Leeds South and East Clinical Commissioning Group
Your guide to NHS Leeds South and East Clinical Commissioning Group Welcome
NHS Leeds South and East Clinical Commissioning We are committed to building partnerships in the Group (CCG) became a statutory organisation on city to help our communities with issues that can 1 April 2013 and is one of three NHS organisations affect their health and wellbeing such as debt, in the city responsible for planning and funding education, housing and employment. We work (commissioning) health services for people in with partners like Leeds City Council and the Leeds. The other two CCGs in the city are NHS many voluntary sector organisations in the city and Leeds North CCG and NHS Leeds West CCG. we are actively engaged in the Leeds South East Health & Wellbeing Partnership Forum. Our organisation is made up of 43 GP practices who provide us with a detailed understanding of As we enter our second year (2014/15) we have the health needs of our population so that we developed our plans for the future, highlighting can plan and fund services to meet your needs. how we will work with our partners and local Throughout our first year we have worked with people to improve the health of our population. local people to make sure our plans reflect the Although our plans are for the next two years needs of our population and we have made (2014/15 – 2015/16), they are linked to longer significant progress in the following key areas: term, more strategic plans, for health and social care services across Leeds. • Integrated health and social care – receiving national recognition and ‘pioneer status’ for We hope you find this short guide to our CCG leading, on behalf of the city, the work to join useful. Details about how you can get more up services in health and social care information can be found on the back page.
• Investment in services to help people to live healthier lives;
• Working with hospital and community services providers to make sure there is a relentless focus on quality.
Contents Philip Lewer, Dr Andrew Harris, Chair Clinical Chief Officer About us 04
Our achievements 14
Our plans for the future 18
Getting involved 26
Local services 27
02 Your guide to NHS Leeds South and East Clinical Commissioning Group 03 About us
CCGs are groups of GPs, as well as other healthcare professionals, that are NHS Leeds South and East CCG is focused on improving the health and wellbeing responsible for designing local health services in England. In Leeds there are three of our population, on improving the health of the poorest the fastest, as well as CCGs covering the city, ours which is NHS Leeds South and East CCG, NHS Leeds planning and funding health services for local people. North CCG and NHS Leeds West CCG. We look after the healthcare for about 257,000 prematurely in our area from problems such as people, covering an area which includes some cardiovascular disease, cancer and breathing This map shows which areas of the city each CCG covers: of Leeds’ most deprived communities, as well as (respiratory) diseases than across the city as a some better off rural areas on the outskirts of the whole. Our plans set out how we will reduce early city. More than 20% of our population are from death from these health problems and make sure minority ethnic communities. that people in our area are able to live longer and healthier lives in the future. We know that where people live in the Leeds South and East area can affect their life expectancy by up to 10 years and that more people die
Wetherby
Otley
Aireborough LEEDS NORTH Cookridge
Moortown Barwick LEEDS WEST Whinmoor in Elmet Pudsey North
Pudsey Wortley Richmond Halton South Hill Garforth LEEDS SOUTH AND EAST Middleton Morley North Swillington Kippax
Rothwell
Morley South
04 Your guide to NHS Leeds South and East Clinical Commissioning Group 05 Our governing body Working together locally
Our governing body is responsible for making key decisions about how we use resources and agreeing We know we can’t improve people’s health by ourselves and so we will work our priorities. If you would like to know more about each member of our governing body please visit our website at www.leedssouthandeastccg.nhs.uk with all our stakeholders, for example Leeds City Council and the voluntary sector, to make sure people have access to all the help they need to stay healthy. Our governing body members are: You can help us make the most of our local resources by attending any appointments you have or cancelling them with plenty of notice and taking as much care and responsibility as you can for your own health.
