Sussex by the sea: supporting primary care commissioning Erica Rae and Tom Roper West Sussex Knowledge & Libraries

Two physical sites, at Chichester and Worthing Support all NHS staff, whether acute, primary, mental health, local authority, hospice… –Head of Library and Knowledge Services –Deputy Head of Library and Knowledge Services –Public Health & Commissioning Librarian and Primary Care Librarian –Clinical Librarian and Knowledge Systems Librarians –Library managers and library assistants

A brief history of commissioning 1991: purchaser-provider split, GP fundholding, GP & locality commissioning 1995: total commissioning 1997: Labour elected, committed to end fundholding 1999: fundholding abolished, PCGs (later PCTs) established 2010: coalition elected 2011: CCGs 2012: Health and Social Care Act passed

Continuum of commissioning before the election of the current government 7 Smith J A, Mays N BMJ 2012;344:bmj.e980 ©2012 by British Medical Journal Publishing Group

The commissioning cycle Attribution: Bdailey86 from Wikimedia CommonsBdailey86

Sussex

Coastal West Sussex: Locality areas and practices Adur –9 GP surgeries in Lancing, Shoreham-by-Sea, Sompting and Southwick ARCH –22 GP surgeries in Arundel, Bognor Regis, Chichester, East Wittering, Loxwood, Midhurst, Petworth, Pulborough, Selsey, Southbourne, Tangmere and Yapton, Arun –6 GP surgeries in East Preston, Littlehampton and Rustington Cissbury –13 GP surgeries in Ferring, Goring-by-Sea and Worthing Chanctonbury –5 practices in Billingshurst, Henfield, Steyning & Storrington

Coastal West Sussex GP Practices One acute NHS hospital trust, two main sites Six NHS community hospitals Over two hundred community nurses A wide range of community teams Over fifty NHS dental surgeries Around ninety-five community pharmacies

Some salient features Higher than average proportion of elderly people (20% over 65, England 16%) Considerable health inequalities Poorer life expectancy in deprived areas Rising numbers of people with disabilities Rising numbers of people living longer with long term conditions. Alcohol-related hospital admission rates have continued to increase. Obesity affects all ages within the population c.180,000 adults obese, at increased risk of –Diabetes –Hypertension –Coronary vascular disease –Stroke –Cancer

Key relationships for the CCG NHS Commissioning Board NHS Sussex and NHS South of England Providers –Western Sussex Hospitals NHS Trust –Sussex Community NHS Trust West Sussex County Council –Joint Commissioning Unit –Health and Wellbeing Board Patients and public

Role of the PHCL Librarian Public Health and Commissioning – What’s the difference? Service changes Commissioning Cycle/Intelligence Model Example searches Current Awareness Public Health & Commissioning Librarian

The PCT – we’ve always been there! A change of service A change of customer base A new role for me The remit The practicalities

Different teams, different approaches Major changes! Public Health will merge with Local Government CCG developing their role

Joined up services A culture shift Branching out into Local Government A new client base? Requiring new tools and methods

So what do we do? And why do we do it? A couple of illustrations…

The Commissioning Cycle Copyright © 2011, Re-used with the permission of The Health and Social Care Information Centre. All rights reserved

Traditional resources – –NHS Evidence –HDAS –Cochrane Who’s already done it? Thinking ‘out of the box’

No Results?

Find more! using msk hub "service specification" site:nhs.uk

Google – For Public Health – examples of other PCT’s health and wellbeing strategies "alcohol strategy" pct or primary care trust For the JCU – information on the "Troubled Families Initiative” "troubled families initiative" site:gov.uk New databases – For Social Care information Applied Social Sciences Index & Abstracts (ASSIA ) Other resources – Local Government Association website National Centre for Social Research

Help is at hand! The Commissioning Handbook

Quality:MK

And finally... Marketing and Promotion – Don’t wait for them to come to you Current Awareness helps Keep up to date yourself Learn to speak their language

Netvibes/PubComm

Useful websites Commissioning Handbook for Librarians Local Government Association National Centre for Social Research NHS Commissioning Board Special Health Authority NHS Information Centre for Health and Social Care NHS Networks Commissioning Zone NHS Primary Care Commissioning Quality:MK