West Hampshire Clinical Commissioning Group Key facts The West Hampshire Clinical Commissioning Group (CCG) has:

54 constituent member GP practices A delegated budget of £467million for 2011/12 covering acute hospitals, community

services and prescribing services A population of 536,073 local residents An area of 2,242.4 square kms (865.8 square miles) Services provided by eight providers:

o University Hospital Southampton NHS Foundation Trust o The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust o Winchester and Eastleigh Healthcare NHS Trust o Basingstoke and North Hampshire NHS Foundation Trust o Salisbury NHS Foundation Trust o Southern Health NHS Foundation Trust o Solent NHS Trust o South Central Ambulance Service NHS Trust

Relationships with five councils: o Hampshire County Council o New Forest District Council o Winchester City Council o Eastleigh Borough Council o Test Valley Borough Council

Leads The CCG governing body has five members:

Dr Sarah Schofield (Chair) – Children and Families and Unscheduled Care lead Dr Nigel Sylvester (Vice Chair) – Health and Wellbeing, Prescribing, and

Winchester/Basingstoke Acquisition lead Dr Tim Thurston – Primary Care and Community lead Dr Simon Goodison – Long-term Conditions lead Dr Jim Rose – Mental Health lead

Clinical Directors Dr Simon Hunter - Planned Care Dr Katrina Webster - Mental Health, clinical cabinet of the West Hampshire Clinical

Commissioning Group

Page 1 of 2

Page 2 of 2

Dr James Read - Medicines Management Dr Adrian Higgins - Unscheduled Care Dr Lesley Ayling - Children and Families Dr Nick Arney - Long term conditions The West Hampshire CCG Committee also has the following members: Heather Hauschild - Executive Director Mike Fulford - Finance Lead Dr Ruth Milton - Director of Public Health Behrooz Vaezi – West Hampshire Adult Services, Hampshire County Council Margaret Wheatcroft – Non Executive Director Martin Cox – Hampshire LINk Meetings The CCG has the following regular meetings:

Clinical Cabinet meetings once a month Clinical Executive meetings twice a month West CCG Committee (sub group of the SHIP Board) once a month

Point of contact details

Jackie Zabiela – 023 8062 7445 or jackie.zabiela@hampshire.nhs.uk

The Clinical Leadership Structure

TBC 

Clinical Director 

for Planned Care 

Local Authority PartnersLMC 

West Hampshire CCG Transition Programme 

West New Forest Grouping   Mid‐West Grouping

(EN & TVS; ESP; T & W) 

WINCAR & Andover Grouping 

 

Clinical Cabinet – Clinical Directors and Interim Board 

Interim CCG Board

Sponsor and Drive Projects 

Sponsor and Drive Projects 

Management Team Support 

Other Local CCG Partners as agreed

Clinical Director for Long Term 

Conditions 

 

Clinical Director for Mental Health 

 

Clinical Director 

for Prescribing 

 

Clinical Director for Community Services 

 

Clinical Director 

for Children and 

Families 

 

Clinical Director 

for Primary Care 

 

Clinical Director for Unscheduled 

Care 

 

Biographies

Chair – Dr Sarah Schofield Unscheduled Care, Children and Families

Sarah Schofield trained at Leicester University before she returned to her home territory in Southampton to complete her GP training. She did her GP registrar year at North Baddesley Surgery before becoming a partner in 1989, having completed her hospital training at both Royal Hampshire County Hospital and Southampton General Hospital. Alongside working as a GP, Sarah:

worked in A&E for over 10 years was Chairman of the local Primary Care Group (PCG) was lead for both the Orthopaedic and Emergency Care Network has been National GP Lead for the Department of Health

Musculoskeletal Framework and Clinical Audit Group was the Assistant Medical Director at Southampton General Hospital

for eight years has been the representative for her local GP practices for practice

based commissioning. This experience provides Sarah with the back-drop required to take the West Clinical Commissioning Group forward to ensure the best services are provided for the local population.

Vice-chair - Dr Nigel C Sylvester Prescribing, Health and Wellbeing, Basingstoke and Winchester Hospitals merger

Nigel has been a GP in Winchester for 30 years and has been involved with commissioning for the majority of that time. His main interest lies in forming close and creative relationships between Primary and Secondary care in order to make the most of limited NHS resources. He is married to Sue who is a senior NHS manager and has two children, one a teacher and one at Durham University. He has recently moved to Emsworth to be near his boat. He also cycles and runs in order to stop his arteries furring up.