Here are some of the local groups we work with:
Chair Clinical Chief Chief Finance Chief Operating Director of Philip Lewer Officer Officer Officer Nursing & Quality commun Dr Andy Harris Mark Bradley Matt Ward Ellie Monkhouse and ity l se ita r p vi s es an ce o rvic d p s H se ar l tn ca e o r L uth a s So nd s E d a e s e t L Public Health Secondary Care GP Executive GP Executive GP Non-Executive C Representative Consultant Director Director Director S C Victoria Eaton Rod Robertson Dr David Mitchell Dr Jackie Campbell Dr Ben Browning H G N (Medical Director) (Director of Clinical Patients, Engagement & carers Caldicott Guardian) and the public N , l H i c S a n
L n s u e o e e d C d c s y L i t i e W 4 t t C s e L r e e c u d 3 s o e s r s a d t d t c T m r e a s a e e S n n p L S H d e H d L , y e m P s , N e r t Y a N G d e l H ber a s s o d t e t u l r h S e n r a s L u t GP Non-Executive GP Non-Executive Lay Member Lay Member k a L l T i T n e h P e d ed tc o S p a a s a V H s Director Director (Patient & Public (Governance & r c W N w d o t h o lth n N n i el rth ea a e H e n lb CCGs, H y r e Dr Alistair Walling Dr Tom Gibbs Involvement) Audit) r g ei it a r s H ng un c i h o Boa omm th sh ip s rd, C l Gordon Tollefson Brian Roebuck p a rk N it He o H al y Y S s N it id Fo H un u S T m s M nd rust, Leeds Com a at uch ion s s Trust, and other
06 Your guide to NHS Leeds South and East Clinical Commissioning Group 07 Working with our members Our member practices
Our 43 member practices take an active role in the work we do and we These are all of the GP practices in the Leeds South and East area: hold regular members’ meetings where they can give us their views on our commissioning decisions.
Arthington Medical Centre Garforth Medical Centre The feedback from our members has helped us to: Ashfield Medical Centre Gibson Lane Practice • develop information for patients about the two week referral process for treatment of cancer Ashton View Medical Centre Hunslet Health Centre
• contribute to a citywide campaign encouraging people to only use A&E when they really need to Beeston Village Surgery Kippax Hall Surgery
• have leaflets translated into the right community languages so that people know what services are Bellbrooke Surgery Leeds City Medical Centre available if they fall ill or get injured Church Street Surgery Lincoln Green Medical Practice
• set up a specific work programme for practice managers. City View Medical Practice Lingwell Croft Surgery
Colton Mill Medical Centre Lofthouse Surgery
Conway Medical Centre Manston Surgery
Cottingley Community Centre Middleton Park Surgery
East Park Medical Centre Moorfield House Surgery
New Cross Surgery Swillington Surgery
Nova Scotia Medical Centre The Family Doctors
Oakley Medical Practice The Garden Surgery
Oulton Medical Centre The Medical Centre
Park Edge Practice The Practice at Harehills Corner
Radshan Medical Centre The Whitfield Practice
Richmond Medical Centre Whinmoor Surgery
Roundhay Road Surgery Windmill Health Centre
Shaftesbury Medical Centre York Road Surgery
Shafton Lane Surgery York Street Health Practice
Shakespeare Community Practice
08 Your guide to NHS Leeds South and East Clinical Commissioning Group 09 Our vision, values and aims
Our vision To deliver our work for To improve the health and wellbeing of our local population, reduce inequalities and commission high quality, safe, sustainable healthcare services for all. you we have a clear vision:
Our values Improving lives Leadership Collaboration Innovation and To deliver this vision we have values to guide us: Quality Transparency improvement
Our To secure continuous To make sure that patient, To improve the health To deliver continuous To develop and maintain improvement in the public and carer voices strategic of the whole population improvement in health a healthy organisation quality and safety of all are at the centre of our and reduce inequalities and social care systems to underpin the effective aims and services commissioned healthcare services from in our communities within available resources delivery of our strategy workstreams for our population planning to delivery
Promote healthy Make sure we continue to Put people at the centre of Support our patients closer to Be an organisation that listens lifestyles and choices deliver quality, safety, clinical managing their own health their homes through joined up to its stakeholders and its staff effectiveness and a good and wellbeing health and social care patient experience Help people to manage their Work with Leeds City Council Be an organisation based long-term conditions so that Involve the public in our to buy high quality services for on learning, developing people have an increased Reduce differences in planning process so that children and families new ideas and seeking quality of life, fewer hospital healthcare delivery across services we provide reflect always to deliver the best admissions and fewer people our area the needs of local people Support new ways of working for our population die at an early age in primary care Make sure that patients’, Deliver high quality urgent and Work with our partners to carers’, and the public’s emergency care help local people improve experiences help us make their quality of life improvements Continue to develop elective care services Help our nursing staff to work in new ways Deliver continuing health care for adults with complex health needs
