1. Chief Clinical Officer: Dr Annet Gamell Chair: Mr Stewart George Welcome Southern Locality Public Event 3 rd July 2013 Chalfont St Peter Community Centre

2. Chief Clinical Officer: Dr Annet Gamell Chair: Mr Stewart George INTRODUCTION & WELCOME Mr Mike McDonald, Southern Locality, Community Engagement Advisor

3. Chief Clinical Officer: Dr Annet Gamell Chair: Mr Stewart George Who is NHS Chiltern Clinical Commissioning Group? We are… Over 327,000 patients Over 200 GPs 150 Practice Nurses 35 General Practices …building a healthy future together

4. Chief Clinical Officer: Dr Annet Gamell Chair: Mr Stewart George Locality vs Buckinghamshire Higher % aged 65+ Higher % non-white ethnicity Lower deprivation levels Life expectancy similar Lower early death rates Higher emergency admissions for 65+ Higher A&E attendances

5. Chief Clinical Officer: Dr Annet Gamell Chair: Mr Stewart George The budget… £300m

6. Chief Clinical Officer: Dr Annet Gamell Chair: Mr Stewart George What has happened since last time… What you Said……What we did……… “Strokes” urgency is everything, Is the ambulance service adequate to provide an urgent response? Hyperacute stroke unit at Wycombe - offers intensive care, rehabilitation and therapy for three days following a stroke Information and Support -Prevention of social isolation, Links to local communities and local care Prevention Matters/Community Practice Workers – Integrated approach to catching vulnerable adults before personal health or social problems become critical Cohesive approach for medical care in hospital and when discharged MUDAS ( medical day unit), Adult Community Health Team in hospitals supporting discharge Dementia Care – greater information and innovative approaches Developing memory services – Dementia Support Workers for each Locality Social Services and GPs need to work togetherMulti Agency Group Meetings in Practices – (bringing together different agencies to discuss and help vulnerable patients) Use of “call for help” aids for elderly living at homeCall for help aids available for all through Bucks County Council. Developing further assistive technology Modern ways of contacting for things like flu jabsSome practices have introduced “AIM “ a texting system to alert patients

7. Chief Clinical Officer: Dr Annet Gamell Chair: Mr Stewart George What has happened since last time…. Chiltern CCG – Authorised without conditions – Moved to Chiltern District Council Offices – Prospectus soon to be available to public – NHS Constitution available on our website http://www.chilternccg.nhs.uk

8. Chief Clinical Officer: Dr Annet Gamell Chair: Mr Stewart George QUALITY – WHAT DO WE KNOW? Dr Conan Hassim, Southern Clinical Locality Lead

9. Chief Clinical Officer: Dr Annet Gamell Chair: Mr Stewart George Service The action of helping or doing work for someone Care The provision of what is necessary for the health, welfare, maintenance, and protection of someone or something Feel concern or interest Attach importance to someone or something

10. Chief Clinical Officer: Dr Annet Gamell Chair: Mr Stewart George National Definition Quality is… Care that is effective, safe and provides as positive an experience as possible

11. Chief Clinical Officer: Dr Annet Gamell Chair: Mr Stewart George Outcomes Framework

12. Chief Clinical Officer: Dr Annet Gamell Chair: Mr Stewart George What goes on already?

13. Chief Clinical Officer: Dr Annet Gamell Chair: Mr Stewart George How could it be different?

14. Chief Clinical Officer: Dr Annet Gamell Chair: Mr Stewart George Over to you… Care Homes Adult Community Teams Hospitals Ambulance Services

15. Chief Clinical Officer: Dr Annet Gamell Chair: Mr Stewart George Discussion Ambulance Service Care Homes Community Teams Hospitals Describe the Quality of Care you would want to experience Identify broad themes Vote for the most important theme How would you measure quality?