1. Big changes, new opportunities - big challenge
West Essex NHS Clinical Commissioning Group Sept 2012
Welcome!

2. What’s in this presentation
Who we are – quick recap on the CCG
New arrangements – how commissioning fits together
West Essex CCG – our context
Health and Wellbeing – the priorities
Doing the job in partnership

3. Who we are - quick recap on CCG
In shadow since April 2012
Board led by clinicians including GPs, nurse, public health, hospital consultant, social services, lay members
Clinicians represent 3 localities
Aiming for authorisation by end December 2012
Statutory establishment from 1 April 2012

4. Who we are - quick recap on CCG
Commissioning – planning & buying healthcare
Not providing – that’s South Essex Partnership NHS Foundation Trust (SEPT)
Assess local needs, listen to people
Plan in partnership
Design services, agree contracts
Manage quality & performance
Manage the budget - £449m in 2011/12

5. New arrangements Sets framework Holds CCGs to account
NHS Commissioning Board
Sets framework
Holds CCGs to account
Contracts with GPs & others
Commissions specialised services
Clinical Commissioning Group (CCG)
Led by clinicians
Plans and buys your health care
Joint planning with local authority
Local authority
Health and Wellbeing Board
Joint strategic needs assessment
Health and wellbeing strategy
Public health
HealthWatch
Commissioning support
Technical advice & services
Information & contracting support
Corporate services

6. West Essex CCG – our context
Key facts
Current position
Area covered
Epping Forest, Harlow, Uttlesford – 390 sq miles
GP network
39 practices in 3 localities (11 GPs with special interests)
Population
Approx 288,000 (Over 12% growth estimated 2008 – 2025)
Main health issues
Rising demands for healthcare
Age-related problems for increasing number of older people
Smoking and obesity
Mental health problems
Heart disease, stroke, diabetes, dementia
Money issues
£66m savings needed to keep pace with demand in next 3yrs
Steady while managing major change
Ended 2011/12 with a small surplus
Mixed performance against targets and standards
New schemes and service improvements launched

7. Health and wellbeing – the priorities
Service redesign e.g. streamlined urgent care
Alternatives to hospital – primary and community care
Stronger partnerships – joined up services, clinicians, vol sector & patients involved

8. Main plans for 2012-2014 Service redesign
Theme
Examples of plans
Service redesign
Coordinated urgent & emergency care
Single point of access for children’s services
Care closer to home
Community based alternatives to hospital
Early treatment for mental health problems
Joined up health & social care
Partnership schemes for elderly care
Community consultants
Central role for primary care
Services to care homes
Care for “at risk” people with long term conditions
Healthchecks for people with learning disabilities

9. Main plans for 2012-2014 Focus on localities
Theme
Examples of plans
Focus on localities
Cardiovascular & diabetes in Epping Forest
Mental health & alcohol-related problems in Harlow
Development at Saffron Walden Hospital
Improving quality
Working with providers
Listening to patients and clinicians
Long term sustainable transformation
(£66m savings)
Improving care for older people
Improving quality of life for people with long term conditions
Improving urgent care

10. Doing the job in partnership
Locality practice forums
Practice patient groups
Multi-agency programme boards
Broader public engagement in the design of service developments
Locality membership network
Patient Reference Group
Board lay members
Nurturing our relationships
How could we work better with you?

11. Looking after your NHS and yourself
Do you know about the NHS Constitution?
Do you know about your rights as a patient?
Find out more from our website