1. Longer, healthier lives for all the people in Croydon CCG Operating Plan: Commissioning Intentions 2013 - 14 Health and Wellbeing Board

2. Longer, healthier lives for all the people in Croydon Introduction and context The Operating Plan combines local and nationally mandated priorities for CCG Commissioning in 2013/14 from the NHS Constitution and National Mandate The local priorities identified fall out of the CCG Integrated Strategic Operating Plan (ISOP) and cross reference to the priorities identified in the Health and Wellbeing Strategy Page 6 of the Plan demonstrates the alignment of the Operating Plan to the Transformation Agenda and the Strategic context for the next 4 years. The attached is an early draft for further development. A final draft will be submitted to the National Commissioning Board on 5 th April 2013. The Plan is set in a challenging context of a (2013/14 – 2015/16) financial recovery arising from an inherited financial position

3. Longer, healthier lives for all the people in Croydon High Level Summary of ISOP Priorities 3

4. Longer, healthier lives for all the people in Croydon Overarching Priorities of the CCG Prevention of ill-health Self-Management and shared decision making Long Term Conditions Children and Young People Planned Care Primary and Community Care Urgent Care

5. Longer, healthier lives for all the people in Croydon Individuals take responsibility for their health Integrated pathways Care in right settings Understand how to use services People choose Croydon Health Services What We Are Doing How it will look different in 5 years

6. Longer, healthier lives for all the people in Croydon Services re-configured: –CHS: A&E, Maternity, Day cases –Elsewhere: Planned inpatients –South London Hospitals changes –Better Services, Better Value changes Stable finances What We Are Doing How it will look different in 5 years

7. Longer, healthier lives for all the people in Croydon Core Operational Principles Working with Public Health: Roll out Prevention Programmes Emphasis on Self-Care / Shared Decision Making Evidenced based commissioning, aligned with Plans Collaborate (where adds value) to jointly commission services –with our Local Authority and Neighbouring CCGs Work to integrated clinical and referral pathways/common protocols

8. Primary & Community Response

9. Longer, healthier lives for all the people in Croydon Priority AreasCommissioning Intentions PreventionImplement Prevention Self Care and Shared Decision Making Strategy Long Term ConditionsRisk Stratification Geographical Multi-Disciplinary Team (MDT) Case Management Beginning to end Pathways, Cancer, Dementia, Cardiology, Diabetes Increase uptake of IAPT Roll out Telehealth Fair Pricing Continuing Health Care Placements (CHC) Children and Young PeopleCommitment to Family Engagement Partnerships Increase % Ratio H/V & Midwives Review access to Tier 3&4 CAHMS Fair Pricing CHC Placements Commissioning Intentions 2013/14

10. Longer, healthier lives for all the people in Croydon Priority AreasCommissioning Intentions Planned Care IntermediateImplement Tele-Dermatology Pilot Day Case Drug Infusion Urology Review of Cardiology Primary and Community Care Implement Primary and Community Strategy Urgent CareReduce Multiple Access Points Review GP Extended Hours within Networks Rapid Response Care Homes Agree 111 / LAS / OOH: Directory of Services Protocols Commissioning Intentions 2013/14

11. Longer, healthier lives for all the people in Croydon National Mandated Priorities NHS Constitution 18 week – referral to treatment 4-hour maximum wait in A&E departments 62-day - urgent GP referral to 1 st definitive treatment for cancer 8 minute responses for category A red 1 ambulance calls

12. Longer, healthier lives for all the people in Croydon National Mandated Priorities NHS National Mandate Helping people live longer Helping people manage on-going physical and mental health conditions Helping people to recover Making sure people experience better care Providing safe care

13. Longer, healthier lives for all the people in Croydon 3 Local Quality Premiums In addition to meeting NHS Constitution and NHS Commissioning Board Mandatory Requirements 3 Local Quality Premiums to support ‘One Plan on a Page’ to be identified e.g. –Take up of Risk Stratification –Numbers of People on MDT Caseloads –Increase Dementia Diagnosis Rate – Stretching Current Target –Increase in Capacity to Tier 3 and Tier 4 Children CAHMS –Increase % Health Visitor Ratio –Increase in Day Case Infusions in Intermediate Care –Reduction in Emergency Admissions from Care Homes

14. Longer, healthier lives for all the people in Croydon