CCG Strategy Update

Lewisham Children and Young People Strategic Partnership Board

26th January 2015

Background

• CCG strategy agreed October 2013• 2014 revisions through Strategy & Development Committee• Progress: population health needs, the outcomes of public

and membership engagement, and equalities analysis, developing the vision for Best Care

• Developments at national, London, and south east London level

Vision & Ambitions

Better HealthTo reduce the gap in key health outcomes between Lewisham and England by 10% over the five year period

Best ValueTo commissioning more effectively with the most efficient use of resources

Best CareHigh quality care for everyone - Care should be provided at the simplest level and ‘at the right place’; that is, so that it is least restrictive to patients and carers, localised where possible, and at the most appropriate setting.

Case for Change Summary

• The changing health needs of the Lewisham population will increase demand on services

• We need to improve our health outcomes• We need to improve quality and accessibility of local services to all• We need to shift the balance of care from emergency responses to care

that is proactive and planned• We need to develop advice, care and support services that empower

people to want to take control and be responsible for their health and wellbeing

• The current configuration of health services is not likely to be sustainable

• There will be gap in finances, between resources available and expenditure

Strategic Priorities

Annual Delivery Objectives 2014-151.Commission high quality care services today2.Ensure robust governance arrangements are in place3.Public engagement is intrinsic to all commissioning activities4.Strong Primary Care focused on population based commissioning and developing improved outcomes 5.Establish Neighbourhood care networks as part of Adult Integrated Care

National Policy - Key Messages

The NHS ‘Five Year Forward View’  • The importance of preventative action

on obesity, smoking, alcohol and other major health risks to achieve better population health.

• There should be greater support for patients to control their care, and for carers.

• Steps should be taken to break down barriers in how care is provided, between health and social care, and between different health sectors.

CCG Strategy• Better Health ambition• Strategic theme: Healthy

living for all• Long terms conditions and

delivery of neighbourhood networksAdult integrated care programme

• Best Care ambition

London Health Commission - Key Messages

Better Health for London recommendations:• Health improvement and workplace health

initiatives• Integration of services• Ensuring public engagement, shared

decision-making and care and support planning

• Self management of long-term conditions• Increased spending on primary and

community services, with new quality standards and encouragement networking of GPs

• Access to digital mental support and psychological therapies

• Better use of data analysis• Improved budgeting for transformation and

specific population groups

CCG Strategy• Better Health ambition• Strategic theme: Healthy

living for all• Adult integrated care

programme• Public engagement enabler

and delivery objective• Long terms conditions and

delivery of neighbourhood networks

• Strategic priority and objective on primary care development

• Mental health within strategic priorities and neighbourhood networks

Alignment with Our Healthier South East London

The aims of the strategy will support the CCG’s vision:

To improve health, reduce health inequalities and ensure the provision of health services across south east London that meet safety and quality standards consistently and are sustainable in the longer term

The CCG and SEL case for change have same conclusions:

• Population health

• Quality of care

• Patient experience

• Financial sustainability

6 Clinical Leadership Groups that closely match our strategic priorities

• Community Based Care

• Urgent and Emergency Care

• Maternity

• Children and Young People

• Planned Care

• Cancer

Summary

We have refined our vision for Best Care We have reviewed our case for change We have reaffirmed our strategic priorities Our approach is supported by the NHS Five Year Forward

View and Better Health for London CCG and Our Healthier South East London are aligned in

their goals, case for change summaries, and priority areas