Transforming your local NHS: Our year in review

1. Transforming your local NHS: Our year in review July 2016 We are responsible for developing, planning and purchasing your health services in Fareham and Gosport. We think that everyone should have the support they need to live the life they want, take control of their health and be as independent as possible throughout their lives. With this in mind, here are the things we think are really important and they form the priorities in our five year strategy: • Our vision: • “Everyone should have the support they need to live the life they want, take control of their health and be as independent as possible throughout their lives...” This document gives you a flavour of what we have been doing over the past 12 months to meet these priorities and highlights some of our plans for the year ahead. The NHS locally has experienced a number of challenges over the past year and we know that people are concerned about the way urgent care is provided in the area, that you want to see a GP quickly and easily when you need to, and that care closer to home is something many would support. These are important considerations for us too, as is our financial position locally, and this document highlights the work we are doing to make improvements to the way local health services are provided.

2. Looking back: the past 12 months What you’ve been telling us We are grateful to everyone who has taken the time to comment on local health services over the past year. People in Gosport, for instance, told us their views on primary care services - that they were happy to be seen by a healthcare professional other than their own GP(including a pharmacist where appropriate) and would be prepared to travel to somewhere other than their own GP practice, if need be, which helped us to plan a new same-day access service. • Meanwhile, through a series of focus groups, people with long term conditions have been engaging with us over improvements they would like to see to the way they are supported to manage their care more effectively. We also worked with South Eastern Hampshire CCG to seek the views of local people about how care could best be organised in the community to support more patients being cared for at home. Results from this feedback will be shared with local GPs to help them plan effective community care for people in the area. Delivering care to the required standards • We know that services for local people have been improving throughout the year, and this has contributed to delivering high and improved standards of care, such as: • 94% of outpatients received treatment in less than 18 weeks from initial referral; • 98% of patients requiring diagnostic tests have been seen within six weeks; • Most people with suspected cancer have been seen very quickly. • But there are some areas, too, where we know performance can and needs to improve. In particular A&E waiting times but we also need to: work with the South Central Ambulance Service to improve ambulance response times in certain areas; ensure people have faster access to psychological therapies when they need them; and some of our referral to treatment times, which have strayed beyond the 18 week target time, must also be addressed. Plans are in place to tackle all of these and we expect improvements over the next few months. Focus remains on using Fareham Community Hospital to full capacity We are part of a ‘task force’ that is seeking to make best use of the modern facilities at Fareham Community Hospital. It was recently awarded ‘dementia friendly’ status and, with help from Fareham MP, SuellaFernandes, NHS and voluntary organisations are meeting regularly to plan how the building can be best utilised in future, particularly in supporting our initiatives to support more care closer to home. A Carers’ Hub and dementia advisory service have been popular recent additions. 2015/16

3. Looking forward: the year ahead Our focus on improving urgent care for local people In the year ahead we’ll be working closely with partners to ensure urgent care services in the area improve, particularly how quickly people are seen if they have to go to A&E at QA Hospital. The Care Quality Commission’s report from its inspection visit earlier this year revealed serious concerns about A&E care and a great deal of work still needs to be done to provide patients with the services they want and should expect. Staff in A&E are working extremely hard, under enormous pressure, and it is important that their huge efforts are recognised. Portsmouth Hospitals NHS Trust needs to be supported to make the necessary improvements to better manage the demands being placed upon the service. All parts of the local NHS – including teams working elsewhere in QA, as well as in community settings – will have a part to play in giving patients better emergency care, and everyone is committed to making the changes we all need to see over the next few months. Plan for care closer to home to benefit patients We want to transform the way care is provided locally over the next few years, bringing more services away from hospitals and closer to home, and we are part of a ‘Better Local Care’ scheme which is driving this aim forward. An early success from this scheme is the same-day access centre at Gosport War Memorial Hospital, which makes it easier for people to see a GP, nurse or other health professional on the day they make contact. Four GP practices are currently running the scheme, but it may be expanded to cover a wider range of surgeries if it continues to succeed. Surgery Signpostersis another new initiative, run with the help of volunteers, who have a crucial role in ensuring that people in Gosport don’t miss out on all of the help and support available locally. They can put you in touch with voluntary and community services which meet your specific needs. This service, run by Gosport Voluntary Action from the Waterside Medical Centre and funded by the CCG, has also recently become available in Fareham. There are more new models of care to come, with Better Local Care now launching in Fareham, as we seek to ensure that you can get the NHS help you need, when and where you need it. Year ahead will present challenges We have had a tough year financially and are one of the 20 lowest-funded CCGs in the country. Last year we made a deficit of £4m which is around 1.5% of our overall budget. This is money which will need to be reclaimed from our allocation for 2016/17 and that means we will have a very testing financial plan to deliver. This will be happening against a backdrop of needing to resolve issues with urgent care services across the area and greater demand for other services – such as those provided by your GP or local surgery. So, implementing new models of care will be an important priority for us as we seek to reshape the way services are provided in future, with much more emphasis placed on care that can be delivered away from traditional hospital settings. 2016/17

4. The CCG in numbers – a few facts and figures The fact that we finished the year with a £4m deficit means that we were unable to meet all our statutory financial duties in 2015/16. As a result we have more financial challenges to overcome in 2016/17. If you want to see our annual accounts they are available on our website. The amount we spent, overall, on health services last year in Fareham/Gosport £254m £696,000 What we spend every day on healthcare in Fareham/Gosport £18.20 The annual cost, per resident, of running the CCG as an organisation £1,145 The average amount we spend on healthcare, per person per year 99% Patients recommending maternity care at Portsmouth Hospitals to their friends/family 95% Breast cancer referrals seen in under 2 weeks 97% Cancer patients seen within 14 days of referral by their GP 81% Patients who rated as ‘good’ their most recent experience of treatment at their Fareham or Gosport GP surgery If you would like to get in touch… We value your views on your local NHS. We particularly welcome comments about all patient services, as these help us to monitor the quality of the services we commission and to make improvements. If you are interested in getting involved in helping us plan, develop and deliver NHS services in the Fareham/Gosport area why not join a Patient Participation Group through your GP surgery. Details are on our website. You can contact us through our website www.farehamandgosportccg.nhs.uk or by emailing us at fgccg.enquiries@nhs.net You can also follow us on Twitter @NHSFGCCG Fareham and Gosport Clinical Commissioning Group CommCenBuilding, Fort Southwick, James Callaghan Drive, Fareham, PO17 6AR This leaflet provides you with a short summary of our activity over the past 12 months and some of our priorities over the year ahead. If you want to view our annual report, operating plan or five year strategy they are all available on our website (see panel opposite) where you can also download this handy guide to local urgent care services. • You can request this information from us in the following versions: • Translated Large print Braille