health in focus - east berkshire clinical commissioning group · bracknell and ascot clinical...
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![Page 1: Health in Focus - East Berkshire Clinical Commissioning Group · Bracknell and Ascot Clinical Commissioning Group Foreword from the Clinical Chairman – Dr William Tong The Clinical](https://reader034.vdocuments.mx/reader034/viewer/2022051911/6001be8c6b99096d0e14757e/html5/thumbnails/1.jpg)
As we approach our second AGM as a Clinical Commissioning Group (CCG), it
is time to reflect on the events and achievements of the last 12 months. The
Bracknell Urgent Care Centre at Brants bridge has completed its first year of
operation. Over 32,000 patients have been treated there for injuries that are
urgent but not life-threatening. Other new services such as the musculo-
skeletal assessment and treatment service are also becoming well
established and many people have already benefitted. Integrated care teams
have been supporting people with complex long term conditions for over a
year now, and the results speak for themselves, with these most vulnerable
people needing 30% fewer admissions to hospital, as the care they need is
anticipated and delivered in their own homes.
But it is not all about treating illnesses, the clinical directors of the CCG are
passionate about prevention, and we are proud to be working with our
colleagues in public health, community services, patients and members of
the public to promote better mental health and physical wellbeing for all.
There has been a whole programme of work from simple things like
skipping in schools, to dementia awareness and prevention campaign
including the Falls Free 4 Life programme and three self-management run
by HealthMakers. We look forward to seeing as many people as possible
when we take to the streets again in November when self-care week comes
round again!
Over the past year, along with our partner organisations, we have worked
hard to improve quality:
We are working to ensure faster, more efficient transfer of information
between services, such as electronic transfer of prescriptions, GP referrals
and discharge summaries.
The Share your Care programme ensures anyone involved in the care of
a patient will be able to access their digital records to ensure their care is
coordinated and integrated services can be developed. This is particularly
important as we move towards seven-day opening in primary care and
increased access to a range of health and social care services.
Online Patient Access allows you, at any time of the day, no matter
where you are, to:
make appointments online;
order repeat prescriptions online;
view your own medical record online.
You will be able to complete these actions using a computer, tablet or
smartphone. You can also still use the telephone or call in to the surgery for
any of these services as well. It is your choice. Please speak to your GP
practice for more information.
These initiatives will all help to improve the quality and speed of care,
reduce delays and duplication.
Health in FocusHealth in FocusHealth in Focus
Bracknell and AscotClinical Commissioning Group
Foreword from the Clinical Chairman
– Dr William Tong
The Clinical Commissioning Group priorities have been agreed with the
Health and Wellbeing Boards of Bracknell Forest Council and Royal Borough
of Windsor and Midenhead and are:
1. Better support for people to manage their long term condition(s)
2. Help people to recover from ill health or following an injury
3. Improved experience of general practice
4. Improve quality in planned care and the number of times people have to
visit hospital
5. Reduce unnecessary, unplanned hospital admissions
Our priorities
The Clinical Commissioning Group believes that everyone should have a say
in how NHS services are provided so there really is ‘no decision about me
without me’.
Would you like to be part of the CCG’s plans to make our area’s health
services truly responsive to local people’s needs?
Do you want to have a say in how those services keep on getting better?
If the answer’s ‘yes’ then there are some great ways you can get involved
and help make a difference. Please see below as well as our website
www.bracknellandascotccg.nhs.uk
Join your GP patient group - this gives you the chance to discuss the
services provided for you, your family and friends and how they can be
improved to suit the needs of your local community. Ask your GP
practice for more information.
Come along to a meeting of the CCG’s Community Partnership Forum –
this is where GPs, patient representatives, local councillors, Healthwatch
representatives, the voluntary sector and care providers get together.
Members of the public are welcome to attend and join discussions on
health issues.
Register with Health Connect on the CCG website to get involved in
surveys and consultations about different aspects of local health services.
We will also keep you informed of developments and news and invite
you to events.
Come along to one of the CCG’s Governing Body meetings or Joint
Commissioning meetings. These take place in public and there are
opportunities to ask questions and meet members of the committees.
Full details are available on the CCG website.
