Patient and Public Engagement Event Wednesday 13 March 2019 12:30pm for registration 1pm-4pm Committee Room, Holbrook House, Cockfosters Road, Barnet, Herts, EN4 0DR
Welcome Kevin Sheridan Lay Member for Patient and Public Engagement
Housekeeping • No fire alarm is planned today. If you hear the alarm, please follow the CCG fire warden who will help you to evacuate. • Please turn your mobile phones off or put them on silent • Please help yourself to refreshments throughout the event • Feedback forms will be emailed to you after the event and a small number of printed copies are available • This is the first time we have used Holbrook House as a venue. Please tell us what you what think of today’s event on the feedback form and tell us about topics you would like to see at future events. 3
How you can get more involved in the work of 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 or a North Central London CCGs 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 - we will add your email address from the sign-in sheet to our list OR contact enfccg.communications@nhs.net • Contact us if you would like someone to attend your voluntary or community group meetings • Visit our website www.enfieldccg.nhs.uk
Agenda 12:30pm-1pm Sign in, refreshments and networking 1pm–1:10pm Welcome Kevin Sheridan, Lay Member for Patient and Public Engagement 1:10pm-1:30pm Enfield CCG corporate update Dr Mo Abedi. Chair of Enfield CCG. 1:30pm-2:00pm Transformation programme update Plans for 2019/20 - Planned and unplanned care Stephen Wells and Clare Kapoor Group work 2:00pm-2:45pm Medicines safety and polypharmacy Deanne Moonsie and Paul Gouldstone 2:45pm-3:30pm Primary Care Strategy workshop John Piesse and Peter Lathlean 3:30pm–3:50pm Questions and Answers session with the Governing Body 3:50pm Thank you and event closes Kevin Sheridan, Lay Member for Patient and Public Engagement 5
Enfield CCG Update Dr Mo Abedi, Chair
Corporate Update • Enfield CCG Governing Body meetings – quarterly from April 2019 onwards. Details of meetings on our website • NCL Joint Committees in place: NCL Joint Commissioning Committee and Primary Care Co- Commissioning Committee in Common • The NHS Long Term Plan – Integrated Care Systems (ICS) – Enfield InterGreat event • Updated NCL PoLCE policy- available on website • Decommissioning the Minor Ailments Scheme Local clinicians working with local people for a healthier future
2018/19 Financial Plan • In 2018/2019, Enfield CCG is planning a total spend of £462.725m. The CCG started 2018/2019 with an underlying deficit of £13.6m. • As at month 10, the CCG was forecasting an in year financial deficit of £20m with additional risk of £3.75m cost pressures not yet reflected in the position. • North Central London commissioners and acute providers continue to work collaboratively to develop and implement the Sustainability and Transformation Plan (STP) assumptions to ensure that the Enfield CCG and the North Central London wide the financial control total is achieved. • Looking ahead to 2019/20, the CCG is working to an indicative gross transformation programme of £22m which will need to phased and supported by investment. As well as contractual agreements with acute providers, successful delivery will require an integrated approach to patient care across involving primary care, mental and community health and voluntary sector. The plan is expected to improve the patient journey and/or maximise the use of finite resources. Although the CCG has a developed and mature transformation programme, many of the easily achievable efficiency areas have already been adopted in recent years making programme delivery particularly challenging this year.
NCL STP update We are currently recruiting resident representatives to be involved in the next stages of our review of Adult Elective Orthopaedic Services. We think it is likely that we will formally consult on options for this service in Autumn 2019, and we would like resident representatives to be involved in shaping the options we consult people about. We will be staging a number of discussion workshops, for patients, residents and clinicians, and some patient and resident focus groups. We are keen to have a wide range of representatives from all backgrounds and experiences as part of this exercise, and training will be offered so that people can participate with confidence. The dates are: • Friday 15 March, training to participate in workshops (below): 10.30am to 12 midday (TBC) • Monday 18 March, workshop: 9.30am to 12.30pm (nearest tube Warren Street) • Monday 1 April, workshop: 9.30am to 12.30pm (nearest tube Warren Street) • You can apply online: https://s.surveyplanet.com/eh9yEHIuo Local clinicians working with local people for a healthier future
Transformation Programme Update Plans for 2019/20 (Planned and Unplanned Care) Stephen Wells, Head of Performance & Planning and Clare Kapoor, Head of Unplanned Care
2019/20 QIPP Programme The CCG’s approach to Service transformation in 2019/20 will focus on three domains: Urgent & Emergency Care Planned Care Continuing Health Care Enfield CCG is also focusing work to identify opportunities in areas where difficult choices may need to me made, these are also being considered by the NHS, as part of the NHS Long Term Plan, for example: • Procedures of Limited Clinical Value; • Prescribing Self-Management (over the counter medicines); • Referral Management Service (supporting the national reduction in managing elective care); • MSK Physiotherapy/Triage & Assessment (triage review process implemented); • Recommissioning selected services (cost of new services lower than current costs); • Review of high cost drugs working with acute care providers; 11
Urgent and Emergency Care – 2019/20 onwards The CCG will be embarking on a 3 year plan to support patients requiring urgent and emergency care with the aim to alleviate some of the pressure in the system so that it can cope with increasing demand. In 2019/20, the focus will be on: • Children and Young People – Targeted areas include respiratory conditions such as Asthma; • Working Age Adults (18-64) – Planning to support patients within this age group to manage their care and to access the best service for their health care needs. – Pathways – looking at end to end care pathways so that patients can be managed outside of hospital – Communications – supporting communities to understand where to go for help to ensure right service first time. • Frail and Elderly – Community provision to manage within the homecare setting, strengthen access to other services, focus on prevention and early intervention Commission enhanced rapid response system primarily aimed at severely frail and maximise flow in from NHS 111, London Ambulance Service, GP Practices with Community Health Services in Emergency Departments;
NHS 111 NHS 111 Online campaign The recently launched NHS 111 Online campaign highlights the new option for people to access the NHS 111 service online, which is now available across most of England. The campaign encourages people to use either the online service (111.nhs.uk) or dial 111, instead of worrying, self-diagnosing or second- guessing what they should do when they have an urgent health problem. The target audience is all members of the public, over the age of 16. Social channels will specifically target the 20-29 age group who may be more likely to use the online service. The new catch up TV ad can be viewed here: https://www.youtube.com/watch?v=N1flJsbM4es
NHS App NHS App - Enfield CCG is the first CCG in London to go live with the new NHS App. The NHS App is a new, simple and secure way to access a range of NHS services via smartphone or tablet. It is available to the public on Google Play and Apple app stores. If you are an Enfield resident you can download the NHS App now so that you can: • book and manage appointments at your GP surgery • order repeat prescriptions • securely view your GP medical record • check your symptoms • find out what to do when you need help urgently • register to be an organ donor • choose how the NHS uses your data GP practices are being connected to the app gradually following a successful pilot, which ran between September and December 2018. All functions of the app should be fully available across England by 1 July 2019, after all GP practices are connected. More information about the NHS App is available via the NHS website: https://www.nhs.uk/using-the-nhs/nhs-services/the- nhs-app/
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