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NHS Airedale Wharfedale and Craven Clinical Commissioning Group
Dr Colin RenwickCCG Clinical Chair
Why are we here
• Looking back - To share our Annual Report and Accounts for 2013/14
• Looking forward - To discuss with you what we would like the future to look like
• Your views - To ask your views on how we can do things differently and what is important to you
What is in our annual report and accounts?• Introduction from the
representative of our member GP practices – Dr Bruce Woodhouse.
• Strategic report.• A report from our member
practices.• Remuneration report.• Statement of Accountable Officer
Responsibilities – Dr Phil Pue.• Governance statement.• Annual accounts.
Who are we• We have a 156,000 population and 17 member practices.
What health services do we commission?
• Last year we spent £186million on health services – equivalent of £1,192 per patient.
• We have a 156,000 population
This includes: hospital services, mental health services, ambulance and patient transport services, out of hours GPs, community health services and medicines.
We buy
Our strategic priorities in 13/14:• Transform urgent care• Transform planned care• Transform mental health services• Reduce health inequalities and increase health
promotion• Achieve excellence in prescribing and medicines
management• Maintain safe, high quality and effective care• Develop a sustainable CCG
Annual Report and Accounts 2013/14
Dr Phil PueCCG Chief Clinical Officer
Three people every day in the Bradford District
experience a stroke
12.6% households in Bradford and Airedale and 25.1% in Craven live in fuel poverty
1 in 4 patients in hospital has dementia
£7 in every £10 of health and social care spend is for people who have a
long term health problem
1 in 10 people locally provide some level of
unpaid care – the UK is third in Europe for the
number of informal carers
Some facts…..
Levels of diabetes are higher than the England average.
We have more people aged over 75 years old
in our area than the national average.
More people binge drink in our area than the England average.
Levels of chronic obstructive pulmonary disease and asthma in our area are above the England average.
Some facts…..
We have higher levels of depression compared to the rest of the Bradford
district.
Three people every day in the Bradford District
experience a stroke
12.6% households in Bradford and Airedale and 25.1% in Craven live in fuel poverty
1 in 4 patients in hospital has dementia
£7 in every £10 of health and social care spend is for people who have a
long term health problem
1 in 10 people locally provide some level of
unpaid care – the UK is third in Europe for the
number of informal carers
Some facts…..What progress have we made?
Home oxygen service set up in Craven
“Gold Line” service for patients at the end of life.
Community health navigators and health promotion managers
Specialist dementia beds in Holmewood Care Home.
Alcohol workers in A&E and GP practices
Communications campaign to help people choose the
right health service for their needs
What progress have we made?
More mental health talking therapy services.
Village agent scheme in Craven to help people get involved in activities
Specialist tissue viability nurses in care homes.
More telemedicine in homes and care homes.
Increased psychiatric liaison service in A&E
We were involved in the planning of Tour de France so health services were available.
How we engage with patients and the public
Engagement last year
We spoke to many groups and people about their views on the national NHS debate ‘A Call to Action’, including: Keighley Association Women and Children's Centre; Bangladeshi Commmunity Centre; Keighley Healthy Living Network; Skipton and Craven Action for Disability; Keighley and Ilkley Voluntary and Community Action; Highfield Community Centre; Roshni Ghar; Skipton Older Peoples Reference Group; Age UK; luncheon clubs in Settle; Craven Area Carers’ Group; South Craven Over 50s Forum; Skipton Islamic Society; Temple Row Centre in
Keighley; Sue Belcher Community Centre; i centre in Ingleton; Medina Mosque in Keighley; Patient Participation Group Network; Health and Wellbeing Hub; Carers’ Resource in Skipton; Sangat Centre; Clarke Foley Centre in Ilkley.
Equality and diversity
Safeguarding• Safeguarding is keeping adults and children safe from abuse.
• We work in partnership with the two local CCGs – NHS Bradford City and NHS Bradford Districts.
• We make sure staff have the knowledge and skills to recognise, report and respond to safeguarding issues.
• We are members of the local safeguarding boards for Bradford and North Yorkshire.
• We monitor the performance of our providers regularly to ensure safeguarding systems are in place.
Remuneration Report - our staffOur full annual report contains details of:
• Who sits on our committees.• A profile on each of our senior managers.• Our register of conflicts of interest.• Pay and pension liabilities of senior managers in the CCG.
