1. AGM 2014 Commissioning Healthcare – Moving Forward Together A Year in Review Naz Jivani – Chair

2. Kingston CCG Annual General Meeting Welcome, Lunch, KCCG Market Place 2013-14 – A Year in Review Naz Jivani – Chair Your Questions Spotlight on flagship projects Surbiton Health Centre – Dr Phil Moore A Patient’s story – Dominic D’Souza Financial Report Hardev Virdee – Interim Finance Officer Your Questions Looking to the Future Tonia Michaelides – Interim Chief Officer AGENDA

3. A Year In Review April 2013 - Kingston CCG was one of a small number of CCGs in the country to be fully authorised without conditions Highlights from our first year as a statutory body  Commissioning  Performance  Engagement  Partnership Working Naz Jivani – Chair, Kingston CCG

4. A Year In Review Commissioning Highlights for 2013-14 Kingston CCG made an excellent start in our first year Opened Surbiton Health Centre – offering modern GP and other high quality services in the heart of the community Launched Kingston At Home – supporting local residents to avoid unnecessary hospital admission and stay at home for as long as they want with rehabilitation and ‘re-ablement’ Spearheaded improved self-management initiatives for patients with long term conditions e.g. Expert Patients Programme, Angina Management Clinic, Diabetes Prevention Progressed Integrated Care working with Kingston Council Commissioning Intentions 2013-14 are available at www.kingstonccg.nhs.uk Naz Jivani – Chair, Kingston CCG

5. A Year In Review Performance Highlights for 2013-14 Kingston CCG laid a robust foundation for on-going improvements By April 2014, Kingston CCG and its partners had fully met 73.4% of its national and local targets including key targets such as the 4 hour A&E waiting time and 18 weeks planned referral to treatment targets We also discharged our statutory obligations and are committed to continuous improvements in all areas of our operation (including governance, quality and patient engagement) We met all our financial targets Kingston CCG won a finalist award for the NHS Governing Body of the Year Award by the NHS Leadership Academy Our Commissioning Intentions 2013-14 available at www.kingstonccg.nhs.uk Naz Jivani – Chair, Kingston CCG

6. A Year In Review Engagements Highlights 2013-14 We can only commission responsive, high quality local health services by involving the local residents who use these services. In 2013-14, we engaged local people through Patient Group meetings, our work with Health Watch and Kingston Council and communications Patient feedback helped us design and develop services including:  Cardiology Community Services (April 2013)  Unscheduled and Urgent Care; End of Life Care (July 2013)  Personal Health Budgets (January 2014)  Better Care Fund (March 2014) A Year Book summarising Kingston CCG’s Engagement activities is available on our website www.kingstonccg.nhs.ukwww.kingstonccg.nhs.uk Naz Jivani – Chair, Kingston CCG

7. A Year In Review Partnership Highlights 2013-14 Kingston CCG along with others faces major challenges including increasing demand, an aging population and need for 7 day health service provision To meet these challenges Kingston CCG has continued to work with the other South West London CCGs under the name – South West London Collaborative Commissioning Together, we have developed a comprehensive, five year strategy for the local NHS including primary care, community and mental health and hospital care Kingston CCG also worked with Royal Borough of Kingston to integrate health and social care Naz Jivani – Chair, Kingston CCG

8. Thank you Your Questions welcome To contact Kingston CCG E: Communications@kingstonccg.nhs.uk

9. AGM 2014 Commissioning Healthcare – Moving Forward Together Phil Moore Kingston CCG phil@philmoore.org

10. I know who is in charge of coordinating my care I am treated as a person and helped to stay well, and so is my carer I am supported through difficult times I manage my conditions myself and am in control of decisions about my care I live safely and well where I want to be I feel part of a community I know where I can get help and support The care I receive is built around me My independence is respected Better care for service users Part of the vision …

11. Surbiton Health Centre Drivers –Co-location of a wide variety of services at the heart of the community –Quality and accessibility –Available to residents of the south of the borough and also the rest of Kingston –Innovative approach to services in the community Enablers –Using half the site for a new school –The concept of polyclinics –LIFT (Local Improvement Finance Trust) –The push to integration of services 17 years in the making …

12. Surbiton Health Centre 17 years in the making …

13. Surbiton Health Centre provides … 4 General Practices – Central Surgery, Langley Medical Practice, Brunswick Surgery, Berrylands Surgery Diagnostics – X-ray, ultrasound, retinal screening, mammography, audiology Community services – nursing, health visitors, physiotherapy, speech & language therapy, podiatry, etc. Outpatients clinics – from GPs with special training and consultants Minor surgery – fully equipped theatre for procedures under local anaesthetic 100 hours a week community pharmacy – open 7 days a week and late each evening Urgent Care Centre – with assessment bays to avoid hospital attendance – awaiting final go ahead to open Community Corner – access to a wide range of community information from RBK Mental health services – space for consultations for counselling and psychology All under one roof …

