1. Shaping better health for our population
Lindsay Gee
Head of Locality Planning (South Gloucestershire)

2. To meet future challenges we have to work as a system to change the way we deliver services

3. With our partners we have developed a vision for future care delivery across BNSSG…

4. …and established some clear priorities for the CCG in 2018/19
Strengthening general practice and enabling integrated community-based localities
Procuring a BNSSG community services provider
Consulting the public on the future of services at Weston General Hospital
Developing an acute services strategy
Delivering our urgent and emergency care strategy
Improving services for people with mental health needs
Enabling transformation through digital
Increasingly working together as a system through the Sustainability & Transformation Partnership

5. Healthier Together STP has agreed a number of priority work programmes
Acute Care Collaboration
Digital
General practice resilience and transformation
Healthy Weston
Integrated community localities
Maternity
Mental health strategy
Prevention
Urgent Care
Workforce

6. Developing our integrated localities
The Locality Transformation Scheme is the vehicle we are using to enable general practice to be at the heart of the locality
With general practice leadership, integrated provider forums that bring together leaders from the GP locality, community providers (including VCSE), mental health and social care will be critical in establishing new service models…
…focussed on meeting the specific needs of the local population
As integrated localities become established they will build partnerships with hospital colleagues to design fully integrated pathways that help people stay healthy, well and independent in the community
Ultimately our vision is that fully integrated localities will push back the boundaries of what is done in an acute setting and establish the community as the default setting for all of a person’s care.

7. Commissioning Intentions highlights (1)
Building the system with our providers
Redesigning models of care
Integrated community services
Networked general hospital care
Regional centre of excellence for specialised services.
Enabled by effective infrastructure
Clinically and financially sustainable services
Staff enabled to deliver exceptional care
Digitally enabled care
Consistent pathways across BNSSG
Workforce
Locality development – Integrated Community Localities will be the default option for people’s care

8. Commissioning Intentions highlights (2)
Community Services
service procurement across BNSSG for mobilisation from April 2020
Work with Councils to define plans for recommissioning of community equipment services
Continued focus on admission avoidance and enabling discharge
Maternity – continued implementation of Transformation Plan
Mental Health and Learning Disabilities – service specific schemes, including
review of Control Room and Street Triage,
24/7 psychiatric liaison,
review of ADHD service,
CAMHS pathways,
IAPT re-procurement

9. Commissioning Intentions highlights (3)
Healthy Weston – sustainable solution, with community- focused role
Planned Care
refreshed planned care strategy
Greater focus on non face to face out-patients
Review ophthalmology pathway
Urgent Care
Integrated Care Bureau development
Development of frailty model
Urgent Treatment Centre designation
Acute services – standardisation of contract terms between the three acute providers

10. Commissioning Intentions highlights (4)
Medicines Optimisation/Prescribing
Improve patient outcomes through better use of medicines and evidence-base care
Quality
Focus on aligning quality measures and incentives across the system to support positive patient experience
Sustained emphasis on reducing healthcare acquired infections
Clinical Effectiveness – shifting resources from low value activity to high value activity
Primary care
BNSSG strategy refresh,
workstreams as part of STP to support transformation, resilience and workforce development to deliver GPFV locally

11. Full commissioning intentions available on CCG website

12. And finally …..
Prevention and self-care focus crucial to system functioning
Commitment to work within the Healthier Together STP system and to work across organisational boundaries, including with the voluntary, community and social enterprise sector
Area Teams a key part of keeping place-based focus and reflecting local specific needs. Come and say hello!
Thank you