NHS North Durham Clinical Commissioning Group

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Better healthcare for local peopleNHS North Durham Clinical Commissioning Group (CCG) is the new body responsible for planning and commissioning (buying) local NHS healthcare for people living in the North Durham area.

This booklet explains who we are and how we will work with people who live in North Durham and with local organisations to tackle some of the main health issues and improve services for our communities.

Who we areNorth Durham CCG took over responsibility for buying healthcare for its communities on 1 April 2013. All 31 GP practices in the area are members of the CCG and together they make decisions about new and existing health services. The CCG serves around 243,000 people living in Derwentside, Durham and Chester-le-Street.

As doctors and health professionals we see patients and providers of health services every day. We now have a great opportunity to use the knowledge gained from these relationships to make changes that will improve the health and experiences of local people. We work closely with hospitals and other healthcare providers, Durham County Council, the Health and Wellbeing Board (a joint group that plans how health and social care services will work together better) and the newly established Healthwatch County Durham. We are also committed to working with our patients, those who live in the area and with voluntary organisations to ensure that as many people as possible are involved in decisions made about local health services.

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Health challengesPeople who live in the North Durham area have significant health challenges and problems. They are also more likely to die sooner than those living in other parts of the country. The main causes of early death include high levels of cancer and diseases of the heart or blood vessels.

With an ageing population, we will also experience greater demand for hospital services and an increase in illnesses related to older people such as stroke, long-term conditions and dementia. The large student population in Durham City results in a demand for sexual health, alcohol and harm reduction services.

Other key challenges facing North Durham include:

• Poorlifestyleissuessuchassmoking,alcohol,obesity

• Economicinequalityrelatedtounemploymentandlowincomes

• Peoplewithdisabilitieshaveworsehealththanthosewithout

• Children’shealthandlifestylesarepoorerthanelsewhereinthecountry

• Environmentalfactorssuchaschangesinweatherandlotsofcarsandtrafficinsomeareas

TheCCGiscommittedtoensuringthatpeoplegetthesamequalityandaccesstohealthservices,wherever they live.

NHS North Durham Clinical Commissioning Group

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What are we trying to achieve?Our Vision and Aims

North Durham Clinical Commissioning Group’s vision is:

‘Better Health for the People of North Durham’ where:

health services meet the needs

of patients

the health of our community is

improved

the gap in health inequalities is

reduced

we obtain value for money

and efficiency from available

resources

To deliver our vision, we will focus on four key aims:

Our aims have been developed from the ground up with significant contributions from GPs, member practices and engagement with stakeholders and patients. We have also learned much from our pathfinder projects that have crossed a range of care pathways. Through feedback and engagement from constituent member practices we now have a greater understanding of the key issues and challenges for our population.

Improving the health status of the population.

Addressing the needs of the changing age profile of the population.

Commissioning clinically effective,

better quality services closer to

home.

To make best use of public funds to ensure healthcare meets the needs of patients and is safe and effective.

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In five years time, we expect to:

Improve the health of people by:• Reducingthenumberofpeoplewhodieearlyfromdiseaseoftheheartandbloodvesselsby 30%,whichwillclosethegapwiththeEnglandaverage

• Reducingcancerdeathsby20%,whichwillclosethegapintheEnglandaverage

• Reducingdeathsfromstrokeby27%,whichwillclosethegapintheEnglandaverage

• Improvingthenumbersofpeoplewithdementiawhoarediagnosedearly

Address the growing ageing population by:• Developingmoreintegratedservicesacrossprimary,community,secondaryandsocialcare

• EnsuringallGPpracticesprovidethesamelevelsofcareandthatpeopleaccesshealthservicesin the same way wherever they live

• Makingsurethatpatientsarereceivingtherightcare,intherightplace,attherighttime

• Ensuringthateverycontactwithahealthprofessionalhelpspeopletoconsiderhowtoimprove their health

• Developingmoreeffectivewaysforhealthandsocialcareprofessionalstoworktogetherwith patients to consider all their needs at once

Making sure the services we buy and arrange are of a high quality and are provided as close to the person’s home as possible by:• Ensuringasmanyroutinetreatmentsaspossibleareprovidedinprimaryandcommunitycare settings

• Makingsurethatonlythemostcomplicatedtreatmentsareprovidedfromspecialistcentres

• Givingpatientsagreaterchoiceofserviceswithconvenientandtimelywaysofaccessingthemat all points in the treatment

Acute services 53%

Running costs 2%

Prescribing 13%

Continuing healthcare 4%

Other healthcare services 1%

Community services 11%

Mental health and learning disability 13%

Other primary care services (inc. out of hours) 2%

We are responsible for over £320 million pounds of public money which is spent on maintaining and improving local health services. The pie chart opposite shows a breakdown of how we plan to spend these resources in 2013-14.

