1. Lincolnshire East CCG
Annual Public Meeting
24 July 2014

2. Welcome and purpose of our Annual Public Meeting
Dr Brynnen Massey
Chair

3. Agenda for this evening:
18:00 Welcome and purpose – Dr Brynnen Massey
18:05 Review of 2013/14 – Gary James
18:15 Quality and Patient Engagement – Tracy Pilcher
18:25 Financial overview – Sandra Williamson
18:35 How the work of the CCG impacts on our patients – Dr Peter Holmes and Dr Brynnen Massey
18:50 How Public Health supports the CCG – Chris Weston
19:00 Looking forward 2014/15 – Gary James
19:10 Question and Answer Session
19:30 Close

4. Review of
Gary James
Accountable Officer

5. A hectic first year
A brand new organisation responsible for the healthcare needs of the people of East Lincolnshire

7. Our guiding principles
To be an organisation that has clinicians as its leaders
To be closer to our patients than ever before

8. Our Priorities 2013/14
Establishing a local focus, so we can represent you and champion your needs
Monitor and review the performance of the services we commission and improve quality, outcomes and experiences
3 local priorities:-
- Increasing cervical screening
- Reducing quinolone (antibiotic) usage
- Doing more to prevent strokes

9. Our GPs
Crucial to our organisation, including our Governing Body, and how we run
Many work on specific areas – urgent care, cancer, community and long term conditions
All of them see patients every week and bring back that insight to the CCG

10. Our achievements Buying health services that support choice
Introduced the Virtual Ward
Launched Independent Living Teams
Used innovative AF Grasp to reduce strokes by 7%
Extended countywide Falls Prevention service
Worked hard to engage with you, through initiatives like C2
Partnership working to promote healthy lifestyles programme
Provided additional inpatient palliative care

11. Quality and Patient Engagement
Tracy Pilcher
Chief Nurse

12. Quality and Safety First
We will work with our patients to empower our patients through choice, expert patients and the friends and family test, to take part in planning services
Safety, effectiveness and patient experience will guide our decisions and we will commission – or buy – high quality care based on evidence of effectiveness

13. Better access to services
Better early diagnosis and prevention
Greater access to services closer to home
Better clinical engagement and outcomes for patients with long-term conditions
Improved quality and experience of care
Reduction in the need to attend secondary care

14. Engagement
We want to involve patients and the public in what we do and understand their needs
Our new Virtual Patient Council will enable feedback into CCG
Work with PPGs and other local groups to ensure public and patient involvement and to inform decision making process
Public engagement around Commissioning Intentions
Statutory duty to ensure that we are committed through engagement with patients and the public

15. Virtual Patient Council
Provides a mechanism to feed patient and public voice into CCG’s decision making process
Will collate views of wide range of groups by drawing on networks including PPGs, Healthwatch, voluntary and community groups
Provides scrutiny of CCG’s engagement and consultation activity
Enables existing networks for involvement to have a voice in decision making

16. Financial Overview
Sandra Williamson
Chief Finance Officer

17. Finance: our first year
Financial targets achieved
Controlled running costs within £25 per head of population
Total spending within limits
Achieved planned 1% surplus of £3.1m
Managed cash balances
Accounts approved by External Audit
Better payment practice code
95% by volume
97% by value

18. A day in the life of Lincolnshire East CCG
Over 18,000 items dispensed
170 calls per day
241 A&E attendances
836 outpatients
93 ambulance emergencies
183 patient journeys
6 babies delivered
£840k cost of services
922 people with community nursing support
Over 400 people under a mental health care pathway
114 new inpatients
81 day cases

19. How the work of the CCG impacts on our patients
Dr Brynnen Massey, Chair
Dr Peter Holmes, Clinical Leader, Boston Locality

20. How Public Health supports the CCG
Mr Chris Weston
Consultant in Public Health Medicine

21. Characteristics of Lincolnshire East CCG
Some of the highest levels of morbidity and premature mortality
High levels of long term conditions, for example, diabetes
High levels of risk factors associated with long term conditions, e.g. obesity
Health inequalities within the CCG

22. Characteristics of Lincolnshire East CCG
Source: LECCG Profile, LCC
IMD 2010

23. Developments within Lincolnshire East CCG
Temporary residents.
Joint working with Lincolnshire County Council, CCGs, District Councils and other agencies
Local Health and Wellbeing Boards
Public Health programmes support delivery of the Joint Health and Wellbeing Strategy Themes:
Promoting healthy lifestyles e.g. - adult weight management services, smoking cessation service, physical activity programmes and health trainer programme
Health of older people e.g. - excellent ageing programme, Ageing Better Application

24. Prevention and management of long term conditions:
NHS Health Check Programme
EPOC
Health of children:
National Child Measurement Programme
Teenage Pregnancy Programme
Determinants of health:
East Lindsey Wellbeing Service
Connecting Communities Programme (C2)
Fuel poverty
Links with local planners and the CCG

25. Looking ahead
Mr Gary James
Accountable Officer

26. Where next? NHS Outcomes Framework Better Care Fund
Lincolnshire Health and Care
NHS Constitution targets

27. How we will get there Wider primary care provided at scale
A modern model of integrated care
Access to the highest quality urgent and emergency care
Productive elective care

28. Questions?