Meeting Wednesday 21 September 2016 Annual report and accounts The - - PowerPoint PPT Presentation

Annual General Meeting

Wednesday 21 September 2016

Annual report and accounts

The CCG objectives

Objective 1 Improve health outcomes Objective 2 To improve the quality of care and patient experience of care Objective 3 Improve value for money by moving care closer to home

Increasing demand Very limited money Workforce shortages New contract with Bolton FT Greater Manchester Devolution North West Sector Alliance

The local context…

Our achievements: 2015/16

More beds for Bolton Hospice

• We provided further funding to

support medical, nursing, and

• perational costs of four more

beds.

• As a result, 88 more patients

each year can receive hospice care in Bolton.

• Hospice care close to home…
• Can reduce the risk of

unnecessary hospital admissions

• Means patients can be near to

family and friends

Better emergency care for stroke patients

• We supported changes to stroke care

across Greater Manchester.

• Any Bolton resident with stroke

symptoms now taken to Salford Royal – a specialist centre.

• This change is expected to save up to

50 lives each year.

• Patients are treated at Salford for a

few days and then recover in Bolton – in hospital or at home.

Mental health

Reducing young suicides

• Funded delivery of the Suicide

Safer Communities Programme for Young People.

• Volunteers aged 16-35 were

recruited and trained to deliver suicide prevention activities. Improving access to talking therapies

• Only area in the region to achieve

targets on access and recovery.

• Joint work with providers to

streamline referrals.

Bolton Macmillan Cancer Information and Support Service

All sites now open providing a drop in service to anyone affected by cancer at…

• Giles House, Bolton Hospice
• Royal Bolton Hospice
• Bolton One

The service is delivered in partnership with Macmillan, Bolton Hospice, a patient and user group.

Joining up patient care & preventing hospital admissions We’ve continued work with Bolton Council and local partners to join up patient care. Our aim: the right care, in the right place, at the right time – tailored to the needs of the patient.

• Intermediate care - working better for

patients, in their own home or a care home.

• Admissions Avoidance Team – working with

GPs and other health professionals to provide extra support when it’s needed most.

• Care planning – more support for GP practices
• Integrated Neighbourhood Teams

Reducing waste

NHS resources are limited so the Bolton pound must be spent carefully. We need to consider carefully what NHS money can, and should, be spent on. Last year, we worked hard to reduce waste and invest in services that meet the needs of Bolton people. We’ll need to do more this year!

28% reduction in procedures with limited benefits for patients Saving of £750,000 We can protect Bolton NHS so it’s there when YOU need it most!

Financial achievements

Section Description Financial Performance Targets Expected Performance 2 Revenue Position Operate within approved revenue resource allocation in each and every year. Deliver a cumulative surplus carry forward of 1% minimum. Hold a contingency of at least 0.5%. Spend 1% non-recurrently. Green 3 Running Costs Not to exceed the Running Cost Allowance of £6,320k. Green 4 Cash Operate within its approved cash maximum draw-down limit in each and every year. Green 5 Business Conduct Comply with the Better Payments Practices Code. Green 6 Quality, Innovation, Productivity & Prevention (QIPP Deliver an efficiency across the CCG’s expenditure baseline in

• rder to meet the QIPP challenge.

Green 7 Financial Risk Financial risks and mitigating actions are identified and reviewed

• n a monthly basis.

Green 8 Statement of Financial Position Net Current Assets matches Taxpayers Equity. Green

CCG assurance

The CCG is reviewed quarterly by NHS England. We provide assurance of our performance against national requirements. We received an overall assurance rating of ‘good’ for 2015-16.

• Well led organisation
• Finance
• Performance and outcomes
• Planning
• Delegated functions

Working with practices to boost primary care

Introducing the first ever Bolton Quality Contract…

• £3.4m of CCG investment to Bolton GP

practices.

• All practices signed up to delivering new

standards of care – over and above the national contract.

• Standards included
• Access
• Prescribing
• Health improvement
• Health screening
• Mental health
• Cancer referral
• End of life care

Now being used by NHS England as national best practice!

Achievements so far…

• 60,000 more appointments per year.
• Same day assessment for children

under 12.

• Saved £2.2m on prescribed

medicines.

• 82% of adults screened for diabetes.
• 77% of people with dementia have a

formal diagnosis.

• More GPs, nurses, and reception staff.
• Better care for patients with asthma
• r heart failure.
• 90% of patients would recommend

their practice to family and friends.

Looking to 2016-17 The Bolton Quality Contract is in place again for 2016-17. This year’s contract supports joined up care to help frailer residents to stay independent in their homes. More help for those who need it most.

Table discussions