Patient Engagement and the WLCCG Ken MacDonald, Patient Rep, West London Commissioning Consortium, Health and Wellbeing VOF – 17 April 2012
The Legislative Background – Health and Social Care – Royal Ascent received in March. – Emphasis on: • Devolving power to health professionals, particularly GPs • Giving patients greater choice in their own care/treatment • Improving healthcare outcomes rather than processes • Achieving this through efficiency gains and reduced bureaucracy – Abolition of PCTs/SHAs and creation of Clinical Commissioning Groups by April 2013 – CCGs accountable to a new National Commissioning Board – Working in partnership with Health and Wellbeing Board and scrutinised by HealthWatch
Public Health Context in K&C – Densely populated Borough of approx 175,00 people, although WLCCG registered pop is 230,685; – Rising by 0.5% p.a. over next 5 years; – Highest Life Expectancy in country but with disparity of 6.9 years for men and 2.5 years for women, – Ethnically and culturally diverse – 43% were born abroad – White British – 48%, BME - 24%; – Affluent groups in the South (e.g. US, Western Europe, Australia/NZ ; more deprived in the North (Middle East and N Africa, Philippines) – Very high level (30% in some wards) of demographic movement to and from the Borough; – Levels of mental health problems, infectious diseases and childhood obesity are relatively high
What is the West London CCG? – 41 Practices in K&C, plus 14 from Queens Park & Paddington – Led by a CCG committee – 10 GPs, 2 Practice Managers, 2 Nurses, amongst others – Chair, Dr Mark Sweeney , Deputy Chair Dr Fiona Butler , Vice Chair, Dr Iain Blake – All WLCCG practices have joined 5 Commissioning Learning Sets for improving performance and shared learning – WLCCG is currently a Sub-committee of INWL PCT Board – Federation with 3 other CCGs in NW London – It has achieved pathfinder status and aims to be officially established with its own constitution by April 2013.
WLCCG Structure WLCCG Structure APPENDIX F National Commissioning Board Executive INWL PCT Board Management Team K&C Health and Wellbeing Board Westminster Health and NW London Wellbeing Board Commissioning Support Service West London Hammersmith Great West Central London Clinical Clinical and Fulham CCG Health Care CCG Commissioning Commissioning Group Group Audit & HR WLCCG Patient Sub-Committees Panel Executive Team Neighbourhood Finance & Perf Leads Group Quality & Risk Sub-committees North West North Central North East South West South East Commissioning Commissioning Commissioning Commissioning Commissioning Learning Set Learning Set Learning Set Learning Set Learning Set 55 WLCCG Primary Care Practices
Map of WLCCG
What is WLCCG committee ’ s role? – Providing leadership to local primary care professionals;. – Taking delegated responsibility for all commissioned NHS services by April 2012; – Overseeing the Quality, Innovation, Productivity and Prevention (QIPP) Plans to achieve significant cost savings; – Developing patient focussed clinical care which addresses health inequalities and need, with focus on community settings as outlined in the Out of Hospital Strategy; – Working in partnership with the local authority to commission high quality health and social care; – Proactively engaging with local people to ensure that they are involved in the development of services.
What is WLCCG ’ s vision? The CCG’s vision is to: – develop, commission and deliver high quality, cost effective clinical services for the local population – through patient centred commissioning and through working in partnership with local people, the Local Authority and other key stakeholders.
Public and Patient Engagement • WLCCG is committed to engaging local people and working with LINk/HealthWatch • The Board has a dedicated clinical lead for patient engagement. • One Patient Rep has been appointed on to the Board – another may follow • A Patient and Public Engagement Strategy and Action Plan has been agreed • A Patient Panel group has been set up to oversee implementation of the PPE Strategy • The Panel has a wide range of representatives and local residents
PPE Strategy and Action Plan Key elements currently include: • Making sure patients ’ views are embedded in the commissioning cycle, decision making processes and strategies; • Developing a mechanism to consult the public on any significant changes to services; • Ensuring that the CCG effectively communicates with patients and the public, including hard to reach groups; • Developing new ways of capturing patients feedback on services; • Monitoring and evaluating all engagement activities;
Patient Rep role • The voice of patients on the CCG Board • Ability to influence key decisions and strategies • Conduit for issues/concerns to the CCG Board through the Patient Panel • Funneling information down from the CCG to the Patient Panel and wider community • Ensuring the CCG communicates effectively with the wider community
Conclusion – WLCCG will work closely with Links/HealthWatch and is committed to engaging local people on healthcare; – It is a relatively new organisation that is keen to tap into local knowledge and learn from past experiences; – The Patient Rep role will be key but there are limitations to what the representative can do; – The future economic environment will be challenging which means it will have to look at new ways of providing services - the CCG will want to work with the local community to achieve this
Contact Details • Please contact me if you would like to know more about patient engagement in K&C : ken@groveworks.co.uk
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