Commissioning Intentions
8th October 15
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Joint working with Islington Council
Our four shared priorities are:
To make sure
every child
has the best
start in life
To prevent and
manage long-term
conditions to
extend the length
and quality of life,
and reduce health
inequalities
To improve
mental health
and wellbeing
To provide
high-quality,
efficient
services within
the resources
available
To help us provide the best service, we listen carefully to what local people tell
us. We meet regularly with them so they can ask questions and tell us what
concerns them about their care. The services we buy reflect their needs.
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Our community
Breakdown of ages
Breakdown of ethnic
backgrounds
Registered with
a GP: 228,000
Resident
population:
224,600
Resident
population by
2025:
246,500
64% of 16- to 74year-olds are
employed
8,600 single-parent
households
6,000 people live in
shared
accommodation
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Achievements
More GP appointments
A total of 65 extra hours a week.
Help for people with long term mental ill health
The Hillside Clubhouse ‘re-ablement’ service helps people
with long-term mental ill health to return to work.
Better care for people with mental ill health
doctors and mental-health professionals work together closely, while
our new specialist service means fewer people need to stay in hospital.
More personal co-ordinated care
Our team of health navigators help people find out about
things like housing, social care and writing a will.
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Challenges
Population
most densely
populated UK
borough and
the 5th most
deprived in
London
Children’s
health
London’s second
highest level of
child poverty, with
13,000 children
(34.5%) living in
low income
families
Mental health
and wellbeing
highest level of
psychosis in
England
Long-term
conditions
high level of longterm conditions
(such as
diabetes) that will
need a different
kind of care over
10 years
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CCG & Council collaboration
Joint working example: cancer and cardiovascular
disease
Working together to tackle Islington’s three leading
causes of death
• cancer
• cardiovascular disease
• respiratory disease
Prevention
Our best chance to tackling these are through promotion
of healthy lifestyle behaviours, part of the NHS Five Year
Forward View
6
Where the money goes
7
Our financial performance
Plan
We spent a total
of £315.3m and
met all of our
financial
targets for the
year
Actual
Achieved
To stay within plan and deliver a surplus of £8.2m
(including the £6.5m brought forward surplus)
£6.5m
£8.2m
√
Achieve a minimum in-year breakeven or surplus
position
0
£1.7m
√
£286.5m £286.5m
√
To meet our cash target
To deliver our QIPP savings programme
£15.2m
£14.9m
√
To deliver our investment programme
(strategic/internally generated, £8.2m, as well as
nationally funded, £4.1m)
£12.3m
£12.3m
√
£5.9m
£5.2m
√
To meet the better payment practice code target (value)
95%
96%
√
To meet the better payment practice code target
(volume)
95%
90%
x
To meet our running cost allowance
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Our plans for 2015/16
engaging with our local population about Islington’s health priorities,
and providing information about appropriate access to care, including selfcare
supporting local GPs in launching iHubs with funding from the Prime
Minister’s Challenge Fund
continuing our work on integrating care with our partners children’s health, long term conditions, mental health and wellbeing
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Our plans for 2015/16 and beyond
developing Islington’s health and social care workforce through
our Community Education Provider Network
building clinical leadership with insight from Islington’s GPs to drive
commissioning in partnership with patients and service users
working across north central London to jointly commission general
practice to improve the quality of services and care for local people
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Your views
Overall services:
 What do you think our priorities should be for next year (2016/17)?
 Where do you think services are meeting needs of local community?
 Where do you think there are gaps in services?
 What are you concerned about when supporting the local community to
look after their health?
• Prompts
 Accessing services
 Looking after your health
 Treatment in services?
 Lack of support.
Email: islingtonccg@nhs.net
Twitter: @islingtonccg
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Your views
Planned care:
 Do you think certain hospital appointments could be better
provided in a community or GP setting?
 Would this better support the local community’s needs?
 Could you support delivering some of this change or services?
Primary care:
 Is primary care meeting the needs of the local community?
 Where could there be improvements? E.g. Extended opening
hours?
Email: islingtonccg@nhs.net
Twitter: @islingtonccg
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