Speak Up On Health Welcome

1 Windsor, Ascot and Maidenhead Clinical Commissioning Group 1 Review of the Year 2013/14 Annual Report for Windsor, Ascot and Maidenhead CCG 2013/14 Dr Adrian Hayter, Clinical Chair

2 Windsor, Ascot and Maidenhead Clinical Commissioning Group 2 Review of the Year 2013/14 The CCG…. 149,000 local residents 19 GP practices working together to buy and monitor local health services Budget of £151m 6 Year difference in life expectancy between those living in least and most deprived areas More and more people living with long term conditions Twice as many care homes as neighbouring areas Heart disease is the most common cause of premature death

3 Windsor, Ascot and Maidenhead Clinical Commissioning Group 3 Review of the Year 2013/14 Top priority for the CCG has been to focus on older people. Working to support older people to stay healthy and independent for as long as possible.

4 Windsor, Ascot and Maidenhead Clinical Commissioning Group 4 Review of the Year 2013/14 Helping Phyllis stay in her own home I want to tell my story only once. I would like one phone number to call if I am worried and need help. I want one friendly person to coordinate whatever care I need.

5 Windsor, Ascot and Maidenhead Clinical Commissioning Group 5 Review of the Year 2013/14 Care Homes Project Small changes making a big difference

6 Windsor, Ascot and Maidenhead Clinical Commissioning Group 6 Review of the Year 2013/14 We are a dementia- friendly community Working with the Royal Borough Dementia Directory National recognition of this work

7 Windsor, Ascot and Maidenhead Clinical Commissioning Group 7 Review of the Year 2013/14 Better care for children and families Advice for worried parents about range of common childhood illnesses Wide engagement of children and young people about mental health services

8 Windsor, Ascot and Maidenhead Clinical Commissioning Group 8 What’s ahead? Big challenges ahead Staying focussed on what’s important Ensuring quality while managing the money Strengthening the clinical engagement and leadership Doing more in primary care

9 Windsor, Ascot and Maidenhead Clinical Commissioning Group 9 Interested in getting involved? Join your GP practice Patient Participation Group Come to a meeting of the Community Partnership Forum Register on our website Come to a meeting of the Governing Body Follow us on twitter

10 Windsor, Ascot and Maidenhead Clinical Commissioning Group 10 Financial Performance Annual General Meeting Friday 19 th September 2014 Nigel Foster Chief Finance Officer

11 Windsor, Ascot and Maidenhead Clinical Commissioning Group In we spent… £151m That’s… £1,005 per person a year £414,000 per day £287 per minute

12 Windsor, Ascot and Maidenhead Clinical Commissioning Group Where does £1,005 / person go?

13 Windsor, Ascot and Maidenhead Clinical Commissioning Group £593 / head - Acute Hospitals & Ambulance £392 (66%) Heatherwood & Wexham Park OR (across all providers) 33,500 A&E attendances 120,000 outpatient appointments 12,000 non-emergency admissions / operations 11,250 emergency admissions

14 Windsor, Ascot and Maidenhead Clinical Commissioning Group £28 / head - Ambulance 18,600 calls to South Central Ambulance 14,000 “blue light” responses 8,500 convey to hospital 38,000 calls to 111

15 Windsor, Ascot and Maidenhead Clinical Commissioning Group £126 / head - Primary Care £117 / hd prescribing (£17.6m pa) – 1.9 million prescription items ie 13 per person pa – Range in cost from 37p to £3000

16 Windsor, Ascot and Maidenhead Clinical Commissioning Group …and some other examples £50 / hd (£7.5m) on nursing home places or other packages of care in patients homes £84 / hd (£12.5m) on community health – 62,000 district nursing visits – 2,500 diabetic appointments – 5,500 speech & language therapy appointments £22 /hd (£3m) on CCG running costs – 2% of total spend

17 Windsor, Ascot and Maidenhead Clinical Commissioning Group CCG financial responsibilities Financial duties…. Revenue Resource Limit Achieved Surplus of £2m (1.3%) Cash Limit Achieved Unqualified audit report Unqualified regularity opinion Unqualified “value for money” opinion