Transforming Community Services – “Your health, your future, your say”

1. Transforming Community Services – “Your health, your future, your say” Introduction to NEW Devon Clinical Commissioning Group (CCG) - The CCG’s function and priorities

2. What is commissioning? The CCG’s function and priorities

3. NHS Northern Eastern & Western (NEW) Devon Clinical Commissioning Group (CCG) CCG function Three localities Population 895,000 Northern 165,000 Eastern 380,000 Western 350,000 A mixture of urban, rural and soci-economic groups 2,330 square miles Budget for 2012/13 of £1.1billion The CCG’s function and priorities

4. The people The local population

5. Population aged 85+ The local population

6. Other information about our community The health of people in West Devon is generally better than the England average. Over the last 10 years, early deaths from heart disease and stroke have fallen. Levels of teen pregnancy and smoking in pregnancy are better than the England average. Estimated levels of adult physical activity is better than the England average. Rates of hip fractures, smoking related deaths and hospital stays for alcohol related harm are better than the England average. Source: www.healthprofiles.info, Public Health England, “West Devon Health Profile 2013” The local population

7. 5-year strategic priorities What this will mean for individuals by 2019 1 Partnerships to deliver improved health outcomes • Informed users of healthcare through improved lifestyle advice, support and preventative services, to be healthy and reduce the need for treatment • Services designed & delivered in a targeted way to reduce health outcome inequalities • Organisations and businesses across local communities supporting schemes to improve health and wellbeing with greater local co-ordination 2 Personalisation and integration • Greater access to personal health and social care budgets supporting and empowering those in most need • Personalise community health and social care services • More services for individuals will be coordinated by a single agency • Improved services will see people stay safe, well and at home for longer 3 At scale General Practice registered populations as the organising units of care, • Improved access to wider primary care teams for longer hours over 7 days with a range of different locations to visit for urgent care • Registered GP lists ensure regular contact with the same professional for long-term care • Enhanced range of services delivered around a GP practice with more care organised by the wider practice team; more flexible access for minor conditions 4 A regulated system of elective care that delivers efficient and effective care for patients • More one-stop treatment will be the norm for elective services personalised for patients, some provided in bigger centres, but with less visits • More support to self-manage conditions and reduce the need for surgery or specialist care in the first instance • More care provided in the GP practice with support to find the right place when specialist input is required 5 A safe and efficient urgent care system • Supported to self-manage and stay safe, well and at home for longer • A single organisation to organise all care needs and respond to personal requests • A single number making it easy to seek advice, navigate urgent and emergency care and access the right local services the same day • Most specialist care available in the CCG with some further afield

8. Examples of Services Currently Offered in the Community Community nursing Podiatry Speech and language therapy Occupational therapy Physiotherapy Long term conditions matrons (e.g. COPD, Diabetes) Community hospitals Supporting early discharge from hospital Rapid assessment to avoid the need for people to go to hospital Tissue viability care Care and support services ….but please talk with us on any aspect of health & care services Services currently available

9. Questions? What health and care services would you expect to have from 2015? What would you want for children and their children? Don’t limit your aspirations, it’s not the here and now, it's future services we are building – what can you see when you close your eyes? If you were unwell, what would you need to help you stay in your own home? If you had to go into hospital what would you need to help you get back home quickly? What would you need to improve your health and wellbeing? What do you need to stay healthy? What are the top five things you would want? Questions?

10. Questions? Personal health budgets – your money to spend how you choose A personal health budget is an amount of money that is allocated to a person to allow them to meet their health and wellbeing needs in the way that best suits. Would this help you? Keeping you healthy With a growing and ageing population, preventing problems before they arise or supporting people at an early stage is becoming more important. To strengthen prevention current approaches would need to change. What would you like to see? What do you want your commissioners to do? Advances in care mean that more people can successfully be cared for at home rather than being admitted to hospital. Is this what you want? To develop more home-based support other community services may need to change. Where your care is provided Commissioning (or planning and buying healthcare) is now led by GPs. Should we take this a step further and involve communities directly in commissioning? Self-care and self-management What change in services would enable you to better manage your own conditions? What would this mean for you? How would you want support to be provided? Questions?

11. What have we done already to find out the views of the public? • We have a communication and engagement plan that uses a wide range of methods to collect views. We have collected these by: • Social media • Email • Face to face meetings • Through complaints and PALs requests • Outreach events (health summits, public meetings, etc.) • Vox pops (interviews with members of the public) • We also plan to find out people’s views through: • Online and hard copy survey • From the information collected by our providers

12. http://www.newdevonccg.nhs.uk/involve/community-services/101039http://www.newdevonccg.nhs.uk/involve/community-services/101039