Engagement Event Wednesday 1 March 2017 9:30am-1pm Conference Room - - PowerPoint PPT Presentation

Patient and Public Engagement Event

Wednesday 1 March 2017 9:30am-1pm Conference Room 3, Dugdale Centre, Enfield

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Welcome

Teri Okoro Lay Member for Patient and Public Engagement

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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

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Agenda

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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

Enfield CCG Update

Dr Mo Abedi, Chair

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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

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.

North Central London (NCL) Commissioning Management Arrangements

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

Enfield CCG / Enfield Council 320k GP registered pop 48 GP practices Barnet CCG / Barnet Council 396k GP registered pop 62 GP practices Camden CCG / Camden Council 260k GP registered pop 35 GP practices Haringey CCG / Haringey Council 296k GP registered pop 45 GP practices Islington CCG / Islington Council 233k GP registered pop 34 GP practices

What is North Central London (NCL)?

University College Hospital Barnet General Hospital ChaseFarm Hospital North Middlesex Hospital Royal Free Hospital St Ann’s Hospital The Whittington Hospital Edgware Community Hospital Finchley Memorial Hospital St Michael’s Primary Care Centre LondonAmbulanceService East

• f

England Ambulance Service Moorfields Eye Hospital Great Ormond Street Hospital Central Middlesex Hospital Highgate Hospital St Pancras Hospital Stanmore Hospital Tavistock Clinic,Portman Clinic, GloucesterHouse Day Unit

Our vision is for North Central London to be a place with the best possible health and wellbeing, where no one gets left behind

Our vision

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 & Wellbeing Gap Care & Quality Gap Financial Gap

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:

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

• n our website:

http://www.enfieldccg.nhs.uk/Downloads/STP/NCL%20case%20for%20chang e.September%202016.pdf

Feedback and Questions

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Workshop sessions

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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

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Adherence to Evidence Based Medicine (AEBM)

Dr Jahan Mahmoodi, Medical Director

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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
• ur CCG Colleagues.
• Today is the start of our formal consultation period lasting until the 31st

March.

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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.

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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.

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Procedure List in Full

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PROCEDURE PROPOSED OUTCOME Bunions Introduce new evidence based criteria for treatment. Hearing Aids Knee Replacement Surgery Hernia Vasectomy Uterovaginal Prolapse Revision Mammoplasty Revision of Hypertrophic Scars

Procedure List in Full

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PROCEDURE PROPOSED OUTCOME Penile Procedures (Penile Implants) Introduce new evidence based criteria for treatment. Cholecystectomy for Gallstones Chalazions Correction of Ptosis Homeopathy Decommission Treatment

Next Steps

• Today we are launching our consultation and are

seeking your feedback on our proposed changes.

• We are here to answer your questions and to help you

complete the consultation document or you can take the document away and use freepost to return it or alternatively use our online survey.

• We are holding two further public events during the month

and also discussing the evidence with Local GPs at our Locality Meetings.

• We will also be taking our NCL CCGs through the same

process we are currently undertaking.

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Jenny Mazarelo, Head of Primary Care Peter Lathlean & John Piesse, Primary Care Development Managers

Primary Care Transformation

Primary Care Access Hubs

• Open from 18:30 to 20:00 Monday to Friday
• Open from 08:00 to 20:00 Saturdays,

Sundays and Bank Holidays

• Book through your registered practice or

direct on 03000 333 666

• Access hub locations:
• Carlton House Surgery (Enfield Town)
• Woodberry Medical Practice (Winchmore Hill)
• Evergreen Primary Care Centre (Edmonton)

Medical Records

• To provide continuity of care, the hub can

access your medical records

• Patients will be asked if they consent to

their medical records being viewed by the GP or Nurse providing their care

• A summary of the consultation will be

returned to the patient’s own practice for adding to their medical record

Patient Online Services

• Practices are contractually obliged to offer

patients the opportunity to book an appointment, order a repeat prescription or access their medical records online.

• This is a means of increasing choice and

convenience for all patients

• Ambition ~ 20% of patients with an online

account with 10% of patients using one or more online services by 31st March 2017

iPlato – Text Reminder Messaging Service

You book an appointment with the GP Practice via your preferred method GP Practice records your mobile number into your patient record The system automatically sends you a SMS message reminding you of your appointment date and time (typically 2 days before your designated appointment). The text includes details on how to cancel this appointment if required without the need to phone the practice. You can send a SMS text reply – this informs the system to release your appointment for

• thers to book

You attend your appointment as per usual

Fully Delegated Commissioning of GP Services

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Ask us anything!

Local clinicians working with local people for a healthier future

Panel questions and answers session

Key dates for your diaries

Governing Body Meetings All the dates for 2017 can be found on our website: 15 Mar 2017 1:30pm-3:30pm Venue: Committee Room, Holbrook House, Cockfosters Road, Barnet EN4 0DR 17 May 2017 1:30pm-3:30pm Venue: Millfield House, Silver Street, Edmonton N18 1PJ Patient and Public Engagement Meetings For all Enfield residents and local stakeholders – details available on our website: http://www.enfieldccg.nhs.uk/patient-and-public-engagement-events.htm Wednesday 21 June 2017 10am-1pm, venue to be confirmed Wednesday 25 October 2017 10am-1pm, venue to be confirmed Wednesday 7 March 2018 10am-1pm, venue to be confirmed Patient Participation Group (PPG) network meetings For Chairs and members of PPGs and staff at member practices who support patient groups only. Tuesday 7 March 2017, 6pm-9pm, Executive Suite, Dugdale Centre Tuesday 6 June 2017, 1.30pm-4pm, Conference Room 2, Dugdale Centre Tuesday 5 September 2017, 6pm-9pm, Executive Suite, Dugdale Centre Tuesday 5 December 2017, 1.30pm-4pm, Executive Suite, Dugdale Centre Details are on our website: http://www.enfieldccg.nhs.uk/PPGnetworkmeetings.htm Please email communications@enfieldccg.nhs.uk to be added to our email and be notified of news and events. All events are advertised on our website: www.enfieldccg.nhs.uk Twitter @EnfieldCCG and in the local press.

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• Your feedback is important to us today
• We want to work closely with local people to develop our plans
• Today we are going to focus on our plans for the next year
• We will ask you to fill in a feedback form (in your pack) about today’s
• event. Please tell us what you what think of today and tell us about

topics you would like to see at future events.

We would like you to get more involved in the CCG:

• Join your GP practice’s Patient Participation Group (PPG). Ask your practice if you can
• join. We have an active PPG network and an elected PPG representative Litsa Worrall

who sits on the Governing Body

• Volunteer to be a patient representative and help us improve services for local patients

forms are available.

• Attend a Governing Body Meeting – dates are advertised on our website, on Twitter

and in the Enfield Independent

• Follow us on Twitter @EnfieldCCG
• Sign up to our mailing list – contact communications@enfieldccg.nhs.uk
• Visit our website www.enfieldccg.nhs.uk

Listening to you

Local clinicians working with local people for a healthier future

Thank you for attending today’s event For more information

www.enfieldccg.nhs.uk Follow us on Twitter @EnfieldCCG Contact: communications@enfieldccg.nhs.uk 0203 688 2814

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