Agenda item

Sharon Martin, Head of Commissioning at Bury CCG will give a presentation at the meeting.

Sharon Martin Head of Commissioning and Howard Hughes Clinical Cabinet Chair at NHS Bury CCG gave a presentation setting out the CCGs Strategic Plan for 2014 – 2019.

It was explained that the Vision of Bury CCG was to continually improve Bury’s health and wellbeing by listening to you and working together across boundaries”.

The strategic aims were reported as:-

• Deliver through the Health and Wellbeing Board; improved population health, reduction in inequalities and, improvement in outcomes for patients.
• Deliver transformational change through service redesign models.
• Develop CCG and primary care capability as commissioners and leaders
• Deliver improvements in Quality, Innovation, Prevention and Productivity to endure high quality and sustainable Health and Care services are provided.
• Work with partners to ensure citizenship, self-care and prevention is at the heart of all service transformation.

The plan contained 7 outcome ambitions which had been reported to the Health and Wellbeing Board and were included within the presentation.

It was also reported that work was being undertaken to identify the priority areas for Bury and information has been reviewed from the following:-

• Commissioning for Valuepack for Bury MBC Programme Budgeting information from the Bury CCG Spend and Outcome Factsheet 2011/2-12
• Business Intelligence Commissioning Support Unit
• Public Health Gap Analysis

It was explained that a number of possible priorities were under consideration and these included:-

• Cardio Vascular Disease – Coronary Heart Disease and Stroke
• Cancer
• Chronic Obstructive Pulmonary Disease
• Liver Disease/Alcohol
• Mental Health and Learning Disability Mortality
• Reducing unplanned activity

Some of the priorities are being considered based on information provided by Public Health and the CCG must also consider the ambitions and national direction of the NHS. It was also explained that there were six Transformational Areas that need to be addressed within the plan;

Ø      Citizen inclusion and empowerment

Ø      Wider primary care, provided at scale

Ø      A modern model of integrated care

Ø      Access to the highest quality urgent and emergency care

Ø      Specialised services concentrated in centres of excellence

The process for agreeing and delivering the Strategic Plan was also set out as follows:-

• The Clinical Commissioning Group is working in collaboration with Public Health to outline the current situation in Bury and identify the priority areas for a joined up approach going forward.
• The priorities will be agreed through the Health and Wellbeing Board.
• There will be engagement with the public, service users and partner organisations on the priorities and how they should be addressed.
• The plans will be agreed through the Health and Wellbeing Board and Bury CCG’s Governing Board prior to submission on the 20 June 2014.

Those present were given the opportunity to make comments and ask questions and the following points were raised:-

·         Councillor Ann Audin referred to the work highlighted around alcohol but also pointed out that drugs were an area where work needed to continue.

Sharon reported that work around drug use and abuse would continue to be carried out in preventative and treatment work. The priorities were just there to highlight where there could be the biggest improvement to the population and alcohol was felt to be one of those areas.

·         Councillor Shori asked how the plan would be delivered with the current constraints on budgets.

It was explained that the 5 year financial plan was in place, the first two years would be targeting non - elective admissions and then looking to deliver services an a more efficient way.

·         Councillor O’Hanlon referred to the 7 outcomes that were highlighted within the presentation and then the previous outcomes that had been targeted in the old strategic plan and asked whether these had been met. Councillor O’Hanlon also asked whether baseline figures were available in relation to the new outcomes.

Sharon stated that she would provide this information to the Committee.

·         Councillor Fitzwalter referred to patient records and asked whether the model for future provision included co-ordinating patient records across Greater Manchester.

It was explained that work was already being carried out across the North East Sector with the technical solution being confirmed currently. It was anticipated that this would allow for a clinical portal and a patients portal. It was anticipated that something would be in place by 2016.

It was also explained that the Radcliffe Demonstrator Pilot meant that GPs were already sharing patient records successfully.

·         Councillor Simpson asked whether transferring services into the primary sector would still be on the national tariff.

It was explained that each individuals’ pathway would be considered as well as different ways of contracting.

·         Councillor Walker referred to dementia and the effects that it had, not just on the patient but also their families and carers. Councillor Walker asked if there was a named Doctor in relation to Dementia.

It was reported that Dr Schryer was the named doctor for all mental health related illnesses and their strategies. Work around dementia and support for all involved was a major area for both the CCG and the Council as well as other related partners.

It was agreed

1.       That the contents of the presentation be accepted.

2.       That Sharon Martin and Howard Hughes be thanked for their

presentation

3.       That progress on the plan be reported at a suitable time.