CCG update
November 2013
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Introduction
High Weald
Lewes Havens
The Financial
position
Delivery – the
Green Triangle
The CCG
Environment
Commissioning
Architecture
Appendices
High Weald Lewes Havens
A relatively healthy population, but with specific needs
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Differential life expectancy between localities
High numbers of Frail elderly
Pockets of inequality
Poor recording by GPs of smoking status
Above average young people using alcohol & drugs
Low flu vaccination rates for 65+
Above expected circulatory and respiratory diseases
Higher cancer rates in under 65s
Higher rates of depression and dementia
High numbers of road injuries and deaths
Lower % of deaths at own residence
A small CCG over a primarily rural
area
• 164000 Population (93000 High
Weald, 71000 Lewes Havens)
• 22 Member Practices
• 125 GPs
• No acute provider within the
CCG boundaries
• 1 community provider
(integrated with acute)
• 3 Community hospitals
Source: http://www.eastsussexjsna.org.uk/
CCG
History
Pre white paper
Three PBC groups exist – Havens, Lewes, and High Weald
March 2012
One CCG (High Weald Lewes Havens) formed and chair elected
July 2012
Chief officer recruited . CCG receives delegated authority as PCTC sub-committee
September 2012
Governing Body formally meets for first time and Merged ISOP published.
October 2012
Governance structure and constitution adopted by all practices
December 2012
Recruitment to governing body and management staff complete
March 2013
CCG authorised with 18 conditions and 2 directions
April 2013
High Weald Lewes Havens becomes a statutory NHS body
June 2013
Directions Lifted.
September 2013
All but two conditions remain. New Governing body member and 9 new clinical leaders appointed
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Summary of 2014/15 Commissioning Intentions
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Community Services Review
Better Care Better Value
New Commissioning Models – MSK
Contract Levers
The CCG is not responsible for primary care contracting, but the
plans for the future, including the Green Triangle, are interlinked
with these services. The CCG has begun to develop a primary
care strategy and working with the Area Team, will include a set
of commissioning intentions for primary care and how they
relate to the planned changes in community services.
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The Green Triangle – a manifesto for
Community Services
“a fractured, confusing system made up of unclear and unwieldy
referral pathways, and significant inequalities of provision across
the CCG”
“a firm commitment to radical change”
Which means…
• A redesign of community services based
on patient flows
• Integration of Health and Social Care to
deliver better services for patients
• Development of a Primary Care Strategy
that supports 7 day access to expert
clinical advice; and GPs as gatekeepers to
the whole treatment and care system .
• A review of mental Health Services
currently delivered in the community
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Commissioning a new MSK Service
• Musculoskeletal conditions (MSK) include
disorders of muscles, joints, tendons,
ligaments, and nerves.
• Current Treatments include physiotherapy,
rheumatology, pain management, podiatry,
and psychology
• 10,000 referrals pa in HWLH and EHS
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Why commission a new MSK Service?
• Variations in referrals, diagnoses, and
treatment offered
• Lack of coordination
• Distance travelled by some patients for
treatment
• Lack of alternatives to surgery offered
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What will be better for patients?
An integrated MSK service means better clinical
outcomes as follows
• Promotes patient self-care
• More treatment in community based settings
• Quicker access to specialist advice, diagnostics,
treatment, and rehabilitation
• One stop assessment and on-going care
• Better coordinated follow up care
• Shared Decision Making
• Single point of access on discharge
• Better coordination of rehabilitation
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The timeline
Action
Date/Status
Clinicians design service specification based on patient feedback
Done
Evaluation criteria to assess providers agreed
Done
Provider event
Done
Invite bids for new service
Done
Competitive dialogue begins
February 2014
Contract awarded
May 2014
Service goes live
c. October 2014
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For more information
Hugo.Luck@nhs.net
http://www.highwealdleweshavensccg.nhs.uk/
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