1. An analysis of Clinical Commissioning Groups’ priorities across the West #CLAHRC_West clahrc-west.nihr.ac.uk Sabi Redwood on behalf of NIHR CLAHRC West

2. Geographical area/ CCGs Bath and North East Somerset Bristol Gloucestershire North Somerset South Gloucestershire Swindon Wiltshire

3. Priorities analysis report 2014 Rationale – Produce a composite picture of priorities across the area – Identify potential new collaborations and partnerships – Enable strategic priority-setting for NIHR CLAHRC West Methods – Access publicly available data – Extract and code data to identify strategic priorities – Map information to produce a composite picture of national, regional, local and organisational priorities

4. Update March 2015 Analysis of CCGs’ 5 year plans Priorities and strategies to address them coalesced into four themes Specific CCG priorities not shared by all are listed separately Information presented in tabular form across themes and CCGs to enable comparison

5. 1.Prevention of avoidable deaths and ill health related to behavioural factors and wider social determinants – Personal responsibility and self-care supported by access to targeted advice and information – Self-management of long term conditions – Build on local based resources and provide care closer to home – Support for carers and families

6. 2.Reducing health inequalities and protecting vulnerable groups – Wide range of strategies from raising awareness among commissioners and providers to specific initiatives such as ‘community navigators’ – Improve access to services by disadvantaged groups – Reduce gap in mortality and disability – Groups identified are those who are homeless and vulnerably housed, frail, elderly, excluded children and young people, black and minority ethnic groups, those with disabilities, mental health problems, learning disabilities, gypsies and travellers

7. 3.Development and capacity increase of integrated community support to avoid hospital admissions – Covers a wide range of strategies including the expansion of primary care and community services in scope and availability, integration with home and social care, provision of services closer to home (including urgent care and some specialist services) – Better care coordination for people with multi-morbid long term conditions – Data integration and data sharing – Personal health budgets – Development of patient-facing technologies and digital communication

8. 4.Reducing demand on acute hospital services – Address current problems related to unplanned and inappropriate admission to hospital – Safe and early discharge – Ambulatory care – Reablement/rehabilitation services – Proactive management of inpatient bed capacity

9. Priorities partially shared Services for children and young people Maternity services Cancer services Musculoskeletal services Respiratory services Cardiovascular services Healthy environments