1. North Norfolk Clinical Commissioning Group Fit and Ready? 24 April 2013

2. Introducing……… Mark Burgis Head of Clinical Pathway Design Rebecca Champion Engagement Manager

3. North Norfolk CCG Official organisation as of April 1 st 2013 Population approx. 167,800 Covers North Norfolk DC & rural Broadland DC 45 miles of coastline 20 General Practices (Members) 16 staff based in 1 Mill Close, Aylsham Aligned staff: Joint Health and Social Care team Public Health Prescribing Advisor

4. North Norfolk CCG Map

5. Structures (1) Council of members: –Clinicians from all 20 practices supported by practice managers Executive team: –5 doctors (elected) –5 managers from practices (elected) –1 Practice Manager leads on with Engagement Patients and Public, and Voluntary Sector –Chief officer –Chief Financial officer

6. Structures (2) Governing body: –5 doctors (Elected) –2 practice managers (Elected) –2 lay members (Finance & Engagement) –A registered nurse –Non-primary care doctor –Chief Financial Officer –Chief Accountable Officer Meets in public every other month ~ details on NN CCG website

7. Different Responsibilities to Primary Care Trusts (PCTs) We do:  support the improvement of performance in primary care  commission primary care out of hours services We do not:  award contracts for or manage primary care services (GP, pharmacy, dental and optometry)  deliver public health services

8. Clinically-led Planned hospital care Urgent and emergency care Rehabilitation care Community health services Mental health and learning disability services

9. Commissioning Drivers Needs driven & evidence based - Public Health An older population - living longer often with at least one long term condition. (65+ 33% in NN; 25% in BDC) A large rural area - poor transport infrastructure; services closer to home Responsive services – reflecting modern living and working patterns Active lifestyles and positive ageing – e.g. self- management of Long-Term Conditions (LTCs). Working in partnership to deliver these priorities

10. Engaging our patients 1 Communications and Engagement Strategy co-produced with a patient working group 20 practices have Patient Participation Groups (PPGs) North Norfolk Patient Partnership Conference brings patients from all the practices together twice a year Annual stakeholder event

11. Engaging our patients 2 Use existing networks e.g: LINk/Healthwatch District councils & Housing associations Diverse Groups Voluntary Sector Engagement Project Use our Referral Management Centre (RMC) Focus Groups to inform pathway design Join ‘Your Voice’ Quality dashboard

12. The voluntary sector in North Norfolk Key partner in delivering integrated services NN CCG wants to make it easier for joint working through: –Area based hubs –Integrated Care Co-ordinators –Multidisciplinary community teams –Aligned around groups of General Practices

13. North Norfolk Integrated Teams Integrated Working

14. Proposed Team Areas and Practice Groupings

15. Whole system approach including the voluntary and third sector Single point of enquiry for practices via the hub and co-ordinators Improved outcomes for patients across health, care and wider issues e.g. social isolation and loneliness Our vision for Integrated Working

17. Older People – Services integration, delivery of care focussed around the patient Mental Health – Dementia, Carer Support, better supporting people with anxiety and depression Planned Care – Out of Hospital Care, clinical pathway development Unplanned Care – Prevention, joined up patient care delivered closer to home Children – Supporting health lifestyles, paediatric diabetes service Where can we work better together?

18. Any Questions?