Clinical Commissioning Groups (CCGs) in Devon

What this means for the population of Devon

Jacob DunkleyStrategic Development, NHS Devon

Roles and Responsibilities

• Commissioning the majority of health services for the population

• Working with providers to ensure safe, high quality and value for money care

• Being an active partner with local authorities, and with patients, carers and communities

CCGs commission… NHS Commissioning Board

Who commissions what?

• Emergency, urgent care & elective care• Community health services• Maternity• Rehabilitation & Continuing Health

Care• Children, • LD and MH• Infertility, • Abortion, • Wheelchair & Home Oxygen• Treatment of infectious diseases

• Primary care• Pharmaceutical and appliance

contractors• All NHS dental and NHS sight tests• Highly specialised and high security

psychiatric• For those in custody/prison• For members of armed forces• Public Health for ages 0-5• Immunisation and screening• Sexual assault referral• Child Health Systems (CHIS)

Devon’s CCGs, Localitiesand clinical Chairs

Dr John Womersley

Dr David Jenner

Dr Peter Rudge Dr Derek Greatorex

NEW Devon• 127 member GP practices• Largest CCG in the country• Population served

901,200• Budget of approximately

£1bn

South Devon and Torbay• 38 member GP practices• In the top 1/3rd of CCG size• Population served

282,000• Budget of approximately

£400m

Devon CCGs

• Leadership through a governing body• Clinicians roles bringing added value

• 2,330 square miles• 22.3% live in rural areas• 21% is over 65 years old• 11% in ‘most deprived’ areas nationally

Data from Joint Strategic Needs Assessment, Public Health Observatory and Town profiles

‘NEW’ Devon

NEW Devon• Prevention, self care and maintenance• Elective or planned care pathways• Urgent care pathways• Care for frail older people • Mental health and learning disabilities services• Medicines optimisation• Primary and community services

Priorities for improvement

The NHS Future Forum in its report to government:

People at the centre

‘If the fundamental purpose of the Government’s proposed changes to the NHS – putting the patient first – is to be made a reality, the system that emerges must be grounded in systematic patient involvement to the extent that shared decision making is the norm.’

Who will be involved• Member practices and staff• Patients, carers and the public• Scrutiny and elected members • Health and wellbeing boards• Local HealthWatch• Clinicians and other

professionals • Local authorities • Healthcare providers

How will CCGs involve? • Statutory duties• Department of Health

4 tests of change• Friends and family test• Authorisation

requirements• NHS Constitution• NHS mandate

NEW Devon Involvement

NEW Devon statement for involvement3 levels of focus on shared decision making:Personal: Individual and family engagement in health, wellbeing and care Local: Clinicians and communities engaged in co-designing local services e.g. Asset approachesStrategic: Population insights into longer term planning and shared decision making

NHS Outcomes

Domain 1

Preventing people from dying prematurely

Domain 2

Enhancing quality of life for people with long term conditions

Domain 3

Helping people to recover from episodes of ill health or following injury

Domain 4

Ensuring people have a positive experience of care

Domain 5

Treating and caring for people in a safe environment; and protecting them from avoidable harm

Any questions?

Thank you for your time.

Jacob DunkleyStrategic Development, NHS Devon