Dr Tim Thurston

Primary Care, Community

Tim is a Partner at New Milton Health Centre. He qualified from Guy's in 1982 and has been actively involved in commissioning since the mid 1990s at the inception of locality groups. His wife is also a GP and they have three children, two of which are aspiring medics, one is in teacher training. He has a special interest in developing the role that general practice and community services can play in providing excellent NHS care.

Dr Simon Goodison Long Term Conditions, Patient and Public Involvement

After qualifying in 1980 from Middlesex Hospital Medical School and training in General Medicine, Radiotherapy and Paediatrics, Simon spent 18 months working in West Africa in The Gambia and then returned to the UK to complete his training as a GP. He joined Blackthorn Health Centre, Hamble, in 1991 and is a GP trainer. He has been involved in commissioning for the last 15 years initially as Mental health Lead for the Eastleigh and Test Valley South PCT and then as a Locality Practice Based Commissioning (PBC) lead for Eastleigh Southern Parishes. In his spare time he is involved in amateur dramatics, playing tennis and rowing on the river.

Dr James Rose Mental Health

Jim Rose is a rural GP near Andover. He qualified in 1986 and after working ten years in a large urban practice, he moved to St Mary Bourne in 2003. In addition to clinical and teaching commitments, he has worked extensively at the management/clinician interface. In his spare time, he sails with his family and rides a mountain bike.

Heather Hauschild

Executive Director West Hampshire

Heather has over 20 years experience in the health service and a wealth of experience in the development of a wide range of clinical services. Heather trained as a nurse in Southampton and post qualification and the completion of a degree; she obtained a place on the NHS management training programme in the West Midlands. She has worked for the former Wessex Regional Health Authority, Birmingham Heartlands Hospital and Poole Hospital, where she was Director of Operations for five years. She lives in Hampshire with her family.

Mike Fulford

Finance Director

Mike has worked in the local health service for over 18 years and has a wealth of experience across both acute provision and the commissioning of health services. Mike studied for his accountancy qualifications in Southampton before joining Southampton University Hospitals Trust and has also worked at Winchester & Eastleigh Healthcare Trust, Eastleigh & Test Valley South & New Forest PCTs and Hampshire Primary Care Trust, where he has been Deputy Director of Finance for 5 years.

In his spare time he enjoys sport and music and lives with his family in Hampshire.

Clinical Directors

Dr Nick Arney

Clinical Director: Long term conditions Nick Arney qualified in 1987 from the Middlesex Hospital and University College Hospital London Medical School. After working for 18 months in the NHS he joined the Royal Air Force where he worked for the next seven years until leaving in 1995. Since 1995 he has been a GP in Totton, has had a keen interest in training GPs and has been involved in practice based commissioning on and off for the last five years. He has been the practice leader for IT during this time and has overseen the development of many new systems to improve patient care. He is married with two children and is an enthusiastic cyclist as well as having a passion for Italy having lived there for a year.

Dr Lesley Ayling

Clinical Director: Children and Families Lesley works as a locum GP in Hampshire. She trained in Cambridge and Oxford, graduating in 1983 followed by hospital jobs in Brighton, Leeds, York and Sheffield and developed an interest in paediatrics. She was a salaried GP in Sheffield before moving south in 2000. She also works as a GP appraiser and teaches medical students at Southampton University. She has particular interests in working within and across teams to improve the quality of care for patients. In her spare time she enjoys sailing, making music and spending time with her family who live in Hampshire.

Dr Adrian Higgins

Clinical Director: Unscheduled Care Adrian Higgins trained at Manchester University before taking up a partnership in Southampton in 1992 after completing GP training. He did his GP registrar year in North Manchester before becoming a partner having previously completed hospital training in East Lancashire. Alongside working as a GP, Adrian:

Has worked as a GP with Specialist Interest (GPSI) in Elderly Care

was Chairman of the Southampton Professional Executive Committee

was Medical Director for NHS Southampton has led unscheduled care work with GP Front-end Emergency

Department pilots and Walk in centre rationalisation in Southampton

has worked collaboratively with Providers and Commissioners across South West Hampshire

is currently the Clinical Lead for the 111 service development across the SHIP area.