Delivery of the NHS Constitution and Mandate
10 Your guide to NHS Leeds South and East Clinical Commissioning Group 11 Health issues in our communities
Over the next two years we want to focus on delivering local services for We also know that these are some of the health needs of patients, where it is safe and appropriate to do so. These are some of the people who live in parts of the Leeds South and East area: things we already know about people who live in our area:
More people 5 0 will be diagnosed More than 92,000 of The number of with dementia our registered patients people over the age in the future. 0–1 92,000 live in the most deprived of 50 is going up. areas in Leeds. More people smoke More babies die in their than in the rest of the city. More first year of life in Beeston people 10 and Holbeck than in the YEARS rest of the city. die before More than 25% they are of people have 25% an existing health Depending problem, above More people are the national on where obese than in the 75 average. people live it rest of the city and in our most could mean a this is increasing. deprived difference in More people misuse areas. life expectancy alcohol than in the of up to rest of the city. The number of children is ten years. % higher than the rest of the city and the birth rate is going up. More people have mental health problems than in the rest of the city, above More people have breathing Heart and breathing problems the national problems and diabetes are the most common causes average. than in the rest of the city, of death. above the national average.
12 Your guide to NHS Leeds South and East Clinical Commissioning Group 13 Our achievements
During 2013/14 we invested in services designed to improve the care, treatment End of life care Providing care differently and support of our patients, their families and their carers. These ranged from making sure babies enjoy the best start to life through to making sure people We have talked to patients, staff We have worked closely and set have the right care in place so that they can have a dignified end to their life. and service providers so that we can aside funding for the Garforth All of these have involved patients, carers and the public and they have been understand how people are supported Neighbourhood Elders Team. This is shaped, and in some cases, reshaped by what they have told us. In the next few at the end of their life at the moment. run by and for people aged 60 and pages you can read about some of our key achievements. We are now putting an end of life plan over and has more than 2,000 clients into place based on our findings so that and 157 volunteers who give practical we can improve people’s experience support and organise events for their and choice at end of life. clients every week.
CCGreen
As a CCG we are committed to doing everything we can to look after our environment. We have nine CCGreen staff champions and we developed our CCGreen logo to use around our building to remind our staff that we all have a role to play in looking after our environment.
Sustainability at NHS Leeds South and East Clinical Commissioning Group
14 Your guide to NHS Leeds South and East Clinical Commissioning Group 15 Working together Working for us to improve health It is important to us that staff are included In 2013 Leeds was chosen as one and we hold regular of 14 sites across the country to briefings where staff can pioneer integrated care. One of the hear updates about our reasons Leeds was chosen was as work and give us their a result of the efforts the city has feedback. We have also made in bringing health and social set up a Leeds CCG wide care professionals closer together, Social Partnership Forum meaning that patients are already to inform, consult and benefitting from this joined-up care. Members of the Leeds Health and Wellbeing sometimes negotiate Board celebrate the city being chosen as with trade unions on pioneers of integrated care. key issues. Philip Lewer, Chair and Sarah Lovell, Associate Director of Commissioning, Strategy and Performance. Helping young people Improving Children’s Takeover Day who self-harm quality As part of National Children’s Takeover Day we invited local children to find out School staff had identified an increase Some of our member practices more about the work we do and their thoughts on how we can involve young in the amount of children and young are testing a new patient feedback people in the future. people who they thought might be scheme called the ‘quality yellow card’ self-harming. From work with a group scheme. When a patient goes to their Young people looked at a trial healthy eating app, designed a collage about of professionals we have developed a GP practice and tells someone about what they would want from a ‘super nurse’, were asked questions about more clearly defined pathway and a set a poor experience such as a discharge websites available to support young people’s emotional health and were given of tools to help professionals, parents, from hospital that didn’t go well, or a some health-related scenarios to think about and discuss. carers and young people themselves as long waiting time, their concerns are well as co-produced a play with young recorded and reviewed so that people that will tour around schools to quality issues can be identified look at issues around self-harming. and addressed.
