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Nhs Somerset Clinical Commissioning Group NHS SOMERSET CLINICAL COMMISSIONING GROUP STRATEGY 2014-2019 23 May 2014 NHS SOMERSET CLINICAL COMMISSIONING GROUP STRATEGY 2014-2019 CONTENTS VERSION CONTROL i IMPACT ASSESSMENT iii CHAIRMAN’S INTRODUCTION vii 1 EXECUTIVE SUMMARY 1 - CCG Values 1 - CCG Commissioning Principles 1 - Somerset Vision 2 - System Alignment and Engagement 2 - The Four Strategic Themes 3 2 5 YEAR STRATEGY PLAN ON A PAGE 2014-19 6 3 THE NATIONAL CONTEXT 7 - NHS Constitution 7 - NHS Mandate and Outcomes Framework 8 - Francis Report Recommendations 9 - Commissioning for Quality and Innovations (CQUINS) 10 - Right Care 10 - The Better Care Fund 11 - The Children and Families Bill 2013 11 - Putting Patients First 11 - Any Town Commissioning Data 19 - Summary of the issues for Somerset 19 - Further Opportunities for Somerset 20 4 THE SOMERSET HEALTHCARE CONTEXT 21 - Joint Strategic Needs Assessment 21 - Demographics 22 - Social, Environmental and Economic determinations of Health 22 - The Health status of the local population 23 - Health needs, health inequalities and health improvements 23 - What the evidence tells us 24 - Adopting high Impact interventions in Somerset 25 5 SOMERSET HEALTH AND WELLBEING BOARD 26 - Three National Strategic Ambitions 27 - Seven National Outcome Measures 27 - Working together for Somerset 28 6 SOMERSET CLINICAL COMMISSIONING GROUP 31 - Accountabilities 31 - Clinical Leadership to Improve Health 32 - CCG Values 35 - NHS Values 35 - The Somerset Vision 36 - Somerset CCG Commissioning Principles 37 7 TRANSFORMATION IN SOMERSET 38 8 SCCG STRATEGIC THEMES 39 9 THEME 1 (Encouraging communities and individuals to take more control of and 40 responsibility for their own health and wellbeing) - Key Strategic Issues 41 - Our Plans: what the CCG will do to achieve the ambition 43 - NHS Outcome Framework (Domain Measures) 43 - Adult Social Care Outcomes Framework 44 - Public Health Outcomes Framework 44 10 THEME 2 (Developing Joined Up Person Centred Care) 45 - Developing Joined Up Person Centred Care 45 - The Overall Ambition for Somerset in 2018/19 46 - Progressing the Aims 47 - Community Based Services 48 - Managing your life with Long Term Conditions 49 - Long Term Conditions Framework 50 - Self-care and Long Term Conditions 51 - Outcomes 51 - Plans 52 - Improving quality and measuring success 52 - System Measures of Effectiveness 54 11 THEME 3 (Transform the effectiveness and efficiency of urgent and acute care cross all 54 services) - Transforming the effectiveness and efficiency of Urgent and 54 Acute Care across all services - Vision and objectives for Somerset in 2018/19 55 - What will this look like for patients 57 - What the CCG will do to achieve our vision and objective 57 - Making it happen – turning ambition into reality 58 - How we know we have been successful and that improved 59 patient outcomes have been achieved - Next steps – priority actions for 2014-2016 59 12 THEME 4 (Sustain and continually improve the quality of all services) 63 - Improving the quality of all services 63 - Our ambition for sustainable high quality services in Somerset 63 - How will we achieve this? 64 - Highly trained workforce to meet the needs of the population 64 - Continuous Quality Improvement 64 - Quality Monitoring and listening to Patients 65 - What this will look like for patients 66 - Why this is important for the people of Somerset and what will 67 be different? - How will we continue to engage with the communities we 68 serve to drive continuous quality improvement in healthcare - Sustaining High Quality services – Safe Staffing in place in all 69 services - We will promote a culture of openness where staff and patients 70 can raise concerns - Harm Free Care 71 - Measurement of harm at times of increased pressure on health 72 services - Safeguarding Adults 72 - Welcoming complaints from patients and their families and 73 using the learning to improve services - Improving the Quality of Primary Care 74 - How success and improved outcomes will be measured 75 - Improving outcomes for Children and Young people 76 - CAHMS 77 - Safeguarding Children 78 13 DEVELOPING A PRIMARY CARE STRATEGY FOR 79 SOMERSET - How the Developing Strategy will work 79 14 FINANCIAL FRAMEWORK 82 - Financial position 2013/14 82 - Revenue Resource Framework 2013/14 82 - 2014/15 and 2015/16 Growth Assumptions 83 - Investment Programme 2014/15 to 2015/16 84 - Investment Programme 2016/17 to 2018/19 84 - Sources of Funds 2014/15 to 2018/19 86 - Financial Challenge 87 - Systems Leadership 88 - Programme Expenditure 89 - Applications of Funds 90 - Secondary Care Commissioning 91 - Continuing Health Care 93 - Non Contractual Activity 94 - Partnership Agreements 94 - Prescribing 94 - Other Programmes 95 - 111 Service 95 - Enhanced Services 95 - Clinical Innovation Fund 95 - Running Cost Programmes 96 - Development Programme 97 - Managed Programmes 98 - Surplus 99 - Contingency 99 - Non recurring requirement for CCGs 99 - Commissioning for Quality and Innovation (CQUIN) 100 - £5 per head for Over 75 Care 100 - Better Care Fund 