Keep up to date and join in by following us on Twitter @B&A_CCG. We
would like to develop this and other ways of encouraging people to get
involved.
Thank you for getting involvedA few examples of how your feedback has influenced the work the CCG
undertakes:
A New Vision of Care: We received over 100 responses to an online
survey on Health Connect about the care provided to older people and
met face to face with over 50 more who attended public workshops. The
outputs from here fed into the clinical engagement workshops and
together we designed the core principles of care.
Primary Care TransformationEarlier this year, we invited members of the public to explore what
needs to happen so that people with long term conditions receive high
quality routine primary care and are motivated to self-manage their
condition. Participants believed we could make improvements to ensure
“Better Futures for All” which is now the name of this programme of
work. Significant changes are being planned based on the feedback
received, and we are keen to continue hearing from you via your GP
Practice Patient Group.
Help build better health services– how you can get involved
Investing in technology to improve care
Stay up to date with CCG news at www.bracknellandascotccg.nhs.uk
Follow us on Twitter @B&A_CCG
Email [email protected]
Call 01753 860441
Write to Bracknell and Ascot Clinical Commissioning Group (CCG),
King Edward VII Hospital, St Leonard's Road, Windsor SL4 3DP
Audio tapes or CDs of this newsletter are available on request for
people with visual impairments.
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214 362 01753مہربانی اس نمبر پر فون کیجئے:
If you would like a copy of this in large print ortranslated, please call 01753 362 214.
Jeśli ten tekst wymagany jest w formie przetłumaczonej lubwydrukowanej z użyciem większej trzcionki, prosimy o telefonpod 01753 362 214.
Keep in touch
This year our focus will be:
Transforming Primary Care, with new weekend and evening services
planed from the Autumn. We continue to work on plans to develop the
workforce, and on using technology to support better care
Working to support carers through all our programmes to ensure this
priority group, whose needs for convenient access, particularly to
primary care, are taken into account.
Our focus for 2015/16
– Dr William Tong, Clinical Chairman,
Bracknell and Ascot Clinical Commissioning Group
To commission local outcome-based, cost-effective
services for the health benefit of our
population now and in the future.
www.bracknellandascotccg.nhs.uk www.bracknellandascotccg.nhs.ukwww.bracknellandascotccg.nhs.uk
![Page 2: Health in Focus - East Berkshire Clinical Commissioning Group · Bracknell and Ascot Clinical Commissioning Group Foreword from the Clinical Chairman – Dr William Tong The Clinical](https://reader034.vdocuments.mx/reader034/viewer/2022051911/6001be8c6b99096d0e14757e/html5/thumbnails/2.jpg)
Self-care and
prevention:Falls prevention is a priority
and under the leadership of
public health we are partners in Falls
Free 4 Life a targeted programme of
advice, assessment and exercise and
preventative therapy.
The vision for the Better Care Fund includes a focus on
health, not illness. The population will be happier,
healthier and active for longer; through having access to better
information and support to make the right choices.
The Prevention and Self-Care Programme spans many projects. From
promoting fun exercise in schools, to hydration in the elderly, as well as
important advice on keeping well in winter and the HealthMakers self-
management courses. Self care week 2014 was bigger and better than ever with
more people getting health checks, taster session and advice tailored to their needs from
our “Street GPs”.
Primary care:The Clinical Commissioning Group is now jointly commissioning primary care services with NHS
England, therefore having more responsibility and accountability closer to home.
A second initiative has been the Transformation of Primary Care which is seeing the
investment of £2.1m in local primary care to make services more available. We are
designing new services in partnership with local patients to reflect their needs and
preferences. This means changing services to meet the needs of working people
as well as carers, and people with long term health needs. You can get
involved by joining your GP practice patient group. We are looking at
innovations in technology as well as the workforce to ensure we
recruit and retain the best doctors and nurses to support our
patients. Our member practices have come together to
form a legal entity; Berkshire Primary Care Limited
(independent of the CCG), to be the single voice of
the GP practices as a provider organisation,
giving them the ability to work with the
CCG to transform primary care. The
potential for conflict of interest is
taken very seriously by the
CCG – please see website
for more
information.
Unplanned care:
The Urgent Care Centre at Bracknell
Healthspace opened in April 2014. This
was a significant achievement and one that
had been in the planning for many years.
