1. CareFirst and Engage Healthcare Clinical Commissioning Groups North Tyneside Clinical Commissioning Group Our vision Working together to maximise the health and wellbeing of North Tyneside communities by making the best use of NHS resources Clinicians commissioning healthcare for the people of North Tyneside

2. CareFirst and Engage Healthcare Clinical Commissioning Groups Recent NHS Reforms Coalition government 2010 White Paper in 2010 “Equity and Excellence: Liberating the NHS” Health and Social Care Bill (2012) – biggest change since the inception of the NHS

3. CareFirst and Engage Healthcare Clinical Commissioning Groups Reasons for clinical commissioning GPs are in a better position to –Know what care needs to be commissioned –Are advocates for patients –Identify where efficiencies can be made –Work with hospitals to improve quality Streamline the NHS Less bureaucratic More local, rather than central control More local accountability, to local people

4. CareFirst and Engage Healthcare Clinical Commissioning Groups Partnership working With the local authority – health and wellbeing board, joint partnership boards With local NHS providers – hospitals, mental health trust, ambulance service etc. Independent providers –for example pharmacists, out of hours service Voluntary and community organisations

5. CareFirst and Engage Healthcare Clinical Commissioning Groups Local structural changes All GP practices will be part of a clinical commissioning group (CCG) by April 2013 CCGs will be responsible for purchasing most of the health care for their patients and population CCGs will be statutory bodies that will take over responsibility for commissioning health services currently done by primary care trusts (PCTs) from 1 April 2013

6. CareFirst and Engage Healthcare Clinical Commissioning Groups What should feel different? Increased patient choice Increased patient and public involvement ‘No decision about me, without me’ Closer working between health and social care

7. CareFirst and Engage Healthcare Clinical Commissioning Groups In North Tyneside: Originally 2 CCGs Established Spring 2010 CareFirst – 18 practices (mainly covering, Wallsend, North Shields, North West) Engage Health – 11 practices mainly covering Whitley Bay Formally became NHS North Tyneside CCG from 1st April 2012

8. CareFirst and Engage Healthcare Clinical Commissioning Groups Health spending context The health budget for North Tyneside is £398 million - roughly equivalent to £1800 per person The CCG is responsible for £301m of this and is roughly spent as follows: –Northumbria Hospitals - £109m –Newcastle Hospitals - £67m –Prescribing - £37m –Community Services - £30m –Mental Health Trust - £18m –Continuing and Funded Nursing Care - £14m –Ambulance Service - £7m

9. CareFirst and Engage Healthcare Clinical Commissioning Groups The rest (£97 million) is the responsibility of the NHS Commissioning Board and includes spending on the following: –Specialised services - £32m –Primary care - £29m –Opticians, dentists & pharmacists - £19m Health spending context 2

10. CareFirst and Engage Healthcare Clinical Commissioning Groups Working together

11. CareFirst and Engage Healthcare Clinical Commissioning Groups Five themes Improving the quality of services Managing demand and getting value for money Increasing access and choice Promoting self-care, care planning and independence Expanding prevention & wellbeing programmes

12. CareFirst and Engage Healthcare Clinical Commissioning Groups Working together We want to know: If you still support those themes Where to focus more of our time, effort, and money for the coming year If there are any gaps/ important things to note

13. CareFirst and Engage Healthcare Clinical Commissioning Groups Working together Four public engagement events were held across North Tyneside in October 2012. Events were held in Longbenton (3 Oct), Howdon (4 Oct), Whitley Bay (11 Oct) and North Shields (15 Oct) at various times of the day, to maximise the number of people able to attend. Members of the CCG also attended a GP patient participation group in late October. Online survey (deadline for submissions 31 October)

14. CareFirst and Engage Healthcare Clinical Commissioning Groups North Tyneside Clinical Commissioning Group Working together Web: www.northtynesideccg.nhs.uk Email: contactnorthtynesideccg@northoftyne.nhs.uk