1. NORWOOD ROOM, THE ROYAL NATIONAL COLLEGE FOR THE BLIND TUESDAY 1 JULY 2014 5PM - 8PM Welcome to our first Annual General Meeting

2. Agenda TimeItemHost 17.00Arrival - Registration and light refreshments Networking and stalls covering a range of initiatives from across the CCG All 18.00 Welcome and introductionsJo Whitehead, Chief Officer 18.05 Our journey so far, your local NHS and what we do Dr. Andy Watts, Chair 18.10 What does quality mean for you, us and the local NHS?Dr. Ian Tait, GP lead for Quality and David Farnsworth, Executive Lead Nurse 18.20 Clinically led commissioning – making a difference for every patient and how we are transforming your NHS Dr. Crispin Fisher, GP Lead for Primary Care and Dr. Alison Talbot-Smith, Head of Clinical Outcomes and Service Transformation 18.35 Patient storyMr. Andrew Pyke 18.50 How we work with hospitals and the importance of specialist services in Herefordshire Dr. Richard Williams, Secondary Care Clinician 19.00 Q&A 19.15 Annual Report and AccountsDr. Richard Kippax, GP lead for Finance and Contracting and Jill Sinclair, Chief Finance Officer 19.30 Future challenges and closing remarksJo Whitehead, Chief Officer and Dr. Andy Watts, Chair

3. Welcome and introductions Jo Whitehead Chief Officer

4. Our journey so far, your local NHS and what we do Dr. Andy Watts, Chair

5. So what on earth is clinical commissioning? We describe Clinical Commissioning Groups (CCGs) as: Groups of General Practitioners (GPs) working together with health professionals, managers, patients and the public to plan, design and improve delivery of the local NHS “The aim of this is to give GPs and other clinicians the power to influence commissioning decisions for their patients” Health and Social Care Act 2012 “The aim of this is to give GPs and other clinicians the power to influence commissioning decisions for their patients” Health and Social Care Act 2012

6. About our CCG Launched on 1st April 2013 183,600 patient population 25 member GP practices with a total of 165 GP members 4 Governing Body GPs and 6 additional GP leads in specific fields Wide ranging experience and skillsets within the governing body and CCG team Budget of around £204 million Birmingha m CrossCity CCG

7. Where are we now: We are a fully authorised NHS statutory body The CCG is much leaner We now spend 40% less on management costs than our predecessor Our culture is focussed on frontline service delivery and is about making changes that make a difference for our patients Involving patients in how we plan services Working with partners Cognisant of the challenges ahead

8. What does quality mean for you, us and the local NHS? Dr. Ian Tait, GP lead for Quality and David Farnsworth, Executive Lead Nurse

9. National perspectives

10. Local perspectives

11. How we used your feedback Quality in Herefordshire is everybody’s business Our aim is that everyone in Herefordshire will be able to access safe care, which is evidence based and provides a personalised and responsive service. Our approach places the NHS constitution at the heart of our work, ensuring we monitor, and make efforts to improve, the quality of healthcare we commission. This encompasses clinical effectiveness, patient safety and patient experience – the cornerstones of quality and the NHS outcomes framework. The CCG Quality Assurance framework will support commissioners to measure against best practice, proactively identify failing services and to ensure provider accountability. We seek to inform and deliver improvement on behalf of patients, supporting openness, transparency and candour throughout the system in line with best practice and national enquiry recommendations. Set standards (Including development) Monitor intelligence Analyse trends Identify outlier performance Seek redress Evaluate outcomes Identify gaps Inform commissioning change

12. Real change….

13. Get involved Quality strategy http://www.herefordshireccg.nhs.uk/membership Patient experience http://www.herefordshireccg.nhs.uk/patient-experience-survey More information http://www.herefordshireccg.nhs.uk/contact-us

14. Clinically led commissioning – making a difference for every patient and how we are transforming your NHS Dr. Crispin Fisher, GP Primary Care Lead and Dr. Alison Talbot Smith, Head of Clinical Outcomes and Service Transformation

15. We asked patients and their carers “What three words would you use to describe your experience of the Virtual Ward Service?” Kind, thoughtful, do the best they can. Very good. Caring. First class, absolutely Very good. Excellent. Wonderful Relaxed Friendly. Excellent, fabulous and caring. Friendly Helpful, great service, friendly. It changed my life (and I don’t want to lose it)! WonderfulRelaxed That’s an impossible question! Personal, Caring and Efficient. Marvellous, personalised. Splendid experiment, plan to release beds, content. Marvellous, personalised. Personal, Caring and Efficient. Satisfactory. They are very nice people. Excellent Very good. Excellent Very good, well overdue service Liberating, excellent, impressive- standard and knowledge. Rewarding, peaceful, professional. Very good Very satisfactory care Welcome, informative, relaxed Marvellous want more Hope it continues Wonderful, kindLove it GUARDIAN ANGELS PREVENTED ME HAVING A BREAKDOWN NEVER IN A RUSH CHANGED MY LIFE PROFESSIONAL UNDERSTANDIN G EFFICIENT KIND THEY LISTEN CARING APPROACHABLE HELPFUL KNOWLEDGEAB LE REASSURING POLITE FRIENDLY VERY GOOD WANT THE SERVICE TO CONTINUE

17. Patient story: Mr Andrew Pyke

18. How we work with hospitals and the importance of specialist services in Herefordshire Dr. Richard Williams, Secondary Care Clinician

19. Any questions?

20. Presentation of the accounts and annual report Dr. Richard Kippax – GP lead for Finance and Contracting and Jill Sinclair – Chief Finance Officer

21. Our statutory duties

23. To drive and the support the Transformation of Services Key areas in 2013/14: Hospital at Home and Virtual Wards Rapid Access to Assessment and Care Clinical Assessment Unit Dementia Rapid Assessment and Interface Discharge Service Improving Access to Psychological Therapies Electronic Patient Referrals Map of Medicines Review of Urgent Care Services/ COBIC Colagenase for the Finger Any Qualified Provider of Planned Care Areas of Transformation

24. Transformation of Health and Social Care Systems by using the principles of the Better Care Fund Botulinum for the Bladder Stroke Rehabilitation Services Hospital at Home and Virtual Wards Rapid Access to Assessment and Care Dementia Psychiatric Liaison Services Improving Access to Psychological Therapies Advanced Care Planning in Nursing Homes Electronic Patient Referrals Map of Medicines Review of Urgent Care Services/ COBIC Colagenase for the Finger Any Qualified Provider of Planned Care 2014/15 Transformation Plans

25. Future challenges and closing remarks Jo Whitehead, Chief Officer and Dr. Andy Watts, Chair

26. Thank you for coming!