North Norfolk Clinical
Commissioning Group
Fit and Ready?
24 April 2013
Introducing………
Mark Burgis
Head of Clinical Pathway Design
Rebecca Champion
Engagement Manager
North Norfolk CCG
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Official organisation as of April 1st 2013
Population approx. 167,800
Covers North Norfolk DC & rural Broadland DC
45 miles of coastline
20 General Practices (Members)
16 staff based in 1 Mill Close, Aylsham
Aligned staff:
• Joint Health and Social Care team
• Public Health
• Prescribing Advisor
North Norfolk CCG Map
Structures (1)
• Council of members:
– Clinicians from all 20 practices supported by
practice managers
• Executive team:
– 5 doctors (elected)
– 5 managers from practices (elected)
– 1 Practice Manager leads on with Engagement
Patients and Public, and Voluntary Sector
– Chief officer
– Chief Financial officer
Structures (2)
• Governing body:
– 5 doctors (Elected)
– 2 practice managers (Elected)
– 2 lay members (Finance & Engagement)
– A registered nurse
– Non-primary care doctor
– Chief Financial Officer
– Chief Accountable Officer
• Meets in public every other month ~
details on NN CCG website
Different Responsibilities
to Primary Care Trusts (PCTs)
We do:
 support the improvement of performance in
primary care
 commission primary care out of hours
services
We do not:
 award contracts for or manage primary care
services (GP, pharmacy, dental and
optometry)
 deliver public health services
Clinically-led
• Planned hospital care
• Urgent and emergency care
• Rehabilitation care
• Community health services
• Mental health and learning disability
services
Commissioning Drivers
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Needs driven & evidence based - Public Health
An older population - living longer often with at
least one long term condition. (65+ 33% in NN;
25% in BDC)
A large rural area - poor transport infrastructure;
services closer to home
Responsive services – reflecting modern living
and working patterns
Active lifestyles and positive ageing – e.g. selfmanagement of Long-Term Conditions (LTCs).
Working in partnership to deliver these priorities
Engaging our patients 1
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Communications and Engagement Strategy
co-produced with a patient working group
20 practices have Patient Participation
Groups (PPGs)
North Norfolk Patient Partnership Conference
brings patients from all the practices together
twice a year
Annual stakeholder event
Engaging our patients 2
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Use existing networks e.g:
 LINk/Healthwatch
 District
councils & Housing associations
 Diverse Groups
 Voluntary Sector Engagement Project
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Use our Referral Management Centre (RMC)
Focus Groups to inform pathway design
Join ‘Your Voice’
Quality dashboard
The voluntary sector in North Norfolk
• Key partner in delivering integrated
services
• NN CCG wants to make it easier for joint
working through:
– Area based hubs
– Integrated Care Co-ordinators
– Multidisciplinary community teams
– Aligned around groups of General Practices
Integrated Working
North Norfolk
Integrated Teams
Proposed Team Areas and Practice Groupings
Our vision for Integrated Working
• Whole system approach including the
voluntary and third sector
• Single point of enquiry for practices via the
hub and co-ordinators
• Improved outcomes for patients across
health, care and wider issues e.g. social
isolation and loneliness
Where can we work better together?
• Older People
– Services integration, delivery of care focussed around the patient
• Mental Health
– Dementia, Carer Support, better supporting people with anxiety
and depression
• Planned Care
– Out of Hospital Care, clinical pathway development
• Unplanned Care
– Prevention, joined up patient care delivered closer to home
• Children
– Supporting health lifestyles, paediatric diabetes service
Any Questions?