Cambridgeshire & Peterborough Clinical Commissioning Group 10 th July 2013 Dr. David Roberts

Our CCG – An overview 109 member practices 824 GPs 8 Local Commissioning Groups 864,000 people Diverse, ageing population Significant inequalities

A brief update One clinical commissioning group (CCG) for Cambridgeshire & Peterborough, including three practices in Hertfordshire and two in Northamptonshire. A membership organisation that is clinically led at every level. Federation of eight local commissioning groups (LCGs). Delegated budget of £854million for local decision making with central accountability and robust governance. Involving and getting feedback from patients and the public is important to us. CCG took on full responsibilities on 1 April 2013.

The context in which we work 2013/14 allocations: £854million. Hospital and Community providers under pressure. A growing and ageing population with health inequalities. An efficiency plan in 2013/14 of £30m. We call it QIPP Productivity – reducing waste and inefficiency Innovation – finding more cost-effective ways of doing things Prevention – helping people to live healthier lives (And not forgetting) Quality

Our priorities 13/14 We have three primary commissioning priorities: Frail Elderly End of Life Care Reducing Inequalities in Coronary Heart Disease Our work will be: Clinically led at all levels. Focused to ensure maximum success. Based on the needs of our communities. Based on the context in which we work and on Joint Strategic Needs Assessments (JSNA).

We will focus on what is important to our patients by: Listening to their needs and views Ensuring their NHS Constitutional rights and pledges are protected Improving co-ordination of care for people, by promoting closer working with and between our valued partners A seamless NHS, avoiding waste Providing friendly, caring, quality services to all our patients and carers Have we considered everything we need to?

Patient Reference Group Formal sub-committee of the CCG Governing Body. Chaired by the CCG Lay Member with responsibility for patient and public involvement. Membership is made up of eight Patient Reps from LCG Boards and Healthwatch reps. To ensure meaningful engagement locally and CCG wide. To comment on and advise on service change proposals. To provide intelligence to the CCG Governing Body on patient concerns. To ensure that we don’t miss things when we redesign services. We still have statutory duties to inform, engage & consult the public. Reports formally to Governing Body in public.

Patient & Public Engagement Ensure that a range of patient and public voices are heard at CCG and LCG level including groups who sometimes miss out on being heard The CCG Engagement Team works with the Local Commissioning Groups to ensure that each one has a strong commitment and processes to support patient involvement at a local level. Work with LCGs to ensure that all involvement and engagement is open to anyone, not just those who are members of existing groups. Continue strong links with Healthwatch organisations to ensure that they become strong and valued critical friends of the CCG with influence at CCG and LCG levels. Listen to political representatives on District and County Councils, who sometimes see things differently to the way we do

Patient & Public Engagement (2) We aim to look outwards to all our communities and engage and communicate effectively – not an easy challenge. We want to be much more focused on local involvement and different groups including seldom-heard groups i.e. migrant communities, those with physical or learning disabilities, etc. Maintain the groups that work now – Hunts Patient Congress Ely Forum, Borderline Forum, Peterborough Public Consultation Forum, etc. CATCH patient Forum and Cam Health. But we need to reach wider public – we will be looking at much greater use of social media. Recognise that people will engage in a way that works for them and on the issues that are of interest to them.

Patient & Public Engagement (3) Series of summer roadshows to meet the CCG and LCG leads – learn about clinical commissioning where you live and how you can engage locally. Stakeholder newsletters and updates about our priorities. Encourage patients and the public to sign-up to our stakeholder database. The CCG wants to work with the voluntary sector networks / faith groups / community groups. Many GPs already have relationships and local knowledge to help us engage better. We will meet our statutory obligations to consult but want to go further. The Patient Reference Group will test us on this.

A patient’s story 89 year-old female, falling, stubborn and “independent” Mildly confused Not really safe to live alone Wants to avoid going in to hospital But doesn’t really acknowledge that she needs extra care! Lack of resources in the community Delays in getting assessments and treatment Mobility getting worse Increased costs in all parts of the health and social care system

Conflicts of interest? I’m a GP I’m getting older I want to stay independent and well for as long as possible I am likely to need health care and services in the future I have an elderly mother who needs increasing amounts of health and social care It matters!