Prospectus 2013-14

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A message from Dr Stewart Findlay, Chief Clinical Officer

“, Easington and Clinical Commissioning Group is the new statutory body responsible for planning and commissioning (purchasing) local NHS healthcare and health services for people living in the Durham Dales, Easington and Sedgefield areas.

This publication explains who we are and how we will work together with our communities and local organisations to tackle the main health issues and improve services across our three localities.”

Easington

Durham Dales

Sedgefield

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What is a clinical commissioning group?

Clinical Commissioning Groups (CCGs) are made up of doctors, nurses and other professionals coming together to use their knowledge of local health needs to commission the best available services for patients. They have the freedom to plan and commission services for their local community from any service provider which meets NHS standards and costs – these could be NHS hospitals, social enterprises, voluntary organisations or private sector providers. This means better care for patients, designed with knowledge of local services and commissioned in response to their needs.

Who we are

Durham Dales, Easington and Sedgefield CCG officially launched on the 1st April 2013. We support a population of just over 270,000 and our 40 GP member practices cover a large and diverse geographical area.

The CCG is made up of three localities within ; Durham Dales, Easington and Sedgefield. The three have worked closely together as commissioners of local healthcare services for many years.

Clinical commissioning means that local GPs now have the opportunity to use their local knowledge to develop services that meet their patients’ needs. We work closely with a wide range of partners including:

• Durham County Council

• Neighbouring CCGs

• Local hospitals and other healthcare providers

• County Durham Health and Wellbeing Board

• Healthwatch County Durham

In addition, we are committed to engaging with the local voluntary sector, patients and the general public to ensure that as many people as possible are involved in decisions about health services.

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PANTONE 368C PANTONE 7466C PANTONE 2685C PANTONE 268C @ 90% @ 45% 4 Our Vision and aims Our Values be open and Durham Dales, Easington and Sedgefield Clinical Commissioning Group’s These values have been agreed by honest Ourvision vision is “To work and together aims for excellent health for the local communities member practices and shared with of Durham Dales, Easington and Sedgefield.“ patient groups. They will influence have respect towards operate with To deliver our vision we will focus on: and shape our development as an our patients and integrity To deliver our vision, we will focus on: organisation. colleagues

work be patient- collaboratively 1 2 3 centred Five Improving the health Making sure our Tackling the of the populations children and young challenges of an Key Aims: of Durham Dales, people have a better ageing and growing embrace Easington and start in life. population. Sedgefield. equality and diversity How we will deliver our 4 5 plan over the next five years Making services Managing our more accessible and resources effectively responsive to the needs and responsibly. We have set ourselves a work programme which we plan to deliver over of our communities. the next five years, with goals by which we can measure our success.

To improve the health of our To ensure our children To support patients so To provide a greater number population so that people and young people have they are better able to of local services tailored to will live longer, and have a better start in life we manage their conditions, communities’ needs we healthier lives we plan to: plan to: we plan to: plan to:

• Develop more diabetes • Increase the number of • Develop community • Work with our GP practices Long term services closer to patients’ health visitors and family focused services to help to deliver and develop high MeetingClinical local Meeting health the needs needsReducing deaths – conditions, homes. nurse practitioners. patients manage long quality primary care. Priorities: of older people. from cancer. particularly diabetes • Support patients to • Work with schools to term conditions, such • Bring in more providers so our clinical priorities and COPD. prevent, treat and better educate children about as diabetes or chronic patients can choose from a manage respiratory healthy life styles. obstructive pulmonary wider range of services. conditions. • Improve children’s therapy disease (COPD). Within the Durham Dales, Easington and Sedgefield localities there are significant health challenges, • Deliver more minor • Develop more locally services. • Commission more joint operations and services in available physiotherapy both in terms of poor health outcomes and high levels of health inequalities. •Invest in physical exercise services to meet patients’ local community settings. services. programmes to reduce health and social care • Develop community • Increase access to mental levels of obesity. needs. Throughout our population there are high levels of obesity, depression, coronary heart disease and nursing and mental health Mental health - Driving up quality health services. premature death. Public health • Invest in memory and and learning disability providing right care in our provider • Expand screening and and prevention. dementia services. services. organisations for health prevention in the right place. • Improve end of life care It is important that we tackle the challenges of severe deprivation, an ageing population, large rural programmes and services. • Develop a 24/7 urgent care patients. services and enable areas, poor transport links, poor housing, fuel poverty and unemployment and so have looked service across Durham, patients to choose their especially in rural areas. at health needs and current health services across our area and talked to local people about their place of death. experiences and expectations.

