Central Manchester Clinical Commissioning Group Practice Nurse forum, 7/1/14 Tony Ullman, Head of Commissioning and Quality What I’ll cover • • • • • • • • 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 • • • • • 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?