patient and public engagement event - enfield ccg and public engagement event ... later in this...

Patient and Public Engagement Event

Wednesday 1 March 2017

9:30am-1pm

Conference Room 3, Dugdale Centre, Enfield

1

Welcome

Teri Okoro

Lay Member for Patient and Public Engagement

2

Housekeeping

• No fire alarm is planned today. If you hear the alarm,

please make your way outside

• Please turn your mobile phones off or put them on

silent

• The toilets are on this floor.

• You have a local GP and an NHS manager on each of

your tables. They are here to lead the group

discussions. We have two group work sessions today.

• Please help yourself to refreshments throughout the

morning

Local clinicians working with local people for a healthier future 3

Agenda

4

9:30pm-10:00am Sign in, refreshments and networking

10:00am–10:10am Welcome

Teri Okoro, Lay Governing Body member for Patient and Public Engagement

10:10am-10:30am Enfield CCG update - our plans for 2017/18

Dr Mo Abedi, Chair

10:30am-11:30am Adherence to evidence based medicine consultation

Clinical lead- Dr Jahan Mahmoodi, Medical Director

Management lead – Mark Eaton, Director of Recovery

11:30am-12:30pm Primary Care Developments workshop

Clinical lead –Dr Mo Abedi; Chair

Management lead- Jenny Mazarelo, Head of Primary Care

12:30pm – 12:50pm Questions and Answers session with the Governing Body

12:50pm-1:00pm Thank you and event closes

Teri Okoro, Lay Governing Body member for Patient and Public Engagement

Local clinicians working with local people for a healthier future

Enfield CCG Update

Dr Mo Abedi, Chair

5

Feedback from last

eventFollowing on from discussions at our last event:

• Your feedback on the Adherence to Evidence Based Medicine was reviewed. Today is the launch of our public consultation and we would like your feedback on our proposals in the group session. We also have copies of the consultation document and questionnaire with us today. The CCG also has two further consultation events after today :

Wednesday 22 March 2017 2pm-4pm – Community House, Edmonton Hosted by Healthwatch Enfield

Thursday 30 March 2017 2pm-4pm – Community House, Edmonton Hosted by Enfield Voluntary Action

• PAU Consultation – A final decision will be taken at our Governing Body meeting on 15 Mar 2017 1:30pm-3:30pm.

• Strategic Transformation Plan (STP) - we will provide an update on developments later in this presentation.

Recovery and

Finance Update• Enfield CCG is still in special measures.

• We are planning to close this financial year with a £7.7m deficit, with some help from the North Central London risk share agreement.

• This compares to an in-year deficit of £14.4m last year.

• 2017/18 - Plan is for a £2.1m surplus in 2017/18 – really breakeven

• 16/17 forecast out turn for QIPP has improved by £699k in month 10 (January 2017)

• 17/18 QIPP Target £24.7m Gross – 6.8% of allocation.

• We are currently designing our QIPP programme for 2017-18

A new shared management team is being appointed to work across the five CCGs

– Barnet, Camden, Enfield, Haringey and Islington:

• Helen Pettersen, Accountable Officer designate was appointed January 2017

• The interviews for the NCL Chief Finance Officer, NCL Director of Strategy and NCL

Director of Performance and Commissioning are expected to be March 2017

• The next steps are to recruit the local Chief Officers, followed by the Directors team.

• Finally, an Independent Chair will be recruited.

• Each CCG will still be the statutorily responsible organisation and have regular

Governing Body meetings, but will delegate some powers to a Joint Committee. Each

CCG will be equally represented on the Joint Committee.

North Central London (NCL)

Commissioning Management

Arrangements

About the Sustainability & Transformation Plan (STP)

STP triple aims:

1. Close gaps in Health & Wellbeing

2. Close gaps in Care and Quality

3. Close gaps in Finances

http://www.england.nhs.uk/futurenhs

Enfield CCG / Enfield

Council

320k GP registered pop

48 GP practices

Barnet CCG / Barnet

Council


62 GP practices

Camden CCG / Camden

Council


35 GP practices

Haringey CCG / Haringey

Council


45 GP practices

Islington CCG / Islington

Council


34 GP practices

What is North Central London (NCL)?

