Update from the Clinical Commissioning GroupDr Katie ColemanJoint (Clinical) Vice Chair ICCG

What has changed:?Primary care trusts and strategic health authorities

will go as of April 2013In their place, 100s of clinical commissioning groups

(CCGs) will be set up. £60-£80 billion of health care funds will be divided up

between the CCGs and each one will be expected to make the decisions about what services their local populations need (known as commissioning).

In addition to the development of the CCG a number of other new organisations have been set up:1. NHS Commissioning Board2. Public Health England3. Healthwatch

The Health & Social Care Act

• Build on the strengths of LINks• Gather local peoples views on, and

experience of, the health and social care system

• Have a vote on the Health and Well Being Board (HWBB) and so will be able to influence decisions about which local health services are needed (commissioned)

• Support individuals by providing information about local services and choice e.g. signposting

• Support people to if they want to talk about their experiences, concerns, compliments and complaints.

 

Local Healthwatch

• Makes decisions about what health services the local population needs (commissioning).

• Made up of all the GP practices in the area it covers.• The practices decide how the CCG operates by

developing a constitution• The CCG elects a governing body made up of lead

clinicians and NHS managers• The CCG will be accountable to patients and the

population as well as to the NHS Commissioning Board.

• They have to work jointly with the Health and Wellbeing Board and in partnership with the local authority to help improve health and wellbeing and ensure integrated health and social care for their patients.

Clinical Commissioning Groups

• Ensuring every child has the best start in life

• Preventing and managing long-term

conditions to extend both length and quality of

life and reduce health inequalities

• Improving mental health and wellbeing

• Delivering high quality, efficient services within

available resources

Health and Wellbeing Strategy

6

•21 months Maternity (QIPP) Breastfeeding•You’re welcome •Healthy Children’s Centre•Childhood obesity•Connexions•Safe guarding

Cancer (QIPP)Cardiovascular (QIPP)

NHS Health ChecksCVD and Cancer prevention

Long term conditionsAffordable housing

• Mental health (QIPP)• IAPT

• Mental health first aid• Training

• Mental Health promotion• Victims of violence

• Black, Asian, Minorityethnic and refugee outreach

Islington council's corporate plan 6 priority areasIslington Fairness Committee

Quality, innovation, productivity and prevention (QIPP)NHS North Central London and Islington CCG

Medicine’s management/care closer to home/unscheduled care/primary care/Treatments of limited effectiveness/decommissioning/specialist commissioning

Community budget pathfinder; parental employment partnership and family outreach support

Priority Programmes

Violence against women and girlsMaternityChildren, young people and familiesCAMHSTeenage pregnancyParenting and family supportImmunisationPlacement commissioningChildren looked afterSafe guardingDisabled children and their families

Health inequalities strategyUnscheduled care/elective care/care closer to

home/primary careDebt management/overcrowding reduction/temporary

accommodation

Older people/prisons/homelessness prevention

Disabilities including learning disabilities, autism, and physical disabilities

Mental healthSubstance misuse

Alcohol

Strategies & Enablers

8

Healthand wellbeing

in Islington CCG

Priority outcomes

Delivering high quality, efficient services within available resources

21 months Maternity (QIPP)BreastfeedingYou’re welcome Healthy Children’s CentreChildhood obesityConnexionsSafe guarding

Cancer (QIPP)Cardiovascular (QIPP)NHS Health ChecksCVD and Cancer preventionLong term conditionsAffordable housing

Mental health (QIPP)IAPTMental health first aidTrainingMental Health promotionVictims of violenceBlack, Asian, Minorityethnic and refugee outreach

Priority programmes

Quality, innovation, productivity and prevention (QIPP)NHS North Central London and Islington CCG

Medicine’s management/care closer to home/unscheduled care/primary care/low priority treatments/decommissioning/specialist commissioning

Community budget pathfinder; parental employment partnership and family outreach support

Strategies and enablers

MaternityChildren, young people and familiesCAMHSTeenage pregnancyParenting and family supportImmunisationPlacement commissioningChildren looked afterSafe guardingDisabled children and their families

Mental healthSubstance misuseAlcohol

Older people/prisons/homelessness preventionDisabilities including learning disabilities, autism, and physical disabilities

Violence against women and girls

Quality

Value for money

Health and wellbeing

Ensuringevery childhas thebest start in life

Preventing and managing long-term conditions to extend both length and quality of life and reduce health inequalities

Improvingmentalhealthandwellbeing

Islington CCG council's corporate plan 6 priority areasIslington CCG Fairness Committee

Health inequalities strategy

Unscheduled care/elective care/care closer to home/primary careDebt management/overcrowding reduction/temporary accommodation

• Participation is key to everything we do • Vision • Mission Statement • One of four core strategies for the CCG

• Participation in decision making - representatives on all our committees

• Participating to improve quality – all practices have patient participation groups

• Participating in care through the promotion of self care

Patient & Public Participation

• We’re involving patients in what services we need in Islington• Sit on working groups to influence decisions

made• Attend the locality patient participation

groups• Attend practice patient participation groups

• Helping patients to self care • Encouraging patients with long term

conditions to attend local self management training sessions

• Expanding the network of peer support groups so more patients can attend

How can you become involved?