Presentation to the Portsmouth Pensioners’ Association

1. Presentation to the Portsmouth Pensioners’ Association Tuesday 8 May 2012 Improving health services…

2. Portsmouth CCG: Our ambition and our plans Dr Tim Wilkinson Chair of the CCG Board Improving health services…

3. WHAT IS THE CCG? • 215,000 registered patients • 27 member practices • Delegated budget 11/12 c.£127m • Full delegated budget 12/13 c.£268m • Co-terminous with Portsmouth City Council • Four main providers: • Portsmouth Hospitals • Solent • Care UK (ISTC and primary care) • South Central Ambulance Service • Portsmouth & South East Hampshire system c. 600,000 population • Inherited strong financial and performance track record from predecessor PCT but system surrounding us is in difficulty What does a CCG do? Key Factsabout Portsmouth CCG • Formally established from April 2013 • GPs working in a membership model • Designing local health services • Work with: • patients and the public • Local authority • Other healthcare professionals • Commissioning services including: • Elective hospital care • Rehabilitation care • Urgent and emergency care • Most community health services • Mental health & learning disabilities • Not: • Primary care • Specialist services • Public health Improving health services…

4. HOW DO WE OPERATE? NHS Commissioning Board Local Authority Practice Members Forum Public and patients Health & Well Being Board Stakeholders CCG Governing Body Public Health Providers Improving health services…

5. WHO ARE WE? Improving health services…

6. OUR PURPOSE AND OUR VALUES What do we do? And why do we do it?: Our mission IMPROVING YOUR HEALTH SERVICES Enable GP surgeries as our members to: Work with our patients, the public & our partners To invest in improving & better health services Within our available resources GETTING THE BEST FOR THE PORTSMOUTH POUND! Improving health services…

7. OUR CITY : A PORTRAIT OF PORTSMOUTH 1 in 4 children and 1 in 5 older people live in poverty (up to 67% in places) • City is an area of only 15 sq miles • 207,000 people live within the City • 100% urban • Most densely populated city in Europe (outside London) • Strong university and naval base presence • 7.6m visitors a year generating £373m • 90 languages spoken in schools • Record for the most times a football club has gone into administration! 16% of children live in an household with no wage earner 1% of households without toilet, bath or shower 19% of households do not have central heating 68.4% of children get 5 GCSE A*-C making the City the second worse in the country 30% of men have no qualifications Many children have not been to the seaside 40% of households do not have internet access 70% of schools have healthy school status Life expectancy is rising particularly for female which are now above the national average Improving health services…

8. WHAT PEOPLE TELL US Improving health services…

9. Access to services Primary Care Communications, information & data Individual responsibility & accountability WHAT DO WE WANT TO ACHIEVE? WHAT WILL IT LOOK LIKE? • Continuity of care with someone who has access to your records • Local but resilient • practices working formally together • community & social care wrapped around the practice • Integrated nursing teams • Access to specialist advice • Services accessible & convenient to those that need them • Range of services 7 days per week for those things that should not wait • Specialised services provided in community • Range of local centres • St Marys Health Campus as local hub • Consistent care every day & hour • Extended hours access • Good physical access • Greater recognition of individual responsibilities • High awareness of cost • Choose well – right time as well as right place • Unplanned care requested/ accessed only when cannot be avoided • An IT system across practices • Choices clearly signposted • Pathways uncomplicated & easy to access • Referrals/forms populated directly from patient records • Results & discharge information electronic & at speed Improving health services…

10. HOW WILL WE KNOW? The CCG Corporate Wheel We are developing a set of outcomes measures that will tell us whether we are achieving what we set out to do Each domain in the wheel has several measurable segments that will be reported routinely to the CCG Board Improving health services…

11. OUR MAIN PRIORITIES Improving health services…

12. OUR JOURNEY TO AUTHORISATION Timeline for Wave one applicants April 2012 Pre-application review by Strategic Health Authority June to October 2012 Application and Assessment Process June 2012 Stakeholder Survey July 2012 Application submitted September 2012 Site Visit by NHS Commissioning Board • Around 45 stakeholders • Experience of CCG to date • Potential to deliver in the future October 2012 Authorised April 2013 Statutory organisation Delivering and improving health services Apr 12 Apr 13

13. OUR AMBITION The CCG wants to be: • Making a difference to the health of our population • Being responsive to local circumstances and needs • Not driven by targets set for us, but working bottom up • Visible and engaging with our patients and public • Perceived as competent and capable by our stakeholders • Achieving early and full authorisation Improving health services…

14. Any questions? Improving health services…