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Join us for our quarterly engagement event to receive updates on extended access to GP services, health optimization initiatives, wheelchair services, and commissioning principles. Dr. David Kelly will discuss the latest developments and gather your input on priority areas.
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Event programme • Welcome Dr David Kelly • Engagement updates Dr David Kelly • Commissioning game All • Commissioning principles Dr David Kelly • Discussion All
Update on extended access to GP services All CCGs given funding to increase GP appointments - early morning/evening/ weekends. Engagement took place Oct/Nov 2017. Over 1,900 surveys returned. You said • Location - should be provided in a central location that is easy to access by public transport, has good parking, facilities for wheelchair users, and is in a ‘safe’ area • Routine appointments – most popular times were Monday to Friday 6.30pm-8.00pm, Saturday 8.00am-8.00pm and Sunday 8.00am - 1.00pm • Urgent appointments – want to be able to access appointments early morning, late evening and weekends. Willing to travel further for urgent appointments • Health professional – want to be seen by the most appropriate health professional for their condition, who has access to their medical records • Promotion of appointments – need to ensure that public are made aware of their existence and how to book them
Extended access to GP services We did • Report of findings is available on our website • Procurement exercise completed and contract awarded • Your views have been used to design the new service • Appointments will be available in week until 9.30pm; Saturday until 4pm; Sunday until 1pm. • Provided in a central, safe, accessible location • CCG and GPs will promote
Update on health optimisation Last year, agreed to develop a programme asking people to lose weight/quit smoking before their surgery. After further engagement, have taken decision not to progress with the original programme but instead to: Review/amend our clinical policies to make sure they are in line with NICE guidance in respect of smoking and weight loss. Raise awareness of the risks associated with smoking and being overweight prior to surgery. GPs and hospital doctors will talk to patients about the risks; there will be better signposting of healthy living information and local support services. CCG will use key national campaigns to promote healthy living eg Stoptober and Change4Life.
Update on wheelchair services Carried out an initial review of the service to understand more about the needs of users and how they are being met. Engagement with existing service users took place at the end of last year. You said • For some, service was quick and responsive with knowledgeable and professional staff • Concerned about waiting times for assessment, provision and repairs • There is poor communication between service and users • Staff need better training eg in customer service and the referral and assessment process • Service does not cater for working people or for those with commitments during office hours • Many commented on the lack of choice or suitability of equipment • Service needs better funding /more staff.
Next steps • Findings will be used to inform what changesor improvements might be needed in the future. • There may be further patient and public involvement depending on the outcome of that process
The game • Get your views on priority areas • Understand how you decide what matters most • The aim is to have a good discussion, not to win
Playing the game Imagine you are one of the health bosses at your local Clinical Commissioning Group. Your task is to decide the best way of spending the health budget for the area. What is important to you and why? The health and wellbeing of local people depends on your decisions!
Basics As you move around the board, you’ll be asked to make a number of decisions. Discuss the issue thinking about: • Is this a priority and why? • Will it impact on patient care – make it better/worse? • What will the general public or media think? • Where will the money come from? • Do you need more information before deciding? • Shall we do this? Maximum 10 mins discussion per card
Commissioning principles Dr David Kelly
Commissioning principles The CCG needs to make the right choices about how we spend money. We have to balance • Quality • Demand • Finance
Difficult decisions • We have to prioritise what services we commission and how they are provided • Want to do this in a transparent way and involve patients and public as well as partners and other stakeholders • Have developed some principles that will guide our decision making
Commissioning principles • Keep improving people’s health locally, within our budget • Prioritise healthcare actions that give the greatest benefits for patients - clinically and in terms of quality of life • Services should be safe, clinically effective and provide positive experiences for the patient and carer • Stay within our budget and make sure services are value for money • Make sure there is equitable access to services for patients • Keep to safeguarding and other appropriate legislation.
Discussion • What do you think of the principles? Do you agree / disagree? • Is there anything missing? • Will they help improve transparency?
