1. Surrey VCFS Forum Clinical Commissioning Reigate Baptist Church 10 th July 2013 Carol Rowley Patient and Public Engagement Lead East Surrey Clinical Commissioning Group (ESCCG)

2. What is a Clinical Commissioning Group Clinical Commissioning Groups (known as CCGs) are groups formed by GPs that will be responsible for designing and purchasing local health services in England. As part of the NHS reforms they have taken over many of the responsibilities from Primary Care Trusts from April 2013 but are not be responsible for commissioning Primary Care services (GPs, Dentists, Community Pharmacy, Optometrists). Primary Care commissioning will transfer to Area Teams of NHS England.

3. Clinical Commissioning aims to: Give patients more power –greater involvement in decision making and in the monitoring of services Focus on health outcomes and quality standards Give front line professions much greater freedom and a strong leadership role in commissioning services Serve and help all the people within its designated area to help them look after themselves and to invest in and innovate the best possible health care, so that they live longer, healthier and more independent lives.

4. Who are people behind the CCGs The Leadership Team Clinical Leads and Chair Accountable Officer Finance Director Supported by Director of Commissioning Director of Quality Director of Operations Employees or Commissioning Support Units

5. Working Across CCGs For some contracts where a service is commissioned on behalf of a population larger than a CCG one CCG may take the lead For example Safeguarding Mental Health 111 Continuing healthcare

7. Contacts NHS NE Hampshire and Farnham CCG - Executive Director Maggie MacIsaac Maggie.macisaac@hampshire.nhs.ukMaggie.macisaac@hampshire.nhs.uk NHS North West Surrey CCG – Chief Officer Julia Ross julia.ross@surreypct.nhs.uk julia.ross@surreypct.nhs.uk NHS Surrey Downs CCG – Chief Operating Officer Miles Freeman – miles.freeman@surreydownsccg.nhs.uk miles.freeman@surreydownsccg.nhs.uk NHS Surrey Heath CCG – Chief Officer Dr Andy Brooks a.brookes1@nhs.net a.brookes1@nhs.net NHS Guildford and Waverley CCG – Chief Officer Phil Orwin phil.orwin@surreypct.nhs.uk phil.orwin@surreypct.nhs.uk NHS East Surrey CCG – Chief Officer Mark Bounds mark.bounds@eastsurreyCCG.nhs.uk mark.bounds@eastsurreyCCG.nhs.uk

8. East Surrey Clinical Commissioning Group NHS East Surrey Clinical Commissioning Group (the "CCG") has a membership of 18 GP practices and commissions healthcare for 170,000 patients in East Surrey. We are committed to commissioning high quality patient services which deliver: the right health care at the right time by the right healthcare professional and in the right environment We believe in the NHS and want to help secure its future by shaping services locally that are responsive to the needs of our community and affordable. We want to see as many services as possible transferred away from a hospital environment and nearer to patients’ homes when clinically appropriate. We want our local hospital to become a centre of excellence. We believe this will result in measurable improvements in healthcare for our patients and ensure we make best use of public money.

9. Understanding and Meeting the Needs of our Population In order to commission services for our population, we need to understand their health needs, and put in place strategies and plans to meet those needs. The Joint Strategic Needs Assessment (JSNA) is how CCGs and Local Authorities identify and describe the health, care and well-being needs of their population. This assessment is then used to prioritise and plan services to meet those needs.

10. How we make decisions Our Community has advised us on how to make ethically sound decisions and request that the following considerations/checks to be applied to all decision making. Clinical necessity Clinical effectiveness Safety Cost effective Equality (of opportunity)

11. And why we need to make them There is never enough money - 170,000 people, budget of approximately £188m = £1100 per patient per year. Example 1 hip replacement costs around £6000 Essential services must be preserved Treatments change The needs of the population change

12. Working with the VCFS Understand financial constraints Check commissioning priorities (CCG, PH) See where your organisation could add value Be prepared to demonstrate/evidence how your work makes a difference (all about the outcome) Get to know your commissio ners