UniversityCollegeHospital

BarnetGeneralHospital

ChaseFarmHospital

NorthMiddlesex

Hospital

RoyalFreeHospital

StAnn’sHospital

TheWhittingtonHospital

EdgwareCommunityHospital

FinchleyMemorialHospital

StMichael’s

PrimaryCare

Centre

LondonAmbulanceService

EastofEnglandAmbulanceService

Moorfields EyeHospital

GreatOrmondStreetHospital

CentralMiddlesex

Hospital

Highgate Hospital

StPancras Hospital

StanmoreHospital

Tavistock Clinic,PortmanClinic,

GloucesterHouseDayUnit

Our vision is for North Central London to be a place with the best possible health and wellbeing, where no one gets left

behind

Our vision

North Central London

Clinical Cabinet

• Chair - Clinical Lead for the NCL STP programme

• Meets every 2 weeks, reporting to the NCL Transformation Board

• Clinical representation is across health and social care in NCL at a senior level

• The purpose of the clinical cabinet is to review, advise and direct transformation across

North Central London from a clinical and patient perspective.

• The clinical cabinet works closely with the Clinical Reference Group (CRG) and provides

updates, leadership and steer to the group as well as incorporating the outputs from the

CRG in their programme of work.

The NCL case for change

Health & Wellbeing Gap

Care & Quality Gap

Financial Gap

Health and care practitioners across NCL have been working together to

understand and analyse the current issues across the system. This has

been developed into a case for change. The case for change identified the

following major gaps:

You can find the Case for Change on our website: http://www.enfieldccg.nhs.uk/Downloads/STP/NCL%20case%20for%20change.September%202016.pdf

http://www.enfieldccg.nhs.uk/Downloads/STP/NCL case for change.September 2016.pdf

NCL STP workstreams

• Prevention

• Achieving the best start in life

• Maternity

• Health and Care closer to home

• Urgent and Emergency Care

• Mental Health

• Cancer

• Planned Care

• Specialised Commissioning

• Commissioner savings

• Provider savings

• System-wide productivity

All the information about the plan including the summary version can be found

on our website:

http://www.enfieldccg.nhs.uk/Downloads/STP/NCL%20case%20for%20chang

e.September%202016.pdf

http://www.enfieldccg.nhs.uk/Downloads/STP/NCL case for change.September 2016.pdf

Feedback and

Questions


Workshop sessions

16

10:30am-11:30am Adherence to evidence based medicine consultation

Clinical lead- Dr Jahan Mahmoodi, Medical Director

Management lead – Mark Eaton, Director of Recovery

11:30am-12:30pm Primary Care Developments workshop

Clinical lead –Dr Mo Abedi; Chair

Management lead- Jenny Mazarelo, Head of Primary Care


Adherence to Evidence

Based Medicine (AEBM)

Dr Jahan Mahmoodi, Medical Director

17

Overview

• As an organisation in Special Measures we are required by NHS England

to look at everything we spend to enable us to live within our means and

ensure we can continue to fund essential services and treatments.

• As part of this on-going review we are looking at the evidence associated

with a number of procedures and treatments to see where clinical

evidence supports changing thresholds and access criteria.

• Whilst we are doing this because of our financial position the work is

clinically led and evidence based.

• Enfield CCG are also leading this work across North Central London with

our CCG Colleagues.

• Today is the start of our formal consultation period lasting until the 31st

March.


Scope of Review

We are looking at four main areas:

• The thresholds and criteria associated with existing Procedures of

Limited Clinical Effectiveness where the evidence has changed.

• Additional areas that others have identified as being PoLCE that

are not currently in the North Central London policy and where we

consider it appropriate to review.

• Procedures where the clinical evidence suggests we should make

changes to thresholds to improve outcomes for patients.

• The decommissioning of homeopathic treatments at UCLH.


Preparing for the

Consultation ProcessIn preparing for the consultation commencing today we have done a wide range of pre-engagement activities including:

• Discussing this with the Enfield Health & Wellbeing Board and Health Overview and Scrutiny Committee.

• Engaging with Local GPs via a range of events and with our Secondary Care Consultants via the North Central London Clinical Cabinet.

• Undertaking Pre-Engagement Work with our public.

• Working with our CCG colleagues in North Central London and with the NCL Sustainability & Transformation Plan Team.


Procedure List in Full


PROCEDURE PROPOSED OUTCOME

Bunions

Introduce new evidence based criteria for

treatment.

Hearing Aids

Knee Replacement Surgery

Hernia

Vasectomy

Uterovaginal Prolapse

Revision Mammoplasty

Revision of Hypertrophic Scars

Procedure List in Full


PROCEDURE PROPOSED OUTCOME

Penile Procedures (Penile Implants)

Introduce new evidence based criteria for

treatment.

Cholecystectomy for Gallstones

Chalazions

Correction of Ptosis

HomeopathyDecommission

Treatment

Next Steps

• Today we are launching our consultation and are

seeking your feedback on our proposed changes.

• We are here to answer your questions and to help you

complete the consultation document or you can take the

document away and use freepost to return it or alternatively

use our online survey.