This experience provides Adrian with the back-drop required to take the West Clinical Commissioning Group forward to ensure the best services are provided for the local population.

Dr James Read

Clinical Director: Medicines Management James Read qualified from Guys' Hospital in 1993 and undertook GP training in Norfolk. He has been a GP partner in Sutton Scotney since 2000. During this time he has been involved in various musculoskeletal and rheumatology assistant posts and is a GP trainer. James has been the medicines management lead for Winchester Practice Based Commissioning group for two years and looks forward to the challenge of extending this role across West Hampshire.

He is married to a local GP and spends spare time keeping up with an energetic 6 year old son, trying to keep fit and booking the next skiing holiday!

Dr Katrina Webster

Clinical Director: Mental Health, clinical cabinet of the West Hampshire Clinical Commissioning Group Katrina graduated from Manchester University in 2002 prior to working in Lancashire, Yorkshire and Western Australia. She then moved to Hampshire to complete GP training in Winchester which included a six month placement working with a local community mental health team. Since completing her GP training she has worked as a locum GP at various practices within west Hampshire and also completed two international placements in Cambodia, as part of the NHS South Central’s Improving Global Health through Leadership Development scheme. This involved working to train local healthcare workers and improve community health services in a deprived rural area of western Cambodia. As a locum GP she hopes to bring a unique insight into the variations within the west Hampshire population and looks forward to working with local GPs and secondary care colleagues to make GP commissioning a success for our population and healthcare providers.

Dr Simon Hunter

Clinical Director Planned Care, West Hampshire CCG After GP training Simon worked in the Solomon Islands for two years where he developed an interest in population based medicine. Since then Simon has been a GP in Southampton for 23 years, held lead roles in successive NHS reforms and obtained a Masters degree in Evidence Based Health Care. He is currently Associate Medical Director for SHIP cluster and Clinical Director Planned Care for West Hampshire CCG.

Alton

Bordon

Fordingbridge

Ringwood

Milford-on-Sea

Lymington

Lyndhurst

Hythe

Romsey

Waterlooville

Winchester

Basingstoke

Whitchurch

Tadley

OdihamFleet

Farnborough

Alton

Bordon

Petersfield

Sutton Scotney

Andover

Stockbridge

New Alresford

Eastleigh

Tatchbury

Fareham

GosportPortsmouth

City

SouthamptonCity

Havant

NH

S C

reat

ive

– SL

A31

399

– O

ctob

er 2

011

West Hampshire The West Hampshire Clinical Commissioning Group (CCG) has:

•54constituentmemberGPpractices

•Adelegatedbudgetof£467millionfor2011/12coveringacutehospitals,communityservicesandprescribingservices

•Apopulationof536,073localresidents

•Anareaof2,242.4squarekms(865.8squaremiles)

•Fiveelectedboardmembers:

DrSarahSchofield(Chair)

Dr Nigel Sylvester (Vice-chair)

Dr Tim Thurston

DrSimonGoodison

Dr Jim Rose

TheCCGiscurrentlyrecruitingeightadditionalclinicalboardmemberstoforma‘clinicalcabinet’alongsidethelocalityleads.

Priorities

WehavestartedtodiscusstheprioritiesforWestHampshireincludingthelistbelow.Weareaskingforyourfeedbackonwhatelseshouldbeincludedandwhichshouldbethetopfiveprioritiesforthenextyear.

• Improvingcommunityservicescontracts

•Reducingvariationacrosspractices

•Engagementincommissioningdecisions

•Ensuringqualityofcareinourhospitals

• Integratedservicesforunscheduledcare

•FocusonCOPD,heartfailureanddiabetesinLTCs

•FocusonICATSanddermatologyforplannedcare

•FocusonPRAMS/LARCScontractsforprimarycare

Clinical focus and added value focusonoutcomes,involvingconstituentpracticesandcolleaguesinsecondarycare,communityandmentalhealth,publichealthandsocialcare

Engagement ensureinclusionofpatients,public,communitiesofinterest,healthandwellbeingboardsandlocalauthorities,incommissioningdecisions

Clear and credible plan todeliverthelocalQIPPchallenge

Collaborative arrangements robustarrangementsforworkingwithotherCCGstocommissionservicesoverawidergeography

Capacity and capability tocarryoutbothcorporateandcommissioningresponsibilities

Great leaders that can make a real difference

drivingtransformationalchange

NH

S C

reat

ive

– SL

A31

399

– O

ctob

er 2

011

Authorisation processAuthorisationistheprocessCCGsmustcompletebeforetheycanbecomeastatutoryorganisationwhichwillallowthemtoemploystaff,procureservicesandenterintocontracts.

