Annual General Meeting 20 September 2018 Working together with the - - PowerPoint PPT Presentation
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
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Working together with the Barnet population to improve health and wellbeing
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Dr Debbie Frost, Chair, Barnet CCG
Working together with the Barnet population to improve health and wellbeing
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Working together with the Barnet population to improve health and wellbeing
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Working together with the Barnet population to improve health and wellbeing
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Working together with the Barnet population to improve health and wellbeing
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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 Planned hospital care Urgent & emergency care (including out
services) Maternity services Most community services Mental Health & Learning Disability services Drugs prescribed by General Practitioners
Working together with the Barnet population to improve health and wellbeing
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We don’t commission services on our own – we commission strategically with others
Engagement with the public Co-design with clinical experts, health providers & patients THE OUTPUTS OF ALL OF THIS COMMISSIONING IS ATTRIBUTED TO THE CCG
Just
Health services which are just for Barnet eg
Health and social care/ children services where we would want to jointly commission eg community equipment contract
Sustainability & Transformation Partnership where it makes more sense to work together with the 5 CCGs , Health Providers & LAs across Barnet, Camden, Enfield, Haringey & Islington eg opening a women’s psychiatric intensive care unit
Working together with the Barnet population to improve health and wellbeing
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Resident population
“52% of 0-4 year old children are from Black, Asian and Minority Ethnic Groups” The increase in Barnet 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 population of Colindale by 115%.
Registered with a GP We need to plan for these changes and ensure our health services meet the needs of our population
4700 children and young people between 5-16 are estimated to have mental health problems
Nearly
children are overweight or obese in
(2017)
Nearly
children are overweight or obese
(2017)
In Barnet: Children under 5 are the fastest growing age group that attends A&E
In Barnet:
50 60 70 80 90 100
82 years 85.2 years
Healthy life expectancy
64 - 67 years
Average life expectancy
Because our patients are living longer CHD and Stroke are our number 1 cause of death and our mortality rate from cardiovascular disease for older people age 65 and over is significantly higher than London and England Life expectancy in Barnet is high but people live later life in poor health On average people in Barnet live 18 years of their life in poor health Life expectancy for both men and women is higher than the England average but there is still a 6.5 years gap between men and women who live in Burnt Oak and Hampstead Garden suburb
Address these changing demographics Whilst continuing to ensure we are providing our patients with the best quality of care within the NHS financial constraints Address health inequalities
Working together with the Barnet population to improve health and wellbeing
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Dr Debbie Frost, Chair of Barnet CCG
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Quality Safety Clinical effectiveness Patient experience Involving more young people in procurement One of the few CCGs to achieve CHC Quality Premium thresholds Quality involved in all aspects of projects & improvements Working with RFL to reduce number of Never Events
best performing CCGs in England for maternal smoking at delivery and choices in maternity services.
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best performing CCGs in England for dementia care planning and post diagnostic dementia support.
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Working together with the Barnet population to improve health and wellbeing
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Working together with the Barnet population to improve health and wellbeing
You said you wanted:
care team, with named managers for each practice, who did practice visits
you could contact them on
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Barnet CCG Primary Care Team
barccg.barnetccgprimarycare@nhs.net
Working together with the Barnet population to improve health and wellbeing
You said you wanted more district nurses and we:
decommissioning the Barnet Integrated Locality T eam (BILT)
care, of which a proportion will be diverted into District Nursing
start from the new year
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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:
advice/ treatment plans
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
urology pathway
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Dr Debbie Frost, Chair, Barnet CCG
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95% of this space is now leased
At Finchley Memorial Hospital we opened: Adams Ward A breast screening suite A CT scanning suite
successful winter
for ambulance handover times
extended access
trajectory week on week
hospital on time
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Working together with the Barnet population to improve health and wellbeing
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Working together with the Barnet population to improve health and wellbeing
and Young Peoples Mental Health and Wellbeing
access by 30%. Barnet exceeded the target of 30% and reached at least 32% which is the best CYP MH Access rate across North Central London
11pm at night (Kooth) with numbers of users increasing month
friends.
partnership with London Borough of Barnet Public Health Department as part of the additional investment being targeted at CAMHS
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Working together with the Barnet population to improve health and wellbeing
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WOMEN’S PSYCHIATRIC INTENSIVE CARE UNIT Following investment of £1million by Camden and Islington Foundation NHS Trust, this unit ensures that women requiring intensive care are not placed out of area as a first response to their crisis and need for intensive care. INTEGRATED URGENT CARE We are one of the first areas to launch the new integrated urgent care model. This means that mental health patients can now ring 111 and be transferred directly to a crisis team for advice and support.
CANCER Improving our cancer services.
COMMITMENT AND ENGAGEMENT Together we have developed our partnership to deliver improved health and wellbeing, transformed quality of care delivery and sustainable finances across primary, community and acute care.
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CANCER Improving our cancer services
MENTAL HEALTH
Giving mental health services equal priority to physical health services. PRIMARY CARE STRATEGY In December 2017 work began to develop a primary care strategy for the North Central London CCGs. The strategy will provide further detail on our vision for primary care and its role in improving health and wellbeing outcomes for patients. Work is underway to develop the strategy with health and care partners and there will be further work with local residents, GP Practices and other stakeholders. DEVELOPING TRANSFORMATION PLANS ONCE Making the best use of our resources and ensuring we coordinate initiatives across NCL (where appropriate) to have maximum impact on patients lives and reduce service duplication or variation.
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Dr Charlotte Benjamin, GP member, Barnet CCG
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We have made it possible for residents to access GP services 8am-8pm, seven days a week through extended access
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Kay Matthews, Chief Operating Officer, Barnet CCG
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Business plan
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Matt Backler, Deputy Chief Finance Officer, Barnet CCG
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Financial Performance and QIPP Statutory Duties(1) Target Actual Achieved £’m £’m (Y/N) Expenditure less than income 543.2 545.0 N Revenue resource within limit 541.2 543.0 N Running costs within limit 8.7 8.2 Y
(1) There are a number of other statutory duties around capital and “specified matters” – none of these are relevant to the CCG in 2017/18 and all were considered achieved.
cost pressures placed upon the CCG budgets which resulted in an in-year deficit of £1.8m. However:
increases due to national shortages;
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Working together with the Barnet population to improve health and wellbeing
emergency care
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2018-19 Financial Plan and Risks
and the CCG has a financial control target of a £0.2m surplus.
resource limit). The programme will continue to focus
collaboration across the North Central London STP.
years due to rising costs and patient numbers and it will be another challenging year to deliver the plan.
commitment to meeting important spending targets such as the 2018/19 Mental Health Investment Standard (MHIS) and Primary Care General Practice Transformation support.
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Email: barnet.ccg@nhs.net Tel: 020 3688 2299 www.barnetccg.nhs.uk
Working together with the Barnet population to improve health and wellbeing