16 Your guide to NHS Leeds South and East Clinical Commissioning Group 17 Our plans for the future 2014/15 – 2015/16
We want to make sure that people in our area are able to live long and healthy lives in the future and our plans set out how we will do that. Over the next two years we will:
Improve the health of the whole population and reduce inequalities in our communities
Help more people to stop smoking
By investing in new ways to provide stop smoking support and increasing referrals to them, we will help more local people to stop smoking. We currently have the Leeds NHS Stop Smoking Service, which is free to anyone who wants to quit.
Diagnose and treat cancer earlier Reduce alcohol-related harm We want people to be more aware of the signs and symptoms of cancer, To reduce the numbers of people who are admitted to hospital for so we’ve commissioned community awareness sessions and a marketing alcohol-related problems we will commission more drug and alcohol campaign about bowel cancer and screening tests. treatment programmes and help more people to complete them. We’ve launched a walk-in chest x-ray service for over 50s at Seacroft Hospital and at the St George’s Centre in Middleton and we are working with GPs to make sure people are referred for x-rays promptly.
Support people with dementia Support people who have breathing conditions There are around 2,700 people living with dementia in our area. To help them have a better quality of life, we will reduce waiting times for We want fewer people to be affected by breathing diseases like asthma assessment and diagnosis, and introduce new services and initiatives. and chronic obstructive pulmonary disease.
By working with partners and GP practices, we will increase the number of people who can get the support they need. One of the ways we will do this includes commissioning a children’s asthma nurse.
18 Your guide to NHS Leeds South and East Clinical Commissioning Group 19 Our plans for the future 2014/15 – 2015/16
Make sure that patient, public and carer voices are at the centre of Deliver continuous improvement in health and social care systems within our healthcare services from planning to delivery available resources
Involving people in planning services Develop more joined-up services between health and social care We’re committed to giving local people a say in how we plan, buy, deliver and review our services so that we can fund high quality, safe services that We’ve made good progress in bringing district nurses, community matrons, meet people’s needs. social workers, geriatricians and other community health and care staff who work together with our GP practices to make sure people receive the right You can get involved by joining one of our patient groups or by following us care at the right time. Now, we want to make sure older people, including on Twitter or Facebook. those with dementia or long-term conditions, are supported by combined packages of care, support and lifestyle advice.
Help people to manage their own health Give children the best start in life
We want people to be more involved in decisions about their care, particularly The first few years of life have a huge impact on a person’s mental and those with long-term conditions. To do this we are providing training and physical health. We’re working with Leeds City Council to make sure that support for our GP practices and other healthcare professionals so that they every child has the best possible start in life. We are developing our maternity can help people to manage their own health. We’re also working with our service strategy for the next five years so that we can be sure we are partners in the voluntary sector to develop support in local communities. commissioning safe, quality, fit-for-purpose and sustainable maternity services for people in Leeds.
Improve end of life care
Giving people the support and care they need at the end of their life is important so we’re developing plans to help more people die in the place of their choice. We’re also reviewing the bereavement services offered to families and carers.
Provide quicker access to mental health services
We know that mental health is just as important as physical health. We want to make sure people get the help they need to recover from mental health problems. We’re trying new ways of meeting the needs of our population including arts and creativity, physical activity, learning a new skill, volunteering or support with things like employment, benefits, housing, debt, legal advice or parenting problems.
