Developing NHS Salford Clinical Commissioning Group (CCG)

1. Developing NHS Salford Clinical Commissioning Group (CCG) Hamish Stedman, Chair

2. Background • 2002 PCT established Responsible for commissioning all health care Commission primary care dental, general medical and optometry services Provide community services • 2006 Practice based commissioning launches in Salford 2007PBC Consortium launched • 2010/11 Transforming Community Services • 2013 PCT dis-establishes

3. NCB responsibilities 2013 Commissioning 2013 • Primary care services( CCGs have a statutory duty to assist and support the NCB for • continuous improvement in the quality of primary medical services. • Pharmaceutical services provided by community pharmacies, dispensing doctors and appliance contractors • All dental services and NHS sight tests • Highly specialised and specialised services ) and high security psychiatric Services • Health services for those detained in prison and other custodial settings • Some services for members of the armed forces and their families, where • registered with Defence Medical Services • Public health services for children aged 0-5, including health visiting and family nurse partnerships • Immunisation and screening programme • Public health services for those in prison or custody • Sexual assault referral services • Child Health Information Systems (CHIS).

4. Local Authority Responsibilities • the Healthy Child Programme for school-age children (including school nurses) • sexual health services (excluding contraceptive services provided under the GP • contract and HIV treatment) • public mental health services • local programmes to promote physical activity, improve diet/nutrition and • prevent/address obesity • drug misuse and alcohol misuse services • tobacco control, including stop smoking services and prevention activity • NHS health checks • local initiatives to prevent accidental injury, including falls prevention local initiatives to reduce seasonal mortality.

5. CCG Responsibilities • Emergency and urgent care • Ambulance services and out-of-hours services, for anyone present in their geographic area. • Community health services • Maternity services • Elective hospital care • Rehabilitation services • Urgent and emergency care including A&E, ambulance and out-of-hours services • Older people’s healthcare services • Healthcare services for children • Healthcare services for people with mental health conditions • Healthcare services for people with learning disabilities • Continuing healthcare • Abortion services • Infertility services • Wheelchair services • Home oxygen services • Treatment of infectious diseases

6. Steps to development. • All Salford GPs signed up to CCG. • Shadow Board Developed. • Decision on model and functions. • Draft Constitution (including aims and principles). • Developing plans for communication, equality and diversity and future commissioning. • Authorisation process including Stakeholder evaluation (partners and the public). • Operational by April 2013.

7. Authorisation • Six domains • Professional and clinical focus • Engagement with patients, carers and their communities • Clear and credible plans • Constitutional and governance arrangements • Collaborative arrangements for commissioning • Develop great individual and collective leadership

8. Principles/Key Drivers • Preventing people from dying prematurely. • Enhancing quality of life for people with long-term conditions. • Helping people to recover from episodes of ill health or following injury. • Ensuring people have a positive experience of care. • Treating and caring for people in a safe environment and protecting them from avoidable harm.

9. Principles/Key Drivers • To improve health and reduce health inequalities. • To improve the quality of services we offer our patients. • To improve equity of services available. • To improve the health and wellbeing outcomes achieved by our patients. • To embrace the principles of cost-effectiveness and improve value for money in order to ensure we deliver an overall balanced budget.

10. Comments and Challenges • Commissioning is here to stay • Dispersed commissioning responsibilities Different budgets Different accountabilities Who holds the ring? • No decision about me without me Individual vs population Need vs want (Walk in Centres) • Public as advocates (Self and system?) • Healthier Together

11. Commissioning Plans • JSNA • Business planning cycle Alignment • 5 year plan • Operating framework • Plan on a page

12. Commissioning Plans • Engage all people as citizens (rather than just as consumers) across the whole health and social care system . . . and beyond. • Ensure involvement activity is accessible and responsive to all local citizens in their diversity (including those who are most often excluded or marginalized). • Achieve an optimal balance of control between citizens and organisations, with clear and transparent accountability. • Establish an integrated and coherent system that engages effectively with all community and organisational structures • Ensure effectiveness both in reflecting the voices of citizens and communities and in influencing policies, decisions and service provision that affect their lives