1. Richmond Clinical Commissioning Group Annual General Meeting 22 September 2015

2. Welcome – Dr Graham Lewis, Richmond CCG Chair Agenda 5.00pm – Welcome & introductions Dr Graham Lewis, Richmond CCG Chair 5.05pm – Annual report 2014/15 overview and successes Dr Graham Lewis & David Sykes, Head of Joint Commissioning Collaborative 5.15pm – Annual accounts 2014/15 Richard Thomas, Chief Finance Officer 5.20pm – Quality overview Julie Sobrattee, Chief Nurse 5.25pm – Our plans David Sykes & Dr Graham Lewis 5.40pm – Q&A with Panel 6.00pm – Close

3. Annual report overview – Dr Graham Lewis Second year in operation as a CCG First full year as chair A year of consolidation Creating stability Governance review Developing relationships

4. Our successes – David Sykes, Head of Joint Commissioning Collaborative Liaison psychiatric service at West Middlesex University Hospital Dementia No health without mental health Children and Adolescent Mental Health Services GP led model of care

5. Annual accounts 2014/15 – Richard Thomas, Chief Finance Officer Expenditure £m Acute services114 Mental health services22 Community services22 Continuing care13 Other non- acute services 10 Primary care prescribing 22 Primary care other expenditure 4 CCG running costs5 Other costs2 TOTAL214 Expenditure must not exceed income Running costs must not exceed £25 per head The CCG must not spend more money that it has or hold cash at year end

6. The CCG has a combination of statutory targets and national indicators to measure financial performance. Achievement against these is shown below. Finance

7. Quality – Julie Sobrattee, Chief Nurse How we work with hospitals to ensure services are of high quality & patients have a good experience How we make sure services are safe How we ensure adults and children are safeguarded How we use your feedback to improve services NHS England assurance process

8. Quality indicators IndicatorTargetQ1 Never Events00 Serious Incidents-15 Mixed Sex Accommodation00 Falls per 1000 bed days<=4.75.1 Complaints-110 Safety Thermometer91.7%94.5% IndicatorTargetQ1 Never Events00 Serious Incidents-8 Mixed Sex Accommodation00 Friends & Family Test-91.4% Complaints-66 VTE Assessment=>95%93.2% Kingston Hospital West Middlesex University Hospital

9. Working with patients, carers and local people Richmond patients, carers and local people Outcomes based out of hospital health and social contract 2016 Outcomes based community mental health contract 2017 Joint dementia strategy Improving early detection of and support for those living with and beyond cancer Transforming primary care Supporting patients to take up personal health budgets

10. You said ……….. 11 “No help or support given had to find our own solutions” “The amount of time you spend on the phone passed from pillar to post.. being told it’s not our responsibility” “If you are in need of help.. you need it NOW not in 6 months or at certain times which suit the provider not the patient” “I don’t see a light at the end of the tunnel” “It’s hard to know the right person to speak to and there is no one to pull it all together – there are even two parts to physio! “Technology gives me much more independence” “I have to tell the same story over and over”

11. Outcomes that matter most to people – David Sykes = Outcome relating to impact of care on quality of life = Outcome relating to experience of care

12. Our plans for 2015/16 – David Sykes Outcomes based commissioning Richmond Clinical Commissioning Group (CCG) and Richmond Council are working together to develop an outcomes based commissioning (OBC) contract which will deliver improved outcomes for patients and provide greater financial stability for the health economy. Patients will have more influence over how their healthcare is delivered by helping to shape the outcomes that are included in the contracts and by making informed decisions about how their care is delivered. We are working with the following providers to develop our plans: Hounslow and Richmond Community Healthcare NHS Trust Kingston Hospital West Middlesex University Hospital Richmond GP Alliance Timelines Mental health What’s next?

13. Our plans for 2015/16 – Dr Graham Lewis Transforming primary care Population based delivery of services Investment in IT End-to-end integrated pathways ie OBC Improving access ie hubs in general practice SW London Collaborative Commissioning Hospital reconfiguration Transformational out of hospital strategy

14. Q&A Questions for the panel