14. Surbiton Health Centre Easy –To access a variety of services in one place –Diagnostics on site –Space to increase the provision of care close to home –Ability to increasingly innovate Future –Improve the provision of 8am to 8pm services, 7 days a week –Increasing range of services in the community (e.g. cardiology from October) –Closer working between primary community and secondary services – integration Making a difference now and in the future …

15. Thank you for listening Any questions? Contact Kingston CCG communications@kingstonccg.nhs.uk

16. Annual General Meeting 2014 Commissioning Healthcare – Moving Forward Together Finance Report Hardev Virdee – Interim Chief Finance Officer

17. Financial Targets Maintain financial stability through not exceeding resource targets Use the CCG’s resources wisely to meet the health needs of Kingston and to ensure value for money and fair and effective use of resources Stay within Running Cost Allocation of £25/head of population (£4.6m)    Kingston CCG’s first set of accounts were submitted on time with an unqualified audit opinion.

18. Month 12 – Income and Expenditure

19. How did we spend our money?

20. Running Costs – the cost of running the CCG Running costs target for the CCG in 2013/14 was £25 per head of population or £4.61m in total. Our expenditure for the year was £4.185m representing an underspend of £425k, which was spent instead on patient care. This was primarily met by not spending our contingency reserve. We are planning for a 10% reduction in running costs going forward

21. Summary As a CCG we faced many challenges in our first year some of which were beyond our control: New organisations with new responsibilities New national finance ledger system New boundaries on use of patient data Changing criteria on how to manage the money Given the challenges the CCG has delivered a strong financial performance which will be crucial going forward

22. Thank you for listening Any questions ? Contact Kingston CCG communications@kingstonccg.nhs.uk

23. AGM 2014 Commissioning Healthcare – Moving Forward Together Looking to the Future Tonia Michaelides – Interim Chief Officer

24. Looking to the Future Context Kingston CCG’s looks to the future against a national backdrop to deliver ever better services within tighter budgets and increasing population with complex health needs In developing our plans for the future, we will continue to work our partners, patients and the public. Tonia Michaelides – Interim Chief Officer

25. Looking to the future Working with the five other South West London CCGs under the umbrella name – South West London Collaborative Commissioning – we have developed the South West London five year strategy (to 2018) to address the following challenges: The quality of care The workforce gap Financial sustainability Rising demand for healthcare The south west London five year strategy is available at www.kingstonccg.nhs.uk www.kingstonccg.nhs.uk Tonia Michaelides – Interim Chief Officer

26. Looking to the future Key outcomes the SW London five year strategy is working to achieve: 1.Securing additional years of life for people with treatable mental and physical health conditions 2.Improving the health-related quality of life of people with one or more long- term conditions, including mental health conditions 3.Reducing the time people spend in hospital through better and more integrated care in the community, outside of hospital 4.Increasing the proportion of older people living independently at home following discharge from hospital 5.Increasing the number of people with mental and physical health conditions having a positive experience of care in hospital, in community services and in general practice 6.Making significant progress towards eliminating avoidable deaths in our hospitals caused by problems in care Tonia Michaelides – Interim Chief Officer

27. Looking to the future Working with RBK (Adult Social care and Public Health), Kingston CCG has developed an Operating Plan up to March 2016 Highlights from our Operating Plan include:  Integrated Services for Adults – with a strong focus on increasing proactive and preventive activities, early intervention, enabling better coordinated health and social care  Urgent and Emergency Care alternatives to A&E: moving to 7 day working  Children and Young People including safeguarding arrangements, mental health services and implementation of the Children and Families Bill.  Improving Quality, Patient Safety and involving Patients and local people in our work. Tonia Michaelides – Interim Chief Officer

28. Looking to the future Kingston CCG’s plans also include: Children – ensure robust safeguarding in place; implement the Children and Families Bill; improve mental health services; commission integrated disabled children’s services esp. from ‘Achieving for Children’ Adults and Older People – focus on self-care, prevention, early intervention including targeted support for those at risk; rapid response for admission avoidance; further expand Kingston at Home (esp. rehabilitation and reablement) including 7 day working; progress ‘Discharge to Assess’ to improve discharge from hospital and subsequent decisions about care Mental Health – improve adult and older people’s community mental health services; implement a new model of dementia care built around GP and community services; continue expansion of community wellbeing services; consolidation of dual diagnosis services Urgent Care – ensure whole-system 7 day working; re-specify and procure new GP out of hours and NHS111 services; progress alternatives to A&E attendance Tonia Michaelides – Interim Chief Officer

29. We are committed to working with You, our residents and stakeholders to develop solutions that will deliver safe, high quality care for everyone. We welcome Your ideas Contact Kingston CCG communications@kingstonccg.nhs.uk Thank You