Annual General Meeting 20 September 2018 Working together with the Barnet population to improve health and wellbeing 1
Welcome Dr Debbie Frost, Chair, Barnet CCG Working together with the Barnet population to improve health and wellbeing 2
Housekeeping • No fire alarm is planned today. If you hear the alarm, please make your way outside • Please turn your mobile phones off or put them on silent • The toilets are on this floor Working together with the Barnet population to improve health and wellbeing 3
Running order • Who we are and what we do • Working together • Challenges we are facing • Highlights from 2017-18 • How we performed in 2017-18 • Plans for 2018-19 • Financial performance • Questions and answers Working together with the Barnet population to improve health and wellbeing 4
Who we are and what we do WORKING TOGETHER CHALLENGES WE FACE Kay Matthews, Chief Operating Officer, Barnet CCG 5 Working together with the Barnet population to improve health and wellbeing
Who we are and what we do Our role is to plan and buy health services and ensure these are of good quality and value for money Primary Care services delegated by NHSE Drugs prescribed by Planned General hospital care Practitioners What services do Urgent & we Mental Health emergency & Learning care commission? Disability (including out of hours services services) Most Maternity community services services 6 Working together with the Barnet population to improve health and wellbeing
We don’t commission services on our own – we commission strategically with others Sustainability & Transformation Partnership where it makes more sense to work together with the 5 CCGs , Health Providers & LAs across Barnet, Camden, STP Enfield, Haringey & Islington eg opening a women’s psychiatric intensive care unit Health and social care/ children services where LA we would want to jointly commission eg Health services which are community equipment Just just for Barnet eg contract ophthalmology redesign CCG THE OUTPUTS Co-design with OF ALL OF THIS Engagement with clinical experts, COMMISSIONING the public health providers & IS ATTRIBUTED patients TO THE CCG 7 Working together with the Barnet population to improve health and wellbeing
Our community is changing “52% of 0-4 year old children are from Black, Asian and Minority Ethnic Groups” 50,308 387,800 The increase in Barnet Resident population population before 2030. That’s equivalent to the size of Canterbury . Between 2017 and 2031 the population of Golders Green is expected to rise by 121% and the 402,748 population of Colindale Registered with a GP by 115%. 8 We need to plan for these changes and ensure our health services meet the needs of our population
Challenges – Children and young people In Barnet: Children under 5 are the fastest growing age group that attends A&E Nearly 1 in 5 children are overweight or obese in reception year (2017) 4700 children and young people between 5-16 are Nearly estimated to have 1 in 3 mental health children are overweight or obese problems in year 6 (2017)
Challenges – Adults In Barnet: Because our patients are living Life expectancy for both men and Life expectancy in Barnet is high longer CHD and Stroke are our but people live later life in poor women is higher than the number 1 cause of death England average but there is still health On average people in and our mortality rate from a 6.5 years gap between men and Barnet live 18 years of their life in cardiovascular disease for older women who live in poor health people age 65 and over is Burnt Oak and Hampstead Garden significantly higher than suburb London and England 64 - 67 82 85.2 years years years Healthy life Average life expectancy expectancy 50 60 70 80 90 100 On average, people in Barnet live 18 years of their later life in poor health
Challenges – What we need to do Address health inequalities Address these changing demographics Whilst continuing to ensure we are providing our patients with the best quality of care within the NHS financial constraints Working together with the Barnet population to improve health and wellbeing
Quality and Performance in 2017-18 Highlights from 2017-18 Dr Debbie Frost, Chair of Barnet CCG Working together with the Barnet population to improve health and wellbeing 12
Quality The golden thread in everything we do Quality involved in all aspects of projects & improvements Quality Safety Clinical effectiveness Patient experience One of the few CCGs to achieve CHC Working with RFL to Quality Premium reduce number of thresholds Never Events Involving more young people in procurement 13
Performance in 2017-18 Key performance highlights include: • The CCG is in the top quartile of best performing CCGs in England Maternity for maternal smoking at delivery and choices in maternity services . • The CCG is in the top quartile of best performing CCGs in England for dementia care planning and post Dementia diagnostic dementia support. • The CCG also has a good dementia diagnosis rate compared to the England average. Working together with the Barnet population to improve health and wellbeing 14
Performance in Cancer The CCG came top in the country for improvement in one year survival rates for Cancer Working together with the Barnet population to improve health and wellbeing 15
Last year you said you wanted… …and we did Working together with the Barnet population to improve health and wellbeing 16
Last year you said you wanted… …and we did You said you wanted: • A permanent primary care team, with named managers for each practice, who did practice visits Barnet CCG Primary Care Team • One email address you could contact barccg.barnetccgprimarycare@nhs.net them on 17 Working together with the Barnet population to improve health and wellbeing
Last year you said you wanted… …and we did You said you wanted more district nurses and we: • Undertook a review of CLCH services • Diverted £1m funds to District Nurses by decommissioning the Barnet Integrated Locality T eam (BILT) • Invested an additional £783K in Last Phase of Life care, of which a proportion will be diverted into District Nursing • All CLCH redesign aligned to CHIN developments • This new enhanced District Nursing service will start from the new year Working together with the Barnet population to improve health and wellbeing 18
Last year you said you wanted… …and we did You said you wanted a wound care pathway We commissioned additional wound care activity from CLCH to support primary care. For moderate, complex and specialist wounds This pathway will also be supported by digital technology. This means: • GPs can take photos and send them to this service for advice/ treatment plans • This service can take photos and send them to the acute tissue viability service for more complex wound advice This is expected to start from Spring 2019. We will write to you with more details once these are finalised. Working together with the Barnet population to improve health and wellbeing 19
Last year you said you wanted… …and we did You wanted us to develop more clinical pathways and integrate it onto EMIS • We will trial this in the new urology pathway • Integrated onto EMIS 20
2017-18 highlights Dr Debbie Frost, Chair, Barnet CCG Working together with the Barnet population to improve health and wellbeing 21
2017-18 highlights Finchley Memorial Hospital At Finchley Memorial Hospital we opened: Adams Ward A breast screening suite A CT scanning suite 22 95% of this space is now leased
2017-18 highlights A successful winter • We worked really well as a system and had a successful winter • Barnet Hospital one of top performing Trusts in London for ambulance handover times • 38,000 additional GP appointments created through extended access • Achieved lower DTOCs (delayed transfers of care) than trajectory week on week • Set up discharge to assess teams to get patients out of hospital on time 23 • Flu jabs in primary care
2017-18 highlights Ophthalmology Service • Procured a one stop shop ophthalmology service. The service starts 1 October 2019 • Service starts 1 October 2018 • All criteria and further information will be published on the GP Intranet 24 Working together with the Barnet population to improve health and wellbeing
2017-18 highlights Barnet Dementia Hub launched Working together with the Barnet population to improve health and wellbeing 25
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