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NHS Birmingham and Solihull Clinical Commissioning Group 2019/20 Operational Plan Contents

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NHS Birmingham and Solihull Clinical Commissioning Group 2019/20 Operational Plan Contents NHS Birmingham and Solihull Clinical Commissioning Group 2019/20 Operational Plan Contents Executive summary ............................................................................................................................................................................................................................................. 2 Section 1 – Context ............................................................................................................................................................................................................................................. 3 Section 2 - Programme Priorities and Local Delivery Plans ........................................................................................................................................................................... 8 Integration – Primary Care and Long Term Conditions (PC & LTC) ..................................................................................................................................... 8 Integration – Urgent Care ................................................................................................................................................................................................... 21 Integration – Community Better Care Fund ........................................................................................................................................................................ 24 Personalisation and Personal Health Budgets ................................................................................................................................................................... 28 Mental Health ..................................................................................................................................................................................................................... 32 Maternity and Newborn ...................................................................................................................................................................................................... 36 Children and Young People ............................................................................................................................................................................................... 40 Special Education Needs and Disabilities (SEND) ............................................................................................................................................................. 43 Cancer ............................................................................................................................................................................................................................... 46 RightCare .......................................................................................................................................................................................................................... 57 Continuing Healthcare (CHC) ............................................................................................................................................................................................ 58 Learning Disabilities and Autism ........................................................................................................................................................................................ 60 Medicines Management and Optimisation ......................................................................................................................................................................... 63 Quality - Improving Quality in Organisations ...................................................................................................................................................................... 66 Localities ............................................................................................................................................................................................................................ 68 Section 3 – Overarching Corporate Enablers ................................................................................................................................................................................................. 71 Estates and Infrastructure .................................................................................................................................................................................................. 71 Digital connectivity ............................................................................................................................................................................................................. 75 Section 4 – Governance and Reporting .......................................................................................................................................................................................................... 77 Abbreviations ..................................................................................................................................................................................................................................................... 79 NHS Birmingham and Solihull Clinical Commissioning Group 2019/20 Operational Plan Page 1 of 79 Executive summary NHS Birmingham and Solihull Clinical Commissioning Group (BSol CCG) is the largest clinically-led commissioning organisation in England. We commission health services for 1.3 million people in Birmingham and Solihull and our budget is in excess of £1.9 billion – almost 2% of the total NHS resource. Patients are at the heart of everything we do and we actively encourage people living in Birmingham and Solihull to get involved and help us shape our plans. We also work with a network of other NHS organisations, independent providers, GP practices and the third sector including neighbourhood CCGs such NHS Sandwell and West Birmingham CCG for people living in West Birmingham. Our ambition is to ensure the best possible (and world class) healthcare outcomes for everyone in Birmingham and Solihull. Our priorities are to: Tackle and reduce health inequalities Rebalance investment in health care from crisis management to prevention and early action Achieve closer integration between health and social care. We are an active participant and leader of the Birmingham and Solihull Sustainability and Transformation Partnership (STP) and are already taking steps to work collaboratively with partners to develop our Integrated Care System. Operational Plan 2019/20 The CCG has developed an Operational Plan for 2019/20, which is focussed on delivering the national triple aim from the NHS Five Year Forward View of better health, better care, and lower costs. These priorities are aligned and work towards full implementation of the NHS Long Term Plan. Section 1 provides the context to this Operational Plan and how this relates to the STP Plan and the NHS Long Term Plan. It also describes how we intend to deliver strategic and joint commissioning and integration in this context. Section 2 outlines our programme priorities and plans for delivering against the STP Plan and NHS Operational Planning and Contracting Guidance 2019/20. Section 3 describes our overarching corporate enablers, which includes priorities on infrastructure and digital connectivity. Section 4 highlights our governance and reporting framework. This will ensure we oversee the delivery of this Operational Plan with robust governance and accountability. NHS Birmingham and Solihull Clinical Commissioning Group 2019/20 Operational Plan Page 2 of 79 Section 1 – Context CCG Background NHS Birmingham and Solihull Clinical Commissioning Group (BSol CCG) is the largest clinically-led commissioning organisation in England. It was approved by NHS England on 1 April 2018 following a merger of NHS Birmingham Cross City CCG, NHS Birmingham South Central CCG and NHS Solihull CCG. We are responsible for planning and commissioning health services for 1.3 million people living in Birmingham and Solihull and our budget is over £1.9 billion – almost 2% of the total NHS resource. As a CCG, our population is diverse: 59% of CCG population identify themselves as White compared to 41% of people from a range of different ethnic groups including Black and Asian Minority Ethnic (BAME). The largest BAME groups are as follows: 22% of people identify themselves as Asian, 7% as Black and 4% as Dual Heritage (previously described as Mixed Race in the 2011 Census) with 8% of people from other parts of the world. 22% of our population are people aged 15 years old and under, 64% are of working age (16-64 years old) and 14% are aged 65 and over. There is a prosperity gap of 10 years between the most affluent and least affluent people living in Birmingham and Solihull. CCG Strategic Priorities Our ambition: To ensure the best possible (and world class) healthcare outcomes for everyone in Birmingham and Solihull. Our priorities: Tackle and reduce health inequalities Rebalance investment in health care from crisis management to prevention and early action Closer integration between health and social care. Supporting Sustainability and Transformation Partnership (STP) Delivery As a CCG, we already work closely in partnership with: Three local authorities in Birmingham, Solihull and Sandwell Neighbouring CCGs and Specialised Services including NHS Sandwell
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