Patient Representative Meeting 27 th June 2012

Introductions Andy Hudson- Lay member of the CCG Board Dr Clive Diggory- GP at Malton and CCG Board member Carolyn Liddle- Practice Manager and CCG Board member Sally Brown- Project Manager CCG Rebecca Doyle- Executive Assistant to the CCG Board

Who we arewhat we do and how we do it

Who we are. The Clinical Commissioning Group ( CCG) is a group of GP practices who have come together to commission services for their patients. The CCG is a member organisation made up 17 practices with just over 100 GPs. Six GPs form the CCG Board, supported by a Practice Manager, Nurse, Director of Finance, Chief Operating Officer, 2 Lay members. A hospital consultant will be appointed in the coming weeks.

GP Practices in our area Ampleforth Surgery Belgrave Surgery Castle Health Centre Claremont Surgery Derwent Surgery Eastfield Medical Centre Falsgrave Surgery Filey Surgery Hackness Road Surgery Hunmanby Norwood House Surgery Peasholm Surgery Prosepct Road Surgery Scarborough Medical Group Sherburn and Rillington Practice Trafalgar Medical Practice West Ayton and Snainton General Medical Practice

What we do. We commission or “buy services” These include  Hospital services, ( operations, out patients, hospital beds, x- rays, physiotherapy,etc)  Accident and emergency services,  Prescriptions,  Maternity services  Children’s Services  Healthcare for people with mental health  Healthcare for people with learning disabilities.  Specialist services.

What is commissioning? Identify a need Find a solution Find someone to provide it Monitor their performance Make changes and improvements

How we do it. Involving GPs and clinicians. Involving patients, public and carers. Agreeing what the priorities are and what we want to do. Make a plan. Work in agreed ways that are open, honest and transparent. Check that what we say we will do, we are doing. Explaining when things need to change and why.

Our vision “To Improve the health and well-being of our communities”

Goal for 2012/13 To work in partnership with the patients, public, carers and other organisations to create an efficient and effective clinical commissioning organisation; with a remit to commission high quality services, within our financial resources, to improve health outcomes. “ ”

Our values To commission high quality services To engage patients, carers and other organisations in our planning and decision process To ensure value for money To be open and honest in our transactions, and accountable to our communities To respect our staff and promote a learning environment To improve health outcomes and reduce health inequalities

Priority Areas Using the latest available data, we will focus on areas where the outcomes are less than expected or below the national average. In Scarborough and Ryedale these include: Cancer- early diagnosis Care of the Elderly ( including dementia and long term conditions- Heart Failure, Diabetes, COPD) Mental Health ( including alcohol and substance misuse) Cardio vascular disease and stroke.

The financial challenge How do we manage the increase in demand for healthcare with limited funding? How do we determine where we spend funds when faced with competing demands for services? How do we ensure value for money?

Involving the public and patients We are committed to giving local people the opportunity to influence the health services we commission. A Value : “...To engage patients, carers and other organisations in our planning and decision process” This will be facilitated by…..

Patient and Public Involvement Group The creation of a CCG patient and public involvement group, chaired by the Lay member of the CCG Board (Andy Hudson) and comprising patient representatives from each of the 17 GP Practices.

Patient and Public Involvement Group will be key in helping to ensure that... The CCG effectively engages with, and gathers insight from patients, carers, and the public including disadvantaged groups The CCG promotes choice, including access to information. The results of the engagement and insight are reflected in the CCG decision making

Specific pieces of work. Consultation with the wider public on our strategic direction, priorities and plans via the Public & Patient Involvement Group, user surveys and public meetings

Group Work Split into 4 groups Group 1- Chronic illness services Group 2- Children’s Services Group 3- Mental Health Services Group 4- Care of the carers. “How would you like to see the CCG gather patient and carer experience of these services?” 15 minute discussion and then feedback.

Feedback Key points Common themes Next steps -Practice Representative Group meeting- 18 th July Future wider meetings? -Feedback and evaluation. -Report back to CCG Board by Andy Hudson. -Summary report back to practices.

Keeping in touch The opportunity to send comments and questions via our website