1. 2016/17 Commissioning Intentions Angela Wright

2. What is the purpose of Commissioning Intentions? They are a vehicle for communication of the CCG’s strategic direction for the following year. Erewash CCG is producing a short strategic document that sets out: Our Vision Our Strategic Objectives Overarching Principles The Health Needs of the Erewash Population What the priorities are and how the CCG hopes to tackle them

3. The Process Reviewed the Internal & External Environment of the CCG Reviewed the Strategic Objectives Triangulated available data Formulated Priorites & Key Messages Consultation Amendments CCG Governing Body approval & Publication Planning Delivery

4. Erewash CCG National Policy Health Needs Strategic Objectives Financial Pressures

5. Our Strategic Objectives The CCG objectives closely mirror those of Derbyshire Health & Wellbeing Board and are as follows: Improve Health & Wellbeing in Early years Promote Healthy Lifestyles Improve Emotional & Mental Health Integration of Care, Supporting people with Long Term Conditions and at End of Life Improving the Quality of Primary Care

6. Overall Approach to Commissioning The CCG is striving to: Shift the focus of resources away from hospital care and towards community based preventative services and self-care Improve the quality of care and patient experience for patients and their carers Work collaboratively with all our partners (Providers, NHS England, Public Health, Social Services, Voluntary Sector, Local Council and others) Work to join up services so patients can receive the care they need when they need it, regardless of provider Organise services in such a way as to provide value for money for the taxpayer

7. Hospital services Prescribing (medicines) Mental Health services Community / Rehab services NHS Continuing Healthcare GP services (that NHS Erewash buys*) Other 2014/15 2020 Shifting investment from hospital care to primary and community services, with more integrated services * Note, NHS England also buy GP services and the money for those services is not shown in this diagram. Shift of resource to deliver our ambitions

8. What are the key messages? The CCG is continuing with the work detailed in the Commissioning Intentions 2015-16 document but wishes to communicate some key updates: A Coordinated approach focusing on a few Health Outcomes Develop a Multispecialty Community Provider (MCP) Ensure sustainable services for the future Transform Services on a bigger scale Develop Primary Care Co-commissioning

9. Erewash Outliers Smoking Status at Time of Delivery Hypertension Obese Children Use of Illicit Drugs Smoking Prevalence Dementia Asthma Under 18s alcohol specific hospital stays Emerg admiss for alcohol related liver conditions Prevalence of Learning Disabilites Epilepsy Self Harm Excess weight in Adults Chronic Kidney disease Alcohol dependence harm and liver disease DiabetesAtrial Fibrilation Public Health Profile PHE Longer Lives CCG Outcomes Tool

10. Reorganising the outliers shows How Lifestyle Factors affect the Health of Erewash SMOKING ALCOHOL OBESITY Smoking Status at Time of Delivery Hypertension Obese Children Use of Illicit Drugs Smoking Prevalence Dementia Asthma Under 18s alcohol specific hospital stays Emerg admiss for alcohol related liver conditions Prevalence of Learning Disabilites Epilepsy Self Harm Excess weight in Adults Chronic Kidney Disease Diabetes Atrial Fibrilation Alcohol Dependence Harm & Liver dissease

11. Health Outcomes The CCG will have a renewed focus on improving the health of the population and reducing pressure on services by: reducing obesity (especially in school age children) reducing smoking (especially in pregnant women) reducing alcohol consumption (especially by teenagers) Please let us know your thoughts & ideas : Are the priorities and target groups the right ones? How would you like to see the priorities delivered? Contact Details: Angela Wright Angela.wright@erewashccg.nhs.uk Tel: 0115 9316235