contact with local/UK wide PPGs and networks 10 million patients and growing…..!
• Regional co-ordinators – PPG members
• Monthly e-bulletin and quarterly newsletter
• Annual Conference and regional events
• PPG of the Year Award (£500 cash prize)
• National influence, research, projects etc
PPG Commissioning Champions Project
• Helping PPGs understand commissioning
• Workshops delivered in PPG communities – using
local commissioning plans
• Involves local CCG and NHS Commissioning Board
staff
• Informed PPG ‘Commissioning Champions’ able to
support PPGs and networks
Contact N.A.P.P
Chief Executive: Stephanie Varah
Email: [email protected]
Tel: 01909 540678
Mobile: 07774 295691
To affiliate to N.A.P.P:
Email: [email protected]
Tel: 01932 242350
Website: www.napp.org.uk
Patron: Professor Sir Denis Pereira Gray OBE
President: Dr Patricia Wilkie, PhD, FRCR (Hon), FRCGP(Hon)
Table top discussions
• How can PPGs have a real role in influencing
commissioning?
• What needs to happen for PPGs to have an
effective relationship with the CCG?
• What support/information might PPGs need?
• What might be the barriers to PPGs getting
involved?