1. Lincolnshire East Clinical Commissioning Group

2. NHS Lincolnshire East Clinical Commissioning Group authorised on 1 April 2013 Skegness & Coast, East Lindsey and Boston Area localities include 30 practices covering 1,060 square miles including Skegness, Louth and Boston Population 241,246 Budget 2013/14: £310m

3. Vision We have a vision of a CCG where clinicians are working together to improve the quality and cost effectiveness of care, with resources based on need, and which benefits all of our patients as fairly as possible

4. Mission Ensure the optimum health and wellbeing of the people we serve by commissioning high quality health services which support choice; promoting healthy lifestyles and personal responsibility; reducing inequalities in opportunity, experience and health outcome; and managing our allocated resources effectively and responsibly

5. Lincolnshire East CCG has high level of deprivation compared to other areas in Lincolnshire. Around 19% of the population within Lincolnshire East CCG boundaries are living in what is classified as one of the 20% most deprived areas in England Areas of high deprivation can be found mainly in Boston (Fenside), Skegness and Mablethorpe. Deprivation is a key factor in a person’s health and wellbeing

6. Under 75 mortality rates from cardiovascular disease, respiratory disease and cancer are higher than rates for England Life expectancy at birth is 77.7 years for males, 81.5 years for females. Both slightly lower than national average. Obesity prevalence is above the England average: 13.1% (CCG) compared to 10.7% (England). The prevalence of obesity in Lincolnshire East is the highest among Lincolnshire CCGs. Hypertension prevalence is significantly above the England average: 17.2% within Lincolnshire East CCG compared to 13.6% in England Health and lifestyle

7. Disease prevalence in LECCG Source: www.apho.org.uk/PracProf/Profilewww.apho.org.uk/PracProf/Profile

8. What we have done so far 1.Keeping people out of hospital 2.Decrease acute admissions 3.Improve working together 4.Optimise Out of Hours provision 5.Optimise Urgent Care pathway 6.Improve medicines management 7.Optimise use of ambulance services 8.Improve dementia services 9.Improve end of life care 10.Empowering communities 11.Improve update of screening services 12.Optimise diabetes pathway 13.Optimise atrial fibrillation pathway 14.Develop ENT pathway 15.Develop dermatology pathway

9. Where do we spend the money?

10. Acute Expenditure breakdown?

11. Where do we need to be? Improving Quality Restructuring the way that care is delivered Lincolnshire Health and Care Better Care Fund

12. Any Questions