A guide to Nottingham North and East Clinical Commissioning Group Who we are and what we do Choose well and get the right care! Hangover, grazed knee, cough, sore throat Self care Diarrhoea, runny nose, cold and cough, headache Pharmacy Back pain, stomach ache, ear pain, symptoms that won’t go away Contents GP surgery Surgery closed? Need help fast but unsure where to go? Call 111 2 Choose well 8 Our plans and priorities 4 Who we are and what we do 10 How to get invovled NHS 111 5 Our area 11 Contact us 6 Our local population 12 Tell us your NHS story Chest pain, choking, stroke, loss of consciousness - this is an emergency! 7 Case study - Reaching out to young people Emergency Department The emergency department is for real emergencies only! @NHSNNE www.nottinghamnortheastccg.nhs.uk 3 Nottingham North and East Clinical Commissioning Group (CCG) is your local NHS. We are responsible for planning and quality checking health care services in Gedling, Hucknall, and some areas of Eastwood and Newark and Sherwood. Our CCG is made up of 21 member practices, with a from every local practice. Their work is supported by the Whyburn Medical Practice The Calverton Practice registered population of around 149,000. These practices People’s Council, which has a representative from each / The Om Surgery Oakenhall Medical Practice are organised together to commission health services of the local practice’s Patient Participation Groups and Torkard Hill Medical Centre for the patient population living in Arnold, Burton ensures patients’ voices are heard and can directly impact Nottingham North Joyce, Calverton, Carlton, Colwick, Daybrook, Gedling, on the decisions made. Giltbrook, Hucknall, Lowdham, Mapperley, Netherfield The Jubilee Practice and Newthorpe. We work in partnership with patients, other health and Newthorpe Medical Centre and East CCG social care organisations, Local Authorities, the voluntary Giltbrook Surgery Stenhouse Medical Centre Highcroft Surgery We are GP-led, which means that any decisions being and community sector and the public to plan, design and Daybrook Medical Practice made about the health care services in the Nottingham improve the delivery of your local NHS services. North and East area are driven by the knowledge, The Ivy Medical Group Plains View Surgery experience and expertise of local doctors. Our vision is to put good health into practice by: West Oak Surgery Apple Tree Medical Practice Unity Surgery The GPs are supported by a small central services team, • Improving the health of the community Westdale Lane Surgery based at the Gedling Civic Centre at Arnot Hill Park. • Securing the provision of safe, high quality services Peacock Healthcare Park House Medical Centre • Achieving financial balance and value for money The Willows Medical Centre Locality 1 Our Clinical Cabinet, which makes the key decisions Trentside Medical Group about what services to commission, is made up of GPs You can find out more about our vision on our website. Locality 2 Locality 3 Our Member Practices 11. Park House Medical Centre, Carlton 1. Apple Tree Medical Practice, Burton Joyce 12. Peacock Surgery, Carlton 2. Calverton Practice, Calverton 13. Plains View Surgery, Mapperley 3. Daybrook Medical Practice, Daybrook 14. Stenhouse Medical Centre, Arnold 4. Giltbrook Surgery, Giltbrook 15. Torkard Hill Medical Centre, Hucknall 5. Highcroft Surgery, Arnold 16. Trentside Medical Group, Netherfield and Colwick 6. The Ivy Medical Group, Burton Joyce and Lowdham 17. Unity Surgery, Mapperley 7. The Jubilee Practice, Lowdham 18. Westdale Lane Surgery, Gedling 8. Newthorpe Medical Centre, Eastwood 19. West Oak Surgery, Mapperley 9. Oakenhall Medical Practice, Hucknall 20. Whyburn Medical Practice, Hucknall 10. The OM Surgery, Hucknall 21. The Willows Medical Centre, Carlton 4 www.nottinghamnortheastccg.nhs.uk @NHSNNE @NHSNNE www.nottinghamnortheastccg.nhs.uk 5 This section gives some brief information about our 2014/15 Annual Report, Our local population including how we spent NHS money locally and our achievements over the year. • Our population of approximately 149,000 is spread • across a mix of urban areas and rural villages. • • The majority of patients registered with GP practices in the CCG area live within three districts: Gedling Borough, Ashfield (mainly Hucknall), and Broxtowe. • An increase of 33% is expected in the older population by 2025, particularly in the 75-79 age groups. The highest proportions of older people live in Eastwood, Burton Joyce and Newstead. • In Gedling, deprivation is lower than the national average; however, 3,420 children and 1 in 7 pensioners live in poverty. We are pleased to report that 2014/15 saw good progress and feel the CCG is in a strong position due to the • In Ashfield, deprivation is higher than the national in our second year as a CCG. Whilst it was a year of hard work and ongoing development of the business average and 5,300 children live in poverty. Areas of consolidation of