Birmingham CrossCity

Agenda Time Item Presenter

12.45pm WelcomeSetting the scene

Stephanie Belgeonne

12.50pm Birmingham CrossCity Dr Gavin Ralston

1.10pm Commissioning intentions Dr Barbara King

1.30pm Involvement and engagementGroup discussions

Dr Peter Thebridge

2.20pm Birmingham Local Involvement Network (LINk)

Janis Deakin

2.30pm Feedback Dr Gavin RalstonDr Peter ThebridgeDr Barbara King

3.00pm Close Dr Gavin Ralston

Setting the scene: moving forward

Development of Clinical Commissioning Groups

Establishment of NHS Commissioning Board

Support to provided by Commissioning Support Units

Transfer of public health to Local Authorities, supported by Public Health England

Establishment of HealthWatch

Birmingham CrossCity

Excellence in commissioning, through excellence in primary care

730,000 patients117 practices125 sites

Birmingham CrossCity

Commissioning – the concept

Planning for the year and letting local services know so they can be prepared

Setting contracts around what will be required and standards around quality

There is a degree of continuity with commissioning, but each year there is an opportunity for service redesign and innovation

Clinical solutions for financial problems - Mission Impossible

Board Structure

Contrac-ting & QIPP

Contrac-ting & QIPP

Chair of Local Commissioning Network Group

Chair of Local Commissioning Network Group

Primary Care

Redesign & Quality

Primary Care

Redesign & Quality

Partnership

Commissioning

Partnership

Commissioning

Mental Health (x2)

Local Authority(x2)

Mental Health (x2)

Local Authority(x2)

HEFT x2UHB x2

BCHBCHC x2

BWHROH WMAS

HEFT x2UHB x2

BCHBCHC x2

BWHROH WMAS

Secondary Care

Redesign

Secondary Care

Redesign

Consultant Advisor

Consultant Advisor

Nurse AdvisorNurse

AdvisorLay

AdvisorLay

Advisor

Urgent Care (Elective

Care

Long Term Conditions

Urgent Care (Elective

Care

Long Term Conditions

Local Commissioning Network Chairs

Local Commissioning Network Chairs

Chief Finance Officer

Chief Finance Officer

Managing Director

Managing Director

Information and Quality Assurance

Information and Quality Assurance

Local Commissioning Networks (LCNs)

1. Bordesley Green, South Yardley, Small Heath, Acocks Green 2. East Birmingham 3. Edgbaston 4. Hall Green 5. Kingstanding & New Oscott 6. Northfield 7. North East 8. South Birmingham 9. Washwood Heath

10. Sutton Coldfield and Shard End

Local Commissioning Networks (LCNs)

1. Bordesley Green, South Yardley, Small Heath, Acocks Green 2. East Birmingham 3. Edgbaston 4. Hall Green 5. Kingstanding & New Oscott 6. Northfield 7. North East 8. South Birmingham 9. Washwood Heath

10. Sutton Coldfield and Shard End

Informatics and LCNs

Informatics and LCNs

Board Birmingham CrossCity

ChairChair

Across the city

Our Local Commissioning

Networks

Complex landscape

• Our population and member practices• Neighbouring CCGs• Hospitals, Community services and Ambulance

Service• Birmingham City Council and two neighbouring

councils Sandwell and Solihull• Third Sector

Opportunities and risks• Introduction of new evidence-based interventions - equitable and affordable• Sustainable approach to the NHS - keeping health services ‘free at the point of delivery’• Opportunity for clinicians to directly influence pathway design, have a central role rather than just on the edge… hopefully this will be a good thing• Opportunity to bring primary and secondary care closer together and on more equal terms• There is a steady stream of new technologies and not all can be afforded within current budget

Birmingham CrossCity Clinical Commissioning leads seek assurance through a range of channels including:

•Local Commissioning Networks•Open Forum meetings•Patient engagement through Patient Participation Groups (PPGs)•Direct public engagement through open events (including an Annual General Meeting)

CCG leadership in practice

• Joint Clinical Contracting Groups (JCCGs)

Shared forum between CCGs and ProvidersClinically led

– Strategy– Implementation

Scrutiny role– Performance– Quality

• Advice and Guidance• Acute Medical Clinics

Progress so far

Priority areas that we have identified…• Reducing premature deaths through prevention -

Smoking cessation, life style advice• Maternity and early years• Frail Elderly - dementia, stroke care, end of life care• Long Term Conditions - respiratory, diabetes• Improving mental health care• Improving urgent care• Ensuring that people have a positive experience of

care• Commissioning high quality and safe services

Key steps• Event feedback report to be compiled

• Will help feed into first draft of commissioning intentions

• For more information visit:– Website: Bhamcrosscityccg.nhs.uk – Email: bhamcrosscity@nhs.net– Telephone: Communications and Engagement Department

on 0121 255 0875

Thank you