1. Welcome to our AGM Programme for the afternoon
Welcome and introduction to NEW Devon CCG AGM
1.00pm
Review of – video
1.05pm
Presenting the highlights of the annual report 2015/16
1.10pm
Presenting the annual accounts 2015/16
1.20pm
Ask the CCG
1.35pm
Close
1.45pm

2. NHS Northern, Eastern and Western Devon CCG
Population of almost 900,000
Budget £1.1 billion
Membership 116 GP practices
Vision Healthy people living healthy lives, in healthy communities
Locality
Number of member practices
In the past 12 months the following practices have merged / federated.
Northern 20
Beech House surgery merged with Hatherleigh in the Eastern Locality
Warwick & Waterside practices merged to form Coombe costal
Eastern 49
Western 47
Lifton Surgery merged with Tavyside
St Levan Surgery  Merged with Adelaide Road surgery

3. Annual report video

4. Our Priorities for 2015/16 Health and Wellbeing of our population
58% of our NHS outcomes are in top two quartiles nationally
Involvement of patients and public towards the commissioning of high quality, effective and safe services
Patient and Public Engagement planned – first meeting held in June 2016
2 additional Lay Members
Continue to meet our NHS Assurance requirements (which include NHS Constitution performance targets)
Received directions under the Health and Social Care Act
Improve performance
Financial Sustainability– Success Regime
Stronger Governance and leadership
Collaborate with our partner organisations
Integrated Commissioning with Plymouth City Council
Working in new ways with partners, providers and integrating care to improve efficiency and economy ‘Your Future Care’ to create a sustainable environment for the future
A safe and efficient urgent care system
Early implementers of the national specification for Integrated Urgent Care (IUC)

5. Highlights and achievements
Consultation on the consolidation community hospital beds in eastern Devon onto fewer units declared "extensive and fair" by the High Court of Justice
Decision to proceed towards contract award for community services to the Royal Devon and Exeter NHS Foundation Trust for eastern Devon
Robin Community Assessment Hub the alternative urgent care service for people with acute health problems, was officially opened (Western)
A project, which aims to make all patient and care records in Devon digital, is underway 
Patients in Devon are more satisfied with their GP surgeries than elsewhere in the country, according to the results of a national patient survey
CCG has pledged more than £47,000 so far to support projects in our local communities, such as stroke, Parkinson’s and mental health projects
Formal award of contract for the provision of community services for adults with complex needs for the western locality to Livewell Southwest

6. Our performance Cancer waiting times 18 weeks referral to treatment
Diagnostics
Mental Health
NHS 111
A&E four hour wait
(Annual Report page 9-26)

7. Involving people in our plans
Public involvement is key for us to make commissioning decisions. We strive to uphold…
‘no decision about me without me’’
Patient and Public Engagement Committee (PPEC) - Creation of a new sub-committee of the Governing Body that will specifically assure the CCG that its engagement is effective, timely, appropriate proportionate and complies with its legal duties.

8. Thank you to everyone for their continued commitment and hard work.
Our Focus for 16/17
Closing the gap between health and social care, in terms of outcomes, commissioning and provision of services
Tackling our challenges as a whole system and achieving transformational change (Success Regime and STP)
Acknowledge service and commitment to the CCG by Alex Aylward and Anne Gunther
Welcome
Jennie Willmott, Lay Member Patient Public Engagement
Janet Fitzgerald Governance and Probity (Jan 17)
Thank you to everyone for their continued commitment and hard work.

9. Annual Accounts 2015/16 Hugh Groves Chief Finance Officer

10. NEW Devon CCG 15/16 Financial Plan & Financial Accounts
In 15/16 the CCG focused its financial plan on recovery
A realistic plan meant an approved target of £40m in-year deficit
Key priorities were financed
Development of Integrated Fund with Plymouth City Council
Required a £30m QIPP or savings plan
These targets were achieved

11. How does the CCG spend its money?

12. Financial Performance 2015/16
Target
£’000k
Actual
£’m
Difference
£’000
deficit as % of allocation
In year deficit
40,073
39,557
-516
3.5%
Brought Forward Deficit
38,827
Total Deficit
78,900
78,384
7.0%

13. Financial performance 2015/16
Target
£000’s
Actual
Difference
£’000 %
Capital resource use  
  2,005
 2,003
  -2  
Running Costs
 19,445
 19,382
 - 63
  -0.3

14. Auditors Findings 15/16 Accounts
Financial statements opinion:
Unqualified - statements give a true and fair view
Regularity Opinion :
CCG exceeded its resource limit therefore a qualified regularity opinion
Value for Money Opinion
CCG exceeded its resource limit therefore a qualified VFM opinion
No Material Recommendations

15. Plans and Performance 16/17
Investments
Acute Care - waiting times and access, urgent care
Better Care Fund - increased investment in integrated services
Mental Health - Places of Safety, Parity of Esteem
Community Services – local parity on investment
Development of personal care budgets

16. Finance Recovery Plan
CCG targeting following areas in order to generate system-wide financial stability and greater operational resilience in 16/17:
Management of urgent/unplanned care, including sustainable new models of care
Reductions in elective care costs
Reduced reliance on temporary staff
Pursuit of procurement opportunities and better incentives to control costs
Appropriate packages of care (e.g. in CHC), plus best use of NHS services and facilities where appropriate
Repatriation of some specialised services

17. Integration with the Success Regime and Your Future Care
More collaborative approach to finance and service planning
Focus on Value for Money and best use of resources across the system
Strength and advantages of working together rather than individual organisation approach

18. Ask the CCG
Any Questions

19. Closing remarks Thank you
NEW Devon CCG Governing Body meeting held in public from 2pm.
Your attendance is welcome