NHS Birmingham and Solihull Update
Denise McLellan, Chief Executive
NHS Birmingham and Solihull
Third Sector Assembly Event
Tuesday 22nd May 2012
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Presentation overview
 Introduction
 Update and progress review
 Future organisations and the voluntary
sector
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Introduction
1.3 million people
£2.3 billion p/a NHS
spend
Complex provider
environment:
Hospitals
Heart of England (3 hospitals),
University Hospitals Birmingham,
Sandwell West Birmingham,
Birmingham Children’s Hospital,
Royal Orthopaedic, Birmingham
Women’s Hospital and Birmingham
Dental Hospital
Birmingham
Specialist
Birmingham and Solihull Mental
Health Trust
Community
Birmingham Community Healthcare
Solihull
Acute & Urgent
West Midlands Ambulance Service;
Range of urgent care, walk-in and
other providers – Assura, Care UK
etc
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Setting the scene: a new
health system
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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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
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Integrated Plan
 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- priorities

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
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Uniting for health –
The Compact
 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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10 Quality Priorities
NHS Birmingham and Solihull
Top 10 Quality Priorities
PATIENT EXPERIENCE
Delivering 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 INFECTIONS
Eliminating avoidable Healthcare Acquired Infections (HCAIs)
e.g. MRSA
NEVER EVENTS
Eliminating Never Events (including locally agreed Never
Events for non-acute providers)
HEALTHY LIFESTYLES
Making every contact count in delivering the Healthy Lifestyles
agenda
PRIMARY CARE
Significant reduction in variation in Primary Care
OLDER PEOPLE AND
CARERS
Improved care for older people and better support for their
carers.
MATERNITY
Reducing risk in Maternity care
HEALTH VISITORS
Ensuring HV workforce capacity and capability to deliver
targeted care to vulnerable children and families
URGENT CARE
Reduction of variation of experiences and outcomes of urgent
care management pathways
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Real changes for local people
Birmingham
Solihull
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The transition
Future organisations and the voluntary
sector
Delegated responsibility
 From 2013 new organisations will take on PCT responsibilities
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Clinical Commissioning Groups
and support
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.
Practices
Population
(approx.)
(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
Clinical Commissioning Group*
Supported by NHS Commissioning Board and Commissioning Support .
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Birmingham and Solihull
Cluster CCGs by Ward
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Voluntary sector
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
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Working with CCGs
 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
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Voluntary sector opportunities
 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
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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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Questions?
Denise McLellan, Chief Executive
E: denisemclellan@nhs.net
T: 0121 255 0857
Bartholomew House, 142 Hagley Road, Edgbaston,
Birmingham B16 9PA
Communications and Engagement Department
E: bham.solihull@nhs.net
T: 0121 255 0875
CIBA Building, 146 Hagley Road, Edgbaston,
Birmingham B16 9NX
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