Prospectus 2013-14 Our Vision and aims Our Values be open and Durham Dales, Easington and Sedgefield Clinical Commissioning Group’s These values have been agreed by honest vision is “To work together for excellent health for the local communities member practices and shared with of Durham Dales, Easington and Sedgefield.“ patient groups. They will influence have respect towards operate with and shape our development as an our patients and integrity To deliver our vision, we will focus on: organisation. colleagues

work be patient- collaboratively 1 2 3 centred Five Improving the health Making sure our Tackling the of the populations children and young challenges of an Key Aims: of Durham Dales, people have a better ageing and growing embrace Easington and start in life. population. Sedgefield. equality and diversity How we will deliver our plan over the next five years 4 5 5 Making services Managing our more accessible and resources effectively responsive to the needs and responsibly. We have set ourselves a work programme which we plan to deliver over This has helped us to identify theof ourpriorities communities. that need to be addressed: the next five years, with goals by which we can measure our success.

To improve the health of our To ensure our children To support patients so To provide a greater number population so that people and young people have they are better able to of local services tailored to will live longer, and have a better start in life we manage their conditions, communities’ needs we healthier lives we plan to: plan to: we plan to: plan to:

• Develop more diabetes • Increase the number of • Develop community • Work with our GP practices Long term services closer to patients’ health visitors and family focused services to help to deliver and develop high Clinical Meeting the needs Reducing deaths conditions, homes. nurse practitioners. patients manage long quality primary care. Priorities: of older people. from cancer. particularly diabetes • Support patients to • Work with schools to term conditions, such • Bring in more providers so and COPD. prevent, treat and better educate children about as diabetes or chronic patients can choose from a manage respiratory healthy life styles. obstructive pulmonary wider range of services. conditions. disease (COPD). • Improve children’s therapy • Deliver more minor • Develop more locally services. • Commission more joint operations and services in available physiotherapy •Invest in physical exercise services to meet patients’ local community settings. services. programmes to reduce health and social care • Develop community • Increase access to mental levels of obesity. needs. nursing and mental health Mental health - Driving up quality health services. Public health • Invest in memory and and learning disability providing right care in our provider • Expand screening and and prevention. dementia services. services. organisations for health prevention in the right place. • Improve end of life care patients. programmes and services. • Develop a 24/7 urgent care services and enable service across Durham, patients to choose their especially in rural areas. place of death.

Together with the County Durham Health and Wellbeing Board and other key stakeholders we have identified three local priorities where our performance is particularly poor compared to others. Achieving improvement in the following three priorities will contribute to reduced health inequalities:

• Emergency admissions for children with lower respiratory tract infections

• Under 75 mortality rate for cancer

• Unplanned hospitalisation for asthma, diabetes and epilepsy in under 19s

We will commission services in line with the NHS Constitution and improve the health of our communities in accordance with the following NHS Outcomes Framework domains:

• Prevent people from dying prematurely

• Enhance the quality of life for people with long term conditions

• Help people to recover from episodes of ill health

• Ensure that people have a positive experience of care

• Treat and care for people in a safe environment and protect them from avoidable harm

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Key initiatives

In order to meet our aims and fulfil our vision we have set ourselves a work programme in the form of our Clear and Credible Plan which we plan to deliver over the next five years. This programme includes:

Service Reviews We are committed to undertaking a large number of service reviews in 2013/14 including:

• Urgent Care

• Intermediate Care

• Patient Transport Services

• Rural Ambulance Services

• Community Nursing

• Acute Quality Services review across Durham, and Tees

Locality-focused commissioning pilots These pilot schemes respond to locality needs and, if successful, may also be rolled out across the CCG. Examples include:

• An integrated diabetes team providing support to high risk patients in the community is being piloted in Durham Dales locality

• A community palpitations service designed to provide assessment, diagnosis and treatment plans for patients aged 18 and over is being developed in , Easington locality

• A community-based project designed to support those who may be at risk from depression or self- harm is under way in Sedgefield locality

Full details of our five year Clear and Credible Plan are available on our website.

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Our Governing Body

The Durham Dales, Easington and Sedgefield CCG Governing Body ensures that the CCG exercises its functions effectively, efficiently, economically, with good governance and in accordance with the terms of our Constitution and as agreed by our member practices.

A message from Annie Dolphin OBE, Lay Chair

“The Governing Body acts on behalf of the CCG member practices and includes clinical representatives from each of our three localities, Local Authority, public health, as well as three lay members.

This ensures that clinical and patient/public perspectives are balanced and taken into account in the decisions that we make on behalf of our member practices and patients.”

Governing Body members

Annie Dolphin OBE Lay Chair Dr Stewart Findlay Chief Clinical Officer Mike Taylor Chief Finance and Operating Officer Dr Dinah Roy Director of Clinical Quality and Primary Care Development Joseph Chandy Director of Performance and Information Gillian Findley Director of Nursing/Nurse Adviser Dr Satinder Sanghera Clinical Locality Lead, Durham Dales Dr Helen Moore Clinical Locality Lead, Sedgefield Dr Stephen Muscat Clinical Locality Lead, Easington Dr John McGuire Sessional GP representative Dr Peter Carr Secondary Care Clinician Keith Tallintire Lay Member, Governance and Audit David Taylor-Gooby Lay Member, Patient and Public Involvement Anna Lynch Director of Public Health, Durham County Council Lesley Jeavons Head of Adult Care, Durham County Council

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How we spend our budget

We are responsible for over £414 million of public money which is spent on maintaining and improving local health services. The chart below shows how we plan to spend these resources in 2013-14.

