Clinical Commissioning Groups (CCGs) in Devon

1. Clinical Commissioning Groups (CCGs) in Devon What this means for the population of Devon Jacob Dunkley Strategic Development, NHS Devon

2. Roles and Responsibilities • Commissioning the majority of health services for the population • Working with providers to ensure safe, high quality and value for money care • Being an active partner with local authorities, and with patients, carers and communities

3. Who commissions what? CCGs commission… NHS Commissioning Board Primary care Pharmaceutical and appliance contractors All NHS dental and NHS sight tests Highly specialised and high security psychiatric For those in custody/prison For members of armed forces Public Health for ages 0-5 Immunisation and screening Sexual assault referral Child Health Systems (CHIS) • Emergency, urgent care & elective care • Community health services • Maternity • Rehabilitation & Continuing Health Care • Children, • LD and MH • Infertility, • Abortion, • Wheelchair & Home Oxygen • Treatment of infectious diseases

4. Devon’s CCGs, Localitiesand clinical Chairs Dr John Womersley Dr David Jenner Dr Derek Greatorex Dr Peter Rudge

5. Devon CCGs NEW Devon • 127 member GP practices • Largest CCG in the country • Population served 901,200 • Budget of approximately £1bn South Devon and Torbay • 38 member GP practices • In the top 1/3rd of CCG size • Population served 282,000 • Budget of approximately £400m • Leadership through a governing body • Clinicians roles bringing added value

6. ‘NEW’ Devon • 2,330 square miles • 22.3% live in rural areas • 21% is over 65 years old • 11% in ‘most deprived’ areas nationally Data from Joint Strategic Needs Assessment, Public Health Observatory and Town profiles

7. Priorities for improvement NEW Devon • Prevention, self care and maintenance • Elective or planned care pathways • Urgent care pathways • Care for frail older people • Mental health and learning disabilities services • Medicines optimisation • Primary and community services

8. People at the centre The NHS Future Forum in its report to government: ‘If the fundamental purpose of the Government’s proposed changes to the NHS – putting the patient first – is to be made a reality, the system that emerges must be grounded in systematic patient involvement to the extent that shared decision making is the norm.’

9. NEW Devon Involvement Who will be involved How will CCGs involve? Statutory duties Department of Health 4 tests of change Friends and family test Authorisation requirements NHS Constitution NHS mandate • Member practices and staff • Patients, carers and the public • Scrutiny and elected members • Health and wellbeing boards • Local HealthWatch • Clinicians and other professionals • Local authorities • Healthcare providers

10. NEW Devon statement for involvement 3 levels of focus on shared decision making: Personal: Individual and family engagement in health, wellbeing and care Local: Clinicians and communities engaged in co-designing local services e.g. Asset approaches Strategic: Population insights into longer term planning and shared decision making

11. NHS Outcomes

12. Any questions? Thank you for your time. Jacob Dunkley Strategic Development, NHS Devon