CCG Insight The latest news from NHS Thurrock CCG Issue 12: Autumn 2018 Our 2017/18 Annual Report is out now, get some of the highlights inside! Pages 2-3 Find out a little more about changes to hospital services in mid and south Essex Page 4 Read about the importance of getting your flu vaccine before flu starts doing the rounds Page 6 You are invited to Thurrock CCG’s Time: 10 - 11am When: Wednesday 26 Annual General September 2018 Where: Orsett Hall, Prince Meeting Charles Ave, Orsett, RM16 3HS Page 2 CCG Insight Welcome Welcome to this Autumn Our Year at edition of our CCG Insight. The CCG is required to produce a full annual This magazine report and accounts each year. This details how is designed much we spend, what we spend it on and how to give the public and our well we and our providers have performed. stakeholders an Mandy Ansell, Accountable Officer for the CCG gives a snap idea of what’s shot: happening at Thurrock CCG and how we are working with our partners to offer We serve a population of 168,428 in Thurrock. This had risen new and expanded services. from the previous year by 1.4%; 20% higher than the national population increase (0.87%). There are two reasons for We also show you a small snap shot this – “natural change” (which is the number of births minus the number of deaths) and “migration”. Our biggest rises in of our annual report (pages 2 and 3) population are in children from 5-9 years old, people in their and introduce you to the new social middle years (50-59) and those aged 70-74. prescribing navigators (page 7). In buying health and care services for our population we September is a time of new beginnings, spent a total of over £207 million, but we remained in budget as the school year starts, but it’s also and were able to achieve our surplus target (or rainy day time to think about getting your flu fund!) with an £875k in–year surplus in line with the national vaccine booked in if you are in an at risk guidance. group, it’s completely free and can be done at your GP practice, or even at a 2017/18 Thurrock Expenditure pharmacy. See page 6 for more details. £3.66m Following the review of the Consultation £2.15m £3.01m from the Mid and South Essex Sustainability and Transformation Partnership, we show you what’s £24.18m changing for the better and show you how you can get involved as a user of services at Orsett Hospital Total £14.31m via the People’s Panel, organised by expenditure £115.07m Healthwatch Thurrock (page 4) £207.25m £26.20m Mandy Ansell Accountable Officer, NHS £18.66m Thurrock CCG Insight CCG is just one of the many ways that you can keep informed about our Acute Services Prescribing work. Connect with us through Facebook,Twitter and our Mental Health Services NHS 111 Service website for regular updates. You can also share any feedback on Community Health Care Admin/Running Costs Insight by emailing: [email protected] with Continuing Health Care Other ‘CCG Insight feedback’ in the subject heading. Issue 12: Autumn 2018 Page 3 Thurrock CCG Our Year at Thurrock CCG rated as ‘Good’ Thurrock CCG’s has been rated as ‘Good’ in an annual Exceeding our targets assessment conducted by We’ve been really successful in areas such as providing health checks NHS England. for people with learning difficulties (77.4%, exceeding a target of 73%) The Improvement and and ensuring people with suspected cancer are diagnosed earlier. We’ve Assessment Framework (IAF) supported more people to access ‘Increasing Access to Psychological is conducted every year to Therapies’ (IAPT) and have been successful in achieving Wave 2 funding, assess the overall performance enabling us to offer therapy to people with long-term conditions. of CCGs, including leadership We are constantly striving to improve patient experience, and we know and financial management. that waiting times in emergency departments and for ambulances has been below what we would expect or should achieve. We are working in partnership with our providers to find ways to improve on these areas.This Green rating for includes offering more care out of hospital and finding ways of working to help keep people healthy and prevent the need from having to go to public participation hospital in an emergency. The CCG is also proud to have achieved a ‘Green’ rating for its public participation and The target for the number involvement (PPI) work. of people to be seen in Mandy Ansell, Accountable 95% A&E within 4 hours Officer at Thurrock CCG said: “We are proud of our track record on public engagement and involvement. With our Lay Member for PPI and our work with our partners in 91% 84% Healthwatch Thurrock and the voluntary sector we have been first six months during winter able to include patients in the shaping of local services.” Looking forward We will continue to