Thesixareasofauthorisationinclude:

NH

S C

reat

ive

– SL

A31

399

– O

ctob

er 2

011

Primary care SharedVisionPracticesandtheCCGsharethecommongoalofdeliveringbetterhealthforthepatientsofHampshire.

Howdoweensurethatweareworkingtothesameagenda?

Effectiveness HowdoweensurethatGPsskillsandenergyarefocusedondeliveringbetterhealthoutcomes?

Howdoweutiliseselfhelpandotherresourcestomanagedemandswhicharenotalwaysbasedonneed?

Commissioning

Howdoweensurethatpracticeshavethetoolstobeeffectivecommissioners,particularlyinrelationtoprescribing,referralsandenhancedservices?

Health needs

Howdowebuildthespecifichealthneedsofourlocalitiesintoourhealthcareprovision?

Sustainability Howdoweensurethatpracticesarerewardedforsupportingthe commissioning responsibility by releasingtheirGPsforCCGroles?

NH

S C

reat

ive

– SL

A32

370

– M

arch

201

2

Community • focusingonservicesdeliveredbycommunityproviders(excludingMentalHealth

Services)toensuredeliveryoftheagreedquality,innovation,productivityandpreventioninitiatives

•deliverrobustcontractsforcommunityservicesandmechanismstoensuresubsequentsustainabilityofthosecontractedservices

•ensuringeffectiveandproductive:

communityconsultantsandspecialistnursesvirtualwardsrehabilitationservicescommunitypodiatry,physiotherapy,

speechtherapy,occupational therapy,dieticiansamongstothers

• serviceswhichmaximiseindependenceandpreventhospitaladmission.

NH

S C

reat

ive

– SL

A31

399

– O

ctob

er 2

011

Long-term conditions • represent70%activityandcostofthehealthcaresystem

•accountfor76%ofunscheduledadmissions

•accountfor55%ofGPconsultations

Challenges include:

• riseinnumbersofpeoplewithlong-termconditions(LTCs)

•currentwayofmanagingpatientswithLTCsisnotsustainable

•needchangeinbehaviourandsystemstodeliverefficientandeffectivecaretopatients living with an LTC

Areas shown to be effective in improving quality of care for patients with LTCs include:

• riskprofiling

• integratedcaremanagementwithintegratedteamsatlocalitylevel

• systematicempowermentofpatientstoselfmanage/selfcare

•bettertargetedservicestoimproveoutcomes,mortalityratesandphysicalfunction

What will this deliver?:

•improvedhealthstatus&mentalwell-being

•helptopreventunnecessaryadmissionsto hospital

•enablepatientstoremainintheirhomesandcommunities

•improvesfeelingofcontrolintheircondition

NH

S C

reat

ive

– SL

A31

399

– O

ctob

er 2

011

Patient and Public Involvement “Nodecisionaboutme,withoutme”isattheheartoftheGovernment’sreformstotheNHS,toshiftdecision-makingascloseaspossibletopatients.

Effectivecommunicationandengagementisaboutgettingtherightmessagestotherightaudiences,throughthemostappropriatechannels,atthemostappropriatetime.Itisatwowayprocess–informing,sharing,listeningandrespondingisessential.

Whyisengagementsoimportant?

•Betterdecisionmaking,improvedservicesandbetter outcomes

•Greatercommunitysupport,trustandconfidence

•Deliversdifficultchangesuccessfully,with less conflict

•Helpsyoutoidentifyareasofwasteandinefficiency

•Helpstomanagedemandforservicese.g.inappropriateuseofemergencyservices

•Helpstacklehealthinequalitiesandsupportbehaviourchange

•ThenewpatientparticipationDES

CCGswholistentopeopleandcommunicatethisprocesswillincreaseunderstandingandconfidenceinusinglocalservices.

