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NHS Birmingham and Solihull Update. Denise McLellan, Chief Executive NHS Birmingham and Solihull. Third Sector Assembly Event Tuesday 22nd May 2012. Presentation overview. Introduction Update and progress review Future organisations and the voluntary sector. Introduction. - PowerPoint PPT Presentation
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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: [email protected]: 0121 255 0857 Bartholomew House, 142 Hagley Road, Edgbaston, Birmingham B16 9PA
Communications and Engagement DepartmentE: [email protected]: 0121 255 0875CIBA Building, 146 Hagley Road, Edgbaston, Birmingham B16 9NX
Questions?