NHS Gloucestershire

Clinical Commissioning Group

Patient Participation Group Presentation

About us: Joining up your Care

• Membership organisation (all local GP practices members)

• Responsible for commissioning (buying) health services

• 7 Localities• Population: 627, 500• Our budget: £810m

A Challenge for all of us

• Ageing population• More people living with complex illness, LTCs

and disabilities• Increasing demand for services • Tackling health inequalities • Reducing obesity and harm caused by alcohol • Mental health - impact of pace of life • Pressure on tight budgets

Problem solving together

• Greater focus on prevention and self care• Enabling Communities – improving connections • Improving signposting and quality of information • Looking at the whole patient pathway, Greater

proportion of care at home and in the community (care co-ordination)

• Joined up care and services

Why is the relationship between the CCG and Primary Care so important?Member practices as commissioners of care• General Practice is the cornerstone of the NHS patient

relationship through their role as providers

Primary Care as Providers • Primary Care handle 90% of all NHS patient contacts,

but receive <9% of total NHS funding• Therefore delivery of much of our ambitions as a CCG, is

dependent upon primary care

Delegated Commissioning

• NHS Gloucestershire Clinical Commissioning took over primary care commissioning from NHS England on 1 April 2015.

• Delegated commissioning arrangements allow us to create an integrated strategy across Primary, Community and Secondary Care, with Primary Care at the centre of an out-of-hospital system

• We will work to the principle of moving care ‘upstream’, aiming to prioritise resources within our care pathways towards primary care and prevention

How patients and members of the public can influence their health and social care services?

The CCG’s approach to engagement and experience: Our Open Culture

“We want to hear the ‘quiet voices’ and be ‘commissioners on the ground”.

What is ‘Our Open Culture’?

• ‘Equality’ and working in ‘Partnership’ and the desire to enable ‘Anyone and Everyone’ to have a voice. To achieve this we will provide ‘Information and good Communication’, focus on ‘Experience’ feedback and undertake good ‘Engagement and Consultation’.

• The CCG’s aim is to makes effective engagement a reality and to ensure that the individual’s experience of

care is a driver for quality and service improvement.

Why do we do it?

• We have to do it:– S14Z2 – Health and Social Care Act – NHS Constitution: Patient and Staff Rights and

Responsibilities

• We want to do it:– it ensures a better outcome for patients, their families

and carers and staff satisfaction is improved!

How do we do it?

• Level 1 – one to one

• Level 2 – specific service change

• Level 3 – policy & strategic service development

Who do we do it with?

• People, Patients, Carers, our Staff• Local Community/Voluntary Groups• Healthwatch Gloucestershire• Local stakeholders e.g. Health and Care

Overview & Scrutiny Committee, MPs, District Councils

How can people you get involved?

People get involved in many ways:• Contact a Patient Advice and Liaison Service (PALS)• Contribute to Clinical Programme Groups • Inform new service procurements• Join Locality Groups• Join Project Groups• Feedback on service change reviews such as

Emergency Department Reconfiguration – Surveys, CCG Information Bus, community events, twitter

PPGsFrom 1 April 2015 contractual requirement for all English practices to:• form a PPG• make reasonable efforts for this to be

representative of the practice population• engage with the PPG including obtaining patient

feedback and, where the practice and PPG agree, act on suggestions for improvement.

Most practices in Gloucestershire have a PPG.

It is expected for CQC inspection.

How have we worked with PPGs so far?

• Changes to practices• Procuring (buying) new services• Closing a practice• Promoting healthy lifestyles• Reducing waste• Influencing commissioning decisions

Examples of good practice in PPGs

• Winchcombe PPG• Brockworth PPG• 3 x Cirencester PPGs• Former St Luke’s PPG• Springbank PPG

Questions followed by…

…the hard work!

What is working well for PPGs?What could be improved?

What might the future bring for PPGs?