NH

S C

reat

ive

– SL

A31

399

– O

ctob

er 2

011

Prescribing •playaleadingroleinthedeliveryoftheMedicineManagementStrategy

•workcloselywiththeMedicineManagementDirectorfortheSHIPCluster,theMedicineManagementLeadsofthelocalitiesandMedicineManagementPharmacists

•developrelationshipswithHospitalPharmacistsandtheLPC’s

•agreepoliciesthatwillenabletheCCGtoworkwithinitsagreeddrugbudgetandensurethatlocalitiesworkwithintheirindividualnotionaldrugbudgets

•workwithDistrictPrescribingCommitteestoensure thatpoliciesareinplacetoadoptnewdrugsornewindicationsforexistingdrugs

NH

S C

reat

ive

– SL

A31

399

– O

ctob

er 2

011

Health and Wellbeing •workwiththelocalauthoritytoimprovethestrategiccoordinationof

commissioningacrosstheNHS,socialcare,publichealthandchildren’sservices

• improvehealthlocallybyforgingnewrelationshipsbetweenorganisations

•ensureproperengagementwithlocalpeople

• tacklekeyissuessuchashealthinequalitiestoensureconsistentandcomprehensivehealthandwellbeingacrossthecounty

Winchester and Basingstoke Merger •workingwithBasingstokeandNorthHampshireNHS

FoundationTrust(BNHFT)andWinchesterandEastleighHealthcareNHSTrust(WEHCT)intheprocessofmergingintoaformalpartnership

•ensurethisprocessiscompletedinthebestinterestsofallourpatients

•ensurefoundationtruststatusisachieved across both trusts

NH

S C

reat

ive

– SL

A31

399

– O

ctob

er 2

011

Mental Health • improvequalityandoutcomesofmentalhealthservices,enhancecommunity

mentalhealthpromotionandpreventmentalhealthillnessthroughearlyintervention

•assisttheCCGBoardinthedevelopmentofaMentalHealthStrategy

•workwithotherorganisationstoensureacoordinatedapproachtoMentalHealthcommissioning,including:

general practices

communitycareproviders

acute trusts

social services

voluntary sector

•workwithlocalityleadstogetpracticeviews on mental health service provision andtosupportpracticesindeliveringtheircomponentsofthementalhealthstrategy

NH

S C

reat

ive

– SL

A31

399

– O

ctob

er 2

011

Planned Care Theprioritiesfordevelopmentthisyearinclude:

Map of Medicine

Continuingtodeveloplocalcaremapsandtheuseofthetooltodesignlocalhealthcareservices,supportclinically-ledserviceimprovementandtodeliverhighqualitycareinthefaceofeconomicchallenges.

Advice and Guidance

DevelopingtheuseofAdviceandGuidance(A&G)toallowonecliniciantoseekadvicefromanotherontreatmentplans,ongoingmanagementofapatient,clarificationoftestresultsortheappropriatenessofareferral.

Teledermatology

Theuseoftelemedicinetoexchangemedicalinformationconcerningskinconditionsfordiagnoses,consultationandtreatmentadviceaswellascontinuouseducation.

Patient Reported Outcome Measures (PROMS) – decision aids for patients

PROMSmeasurequalityfromthepatientperspective to calculate the health gain aftersurgicaltreatment.Howcanweuse this as a tool to ensure patients makeinformeddecisionsaboutmedicaltestsortreatments?

NH

S C

reat

ive

– SL

A32

370

– M

arch

201

2

Unscheduled Care •Outofhoursprimarycareserviceand111service

• reducingnon-electiveadmissionsandlengthofstayinhospital

• improvingaccesstoearlysupporteddischargeandongoingrehabilitation forstrokepatients

• supportinghospitalstoreducere-admissionswithin30days

•workwithEmergencyDepartmentstoachievefourhourtarget andco-locateprimarycareservicewhereappropriate

• improveuseandoutcomesforintermediate carebeds

•driveupqualityandexperienceof unscheduledcareservices.

NH

S C

reat

ive

– SL

A31

399

– O

ctob

er 2

011

Children and Families •provideseniorclinicalleadershipandadviceforworkrelatingtochildren

andfamilies

•ensureprocessesmeettheresponsibilitytosafeguardandpromotethewelfareofchildrenandyoungpeople

•developworkingrelationshipswithcliniciansinoutsideorganisationsinvolvedinchildrenandfamilies

• leadingthedevelopmentofaservicespecificationfortheGovernmentrecruitmentof100+healthvisitorsforWestHampshire