Commissioning Group (CCG) Dr Geoffrey Hollier, GP Board Member Sima - - PowerPoint PPT Presentation

Merton Clinical Commissioning Group (CCG)

Dr Geoffrey Hollier, GP Board Member Sima Haririan, Senior Manager

Context

 Health Strategy “Equity and Excellence” for improving productivity

and efficiency:

 Focus on outcomes and not targets  Safety, quality and competition  Integration of health and social care with greater role for Public

Health

 Introduction of Clinical Commissioning- abolition of PCTs/ SHAs by

2013

 Improving health outcomes for all  Savings of £20 billion by NHS over 5 years  Health and Social Care Act 2012

“No decision about me without me”

Structure

 Clinical Commissioning Groups- delegated responsibility to build

a track record with full statutory responsibilities in April 2013

 NHS Commissioning Board  Health and Wellbeing Boards –

 Health  Local authority- Elected members, Public Health  Patient and public representatives – LiNKs, CEN,

 Meaningful patient, carer and public participation  NHS Foundation Trusts

Structure

 Care Quality Commission (Health Watch)- quality inspectorate  NHS Outcomes Framework-  NICE- independent public body-

 setting standards and social care

 Quality, Innovation, prevention and productivity (QIPP) –focus on

clinical leadership

 Information

Hospital Local Care Centre A: St George’s Hospital B: Mayday University Hospital G: Nelson C: Nelson Hospital H: St Helier D: St Helier Hospital I: Wallington E: Sutton Hospital

Merton CCG



26 GP Practices in Merton 211,000 registered patients GP Practices in Merton CCG

Cricket Green Medical Practice Wandle Road Merton Medical Centre Graham Road Surgery Colliers Wood /Lavender Fields River House Medical Practice Mitcham Medical Centre Wilson GP Led Health Centre Wide Way Surgery Central Medical Centre Tamworth House Figges Marsh Rowans Surgery Pepys Road Practice Centre Stonecot Surgery James O'Riordan Medical Centre Wimbledon Village Surgery Grand Drive Surgery Princes Road Surgery Alexandra Surgery The Vineyard Hill Road Surgery Freeman & Partners Cannon Hill Lane Medical Practice The Church Lane Practice Francis Grove Surgery Morden Hall Medical Centre

Merton CCG Board

 Dr Howard Freeman

Chair (designate)

 Dr Geoffrey Hollier

GP Board Member

 Dr Paul Alford

GP Board Member

 Eleanor Brown

Accountable Officer (designate)

 Peter Derrick

Lay member (governance) and Chair of Audit Committee

 Dr Val Day

Acting Director of Public Health

Other roles to be appointed in Summer 2012:

 Chief Finance Officer  Lay member- Patient and public involvement  Nurse  Hospital Consultant

Role of Clinical Commissioning Groups (CCG)

“Accountable for delivering outcomes &

financial performance”

 Commissioning services for all - not only GP registered patients  Improve healthcare and health outcomes  Greater responsibility for wider impact of clinical decision making  Duty to promote equality (tackling inequalities in outcomes of health)

 East vs West Merton health outcomes

 Wider feedback- local Health Watch  Commissioner performance

Which Services?

 GP practices – contracts & performance by NHS CB  Out of hours GP Services  Hospital clinical services except very specialised areas  Mental Health  Community Services e.g. nursing, health visiting, therapies

End of June: Finalising our structure and governance arrangements July-Sept 2012: Collecting evidence for authorisation October 2012: Submission of authorisation evidence - Wave 3 Winter 2012 to April 2013: Working towards authorisation

What have we been doing?

 Strong clinical leadership to:

 commission services and  monitor performance of providers of services

 Establish Merton CCG Governance Board  Stakeholder communication and engagement  Establish Shadow Health and Wellbeing Board and

work on a joint strategy and set priorities

What have we been doing?



Work on improving services and patient experience



Work with NHS Sutton and Merton and other CCGs



Decision making for best use of resources and services for patients



Contracts e.g. GP Out of Hours services



Setting up patient participation group at each GP practice

Clinical priorities 2012-13

 To improve clinical outcomes and experience of people with long

term conditions and reduce costs- e.g. diabetes, asthma, COPD, angina, epilepsy:

 Enabling patients & their carers to access high quality, local,

comprehensive community & GP care

 Supporting people to understand and manage their own

conditions

 End of Life Care  Care of patients with dementia  Integrated primary care teams

Questions