Richmond Clinical Commissioning Group

Annual General Meeting

22 September 2015

Welcome – Dr Graham Lewis, Richmond CCG ChairAgenda

• 5.00pm – Welcome & introductions Dr Graham Lewis, Richmond CCG Chair

• 5.05pm – Annual report 2014/15 overview and successes Dr Graham Lewis & David Sykes, Head of Joint Commissioning Collaborative

• 5.15pm – Annual accounts 2014/15 Richard Thomas, Chief Finance Officer

• 5.20pm – Quality overview Julie Sobrattee, Chief Nurse

• 5.25pm – Our plans David Sykes & Dr Graham Lewis

• 5.40pm – Q&A with Panel

• 6.00pm – Close

Annual report overview – Dr Graham Lewis

• Second year in operation as a CCG

• First full year as chair

• A year of consolidation

• Creating stability

• Governance review

• Developing relationships

Our successes – David Sykes, Head of Joint Commissioning Collaborative

• Liaison psychiatric service at West Middlesex University Hospital

• Dementia

• No health without mental health

• Children and Adolescent Mental Health Services

• GP led model of care

Annual accounts 2014/15 – Richard Thomas, Chief Finance OfficerExpenditure £m

Acute services 114Mental health services 22Community services 22Continuing care 13Other non- acute services

10

Primary care prescribing

22

Primary care other expenditure

4

CCG running costs 5Other costs 2TOTAL 214

• Expenditure must not exceed income

• Running costs must not exceed £25 per head

• The CCG must not spend more money that it has or hold cash at year end

The CCG has a combination of statutory targets and national indicators to measure financial performance. Achievement against these is shown below.

Indicator/Target Target Achievement

Planned Surplus £8.5m surplus £8.5m surplus

Running costs less than allowance £5.2m £4.6m

Quality, Innovation, Productivty and Prevention (QIPP) savings

95% of planned savings 75%

Number of invoices paid within 30 days 95% 94%Value of invoices paid within 30 days 95% 98%

Finance

Quality – Julie Sobrattee, Chief Nurse

• How we work with hospitals to ensure services are of high quality & patients have a good experience

• How we make sure services are safe

• How we ensure adults and children are safeguarded

• How we use your feedback to improve services

• NHS England assurance process

Quality indicators

Indicator Target Q1

Never Events 0 0Serious Incidents - 15Mixed Sex Accommodation 0 0Falls per 1000 bed days <=4.7 5.1Complaints - 110Safety Thermometer 91.7% 94.5%

Indicator Target Q1

Never Events 0 0Serious Incidents - 8Mixed Sex Accommodation 0 0Friends & Family Test - 91.4%Complaints - 66VTE Assessment =>95% 93.2%

Kingston Hospital

West Middlesex University Hospital

Working with patients, carers and local people

Richmond patients, carers and local people

Outcomes based out of

hospital health and social

contract 2016

Outcomes based

community mental health contract 2017

Joint dementiastrategy Improving

early detection of and support

for those living with and beyond cancer

Transforming primary care

Supporting patients to take

up personal health budgets

You said ………..

11

“No help or support given had to find our own solutions”

“The amount of time you spend on the phone passed from pillar to post .. being told it’s not our responsibility”

“If you are in need of help .. you need it NOW not in 6 months or at certain times which suit the provider not the patient”

“I don’t see a light at the end of the tunnel”

“It’s hard to know the right person to speak to and there is no one to pull it all together – there are even two parts to physio!

“Technology gives me much more independence”

“I have to tell the same story over and over”

Outcomes that matter most to people – David Sykes

A. Population- wide

outcomes

A3: I get the best clinical

outcomes possible A4: I

want to feel part

of a communit

y

A5: I want to live as

normal a life as

possible

A6: When the time comes, I have a

peaceful and dignified

end to my life

A1: I need to trust the system

and services

A2: I want to

feel I am a full

partner in my care B. Carer-

specific outcome

s

B1: I want to have a

good experience of care

and support

B2: I need help reducing the stress of caring

B3: I want support to

live a normal

life

= Outcome relating to impact of care on quality of life

= Outcome relating to experience of care

Our plans for 2015/16 – David Sykes

Outcomes based commissioningRichmond Clinical Commissioning Group (CCG) and Richmond Council are working together to develop an outcomes based commissioning (OBC) contract which will deliver improved outcomes for patients and provide greater financial stability for the health economy.

Patients will have more influence over how their healthcare is delivered by helping to shape the outcomes that are included in the contracts and by making informed decisions about how their care is delivered.

• We are working with the following providers to develop our plans:

• Hounslow and Richmond Community Healthcare NHS Trust

• Kingston Hospital

• West Middlesex University Hospital

• Richmond GP Alliance

• Timelines

• Mental health

• What’s next?

Our plans for 2015/16 – Dr Graham Lewis

• Transforming primary care

• Population based delivery of services

• Investment in IT

• End-to-end integrated pathways ie OBC

• Improving access ie hubs in general practice

• SW London Collaborative Commissioning

• Hospital reconfiguration

• Transformational out of hospital strategy

Q&A

Questions for the panel