Annual General Meeting
and Listening Event,
2014
Welcome!
Review of the
year 2013/14
Dr William Tong
Chairman
A Year of Firsts
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Authorised without conditions
First meetings in public
First Annual Report
First year of assurance by NHS England Area
Team
• First new services commissioned as a CCG
Bracknell and Ascot Clinical Commissioning Group
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• Primary Care Led
• Opened 7 April
• Great community
engagement and feedback
from Day 1
• Key enabler to 7 day
working in primary care
• Innovative fracture
pathways to 3 acute trusts
• New provider in the market
• Enabler for new
ambulatory care pathways
• Support for new falls
services – prevention and
intervention
• Children’s evening clinic in
place
• Co-located with GP Out of
Hours service
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Integrated Care Teams
• Three clusters involving all B&A practices
– North Bracknell
– South Bracknell
– Ascot
• Over 340 people have a multi-agency care
plan already
• More investment this year to increase mental
health, social work and community matron
capacity
Bracknell and Ascot Clinical Commissioning Group
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Musculo-skeletal ICATs and physiotherapy
• Following the learning from a pilot service, the
contract for a new ICATs was tendered this year
• The contract was awarded to Healthshare
• New service started from Healthspace in July 2014
• Early signs are that more people are being helped to
resolve musculo-skeletal problems without the need
for surgery
• Community physiotherapy has been transformed and
a new contract awarded to BHFT
• A new knee clinic is also being trialled, in Ascot,
which offers people an alternative to knee
replacement surgery for those who would prefer this
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We have taken many opportunities to talk
and listen..
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Patient assembly
Community forum
Carers conference
GP Council
System leaders
Health and Wellbeing Boards
Retirement Fair
Health promotion talks
Self care week
…. And much more!
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What’s next??
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Urgent care centre expansion of pathways
An explosion in prevention and self-care
Better care fund plans for further integration
Primary care ‘co-commissioning’ and
transformation
• Specialist commissioning
• What would you like to see????
Bracknell and Ascot Clinical Commissioning Group
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Today’s workshops
• You have the chance to participate in all three
workshop discussions as each one will run
three times
• Urgent Care
• Primary Care
• Prevention and Self-care
• And if there is anything else you would like to
add – stick it on the graffiti wall or catch one
of us during the afternoon
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Financial
Performance
2013-14
Nigel Foster
Chief Finance Officer
In 2013-14 we spent…
£130m
That’s…
£955 per person a year
£356,000 per day
£255 per minute
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Where does £955 / person go?
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£510 / head - Acute Hospitals & Ambulance
£213 (42%) Frimley Park
£132 (26%) Heatherwood & Wexham Park
£81 (16%) Royal Berks
OR (across all providers)
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Bracknell and Ascot Clinical Commissioning Group
38,000 A&E attendances
108,000 outpatient appts
11,400 non-emergency
admissions
10,700 emergency
admissions
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£28 / head - Ambulance
• 17,850 calls to South Central
Ambulance
• 13,600 “blue light” responses
• 8,100 convey to hospital
• 34,000 calls to 111
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£125 / head - Primary Care
• £117 /hd prescribing (£15.9m pa)
– 1.6 million prescription items ie 12 per person pa
– Range in cost from 37p to £3000
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…and some other examples
• £55 /hd (£7.5m) on nursing home places or
other packages of care in patients homes
• £99 /hd (£14m) on community health
– 42,000 district nursing visits
– 1,000 diabetic appointments
– 5,750 speech & language therapy appointments
• £23 /hd (£3m) on CCG running costs
– 2% of total spend
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CCG financial responsibilities
Financial duties….
 Revenue Resource Limit Achieved
Surplus of £3.9m (3%)
 Cash Limit Achieved
 Unqualified audit report
 Unqualified regularity opinion
 Unqualified “value for money” opinion
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Listening Exercise and
workshops
• Urgent Care
• Primary Care
• Prevention and Self-care
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Primary Care
Transformation
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Workshop
Feedback
Bracknell and Ascot Clinical Commissioning Group
2020
Thank you for
attending !
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