Welcome Chris Dowse, Chief Officer DesignateNHS North Kirklees Clinical Commissioning Group

What is a CCG?CCG = Clinical Commissioning Group

• Local GPs, nurses, consultants, pharmacists, dentists, opticians working together to drive change in health care

• Leading the commissioning (planning and buying) of health services from 2013

How a CCG differs from a PCTClinicians have direct contact with people and their lives and collectively see the ‘big picture’ The Government believes clinicians have a better understanding of local needs and are better placed to make commissioningdecisions.

Facts and figures• 185,000 patients

• 31 GP practices

• Covering Mirfield, Spen, Batley, Birstall, Birkenshaw, Dewsbury

• 86% of patients choose Mid Yorks NHS Trust hospitals

• By 2030 20% of our population will be over 65

Key local issues

• Infant death rates – reducing, but still too high

• Smoking related illness

• Obesity / lack of physical activity – especially amongst children

• Dewsbury – 1 in 3 adults have a long term illness.

Our visionTo help the people of North Kirklees to live longer, healthier and happier lives:

Keeping people safePreventing premature deathImproving quality of life for people with long term conditionsSupporting recovery from injury and illnessProviding care closer to homePositive patient experience

Progress to date Clinical leadership in place

Supported by knowledgeable people

Developing strong working relationships with partners in the health and wellbeing economy

A programme for gathering the views of our residents and patients

Already in good shape for authorisation in December

Making an impactWe’ve already made an impact by getting someservices closer to patients:

Blood tests – now available in GP surgeriesDermatology – delivered in the community24 Hour blood pressure monitoring – went live in JuneReforming the ‘patient journey’ Working with partners across the Mid Yorkshire areaon health service transformations

Our challengesFinance – the NHS budget is shrinking so there’s less money to go round at a time when we’re living longer and health needs are increasing. This will also affect our ability to offer grants

Balancing between being a GP providing healthcare and being a commissioner (buying services)

Working with Mid Yorkshire Hospital Trust to help it resolve its financial difficulties

What we want to achieve• Bringing health and social care together seamlessly

• Balancing NHS finances

• Improving clinical outcomes– consistency of care and higher standards

• Improving performance– lower rates of hospital infection– fewer cancelled operations– shorter waiting times

Our priority areasEnsuring that our population gets the right care, in the right place, at the right time ... based on need and achieving the best possible outcomes.Primary care - improving patient access to services through General PracticeUrgent care – in an emergency or an accidentCare at and nearer to home – including mental healthChildren’s and maternity services - deliver the right start for healthier communities

Working with Mid Yorkshire Hospitals NHS Trust• Health issues are changing; so health care needs to be

delivered differently • the NHS is changing - so we can do things differently and create higher standards, better patient care and improved safety• Increasing specialisation gives better results• £20bn savings in the NHS means we must do more with less

Meet Doris• 85 yrs old lives alone but independently • falls on a Friday evening • goes to A&E via ambulance• no clinical information about Doris at casualty• has tests – results apparently abnormal• it’s now 11.30pm so Doris is admitted

... and there’s more• Doris could go home next morning but there are concerns about support and she’s transferred to an acute ward

• Doris is hospitalised for several days until care and support in place

• she becomes confused, loses confidence and independence

• Doris needs to go into a home

What we want for Doris 24/7 integrated community services Proactive assessments/falls service Care planning Medicines management Social care/networks Ambulance triage/assessment Better IT and information Redesign ‘front end’ of A &E Early discharge/assessment at home

About todayThe CCG Board is here today along with our support team

We are genuinely interested in discovering what services you offer and how we can best work together

This event and venue was suggested by colleagues in the third sector and I hope you will get as much from today as we plan to do

Keep in touch to find out moreWhy not sign up to being a member of the CCG to make sure you are part of all local healthcare discussions?

Thank you for being here

Any questions before we get started?