North Somerset Clinical Commissioning Group

PrioritiesDr Mary BackhouseChief Clinical Officer

North Somerset

North Somerset CCG – our context• Health better than UK average• Growing Older population – 20% over 65 (England & Wales = 16%)• There are a greater proportion of people in nursing homes in North

Somerset in comparison to England • Health Inequalities - Gap in life expectancy (10.7 year for males and 7.5

for females) and disability-free life expectancy (12.2 for males and 9.3 for women)

• Drug misuse higher than UK average (rehab centres in Weston-super-Mare)

• The biggest causes of premature death in North Somerset are circulatory diseases, which include heart disease and stroke, and cancer.

• The single biggest cause of disability is mental health. Suicide rates are significantly higher than the national average

Our patients needs are changing with demography

• North Somerset will see around a 32% increase in the number of people aged over 75 in next 5 years compared with national average of 11%

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Demographic Growth Projection - 5 years to 2018

2008 Registered Pop 2013 Registered Pop 2018 ONS Projected Pop Growth

CCG Strategic Priorities

• Developing a model of care which is clinically safe and sustainable

• Achieving financial sustainability

• Improving health outcomes and reducing inequalities.

Current priorities

• Prevention and early intervention• Self care• Care plans• Urgent care• Appropriate use of planned care• Mental health especially CAMHS, IAPT and

dementia

Transformation of Provider Landscape

• Integrated care with care closer to people’s homes including Mental Health – 4 teams

• Increasing involvement of Voluntary sector• Care homes• Primary Care• Community Care (current procurement)• Acute Care (acquisition of Weston)