Central Manchester Clinical
Commissioning Group
Practice Nurse forum, 7/1/14
Tony Ullman,
Head of Commissioning and
Quality
What I’ll cover
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About Central Manchester CCG – who we are
Our health needs needs in Central Manchester
The wider context
How we work
CCG priorities - improving health outcomes
Developing Primary Care
Issues for Practice nursing
Any questions
The CCG’s Vision
• Create healthier, more resilient communities in Central
Manchester actively managing their own health
• Lead a network of health and social care providers who
promote, measure, monitor and improve quality over
quantity
• Create a better balanced system for Central Manchester by
shifting hospital care to services delivered in the community
• Create with our practices and our partners affordable &
sustainable health services in Central Manchester
Our Mission
Informed by the views of local people and working closely with other health and
social care professionals; Central Manchester Clinical Commissioning Group will
design and develop health services which are high quality, safe and affordable
and which will support communities to be the healthiest they can be.”
Our CCG
£244m budget
35 practices , 4 localities
1 Foundation trust
1 Mental Health Trust
1 City Council
Our CCG
£239m budget
35 practices
1 Foundation trust
1 Mental Health Trust
1 City Council
Our population
212000
Young
>30% from BME groups
100+ languages spoken
40% of children living in poverty
9th most deprived CCG population
High levels of age specific chronic disease
Low life expectancy
Current outcomes in Central Manchester
CCG priorities - by 2015 we will....
Improve life
expectancy by one
year by 2015
Achieve expected long
term condition
prevalence
Reduce avoidable
readmissions by 1/3
Reduce avoidable harm
Deliver a balanced
budget and shift
resources to primary &
community care
Improve:
Access to primary care
End of life care
Fitting it together
Living Longer
Living Better in
Manchester
Healthier
Together in
Greater
Manchester
Developing
Primary care
in Central
Manchester
The vision for Primary care - All people in Central
Manchester should have access to
Long term condition
management
Involvement in care
Identification
Promotion of self care
Condition management
Primary prevention
Medicine Optimisation
Patient die in place of their choosing
Integrated Care teams
Access to care record
Consistent, high
quality care
Easy appointment booking
Smooth 1ary/2ary care interface
Continuity of Care
Locality based enhanced services
Increased access to Primary Care services
Inter practice referrals
GP is co-ordinator of care
Specialist primary care
services
Access
Primary Care Manchester Ltd –
GP Provider Organisation (GPPO)
• GPPO as the organiser of
services
• Interested practices
become shareholders who
then appoint directors
• Practices do not need to be
shareholders to offer
services
• GPPO manages the “LES”
and Beacon services
• GPPO also creates a
Community Clinic, using a
variety of resources, for any
other patients.
Generic Service Provision
Specialist
Nurse
CCG
Community
Clinic
GPPO
“LES”
Practice A
“Beacon”
Practice B
Patients
Practice C
Practice D
Patients
Cons Room
GPSI
Issues for Practice nursing
• Supporting practice nurses –
– Coming together
– Education
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Influence and a voice within the CCG
Long term conditions
Developing the workforce for the future
Primary Care working together – PCM
Others?
Thank you for listening.
Any questions?