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North Somerset Clinical Commissioning Group Operational Plan for 2014/15 – 2015/16

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North Somerset Clinical Commissioning Group Operational Plan for 2014/15 – 2015/16 North Somerset Clinical Commissioning Group Operational plan for 2014/15 – 2015/16 North Somerset CCG Operational Plan for 2014/15 – 2015/16) 1 Foreword ................................................................................................................................................................ 3 Introduction ............................................................................................................................................................ 4 Our vision ................................................................................................................................................................ 5 National Context ..................................................................................................................................................... 8 Our Population ..................................................................................................................................................... 10 Population growth predictions ......................................................................................................................... 11 Inequalities ....................................................................................................................................................... 12 The Health of the population ........................................................................................................................... 13 Improving Outcomes and Reducing Health Inequalities ...................................................................................... 16 The Financial Challenge ........................................................................................................................................ 26 Improving Quality ................................................................................................................................................. 29 Two Year Operational Plan ................................................................................................................................... 36 Pathway Redesign ............................................................................................................................................ 36 Referral Management and Unwarranted Variation ......................................................................................... 37 Enhanced Community Access, Services and Support ....................................................................................... 38 Proactive management of known patients ...................................................................................................... 39 Primary Care Development .............................................................................................................................. 41 Children and Young People .............................................................................................................................. 42 Mental Health Services ..................................................................................................................................... 44 Enabling Workstreams ......................................................................................................................................... 49 Partnership Working Arrangements ................................................................................................................. 49 Research and Innovation .................................................................................................................................. 51 Innovative Commissioning and Contracting Arrangements ............................................................................. 53 Developing CCG Capacity (Workforce and OD) ................................................................................................ 55 Medicines Optimisation/NICE .......................................................................................................................... 57 IT Strategy ......................................................................................................................................................... 60 Governance .......................................................................................................................................................... 61 North Somerset CCG Operational Plan for 2014/15 – 2015/16) 2 Foreword North Somerset Clinical Commissioning Group’s Operational Plan sets out how we aim to deliver improvements for the population of North Somerset over the next two years. There are significant challenges to be overcome but also great opportunities. We want our population to have access to safe, local services. Our aging population means that we need a whole system approach to keeping people healthy and active, but also to ensure that they get appropriate services when they are unwell. Our urgent care system has shown this winter that it can work really well resulting in great performance. The NHS Outcomes Framework gives us a clear structure and our five programme areas are locally determined to ensure the most appropriate delivery for North Somerset. We will only achieve this by working in close partnership with our membership, North Somerset Council, the People and Communities Board, our neighbouring Clinical Commissioning Groups, NHS England and our Commissioning Support Unit. We want to develop our relationships with patients, carers and the public. Our providers and the third sector are also key players. Our operational plan sets out how we will develop a secure financial basis while starting off the longer term strategic changes that are needed. As GPs working in the local community we want to co- produce the future health and social system that will deliver safe, affordable services for our population. I want to take this opportunity to thank all who have worked with the Clinical Commissioning Group over the last year. We have a lot of hard work ahead of us but also great opportunities. Thank you for being part of it. Mary Dr Mary Backhouse, Chief Clinical Officer North Somerset Clinical Commissioning Group North Somerset CCG Operational Plan for 2014/15 – 2015/16) 3 Introduction North Somerset Clinical Commissioning Group is the organisation with responsibility for commissioning health services for the population of North Somerset (the same area covered by North Somerset Council) We became a statutory organisation in 2013 following authorisation by NHS England. We are led by the 25 GP Practices in the area and these GP Practices are supported by a team of other clinicians and managers. We are therefore a clinically led organisation which puts the needs of the patient at the centre of everything we do. A Governing Body oversees the organisation to make sure that everything we do is appropriate and makes the best use of the resources available. We are responsible for commissioning emergency and urgent care (including ambulance and GP ‘Out of Hours service’) community health services, hospital services, maternity and children’s services, mental health and learning disabilities services. Primary care services (GPs, dentists, pharmacists and opticians) and specialised hospital services are commissioned and managed by NHS England, the national NHS commissioning body. We work closely with a wide range of stakeholders to develop and deliver our plans and believe that the views of patients and the public are key to our success. We have therefore produced this document to show in detail how we will deliver our objectives between 2014 and 2016, so that we can be held to account North Somerset CCG Operational Plan for 2014/15 – 2015/16) 4 Our vision We know that for people to be truly healthy it is not only the quality of healthcare services that matters. That is why we are committed to working together with our whole population, individuals and other organisations to create the healthiest communities. The diagram below shows the joined up system we are working towards. Life in North Somerset Community engagement, Education involvement Employment and Reducing leadership inequalities Health Vulnerable through groups wealth known Life and Society in Politics/ North civic life Somerset High impact families and Flexible/ integrated individuals deployment of (supported) public resources across N Som Commerce Integrated health and Seamless social care person centred pathways/ Sustainable Physical networks provider environment networks As the system leader for local healthcare we have set out below how people will experience healthcare in North Somerset in five years time. We have also included an overview of the things we are doing to achieve a clinically and financially stable system. We work with patients and carers to educate, encourage and support them to stay healthy, promoting lifestyles to reduce the risks of ill health. We equip patients with the knowledge and tools they need to maintain and, if possible, improve their health. We pay just as much attention to people’s mental health needs as their physical health needs In order to achieve this we will: Shift resources from services which treat illness to those that prevent them wherever there is evidence to support this. Ensure that care is co-ordinated around individuals not organisations Ensure that we have systems to identify those people and families who are most in need of additional support to reduce inequalities. Communicate with individuals and communities to ensure that their
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