Governance statement - how the CCG is runRisk – We keep track of risks through our risk register and assurance framework. Information Governance – We have been working to meet the standards set out in the NHS information governance toolkit. This ensures we can keep information safe and secure.
Reporting incidents – We log and investigate “serious incidents” to make sure we learn and make changes, if needed, to stop them happening again.
Audit – We receive independent scrutiny from our auditors who have audited our processes and our annual report and accounts.
Finance, Performance and Governance Committee
Hospital consultant
Practice manager
rep
Exec GP
Lay member
CCG senior
managers
Patient and Public Engagement Reference
Group
VCS Lay member
Exec Nurse
CCG senior
managers
Other public sector
Patient groups
Audit Committee
AuditorsLay
members
Hospital consultant
Chief finance officer
Clinical Quality and Governance Committee
Hospital consultant
Exec GP
Lay memberCCG
senior managers
Registered and Exec Nurses
Remuneration Committee
Lay members
Registered Nurse
Executive Group
CCG senior managers
Exec GPs
Practice manager rep
Public Health
Exec Nurse
Governing Body
Lay members
Registered nurse CCG senior
managersExec GPs
Hospital consultant
Council of Members
CCG senior managers
Practice managers
Exec GPs
Member GPs
Council of Members(chaired by Member practice representative)
Governing BodyExecutive Group
Lay member (governance)
Secondary Care
Consultant
Registered Nurse
Lay Member (engagement)
Member practice
representative (GP)
GP Executive
GP Executive
GP Executive
GP Executive
Chief Clinical Officer
Clinical Chair
Chief Operating
Officer
Executive Nurse
Chief Finance Officer
These four roles above sit on both the Executive Group and Governing Body
Decision making
Assurance
Director of Public Health
Our finances
Our target expenditure for 2013/14 was £190 million and our actual spend was £187 million.
Financial performance
*The running cost is the amount the CCG regularly spends so it can function, like salaries and rent.
Our performance last year
Targets met Underperformance
A&E four hour waits Ambulance response times
MRSA and C. Difficile Ambulance handovers
18 week wait for treatment Aspects of stroke care
Mixed sex accommodation Hospital admissions due to alcohol
Cancer waiting times
People improving after talking therapy
Our ‘Annual Review’, a summarised review of 2013/14, is available today.
Our annual report and accounts for 2013/14 is on our website.
We received a number of questions prior to the event that were about wider issues than the annual report. A printed copy of these Q&A is available today.
Do you have any questions about the 2013/14 annual report and accounts?
Looking to the future
Our five year forward view
Five year forward viewA district wide plan that was written in partnership with the two Bradford CCGs, and health and care providers in the district.
The future…..
There is a significant funding gap
What does £1000 buy you in the NHS?
31 GP appointments
One fifth of a hip replacement
Approx. ten A&E attendances
One eye cataract removal
Approx. four ambulance responses
Treating an insulin dependent diabetic for eight months
District nurse
General practice
Podiatrist
LA OT
Physio-therapy
Practice nurse
Heart doc Diabetes
service
Warden
Community health services
Local Authority
Housing agencies Voluntary & Community sector
Secondary care
Primary care
Discharge team
Equipment services
Community mental
health teams
Housinggrants
Memory assessment
Community Matron
Out-patients
Home care
Social worker
Telecare
Vol & comm sector
Vol &Community
sector
Falls service
Health OT
Housing services
GP
We want to go from this
To this – our vision
Graphic courtesy of Airedale FT
We hope to achieve our vision with the following new models of care:
Enhanced Primary Care
Accountable GP
Care Coordinator
• Care plan
• Reviews in between visits
• Referrals and coaching to enable self-care
• Set personal goals
• First point of contact for help, support & advice
• Accountable
• Monitor & review each patient
• Diagnose & treat
• Develop action plan
• Oversight of referral
What will help us achieve this?
What next
• We want to share these draft plans with patients, the public and carers to get your thoughts and feedback.
• We will be engaging more on our plans over the coming months, including holding more events.
• If you have any comments from today, please share them with us using the contact details on the following slide.
Email: engage@awcccg.nhs.uk
Address: NHS Airedale, Wharfedale and Craven Clinical Commissioning GroupMillennium Business Park, Station Road, Steeton, Keighley, BD20 6RB
Phone: 01274 237 324
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