Transcript Presentation title

Commissioning Intentions for 2015/16
Paul Sinden, Director of Commissioning
Content:
• A summary of 2014/15
• Priorities for 2015/16
Our aims and achievements
To make sure every child has the best start in life
What we’ve done:
• Set up clinics to help children with asthma, allergies,
constipation and reflux, epilepsy and eczema
• Introduced young trainers to help their peers adopt
healthy lifestyles
• Brought in specialist community nurses to work in GP
surgeries
• Invested over £1 million in services for children
• Provided fitness equipment for schools and community
groups
Our aims and achievements
To prevent and manage long term conditions and reduce health inequalities
What we’ve done:
• Worked with patients to find out their views on care
• Trained ‘navigators’ to guide patients through Islington’s health network
• Invested £250,000 in Whittington Health NHS Trust to develop the expert patients
programme
• Worked with providers to link up hospital, community and social care services
• Helped 87% of people feel confident about taking care of their own health
• Helped 85% of people with long-term conditions feel involved in making decisions
about their care
Mortality in Islington – Key milestones
1999
Stop smoking
Commissioned
service
2007
Physical activity
strategy
2009
Exercise on referral
service & adult weight
management
2011
Prohibition of
tobacco display
smoking legislation
2007
Public space
smoking legislation
2009
NHS health checks
begin
2010
COPD LCS
Our aims and achievements
To improve mental health and wellbeing
What we’ve done:
• Worked with the Camden and Islington NHS Foundation Trust to help identify potential
mental-health problems as early as possible
• Encouraged the Trust, local GPs and pharmacists to co-ordinate services and give
mental health and wellbeing the same priority as physical health
• Invested £2.4 million to help people access counselling or similar services
• Worked with local partners to help people with mental-health problems find work
• Diagnosed more people with dementia (per person in the population) than anywhere
else in the country
Where the money goes
During 2013/2014:
•
We spent a total of £306.3 million
•
We had £7.4 million left over
This is how we spent the money:
How we plan to achieve our goals
We plan to keep improving the health and
wellbeing of the people of Islington by doing the
following:
• Finding new ways of working
• Providing value for money
• Working together
We’re proud of what we’ve achieved in our first
year and we look forward to working with our
partners and the people of Islington to improve
the health and wellbeing of all our residents in
the years ahead.
The Next Five Years
•
•
•
•
Focus and prevention
Work with people to design new services
Improve access and quality in primary care
GP practice the centre of joined up health and
social care
• Manage care better by planning ahead have
having a single point of contact
• Help people to manage their own care
Integrated Care in Islington
Islington CCG and Council are working together with local health providers and the
voluntary sector to deliver ‘joined-up’, co-ordinated and patient centred care, even if this
care is provided by several different organisations.
Islington’s Integrated Care Programme is one of just 14 sites in England to have been
granted Pioneer status, demonstrating a national confidence in our approach.
Together, we are working to bring healthcare and social care closer together and to make
life easier for patients.
Primary Care Co-Commissioning
Current arrangements:
NHS England
Hold the core contract
Includes
• Premises
• Performance
• Practice opening/closure
• Enhanced Services
• QOF
CCG’s
• Commission additional
services (LCS)
• Responsible for
improving quality
• Public and patient
engagement
Vision for primary co commissioning in London
In order to ensure high quality care for all patients in London, a new specification (patient offer) is being developed
based on the areas which patients and clinicians have told us is most important:
Accessible Care
Better access primary care professionals, at a time and through a
method that’s convenient and with a professional of choice.
Coordinated Care
Greater continuity of care between NHS and other health services,
named clinicians, and more time with patients who need it.
Proactive Care
More health prevention by working in partnerships to reduce
morbidity, premature mortality, health inequalities, and the future
burden of disease in the capital. Treating the causes, not just the
symptoms.
Commissioning Intentions for 2015/16
Some of our key priorities for 2015/16, as a stepping stone to our Five Year Plan are:
•
Development of locality based services across primary care , community services, social care, and
mental health services.
 To provide more joined up care for people with complex needs
 To improve the health and wellbeing of the broader population
•
Linking IT systems across organisations to allow information flows to replicate patient flows, and to
develop a Person Held Record (PHR). This is called Interoperability.
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Care closer to home with community clinics for gynaecology, dermatology, ophthalmology,
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Developing our model for urgent care services including how to better align NHS 111and GP out-ofhours services
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Ensure we meet new legislation including Social Care Act; Special Education Needs (SEN) reforms
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Systems resilience – delivering NHS Constitution measures for A&E and waiting times for surgery
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Co-commissioning of primary care with NHS England
Question time
• What are your priorities for the CCG in 2015/16?
• Where do you think the biggest need and greatest
gaps are?
• Is there anything working particularly well this year?
• Is there anything which you think has not worked
within services this year?