• We are holding two further public events during the month

and also discussing the evidence with Local GPs at our

Locality Meetings.

• We will also be taking our NCL CCGs through the same

process we are currently undertaking.


Jenny Mazarelo, Head of Primary Care

Peter Lathlean & John Piesse, Primary

Care Development Managers

Primary Care

Transformation

Primary Care

Access Hubs

• Open from 18:30 to 20:00 Monday to Friday

• Open from 08:00 to 20:00 Saturdays,

Sundays and Bank Holidays

• Book through your registered practice or

direct on 03000 333 666

• Access hub locations:

Carlton House Surgery (Enfield Town)

Woodberry Medical Practice (Winchmore Hill)

Evergreen Primary Care Centre (Edmonton)

Medical Records

• To provide continuity of care, the hub can

access your medical records

• Patients will be asked if they consent to

their medical records being viewed by the

GP or Nurse providing their care

• A summary of the consultation will be

returned to the patient’s own practice for

adding to their medical record

Patient Online

Services

• Practices are contractually obliged to offer

patients the opportunity to book an

appointment, order a repeat prescription or

access their medical records online.

• This is a means of increasing choice and

convenience for all patients

• Ambition ~ 20% of patients with an online

account with 10% of patients using one or

more online services by 31st March 2017

iPlato – Text Reminder Messaging Service

You book an

appointment with the

GP Practice via your

preferred method

GP Practice records

your mobile number

into your patient

record

The system automatically sends

you a SMS message reminding

you of your appointment date

and time (typically 2 days before

your designated appointment).

The text includes details on how

to cancel this appointment if

required without the need to

phone the practice.

You can send a SMS

text reply – this

informs the system

to release your

appointment for

others to book

You attend your

appointment as per

usual

Fully Delegated Commissioning of GP Services

32

Ask us

anything!


Panel questions and answers session

Key dates for your diaries

Governing Body Meetings

All the dates for 2017 can be found on our website: 15 Mar 2017 1:30pm-3:30pm Venue: Committee Room, Holbrook House, Cockfosters Road, Barnet EN4 0DR17 May 2017 1:30pm-3:30pm Venue: Millfield House, Silver Street, Edmonton N18 1PJ

Patient and Public Engagement Meetings

For all Enfield residents and local stakeholders – details available on our website: http://www.enfieldccg.nhs.uk/patient-and-public-engagement-events.htmWednesday 21 June 2017 10am-1pm, venue to be confirmedWednesday 25 October 2017 10am-1pm, venue to be confirmedWednesday 7 March 2018 10am-1pm, venue to be confirmed

Patient Participation Group (PPG) network meetings

For Chairs and members of PPGs and staff at member practices who support patient groups only. Tuesday 7 March 2017, 6pm-9pm, Executive Suite, Dugdale CentreTuesday 6 June 2017, 1.30pm-4pm, Conference Room 2, Dugdale CentreTuesday 5 September 2017, 6pm-9pm, Executive Suite, Dugdale CentreTuesday 5 December 2017, 1.30pm-4pm, Executive Suite, Dugdale CentreDetails are on our website: http://www.enfieldccg.nhs.uk/PPGnetworkmeetings.htm

Please email [email protected] to be added to our email and be notified of news and

events.

All events are advertised on our website: www.enfieldccg.nhs.uk Twitter @EnfieldCCG and in the local press.


http://www.enfieldccg.nhs.uk/patient-and-public-engagement-events.htm

http://www.enfieldccg.nhs.uk/PPGnetworkmeetings.htm

mailto:[email protected]

http://www.enfieldccg.nhs.uk/

• Your feedback is important to us today

• We want to work closely with local people to develop our plans

• Today we are going to focus on our plans for the next year

• We will ask you to fill in a feedback form (in your pack) about today’s

event. Please tell us what you what think of today and tell us about

topics you would like to see at future events.

We would like you to get more involved in the CCG:

• Join your GP practice’s Patient Participation Group (PPG). Ask your practice if you can

join. We have an active PPG network and an elected PPG representative Litsa Worrall

who sits on the Governing Body

• Volunteer to be a patient representative and help us improve services for local patients

forms are available.

• Attend a Governing Body Meeting – dates are advertised on our website, on Twitter

and in the Enfield Independent

• Follow us on Twitter @EnfieldCCG

• Sign up to our mailing list – contact [email protected]

• Visit our website www.enfieldccg.nhs.uk

Listening to you




Thank you for attending

today’s event

For more informationwww.enfieldccg.nhs.uk

Follow us on Twitter @EnfieldCCG

Contact: [email protected]

0203 688 2814

35Local clinicians working with local people for a healthier future



patient and public engagement event - enfield ccg and public engagement event ... later in this...

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