During its first year of operating 32,000 people came
through the door looking for help. The service treats
minor illnesses and injuries. Having a GP on site during
opening hours means patients needing medical advice can be
seen without being directed elsewhere.
People who may be frail and need an urgent specialist medical review no
longer need to be admitted to hospital. A Rapid Access Community Clinic
(RACC) opened at the Bracknell Healthspace in December, where frail older
people can be referred by their GP.
Planned care One example of improvements
in planned care is the creation of a
musculo-skeletal assessment and
treatment service. Since June 2014, GPs
have been referring patients with painful
shoulders, knees and hips to specialist physicians
and therapists at this new assessment and treatment
centre. This is especially for those patients who may
respond without the need for an operation.
Patient and public engagementAs you can see from the information provided in the back page, there
are various ways you can get involved in the work we do, including the
practice level Patient Groups and the Patient Assembly. Local people can
also join HealthMakers. We have recruited patients with long-term
conditions to train as facilitators of self-management training. We have
also recruited patient leaders who have participated in leadership
training. This has included students from Bracknell College who will be
our first young HealthMakers, helping us reach the young people of the
area. We have listened to our patients and public and we will continue
to embed the patient and public engagement in our work.
QualityThroughout the year the Clinical Commissioning Group has worked closely
with local health providers for hospital, community, mental health, primary
care and nursing home care services across East Berkshire. Mechanisms are in
place for regular monitoring of these providers, allowing the CCG to quickly
identify areas of poor performance and quality for which sanctions are issued
and focussed improvement initiatives are implemented. Serious incidents or
adverse events regarding patient safety are reported by Providers directly to
the CCG within 48 hours of occurrence, with CCG overseeing the
investigations and agreeing actions. The action plans are then monitored by
the CCG to ensure implementation. This is a robust system that ensures that
lessons learnt from such incidents are shared widely to prevent recurrence. If
any themes or trends emerge or re-occurring incidents the provider is
requested to undertake a deep dive, an internal review against all the
incidents or an external review.
During 2013/14 we developed and published our three year quality strategy. To find out more about the six key areas, please visit our website. Forest Health Group
Binfield Surgery
Boundary House Surgery
Crown Wood Medical Centre
Easthampstead Surgery
Evergreen Practice
Skimped Hill Health Centre
Forest Health Group
Ringmead
Gainsborough Practice
Great Hollands Practice
Green Meadows Surgery
Heath Hill Surgery
Kings Corner Surgery
Magnolia House
Ringmead Medical Practice
Sandhurst Group Practice
Waterfield Practice
A New Vision of Care will
simplify the way services
work for people with
complex needs to
ensure services
are delivered,
keeping the
patient’s best interest kept
at the centre.
Our two-year operating plan, 2014-16GP member practices
A New Vision of Care
People aged over 6513.8%
Children aged 0-1418.8%
139,393
We serve a populationof 139,393
H
55%
9%
12%
9%
6%
2%4%
3%
Acute hospital services
Mental health services
Community health services
Other Programmes
Primary care & prescribing
Continuing care
Corporate
Surplus
Main acute hospital providers:
Frimley Health NHS Foundation Trust
Royal Berkshire Hospital NHS Foundation Trust
Main community and mental health provider:
Berkshire Healthcare NHS Foundation Trust
GPs
GP Practices
15
79
Bracknell and AscotClinical Commissioning Group 2014/15
Analysis of Net Expenditure
Planned expenditurefor 2015/16 is £151m- less than last year
££
£138m = £1,002equivalent to £1,002
for every personregistered
£80mSpent on acute
services
Looking to 2015/16, the CCG has earmarked funding for improving
access to mental health services, and the overall investment in
mental health services with our main provider Berkshire Healthcare
Foundation Trust is forecast to increase by 8.4%.
£15mPrescribing costs
£MoneyMoneymattersmattersMoneymatters
Key facts
55%
9%
12%
9%
6%
2%4%
3%
HEALTH
INTEGRATED
CAREVOLUNTARY
SECTOR
SOCIAL
CARE
COMMUNITY
2014/15 expenditure
www.bracknellandascotccg.nhs.uk