Public Consultation Outcomes and Decision Hartfields, Fens and Wynyard Road

1. Public Consultation Outcomes and DecisionHartfields, Fens and Wynyard Road Karen Hawkins Associate Director of Commissioning & Delivery NHS Hartlepool & Stockton-on-Tees CCG October 2016

2. Background • Time-limited APMS contracts • Extended a number of times • Legal advice unable to extend further • Now expire 31 March 2017 • We have a Duty to comply with requirements relating to procurement, patient choice and competition

3. Pre-Consultation The CCG has a Dutyas to public involvement and Consultation in the development and consideration of proposals for change, therefore undertook engagement in relation to the existing services 2,956 people took part in pre-consultation engagement activity in June 2016 This was an overall response rate of 36.41% FensHartfieldsWynyard Rd 1,108 910578 40.39% 38.06% 28.96% Individual Practice Response Rates

4. Full Consultation Report The full consultation report will be published on the CCG website Printed copies and other formats will be made available on request www.hartlepoolandstocktonccg.nhs.uk

5. Options www.hartlepoolandstocktonccg.nhs.uk

6. Consultation Headlines Following engagement the CCG, as part of it’s Duty, then undertook consultation on the options for change The consultation dialogue period ran from01 August to 23 September 2016 Consultation reach included patients aged 16 years and over registered at the three practices 1,236people responded to the consultation

7. Respondents FensHartfieldsWynyard Rd Other* 233128165 710 TOTAL 1,236 * Other = respondents that did not say which practice they were registered

8. Activity Overview Communications Activity • Communications activity included: • A letter sent to patients aged 16 years and over at each practice • Press and media releases • Stakeholder briefings • Social media activity • Community and voluntary sector newsletters and networks • Posters and flyers in public venues across the three practice areas

9. Activity Overview Consultation Activity • activity included: • Consultation questionnaire • Public consultation events • Targeted engagement of people from groups with protected characteristics • Targeted engagement of stakeholders • Online and social media activity

10. Targeted Engagement The CCG commissioned Hartlepool Voluntary Development Agency (HVDA) to conduct targeted engagement with members of groups with protected characteristics. The full protected characteristics report will be published on the CCG website, with the main themes being outlined in the results section of this presentation.

11. Stakeholder Engagement Relevant stakeholders were identified and engaged through email and stakeholder briefings. Stakeholders were also sent hard copies of the Consultation narrative document, posters and leaflets to distribute to their networks. Following concerns raised at last Audit & Governance Committee a comprehensive overview of activities was provided to the Chair to evidence the CCGs compliance with their Duty to consult

12. Questionnaire Results Support for options by practice

13. Questionnaire Results Opposition to options by practice

14. Formal response - Stakeholders • Formal responses were received from: • Hartlepool Borough Council Audit and Governance Committee • Healthwatch Hartlepool • The Rt Hon Iain Wright MP • The Joseph Rowntree Foundation • Unison • The main points raised within formal responses referred to: • Process • Consultation engagement • Consultation options • Access to alternative services • Procurement options • Staff • Full responses are contained within the consultation report.

15. Appraisal of Options 1 and 2One contract on two sites

16. Appraisal of Options 1 and 2One contract on two sites cont ….

17. Appraisal of Option 3One contract on Wynyard Road Site

18. Conclusions Options 1 and 2 • were equally supported scoring 36.8% each • are financially viable both from a CCG and provider perspective and there is no significant variance in either option • Ensures accessibility, choice and resilience across the town • There was slightly more opposition to Option 1 [Wynyard Road and Fens – 36.2%] than to Option 2 [Wynyard Road and Hartfields – 35.5%] Option 3 • was the least popular with respondents • Is the most financially viable option both from a CCG and provider perspective • Reduces access points • Potential to reduce resilience across the town • 710 patients did not indicate that they were a patient from either of the three practices • 119 [9.6%] respondents supported more than one option • 353 [28.6%] respondents opposed more than one option

19. Additional Stakeholder Request Formal request from stakeholders and groundswell of opinion for the Primary Care Committee (PCC) to consider a 4th Option of One Provider 3 sites: • PCC had previously considered this scenario and determined it was not a viable option based on the criteria all original 13 scenarios were assessed upon prior to consulting on the viable options Formal request was considered at PCC and determination; • The market through recent mergers/termination of contracts has already indicated that they would not be able to sustain a 3 site option based on the current list size, workforce and national monies available to deliver GMS • Any response on this option would pose a significant risk to delivery and continuous patient care as is not affordable to the Provider • The CCG has a Duty to commission sustainable, high quality effective and efficient services therefore the PCC did not agree to progress to procurement on the option of 1 Provider 3 sites.

20. Outcome The PCC met on the 25th October 2016 and following review of all information available determined; • Option 2 – one provider on the two sites of Hartfields and Wynyard Road is to be progressed to procurement

21. ActionsTaken • Current providers have been notified of decision; • Local practices have been notified • Decision publicised on CCG website

22. Next Steps • Patients of all practices to be notified • Procurement documentation to be completed • Procurement process to be undertaken