How we spend our budget

NHS North Durham Clinical Commissioning Group

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Our priorities for 2013/14

Other key challenges facing North Durham include:

• Reducingthedeathratesforcancerinthose agedunder75

• Improvingthequalityoflifeandreducingthe number of unplanned admissions to hospital of people with long-term conditions

• Improvingthehealthofandreducingthenumber of unplanned hospital admissions for young people with chest infections or breathing problems

• Reviewingandredevelopinghowweprovide emergency and urgent care

• Improvingtheservicesthatpeoplewithmentalhealthissuesreceive

• Improvingtheearlydiagnosisandsupportforpatientswithdementiaandtheirfamilycarers

• Improvingtheservicesweofferinthecommunityforthosewhohavehadastroke

• Improvinghowwecanprovidegeneralhealthservicesforpeoplewithlearningdisabilities

• Developingabetterwayofprovidingshort-termsupportservicestohelppeopleregain confidence and daily living skills after they have been ill

• Reviewinganddevelopingaplanforhowwecommissionhospice,palliativeandendoflifecare

• Continuingtoimplementthenationaldementiastrategy

• Improvinghowpeoplecanaccesspsychologicaltherapiesinthecommunity

Over the past year we have:

• Commissionedcommunity-basedskinrelated(dermatology)andminorsurgeryservices

• TestedoutweekendopeningofGPpractices

• Improvedthewaypatientswithepilepsyreceivehealthservices

• Reviewedhowthedistrictnursingserviceisprovided

• ExpandedImprovingAccesstoPsychologicalTherapiesServices(talkingtherapies)

• Reviewedshort-term(intermediate)careandaccidentandemergency(A&E)services

• ImplementedanewGP-basedchronicobstructivepulmonarydiseaseservice

• InconjunctionwithMacmillanCancerSupport,testedouthealthandwellbeingclinicsfor patients diagnosed with cancer

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Our governing body The governing body is the main decision making part of the CCG.

Dr Kate Bidwell, Chair

Nicola Bailey, Chief Operating Officer

Dr Verna Fee, Lay member, PatientandPublicInvolvement

Tom Stevenson, LayMember,GovernanceandAudit

Richard Henderson, Chief Financial Officer

Dr Liz Herring, Director of Nursing, Quality and Development

Michael Houghton, Director of Commissioning and Development

Dr Ian Davidson, Director of Quality and Safety

Dr Neil O’Brien, Chief Clinical Officer

Dr David Graham, DirectorofPrimaryCareandInnovation

Dr David Smart, GP Constituency Lead (Durham)

Dr Gim Ong, GP Constituency Lead (Derwentside)

Dr Richard Lilly, GP Constituency Lead (Chester-le-Street)

Dr Angela Galloway, Secondary Care Clinician

Chris Brown, PracticeNurseRepresentative

Anna Lynch, Director of Public Health, Durham County Council

Lesley Jeavons, Head of Adult Care, Durham County Council

We will commission services in line with the NHS Constitution and improve the health of our patients in accordance with the NHS Outcomes Framework in order to ensure that we:

• Preventpeopledyingprematurely

• Enhancethequalityoflifeforpeoplewithlong-termconditions

• Helppeopletorecoverfromepisodesofillhealthorfollowinginjury

• Ensurethatpeoplehaveapositiveexperienceofcare

• Treatandcareforpeopleinasafeenvironmentandprotectthemfromavoidableharm

NHS North Durham Clinical Commissioning Group

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How can you get involved with the CCGWe want to involve local people in deciding what our healthcare priorities should be and in making decisions about health services. There are a number of ways you can get involved and have your say:

GP practice reference groups:MostGPpracticesnowhavetheirownpracticereferencegroup.Ifyouwouldliketojoin,thenpleasecontactthepracticemanageratyourlocalsurgeryformoreinformation.

My NHS:MembersofMyNHSreceiveregularupdatesontheworkoftheclinicalcommissioninggroup as well as invitations to take part in events, surveys and consultations. You can register via our website.

Public events: We organise a series of public events each year which are open to all.

Governing body: These meetings are open to the public. You are welcome to observe and there willbeanopportunitytoaskquestions.

Consultations: We regularly involve the public, patients, users and family carers in decision making through involvement activity and consultations.

Please visit our website for more information about the CCG and how to get involved.

NHS North Durham Clinical Commissioning GroupTheRivergreenCentreAykley HeadsDurhamDH15TSTel:01916053248

www.northdurhamccg.nhs.uk