work with our partners across the health and care system to improve and transform the health and care you receive. Working together with our colleagues across mid and south Essex, we will set about putting in to place the recommendations from the recent ‘Your Care in the Best Place’ Consultation. This includes bringing services out of hospitals and in to the community, making it easier for you to access care closer to home. Our other areas of focus are: • Continuing to work with the Mid and South Essex Sustainability and Transformation Partnership (STP) • Leading Mental Health across the STP • Primary Care Strategy • Maintaining Financial Balance • Transformation of health and care in Thurrock through our new models of care • Discharge of Statutory Functions • Removal of legal directions To read more on the Annual Report, visit bit.ly/thurrock-ccg-report-2018 Page 4 CCG Insight How Hospital Services are Changing Find out how hospital services are changing and what it will mean for people in Thurrock. As a result of the recent consultation “Your Who are the STP? Care in the Best Place”, 19 recommendations The Mid and South Essex Sustainability and were agreed in July 2018 by the Joint Transformation Partnership is made up of healthcare Committee of the five CCGs in mid and organisations across the area. The members of this south Essex, including Thurrock CCG. Here partnership include: we explain what this means for people in Thurrock. • The five CCGs (Basildon & Brentwood, Castle Point & Rochford, Mid Essex, Southend and Thurrock CCGs); There will be changes to services provided • Organisations that provide services planned by CCGs: at the three main hospitals in mid and - Basildon and Thurrock University Hospitals NHS south Essex and to community hospitals, Foundation Trust, which provides services from including Orsett (see right). All three of the Basildon and Orsett Hospitals; acute hospitals in Basildon, Chelmsford and - Mid Essex Hospital Services NHS Trust; Southend will continue to provide the services - Southend University Hospital NHS Foundation you use the most. These include outpatients, Trust; children’s services and planned day surgery - Community and mental health service providers, as well as A&E. We are making A&E bigger including Essex University Partnership Trust and better in all three of the main hospitals. (EPUT) and North East London Foundation Trust We are also changing some of the specialist (NELFT), which provide services in Thurrock; services. These are services you may only - East of England Ambulance Service NHS Trust; use once or twice in your life, like vascular • Also included are other health care partner, including problems or complex bone surgery. Bringing Healthwatch Thurrock and all three local authorities our expert doctors and nurses into one or (Thurrock, Southend and Essex). two larger teams we will be able to provide better care. For example with strokes, you will still receive emergency treatment in all three hospitals, but if you need an extra level Orsett Hospital closure care, you will be transferred to a specialist Over the next two to three years, services will transfer stroke unit at Basildon Hospital. We are from Orsett Hospital to four new Integrated Medical also separating planned operations from Centres (IMCs) in Thurrock for Thurrock patients. Services emergency surgery. This should ensure fewer provided from Orsett Hospital that are used by patients in cancellations of routine operations. the Basildon and Brentwood area will also move to centres in Basildon and Brentwood. There are planned improvements to A&E, dedicated units will look after children and Orsett Hospital will then close, but only after services older people when they arrive. Other units are operational in the four IMCs in Purfleet, Corringham, will be ready for people who need emergency Tilbury and Grays. These centres will bring health, social medical treatment or surgery. care, mental health and community care together in one place and closer to where people live. For more information about all of the planned changes, visit the Mid and South Essex All services currently provided at Orsett will continue to be Sustainability and Transformation Partnership provided and there are no job losses expected. website: www.nhsmidandsouthessex.co.uk Get involved - join the People’s Panel A People’s Panel of local residents are helping to plan how these changes will happen. This panel is completely independent and is being organised by Healthwatch. If you would like to register your interest in the People’s Panel, email: [email protected] Issue 12: Autumn 2018 Page 5 Support for Carers in Thurrock Meet Jo Drury from Grays and hear her story of looking after her husband, Steve Drury who was diagnosed with Multiple System Atrophy (MSA).