Patient and Public Engagement Event Wednesday 1 March 2017 9:30am-1pm Conference Room 3, Dugdale Centre, Enfield 1
Welcome Teri Okoro Lay Member for Patient and Public Engagement 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. • You have a local GP and an NHS manager on each of your tables. They are here to lead the group discussions. We have two group work sessions today. • Please help yourself to refreshments throughout the morning Local clinicians working with local people for a healthier future 3
Agenda 9:30pm-10:00am Sign in, refreshments and networking 10:00am – 10:10am Welcome Teri Okoro, Lay Governing Body member for Patient and Public Engagement 10:10am-10:30am Enfield CCG update - our plans for 2017/18 Dr Mo Abedi, Chair 10:30am-11:30am Adherence to evidence based medicine consultation Clinical lead- Dr Jahan Mahmoodi, Medical Director Management lead – Mark Eaton, Director of Recovery 11:30am-12:30pm Primary Care Developments workshop Clinical lead – Dr Mo Abedi; Chair Management lead- Jenny Mazarelo, Head of Primary Care 12:30pm – 12:50pm Questions and Answers session with the Governing Body 12:50pm-1:00pm Thank you and event closes Teri Okoro, Lay Governing Body member for Patient and Public Engagement Local clinicians working with local people for a healthier future 4
Enfield CCG Update Dr Mo Abedi, Chair 5
Feedback from last event Following on from discussions at our last event: • Your feedback on the Adherence to Evidence Based Medicine was reviewed. Today is the launch of our public consultation and we would like your feedback on our proposals in the group session. We also have copies of the consultation document and questionnaire with us today. The CCG also has two further consultation events after today : Wednesday 22 March 2017 2pm-4pm – Community House, Edmonton Hosted by Healthwatch Enfield Thursday 30 March 2017 2pm-4pm – Community House, Edmonton Hosted by Enfield Voluntary Action • PAU Consultation – A final decision will be taken at our Governing Body meeting on 15 Mar 2017 1:30pm-3:30pm. • Strategic Transformation Plan (STP) - we will provide an update on developments later in this presentation.
Recovery and Finance Update • Enfield CCG is still in special measures. • We are planning to close this financial year with a £7.7m deficit, with some help from the North Central London risk share agreement. • This compares to an in-year deficit of £14.4m last year. • 2017/18 - Plan is for a £2.1m surplus in 2017/18 – really breakeven • 16/17 forecast out turn for QIPP has improved by £699k in month 10 (January 2017) • 17/18 QIPP Target £24.7m Gross – 6.8% of allocation. • We are currently designing our QIPP programme for 2017-18
North Central London (NCL) Commissioning Management Arrangements A new shared management team is being appointed to work across the five CCGs – Barnet, Camden, Enfield, Haringey and Islington: • Helen Pettersen, Accountable Officer designate was appointed January 2017 • The interviews for the NCL Chief Finance Officer, NCL Director of Strategy and NCL Director of Performance and Commissioning are expected to be March 2017 • The next steps are to recruit the local Chief Officers, followed by the Directors team. • Finally, an Independent Chair will be recruited. • Each CCG will still be the statutorily responsible organisation and have regular Governing Body meetings, but will delegate some powers to a Joint Committee. Each CCG will be equally represented on the Joint Committee.