Organisation running costs 2%

Prescribing/primary care 14%

Continuing healthcare 4%

Community services 13%

Mental health and learning disability 13%

Ambulance services 3%

Acute healthcare 51%

We take our financial responsibilities very seriously. Every effort is made to ensure that we get the best value for taxpayers’ money that we can.

The Audit and Assurance Committee is responsible for providing the Governing Body with assurance on:

• How effectively and efficiently the CCG is working within the funding allocated

• How strong the processes are for decision-making and budget management

• How we operate within all the relevant laws and regulations

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Commissioning glossary

Clinical Commissioning Groups (CCGs) – Clinically-led groups of GP practices in a geographical area. There are 211 CCGs throughout which plan and commission hospital care, rehabilitative care, urgent and emergency care, community health services and mental health services.

Commissioning - The process of ensuring that the health and care services provided effectively meet the needs of the population. It is a cycle of work which involves understanding the needs of the local population, identifying gaps or weaknesses in current provision, procuring services to meet those needs and monitoring and reviewing performance.

Healthwatch County Durham - Provides local communities with a stronger voice to influence and challenge how health and social care services are provided. They collect and collate evidence from people using local health and care services and bring this to the attention of local Health and Wellbeing Boards as well as local commissioners. They will feed back to Healthwatch England so issues can be raised at a national level.

Health Inequality - Unfair differences in health status or gaps in the quality of healthcare between different population groups. For example, differences in mortality rates between people from different social classes

Health and Wellbeing Boards (HWB) – Every Local Authority must have an HWB. The HWB encourages joined up working across the NHS, public health, social care and other services. They assess the current and future health and social care needs of the local community which form the commissioning plans of CCGs, NHS England and Local Authorities.

Localities - A group of practices within the CCG based around a shared geography and history of partnership working. Each locality has a lead who is a member of the CCG Governing Body. Our three localities are Durham Dales, Easington and Sedgefield.

NHS England – Oversees the work of CCGs and holds them to account. Also allocates resources and commissions certain services such as primary care and highly specialised services that can be organised more efficiently at a regional or national level.

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NHS Constitution - The Constitution safeguards the enduring principles and values of the NHS. It is intended to empower the public, patients and staff by setting out existing legal rights and pledges in one place and in clear and simple language.

NHS Outcomes Framework - The NHS Outcomes Framework describes the outcomes and corresponding indicators that will be used to provide a national level overview of how well the NHS is performing, hold NHS England to account and act as a catalyst for driving up quality.

Pilot schemes - When there is an idea about how to improve a service this is often tested by conducting small scale ‘pilots’ or trials. If these are successful they can be shared more widely.

Procurement - The process of specifying and buying (or leasing) goods or services, evaluating bids, and negotiating contracts with providers.

Providers - Anyone who is commissioned to supply a health or care-based service. CCGs can commission services from any service provider which meets NHS standards and costs. These could be NHS hospitals, social enterprises, voluntary organisations or private sector providers.

Statutory Body - A statutory body is one created by statute or Act of Parliament. It has no shareholders and its powers are defined by the Act of Parliament which creates it and can only be changed by later legislation. These are often created to provide public services, for example Clinical Commissioning Groups and County Councils.

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How to get involved

We are committed to involving local people in setting healthcare priorities and making decisions about health services. There are a number of ways you can get involved and have your say:

GP practice participation groups: Most GP practices now have their own practice group. The groups send representatives to the Locality Patient Reference Group which liaises with the GP clinical group for the locality. If you would like to join and help improve the design and delivery of health services please contact the practice manager for more information. A map of all 40 member practices is available on our website with links to practice websites where available.

My NHS: Members receive regular updates on the work of the clinical commissioning group as well as invitations to take part in events, surveys and consultations. You can register via our website.

Public events: We organise a series of public events each year which are open to all. Details of upcoming events will be uploaded to our website.

Governing Body: Some Governing Body meetings are open to the public and papers from every meeting are made available on our website.

Consultations: We regularly involve the public, patients, service users and carers in decision- making by inviting them to take part in consultations and service design.

Please visit our website for more information about the CCG and how to get involved. www.durhamdaleseasingtonsedgefieldccg.nhs.uk

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NHS Durham Dales, Easington and Sedgefield Clinical Commissioning Group Sedgefield Community Hospital Salters Lane Sedgefield TS21 3EE Tel: 0191 371 3222 Email: [email protected] Web: www.durhamdaleseasingtonsedgefieldccg.nhs.uk www.facebook.com/ddesccg

Prospectus 2013-14