1 Contents ............................................................................................................................................. 1 CHAIR’S INTRODUCTION ................................................................................................... 6 ACCOUNTABLE OFFICER’S INTRODUCTION ................................................................... 7 PERFORMANCE REPORT .................................................................................................. 8 About us ............................................................................................................................ 8 Our population ............................................................................................................... 8 Our vision....................................................................................................................... 9 Working as a membership organisation ....................................................................... 10 Core providers ............................................................................................................. 10 Our structure ................................................................................................................ 10 Our commissioning priorities ........................................................................................ 11 Key issues and risks .................................................................................................... 11 Reducing inequalities ................................................................................................... 12 Financial review of the year ............................................................................................. 13 Achievement of Statutory Financial Duties ................................................................... 13 Our Finances ............................................................................................................... 13 Going concern ............................................................................................................. 13 Performance measures ................................................................................................... 14 Performance against the assessment framework ......................................................... 14 Friends and Family Test – December 2015 .................................................................. 16 Activity indicators 2015/16 ........................................................................................... 16 Performance against NHS Constitution indicators ........................................................ 17 Managing performance ................................................................................................ 18 What we’ve done ............................................................................................................. 21 Improving services for patients ..................................................................................... 21 Maternity services ........................................................................................................ 21 Mental health ............................................................................................................... 22 Urgent care .................................................................................................................. 24 Infant mortality ............................................................................................................. 25 Supporting new arrivals ................................................................................................ 26 Commissioning new services .......................................................................................... 28 Direct access to non-obstetric ultrasound..................................................................... 28 End of life care ............................................................................................................. 28 Minor Eye Conditions Service ...................................................................................... 28 Developing primary care .................................................................................................. 29 Primary Care Commissioning Framework .................................................................... 29 Delegated functions (primary care commissioning) ...................................................... 30 2 Weekend opening ........................................................................................................ 30 Community Education Provider Network ...................................................................... 31 National Skills Academy workforce analysis ................................................................. 31 Primary care strategy ................................................................................................... 32 NHS 111 contract ......................................................................................................... 34 West Midlands Ambulance Service contract ................................................................ 34 Planning: looking ahead 2016-2025 ................................................................................ 34 Operational Plan 2016-17 ............................................................................................ 35 Five Year Sustainability and Transformation Plan ........................................................ 35 New models of care ..................................................................................................... 36 Sustainable development ................................................................................................ 37 Estates ......................................................................................................................... 37 Travel ........................................................................................................................... 37 Procurement and suppliers’ impact .............................................................................. 38 Patient and public involvement and consultation ............................................................. 39 Patient and Partnership Engagement model (PPE) ...................................................... 39 .................................................................................................................................... 40 Our Patient and Partnership Advisory Group ............................................................... 41 Primary care ................................................................................................................ 43 Urgent and emergency care ......................................................................................... 43 Integrated urgent care .................................................................................................. 43 Non-emergency patient transport (NEPT) .................................................................... 44 Palliative care for children and young people ............................................................... 44 Looking forward ........................................................................................................... 44 Equality Awards 2016 .................................................................................................. 45 Get involved ................................................................................................................. 45 Working with our partners ................................................................................................ 46 Health and Wellbeing Boards ....................................................................................... 46 Better Care Fund ......................................................................................................... 46 Right Care Right Here .................................................................................................. 47 Midland Met Hospital ................................................................................................... 48 Improving quality ............................................................................................................. 49 Focus on customer care ............................................................................................... 49 Safeguarding ............................................................................................................... 49 Improving quality in primary care ................................................................................. 50 Medicines quality ......................................................................................................... 51 Continuing healthcare and personal health budgets ..................................................... 52 Summary ..................................................................................................................... 52 3 ACCOUNTABILITY REPORT ............................................................................................. 54 Members’ report .............................................................................................................. 54 Our member practices.................................................................................................. 54 Governing Body member interests ..............................................................................