business operations, it was also a year model. For this reason, with support from member Ashfield where NNE CCG registered populations live, of growth and development both as a CCG and as a key practices, we have taken on the responsibility for such as Hucknall, include some of the most deprived organisation within the wider health and social care delegated authority of GP primary care services as we 20% of areas nationally. economy. feel this provides us with greater opportunity to deliver • Ashfield has the highest number of residents the benefits of working as a CCG to improve local health • In our area the most common long term conditions are: providing unpaid care with an estimate of 12,631. The Better Care Fund, Transformation Partnership services and address health inequalities. • hypertension (38439 individuals) and system resilience have been fundamental areas of • common mental health disorders (17,460) • The main causes of death for all ages across the collaboration during 2014/15 and we have stepped up We would like to thank our member practices for their • asthma (10,560) CCG area are Cardiovascular Disease, Cancer and to the responsibilities with the appropriate culture and continued commitment to the CCG and to our employees • chronic kidney disease (11,201) Respiratory Illness. management strategy. and partners for their hard work. We would also like to • diabetes (8,587) thank all our patients, particularly those on our Peoples’ • chronic back pain (7,062) • Death rates under the age of 75 are mainly linked to We are committed to the ongoing reshaping of the Council, who ensure that the patient voice is at the centre • coronary heart disease (7,063) cancer (lung and prostate in men, breast and lung in CCG in order to meet local healthcare needs and ensure of everything that we do. • cancer (5,207). women). a sustainable future. A sustainable future includes addressing difficult financial conditions and we were The full report can be found on our website – • There are currently expected to be 1,822 people living For more about our population see our Annual Report - pleased to have delivered against our financial duties www.nottinghamnortheastccg.nhs.uk/annual-report with dementia in NNE CCG. www.nottinghamnortheastccg.nhs.uk/annual-report during 2014/15. Sam Walters Dr Paul Oliver We recognise that 2015/16 will be even more challenging Chief Officer Clinical Lead and Chair 6 www.nottinghamnortheastccg.nhs.uk @NHSNNE @NHSNNE www.nottinghamnortheastccg.nhs.uk Our performance against targets Our finances We worked hard throughout the year to meet the national standard is that 95 per cent of patients should wait no The full Statutory Accounts, including the Independent England. The CCG exits 2014/15 with an underlying targets that were set. Below are some key points:. more than four hours in Accident and Emergency from Auditor’s Report can be found on the website. recurrent surplus position that reflects the going concern arrival to admission, transfer or discharge. declaration. 18 Weeks from Referral to Treatment We have achieved all key financial NHS England Group In the year to 31 March 2015: Requirements for the year, including remaining within However, the CCG continues to face financial challenges During 2014/15 we met or exceeded all the national • 86.60 per cent of patients were treated within four resources available, delivering our planned surplus, and a QIPP target of circa £7.1 million is required to be targets for elective waiting times hours at A&E (national standard 95 per cent). achieving our agreed year end cash balance, not delivered in 2015/16 in order to achieve our surplus target exceeding our running costs allocation and delivering of 1 per cent. The Better Care Fund (BCF) commences at In the year to 31 March 2015: The local health community has faced significant against the Better Payment Practice Code target. the start of the new financial year, and this sees a £9.1 • 95.02 per cent of admitted patients were treated challenges in delivering the Emergency Department million investment by the CCG. The operation of the BCF within 18 weeks (national standard 90 per cent). performance standard at Nottingham University Hospitals The CCG commenced the year in a financial position that is described in more detail in the Strategic Report section • 97.92 per cent of non-admitted patients were treated NHS Trust. We are continuing to work together to required delivery of a £4.2 million savings target (QIPP – of the Annual Report on our website. within 18 weeks (national standard 95 per cent). improve performance for our population. Quality, Innovation, Productivity and Prevention – target). • 97.79 per cent of patients who were still waiting for This target has been delivered. It is key that the financial and operational objectives of their treatment had been waiting less than 18 weeks Dementia Diagnosis Rate the BCF schemes are delivered and the CCG will work (national standard 92 per cent).