101 - Summary 102 APPENDICES Appendices Within Document Page Appendix 1 2 & 5 Year Programme 103 Appendix 2 Cost Reduction Schemes 107 Appendix 3 Draft 2 Year Commissioning Plan on a Page 2014 - 16 109 Appendix 4 ‘You Said - We did’ 111 Appendix 5 Links to Useful Documents 117 Appendix 6 Draft 2 Year Commissioning Plan 2014 - 16 119 Appendix 7 Engagement Plan (2013-14) Under Development Appendix 8 Risk Assessment Under Development Appendix 9 Outcome Metrics across National Outcomes (7 areas) Under Development Appendix 10 Mapping the CCG Themes and Programs Under Development LINKS TO USEFUL DOCUMENTS CCG Supporting Clinical Strategies Executive Summaries Health and Wellbeing Strategy Long Term Conditions - Somerset House of Care Symphony Under Development Urgent and Emergency Care Strategy Somerset Quality Primary Care Scheme Under Development CCG Supporting Enabling Strategies – Executive Summaries Information Management and Technology Workforce Under development Organisational Development Under development Communications System Governance Under development Sustainability and Carbon Reduction Leadership Under development The Somerset Joint Strategy for Mental Health and Emotional Wellbeing Children and Young Peoples Plan for Somerset Under development Supporting Strategies/Clinical Programme Groups and Clinical Under development Networks Equality and Diversity; Human Rights and Engagement Strategy for 2013-2016 Joint Strategic Needs Assessment NHS SOMERSET CLINICAL COMMISSIONING GROUP STRATEGY 2014-2019 VERSION CONTROL Document Status: DRAFT Version: 6.7 DOCUMENT CHANGE HISTORY Version Date Comments 1.0 TA created initial draft document 2.0 6 January 2014 Goal templates updated and report formatted 2.1 20 January 2014 Detail of Goal 3 added by TA 2.2 23 January 2014 Vision amended / introduction added TA 2.3 4 February 2014 Added Lucy’s draft template/ changed Goals to Themes TA 2.4 6 February 2014 Added mental Health and well-being section 2.5 10 February 2014 VDB references recent planning document requirements 2.6 18 February 2014 TA edit and tidy up developing planning document requirements/ included finance and executive Summary. 3.0 19 February 2014 Document formatted to SCCG standards 3.1 3 March 2014 Editing updated (DS) via Jan Finn 4.0 4 & 5 March 2014 Document review by VDB 4.1 5 March 2014 TA added 2 year chapter/leadership/EQD and JF formatted 4.2 10 March 2014 Revised Themes 3 and 4 added 4.3 12 March 2014 Revised Themes 1 and 2 added 4.4 13 March 2014 Numbering added to document for submission 4.5 18 March 2014 Amendment and reformatting following Dr RB and Dr MD review 4.6 20 March 2014 Further amendments and house-styling 4.7 1 April 2014 Up to date Federation map added and AA text/formatting amendments 5.0 11 April 2014 Document restructure for better flow 6.0 25 April 2014 Further insertions following Directors review 6.1 11 May 2014 David Slack amends inserted by TA 6.2 14 May 2014 Lucy Additions included Theme 4 new Sys Plan on page 6.3 16 May 2014 Response to Area Team Assurance 6.4 19 May 2014 AH Finance Chapter amends included 6.5 21 May 2014 6.6 21 May 2014 6.7 23 May 2014 Final draft for submission to Governing Body i Sponsoring Director: Victoria Downing-Burn, Director for Strategy and Patient Engagement Author(s): Tim Archer, Associate Director of Strategic Development Document Reference: 5YS Long Version v6.7- Final Draft ii CONFIRMATION OF EQUALITY IMPACT ASSESSMENT FOR NHS SOMERSET CCG DOCUMENTS/POLICIES/STRATEGIES AND SERVICE REVIEWS Main aim of the document: People in Somerset will be encouraged to stay healthy and well through a focus on: building support for people in our local communities and neighbourhoods; supporting healthy lifestyle choices to be the easier choices; supporting people to self-care and be actively engaged in managing their condition When people need to access care or support this will be through joined up health, social care and wellbeing services. The result will be a healthier population with access to high quality care that is affordable and sustainable. Commissioning principles supporting this vision include: we will support people to be the best they can be through equitable and person-centred services we will create a system that ensures the right care is available at the right time for the patient we will continue to listen to what people want and respond to need (see below) we will commission for a sustainable future The strategic themes include: encouraging communities and individuals to take more control of and responsibility for their own health and wellbeing prioritising joined up person-centred care transforming the effectiveness and efficiency of urgent and acute care across all services sustaining and continuously improving the quality of all our services Outcome of the Equality Impact Assessment Process: The Strategy positively embraces and celebrates the diversity of people living in Somerset. People have stated bold and brave ambitions about local health and wellbeing services but also recognise the challenges faced by the NHS and by their communities.
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