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Third Sector Assembly Event Tuesday 22nd May 2012

NHS Birmingham and Solihull Update

Denise McLellan, Chief ExecutiveNHS Birmingham and Solihull

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Presentation overview

Introduction

Update and progress review

Future organisations and the voluntary sector

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Birmingham

Solihull

Complex provider environment:HospitalsHeart of England (3 hospitals), University Hospitals Birmingham, Sandwell West Birmingham, Birmingham Children’s Hospital, Royal Orthopaedic, Birmingham Women’s Hospital and Birmingham Dental Hospital

SpecialistBirmingham and Solihull Mental Health Trust

Community Birmingham Community Healthcare

Acute & UrgentWest Midlands Ambulance Service; Range of urgent care, walk-in and other providers – Assura, Care UK etc

1.3 million people £2.3 billion p/a NHS spend

Introduction

Health and Social Care Act 2012:

•Clinical Commissioning Groups to take over responsibility of commissioning health services for local populations – abolition of PCTs and Strategic Health Authorities by 2013

•Creation of NHS Commissioning Board

•Establishment of HealthWatch and local Health and Wellbeing Boards to increase accountability for patients and the public

•Creation of Public Health England to improve the health of the population

•Commissioning Support Services

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Setting the scene: a new health system

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12 months on…

Shared vision and strategy - We have an integrated plan which has involved all health and local authority partners

Shared way of working through the Compact - for shared leadership across the NHS and local authorities

Resources - Good progress has been made - a coordinated structure was established pooling the resources of four PCTs

Results so far - Delivery is good - moving from forecast £50.5m deficit to £2m planned surplus; key quality and performance targets achieved

Greater push on transformation and delivering improvements

Greater emphasis on quality and improving primary care

Supporting development of future organisations More integrated working

→ specialised service pathways and joined up services → Councils working with health on care for older people

Financial planning - Still heading off increasing financial pressures for years ahead

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Integrated Plan

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Prevention and early intervention

Supporting people to manage their own health

Care closer to home

Joined up care

Highest quality and ‘right’ sized hospital care

Innovation and market shaping

Focus on transforming services for the frail elderly and developing primary care

Integrated Plan- priorities

Involves NHS Trust providers, emerging Clinical Commissioning Groups (CCGs), PCT Cluster and LAs across Birmingham and Solihull

Sets out shared principles. Enables sign up to the Integrated Plan Commits partners to agreed ways of working to deliver improved

health and wellbeing. Enabling collaboration to find better ways of using health resources. Creates a shared improvement programme to deliver strategic

objectives more efficient to create saving. E.g. Frail elderly programme and childrens services

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Uniting for health – The Compact

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Top 10 Quality Priorities

PATIENT EXPERIENCEDelivering a revolution in patient experience where the patient

is placed at the centre of all decision making and receives

consistently dignified and compassionate care.

PRESSURE ULCERS Eliminating avoidable pressure ulcers

HEALTHCARE INFECTIONSEliminating avoidable Healthcare Acquired Infections (HCAIs)

e.g. MRSA

NEVER EVENTSEliminating Never Events (including locally agreed Never

Events for non-acute providers)

HEALTHY LIFESTYLESMaking every contact count in delivering the Healthy Lifestyles

agenda

PRIMARY CARE Significant reduction in variation in Primary Care

OLDER PEOPLE AND

CARERSImproved care for older people and better support for their

carers.

MATERNITY Reducing risk in Maternity care

HEALTH VISITORSEnsuring HV workforce capacity and capability to deliver

targeted care to vulnerable children and families

URGENT CAREReduction of variation of experiences and outcomes of urgent

care management pathways

10 Quality Priorities NHS Birmingham and Solihull

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Real changes for local people

Birmingham

Solihull

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Future organisations and the voluntary sectorDelegated responsibility From 2013 new organisations will take on PCT responsibilities

The transition

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CCG authorisation Defined and appropriate geographic coverage and credible size to

operate Fully signed up practice membership Agreed board governance, membership agreements, accountability

and plans such as commissioning, engagement as well how will work in partnership.

Clinical Commissioning Groups and support

Clinical Commissioning Group* Practices(approx.)

Population (approx.)

Birmingham CCG 95 583,566

Birmingham South Central CCG 47 242,622

Northeast Birmingham CCG 18 127,746

Sandwell and West Birmingham CCG 110 525,836

Solihull CCG 32 230,641

Supported by NHS Commissioning Board and Commissioning Support .

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Birmingham and Solihull Cluster CCGs by Ward

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CCGs recognise that voluntary organisations play a crucial role in the NHS and want to work differently:

Provide a wide range of services

Help to tackle inequalities; facilitating greater access to services for people with complex needs

Acts as an important source of intelligence to commissioners, planners and funders

Offers diversity and flexibility, developing services to meet needs that are not being met by the statutory sector

Voluntary sector

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Now ready to build relationships- Authorisation evidence

Establish appropriate links with their new local engagement arrangements such:-

→ patient reference groups

→ patient networks

→ Partnership arrangements

→ Public CCG Board meetings

→ Respond to formal procurements

LINk will be holding five CCG summits

→ Stall opportunities for voluntary sector

→ Running from July - Sept

Working with CCGs

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Reforms present opportunities through:→ Clinical Commissioning Groups: Local health

commissioning→ Local Authorities: Commissioning for Public Health→ Health and Wellbeing Boards: strategy and

engagement→ Local HealthWatch challenge and engagement→ Commissioning Support- national information offer→ NHS Commissioning Board- Primary care, specialised

services, offender health, some public health

Voluntary sector opportunities

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Procurement

Any Qualified Provider (AQP) procurement plan on schedule to deliver AQP outputs by 1st December 2012

The three services being opened under AQP:→ Adult Hearing Aids in the Community

→ Podiatry

→ Wheelchairs (Children).

Developing tools to enable easy communication via CSS

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Buildings – usage and access

Our buildings are public assets We encourage you to use the various rooms

which can be used by the public Looking at improving assets and how we can

make it easier for public and voluntary groups to know about them

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Denise McLellan, Chief ExecutiveE: denisemclellan@nhs.netT: 0121 255 0857 Bartholomew House, 142 Hagley Road, Edgbaston, Birmingham B16 9PA

Communications and Engagement DepartmentE: bham.solihull@nhs.netT: 0121 255 0875CIBA Building, 146 Hagley Road, Edgbaston, Birmingham B16 9NX

Questions?