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The Turnaround Challenge Workshop in SWF, 5 December 2012

The Turnaround Challenge Workshop in SWF, 5 December 2012. Dan Doherty Sepcialist Physiotherapist and Board Member Mid Essex Clinical Commissioning Group (CCG). What’s in this presentation. Brief introduction to Mid Essex Clinical Commissioning Group (CCG)

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The Turnaround Challenge Workshop in SWF, 5 December 2012

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  1. The Turnaround Challenge Workshop in SWF, 5 December 2012 Dan DohertySepcialist Physiotherapist and Board MemberMid Essex Clinical Commissioning Group (CCG)

  2. What’s in this presentation • Brief introduction to Mid Essex Clinical Commissioning Group (CCG) • Your local NHS – the current position • The “turnaround challenge” • How we are tackling the challenge • Your views?

  3. CCG - who we are • New organisation to take over from PCT • Board led by GPs, senior nurse, public health, social services rep, 3 lay members • Working in shadow since 1 April 2012 • “On the job” managing & planning • 50 member practices • Applying for authorisation – Nov 2012 • Establishment - 1 April 2013 Dr Lisa Harrod-Rothwell Chairman, Mid Essex CCG

  4. CCG – what we do • Commissioning – planning & buying healthcare • Not providing – that’s Central Essex Community Services (CECS) • Assess local needs, listen to people • Plan in partnership • Design services, agree contracts • Manage quality & performance • Manage the annual budget – £540m in total for mid Essex in 2012/13CCGs responsible for around £390m

  5. Where we fit in the system

  6. What’s in this presentation • Brief introduction to Mid Essex Clinical Commissioning Group (CCG) • Your local NHS – the current position • The “turnaround challenge” • How we are tackling the challenge • Your views?

  7. Current position • Performance & quality among best in region • Over 95% patients treated within 18 weeks • Over 98% cancer patients treated within 31 days • 90% stroke patients on specialist stroke unit • Over 99% mental health patients followed up within 7 days of leaving hospital • Patient experience survey shows improvement

  8. What’s in this presentation • Brief introduction to Mid Essex Clinical Commissioning Group (CCG) • Your local NHS – the current position • The “turnaround challenge” • How we are tackling the challenge • Your views?

  9. The challenge If we took no action… • We would be overdrawn by £12.8m at end of year • Bigger challenge in 2013/14 – an ever widening gap • We would be unprepared for ageing population • 12% increase by 2035 • Increase in frailty, long term conditions, dementia • So we are managing two things… • 2012/13 - quick action to finish year in balance • 2013/14 & beyond – transform services & secure the NHS for the future

  10. Why is this so? £1.3k per head (PCT spend last yr) Others up to £2.2k Overall three main factors … • Managing with limited funds – our allocation one of the lowest • The activity we can afford – we spend more than other similar areas • Service transformation – plans take time to putinto practice Activity increase not always right for good care Need to review and “ramp up”

  11. What’s in this presentation • Brief introduction to Mid Essex Clinical Commissioning Group (CCG) • Your local NHS – the current position • The “turnaround challenge” • How we are tackling the challenge • Your views?

  12. Short term - 2012/13

  13. Short term - 2012/13 Examples of existing schemes • Health & social care for people at home • Rapid assessment for frail& older people – avoid hospital emergencies • Multiprofessional teams for end of life care at home • Closer work with nursing homes to avoid hospital emergencies • Practices managing referrals working with central team of clinicians • Prescriptions for less expensive drugs

  14. Short term - 2012/13 Examples of tightening criteria • Team to manage treatment at A&E • Reduce unnecessary use of ambulance • Review clinical policies, ensure they are adhered to • “Stop before the op” smoking restriction • Improve physio self-care, reduce wasted appointments • Comply with national guidelines on drugs • Mental health rapid assessment to reduce admissions

  15. Short term - 2012/13 We are not talking about “cuts” Don’t be misled by the press

  16. Longer term priorities

  17. What’s in this presentation • Brief introduction to Mid Essex Clinical Commissioning Group (CCG) • Your local NHS – the current position • The “turnaround challenge” • How we are tackling the challenge • Your views?

  18. How NHS 111 works

  19. Priorities & possibilities Group discussion • Short term: • Your views on what should we stop or change? • Long term: • Your ideas for doing things in a different way? • What do you want us to pay attention to?

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