Welcome to our AGM Programme for the afternoon Welcome and introduction to NEW Devon CCG AGM 1.00pm Review of 2015-16 – video 1.05pm Presenting the highlights of the annual report 2015/16 1.10pm Presenting the annual accounts 2015/16 1.20pm Ask the CCG 1.35pm Close 1.45pm

NHS Northern, Eastern and Western Devon CCG Population of almost 900,000 Budget £1.1 billion Membership 116 GP practices Vision Healthy people living healthy lives, in healthy communities Locality Number of member practices In the past 12 months the following practices have merged / federated.   Northern 20 Beech House surgery merged with Hatherleigh in the Eastern Locality Warwick & Waterside practices merged to form Coombe costal Eastern 49 Western 47 Lifton Surgery merged with Tavyside St Levan Surgery  Merged with Adelaide Road surgery

Annual report video

Our Priorities for 2015/16 Health and Wellbeing of our population 58% of our NHS outcomes are in top two quartiles nationally Involvement of patients and public towards the commissioning of high quality, effective and safe services Patient and Public Engagement planned – first meeting held in June 2016 2 additional Lay Members Continue to meet our NHS Assurance requirements (which include NHS Constitution performance targets) Received directions under the Health and Social Care Act Improve performance Financial Sustainability– Success Regime Stronger Governance and leadership Collaborate with our partner organisations Integrated Commissioning with Plymouth City Council Working in new ways with partners, providers and integrating care to improve efficiency and economy ‘Your Future Care’ to create a sustainable environment for the future A safe and efficient urgent care system Early implementers of the national specification for Integrated Urgent Care (IUC)

Highlights and achievements Consultation on the consolidation community hospital beds in eastern Devon onto fewer units declared "extensive and fair" by the High Court of Justice Decision to proceed towards contract award for community services to the Royal Devon and Exeter NHS Foundation Trust for eastern Devon Robin Community Assessment Hub the alternative urgent care service for people with acute health problems, was officially opened (Western) A project, which aims to make all patient and care records in Devon digital, is underway  Patients in Devon are more satisfied with their GP surgeries than elsewhere in the country, according to the results of a national patient survey CCG has pledged more than £47,000 so far to support projects in our local communities, such as stroke, Parkinson’s and mental health projects Formal award of contract for the provision of community services for adults with complex needs for the western locality to Livewell Southwest

Our performance Cancer waiting times 18 weeks referral to treatment Diagnostics Mental Health NHS 111 A&E four hour wait (Annual Report page 9-26)

Involving people in our plans Public involvement is key for us to make commissioning decisions. We strive to uphold… ‘no decision about me without me’’ Patient and Public Engagement Committee (PPEC) - Creation of a new sub-committee of the Governing Body that will specifically assure the CCG that its engagement is effective, timely, appropriate proportionate and complies with its legal duties.

Thank you to everyone for their continued commitment and hard work. Our Focus for 16/17 Closing the gap between health and social care, in terms of outcomes, commissioning and provision of services Tackling our challenges as a whole system and achieving transformational change (Success Regime and STP) Acknowledge service and commitment to the CCG by Alex Aylward and Anne Gunther Welcome Jennie Willmott, Lay Member Patient Public Engagement Janet Fitzgerald Governance and Probity (Jan 17) Thank you to everyone for their continued commitment and hard work.

Annual Accounts 2015/16 Hugh Groves Chief Finance Officer

NEW Devon CCG 15/16 Financial Plan & Financial Accounts In 15/16 the CCG focused its financial plan on recovery A realistic plan meant an approved target of £40m in-year deficit Key priorities were financed Development of Integrated Fund with Plymouth City Council Required a £30m QIPP or savings plan These targets were achieved

How does the CCG spend its money?

Financial Performance 2015/16   Target £’000k Actual £’m Difference £’000 deficit as % of allocation In year deficit 40,073 39,557 -516 3.5% Brought Forward Deficit 38,827 Total Deficit 78,900 78,384 7.0%

Financial performance 2015/16   Target £000’s Actual Difference £’000 % Capital resource use     2,005  2,003   -2   -0.1 Running Costs  19,445  19,382  - 63   -0.3

Auditors Findings 15/16 Accounts Financial statements opinion: Unqualified - statements give a true and fair view Regularity Opinion : CCG exceeded its resource limit therefore a qualified regularity opinion Value for Money Opinion CCG exceeded its resource limit therefore a qualified VFM opinion No Material Recommendations

Plans and Performance 16/17 Investments Acute Care - waiting times and access, urgent care Better Care Fund - increased investment in integrated services Mental Health - Places of Safety, Parity of Esteem Community Services – local parity on investment Development of personal care budgets

Finance Recovery Plan CCG targeting following areas in order to generate system-wide financial stability and greater operational resilience in 16/17: Management of urgent/unplanned care, including sustainable new models of care Reductions in elective care costs Reduced reliance on temporary staff Pursuit of procurement opportunities and better incentives to control costs Appropriate packages of care (e.g. in CHC), plus best use of NHS services and facilities where appropriate Repatriation of some specialised services

Integration with the Success Regime and Your Future Care More collaborative approach to finance and service planning Focus on Value for Money and best use of resources across the system Strength and advantages of working together rather than individual organisation approach

Ask the CCG Any Questions

Closing remarks Thank you NEW Devon CCG Governing Body meeting held in public from 2pm. Your attendance is welcome