20 Your guide to NHS Leeds South and East Clinical Commissioning Group 21 Our plans for the future 2014/15 – 2015/16
Secure continuous improvement in the quality and safety of all services commissioned for our population
Keeping you safe
We use feedback from national reports like the Francis Report (www.midstaffspublicinquiry.com), patient surveys, complaints forms, Patient Advice and Liaison Service (PALS) and online comments to help us identify areas for improvement.
Our medicines management team is committed to the effectiveness and safety of prescribed drugs and we take all incident reports very seriously.
Develop and maintain a healthy organisation to underpin the effective delivery of our strategy
Deliver innovative and evidence-based health services
We will help clinical professionals and local people to work and learn together about improving care. We’ll use information about what works well in other areas to help develop innovative services.
We’re contributing to the development of the Leeds Institute of Quality Healthcare (LIQH) with our partners. In the first year, our focus is on training in improvement techniques and applying them to services for cardiovascular disease, breathing disease and hip fracture.
22 Your guide to NHS Leeds South and East Clinical Commissioning Group 23 Our budget
We have a budget of around £348 million to pay for the care of around 257,000 people living in the Leeds South and East area.
Of that money around half, that Since 1 April 2013 there are some Urgent and is £175 million, goes on providing services which are paid for by NHS emergency care hospital care for our population. We England and these include: and care for also pay for the following services in • GPs people with this area: complex needs • Opticians • Community-based services 23% • Pharmacists • Mental health and learning disability services Hospital care • Dentists • Urgent and emergency care, including A&E, 50% ambulance service and 111 • Specialised and highly specialised services • Care services for people with long term and complex health needs Community-based • Maternity and new born services services 14%
The CCG recognises the increasing financial pressures the NHS is under and we are putting systems and processes into place to make sure that local people are provided with safe and effective services well into the future. Mental health services 13%
24 Your guide to NHS Leeds South and East Clinical Commissioning Group 25 Getting involved Local services
We are committed to listening to the views of our patients and local people. Here are just a few of the services that can give you information or support in Leeds. If you would like to get involved in our work you can join one of our groups or join a patient reference group if your GP practice has one. Patient reference The Patient Advice and Liaison Service (PALS) 0800 0525 270 groups give local people a chance to work together with GP surgeries to improve i can give you advice and information or help [email protected] services and to promote health and improved quality of care. you with a concern or complaint.
Have your say Healthwatch Leeds It is important that you and your family are all 0800 0525 270 registered with a GP, just call the GP surgery www.nhs.uk Join in any of our regular Healthwatch Leeds helps local people nearest to you and ask to register. consultations or activities both to have their say about the delivery and in our area and across the city. design of health and social care services. There is no need to register with a dentist, 0300 311 22 33 just find a practice and call to make an www.nhs.uk appointment. Patients, Patient myNHS carers Assurance NHS 111 can help you when you need 111 myVoice Group medical help fast but it’s not a 999 www.nhs.uk/111 and the emergency. (PAG) Our patient public involvement Our PAG helps network will keep NHS Choices gives all the information you www.nhs.uk us engage and need to make choices about your health. you up to date consult with local ??? about what’s Patient people about happening in local Reference improving and health services. developing health LeedsSexualHealth.com is an NHS website www.leedssexualhealth.com Group (PRG) with information, links and maps about local services. sexual health services. Our PRG brings patient groups from our area together to network and Leeds Let’s Change lists what healthy living 0113 843 4537 share good practice. services are available across the city. www.leedsletschange.co.uk
Find out more about how you can get involved at The Leeds Directory lists local support and 0113 391 8333 services for people living in Leeds. www.leedsdirectory.org www.leedssouthandeastccg.nhs.uk/gettinginvolved www.healthwatchleeds.co.uk
26 Your guide to NHS Leeds South and East Clinical Commissioning Group 27 If you would like to know more about our plans for the future you can read our full operational plan for 2014 - 2016 or our full annual report on our website.
www.leedssouthandeastccg.nhs.uk
0113 843 1600
NHSLeedsSouthandEastCCG
@NHSLeedsSE
NHSLeedsSandECCG
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