About the Sustainability & Transformation Plan (STP) STP triple aims: 1. Close gaps in Health & Wellbeing 2. Close gaps in Care and Quality 3. Close gaps in Finances
What is North Central London (NCL)? Enfield CCG / Enfield Chase�Farm� Hospital Council 320k GP registered pop 48 GP practices St� Michael ’ s� Primary� Care� Barnet� General� Hospital Barnet CCG / Barnet Centre Council 396k GP registered pop Stanmore� Hospital 62 GP practices North� Middlesex� Haringey CCG / Haringey Edgware� Community� Hospital Council Hospital 296k GP registered pop Finchley� Memorial� Hospital 45 GP practices St� Ann ’ s� Hospital Islington CCG / Islington The� Whittington� Hospital Highgate Hospital Council 233k GP registered pop Royal� Free� Hospital 34 GP practices Central� Middlesex� Tavistock Clinic,�Portman� Clinic,� Hospital Gloucester�House� Day� Unit St� Pancras Hospital Camden CCG / Camden Council Moorfields Eye� Hospital University� College� Hospital 260k GP registered pop 35 GP practices London�Ambulance�Service Great� Ormond� Street� Hospital East� of� England� Ambulance� Service
Our vision Our vision is for North Central London to be a place with the best possible health and wellbeing, where no one gets left behind
North Central London Clinical Cabinet • Chair - Clinical Lead for the NCL STP programme • Meets every 2 weeks, reporting to the NCL Transformation Board • Clinical representation is across health and social care in NCL at a senior level • The purpose of the clinical cabinet is to review, advise and direct transformation across North Central London from a clinical and patient perspective. • The clinical cabinet works closely with the Clinical Reference Group (CRG) and provides updates, leadership and steer to the group as well as incorporating the outputs from the CRG in their programme of work.
The NCL case for change Health and care practitioners across NCL have been working together to understand and analyse the current issues across the system. This has been developed into a case for change. The case for change identified the following major gaps: Health & Wellbeing Gap Care & Quality Gap Financial Gap You can find the Case for Change on our website: http://www.enfieldccg.nhs.uk/Downloads/STP/NCL%20case%20for%20chan ge.September%202016.pdf
NCL STP workstreams • Prevention • Achieving the best start in life • Maternity • Health and Care closer to home • Urgent and Emergency Care • Mental Health • Cancer • Planned Care • Specialised Commissioning • Commissioner savings • Provider savings • System-wide productivity All the information about the plan including the summary version can be found on our website: http://www.enfieldccg.nhs.uk/Downloads/STP/NCL%20case%20for%20chang e.September%202016.pdf
Feedback and Questions Local clinicians working with local people for a healthier future 15
Workshop sessions 10:30am-11:30am Adherence to evidence based medicine consultation Clinical lead- Dr Jahan Mahmoodi, Medical Director Management lead – Mark Eaton, Director of Recovery 11:30am-12:30pm Primary Care Developments workshop Clinical lead – Dr Mo Abedi; Chair Management lead- Jenny Mazarelo, Head of Primary Care Local clinicians working with local people for a healthier future 16
Adherence to Evidence Based Medicine (AEBM) Dr Jahan Mahmoodi, Medical Director 17
Overview • As an organisation in Special Measures we are required by NHS England to look at everything we spend to enable us to live within our means and ensure we can continue to fund essential services and treatments. • As part of this on-going review we are looking at the evidence associated with a number of procedures and treatments to see where clinical evidence supports changing thresholds and access criteria. • Whilst we are doing this because of our financial position the work is clinically led and evidence based. • Enfield CCG are also leading this work across North Central London with our CCG Colleagues. • Today is the start of our formal consultation period lasting until the 31 st March. 18 Local clinicians working with local people for a healthier future
Scope of Review We are looking at four main areas: • The thresholds and criteria associated with existing Procedures of Limited Clinical Effectiveness where the evidence has changed. • Additional areas that others have identified as being PoLCE that are not currently in the North Central London policy and where we consider it appropriate to review. • Procedures where the clinical evidence suggests we should make changes to thresholds to improve outcomes for patients. • The decommissioning of homeopathic treatments at UCLH. 19 Local clinicians working with local people for a healthier future
Preparing for the Consultation Process In preparing for the consultation commencing today we have done a wide range of pre-engagement activities including: • Discussing this with the Enfield Health & Wellbeing Board and Health Overview and Scrutiny Committee. • Engaging with Local GPs via a range of events and with our Secondary Care Consultants via the North Central London Clinical Cabinet. • Undertaking Pre-Engagement Work with our public. • Working with our CCG colleagues in North Central London and with the NCL Sustainability & Transformation Plan Team. 20 Local clinicians working with local people for a healthier future
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