Cambridgeshire & PeterboroughClinical Commissioning Group

10th July 2013

Dr. David Roberts

Our CCG – An overview

109 member practices

824 GPs

8 Local Commissioning Groups

864,000 people

Diverse, ageing population

Significant inequalities

A brief update• One clinical commissioning group (CCG) for

Cambridgeshire & Peterborough, including three practices in Hertfordshire and two in Northamptonshire.

• A membership organisation that is clinically led at every level.

• Federation of eight local commissioning groups (LCGs).

• Delegated budget of £854million for local decision making with central accountability and robust governance.

• Involving and getting feedback from patients and the public is important to us.

• CCG took on full responsibilities on 1 April 2013.

The context in which we work

• 2013/14 allocations: £854million.

• Hospital and Community providers under pressure.

• A growing and ageing population with health inequalities.

• An efficiency plan in 2013/14 of £30m. We call it QIPP

• Productivity – reducing waste and inefficiency

• Innovation – finding more cost-effective ways of doing things

• Prevention – helping people to live healthier lives

• (And not forgetting) Quality

Our priorities 13/14

We have three primary commissioning priorities:

•Frail Elderly

•End of Life Care

•Reducing Inequalities in Coronary Heart Disease

Our work will be:

• Clinically led at all levels.

• Focused to ensure maximum success.

• Based on the needs of our communities.

• Based on the context in which we work and on Joint Strategic Needs Assessments (JSNA).

We will focus on what is important to our patients by:

• Listening to their needs and views

• Ensuring their NHS Constitutional rights and pledges are protected

• Improving co-ordination of care for people, by promoting closer working with and between our valued partners

• A seamless NHS, avoiding waste

• Providing friendly, caring, quality services to all our patients and carers

• Have we considered everything we need to?

Patient Reference Group• Formal sub-committee of the CCG Governing Body.

• Chaired by the CCG Lay Member with responsibility for patient and public involvement.

• Membership is made up of eight Patient Reps from LCG Boards and Healthwatch reps.

• To ensure meaningful engagement locally and CCG wide.

• To comment on and advise on service change proposals.

• To provide intelligence to the CCG Governing Body on patient concerns.

• To ensure that we don’t miss things when we redesign services.

• We still have statutory duties to inform, engage & consult the public.

• Reports formally to Governing Body in public.

Patient & Public Engagement• Ensure that a range of patient and public voices are heard at CCG

and LCG level including groups who sometimes miss out on being heard

• The CCG Engagement Team works with the Local Commissioning Groups to ensure that each one has a strong commitment and processes to support patient involvement at a local level.

• Work with LCGs to ensure that all involvement and engagement is open to anyone, not just those who are members of existing groups.

• Continue strong links with Healthwatch organisations to ensure that they become strong and valued critical friends of the CCG with influence at CCG and LCG levels.

• Listen to political representatives on District and County Councils, who sometimes see things differently to the way we do

Patient & Public Engagement (2)

• We aim to look outwards to all our communities and engage and communicate effectively – not an easy challenge.

• We want to be much more focused on local involvement and different groups including seldom-heard groups i.e. migrant communities, those with physical or learning disabilities, etc.

• Maintain the groups that work now – Hunts Patient Congress Ely Forum, Borderline Forum, Peterborough Public Consultation Forum, etc. CATCH patient Forum and Cam Health.

• But we need to reach wider public – we will be looking at much greater use of social media.

• Recognise that people will engage in a way that works for them and on the issues that are of interest to them.

Patient & Public Engagement (3)

• Series of summer roadshows to meet the CCG and LCG leads – learn about clinical commissioning where you live and how you can engage locally.

• Stakeholder newsletters and updates about our priorities.

• Encourage patients and the public to sign-up to our stakeholder database.

• The CCG wants to work with the voluntary sector networks / faith groups / community groups.

• Many GPs already have relationships and local knowledge to help us engage better.

• We will meet our statutory obligations to consult but want to go further. The Patient Reference Group will test us on this.

A patient’s story

• 89 year-old female, falling, stubborn and “independent”

• Mildly confused

• Not really safe to live alone

• Wants to avoid going in to hospital

• But doesn’t really acknowledge that she needs extra care!

• Lack of resources in the community

• Delays in getting assessments and treatment

• Mobility getting worse

• Increased costs in all parts of the health and social care system

Conflicts of interest?

• I’m a GP

• I’m getting older

• I want to stay independent and well for as long as possible

• I am likely to need health care and services in the future

• I have an elderly mother who needs increasing amounts of health and social care

• It matters!