1. Annual General Meeting and Listening Event, 2014 Welcome!

2. Review of the year 2013/14 Dr William Tong Chairman

3. 3 3 Bracknell and Ascot Clinical Commissioning Group A Year of Firsts Authorised without conditions First meetings in public First Annual Report First year of assurance by NHS England Area Team First new services commissioned as a CCG

4. 4 4 Bracknell and Ascot Clinical Commissioning Group 4 Primary Care Led Opened 7 April Great community engagement and feedback from Day 1 Key enabler to 7 day working in primary care Innovative fracture pathways to 3 acute trusts New provider in the market Enabler for new ambulatory care pathways Support for new falls services – prevention and intervention Children’s evening clinic in place Co-located with GP Out of Hours service

5. 5 5 Bracknell and Ascot Clinical Commissioning Group Integrated Care Teams Three clusters involving all B&A practices – North Bracknell – South Bracknell – Ascot Over 340 people have a multi-agency care plan already More investment this year to increase mental health, social work and community matron capacity

6. 6 6 Bracknell and Ascot Clinical Commissioning Group Musculo-skeletal ICATs and physiotherapy Following the learning from a pilot service, the contract for a new ICATs was tendered this year The contract was awarded to Healthshare New service started from Healthspace in July 2014 Early signs are that more people are being helped to resolve musculo-skeletal problems without the need for surgery Community physiotherapy has been transformed and a new contract awarded to BHFT A new knee clinic is also being trialled, in Ascot, which offers people an alternative to knee replacement surgery for those who would prefer this

7. 7 7 Bracknell and Ascot Clinical Commissioning Group We have taken many opportunities to talk and listen.. Patient assembly Community forum Carers conference GP Council System leaders Health and Wellbeing Boards Retirement Fair Health promotion talks Self care week …. And much more!

8. 8 8 Bracknell and Ascot Clinical Commissioning Group What’s next?? Urgent care centre expansion of pathways An explosion in prevention and self-care Better care fund plans for further integration Primary care ‘co-commissioning’ and transformation Specialist commissioning What would you like to see????

9. 9 9 Bracknell and Ascot Clinical Commissioning Group Today’s workshops You have the chance to participate in all three workshop discussions as each one will run three times Urgent Care Primary Care Prevention and Self-care And if there is anything else you would like to add – stick it on the graffiti wall or catch one of us during the afternoon

10. Financial Performance 2013-14 Nigel Foster Chief Finance Officer

11. 11 Bracknell and Ascot Clinical Commissioning Group In 2013-14 we spent… £130m That’s… £955 per person a year £356,000 per day £255 per minute

12. 12 Bracknell and Ascot Clinical Commissioning Group Where does £955 / person go?

13. 13 Bracknell and Ascot Clinical Commissioning Group £510 / head - Acute Hospitals & Ambulance £213 (42%) Frimley Park £132 (26%) Heatherwood & Wexham Park £81 (16%) Royal Berks OR (across all providers) 38,000 A&E attendances 108,000 outpatient appts 11,400 non-emergency admissions 10,700 emergency admissions

14. 14 Bracknell and Ascot Clinical Commissioning Group £28 / head - Ambulance 17,850 calls to South Central Ambulance 13,600 “blue light” responses 8,100 convey to hospital 34,000 calls to 111

15. 15 Bracknell and Ascot Clinical Commissioning Group £125 / head - Primary Care £117 / hd prescribing (£15.9m pa) – 1.6 million prescription items ie 12 per person pa – Range in cost from 37p to £3000

16. 16 Bracknell and Ascot Clinical Commissioning Group …and some other examples £55 / hd (£7.5m) on nursing home places or other packages of care in patients homes £99 / hd (£14m) on community health – 42,000 district nursing visits – 1,000 diabetic appointments – 5,750 speech & language therapy appointments £23 /hd (£3m) on CCG running costs – 2% of total spend

17. 17 Bracknell and Ascot Clinical Commissioning Group CCG financial responsibilities Financial duties…. Revenue Resource Limit Achieved Surplus of £3.9m (3%) Cash Limit Achieved Unqualified audit report Unqualified regularity opinion Unqualified “value for money” opinion

18. 18 Bracknell and Ascot Clinical Commissioning Group Listening Exercise and workshops Urgent Care Primary Care Prevention and Self-care

19. 19 Bracknell and Ascot Clinical Commissioning Group Primary Care Transformation 19

20. 20 Bracknell and Ascot Clinical Commissioning Group Workshop Feedback

21. 21 Bracknell and Ascot Clinical Commissioning Group Thank you for attending !