Commissioning Intentions 8 th October 15 1

Joint working with Islington Council Our four shared priorities are: To make sure every child has the best start in life To prevent and manage long-term conditions to extend the length and quality of life, and reduce health inequalities To improve mental health and wellbeing To provide high-quality, efficient services within the resources available To help us provide the best service, we listen carefully to what local people tell us. We meet regularly with them so they can ask questions and tell us what concerns them about their care. The services we buy reflect their needs. 2

Our community Breakdown of ages 64% of 16- to 74- year-olds are employed 8,600 single-parent households 6,000 people live in shared accommodation Breakdown of ethnic backgrounds 3 Registered with a GP: 228,000 Resident population: 224,600 Resident population by 2025: 246,500

Achievements More GP appointments A total of 65 extra hours a week. 4 Better care for people with mental ill health doctors and mental-health professionals work together closely, while our new specialist service means fewer people need to stay in hospital. Help for people with long term mental ill health The Hillside Clubhouse ‘re-ablement’ service helps people with long-term mental ill health to return to work. More personal co-ordinated care Our team of health navigators help people find out about things like housing, social care and writing a will.

Challenges most densely populated UK borough and the 5 th most deprived in London London’s second highest level of child poverty, with 13,000 children (34.5%) living in low income families highest level of psychosis in England high level of long- term conditions (such as diabetes) that will need a different kind of care over 10 years Population Children’s health Mental health and wellbeing Long-term conditions 5

CCG & Council collaboration Joint working example: cancer and cardiovascular disease Working together to tackle Islington’s three leading causes of death cancer cardiovascular disease respiratory disease Prevention Our best chance to tackling these are through promotion of healthy lifestyle behaviours, part of the NHS Five Year Forward View 6

Where the money goes 7

Our financial performance 8 We spent a total of £315.3m and met all of our financial targets for the year PlanActualAchieved To stay within plan and deliver a surplus of £8.2m (including the £6.5m brought forward surplus) £6.5m£8.2m √ Achieve a minimum in-year breakeven or surplus position 0£1.7m √ To meet our cash target£286.5m √ To deliver our QIPP savings programme£15.2m£14.9m √ To deliver our investment programme (strategic/internally generated, £8.2m, as well as nationally funded, £4.1m) £12.3m √ To meet our running cost allowance£5.9m£5.2m √ To meet the better payment practice code target (value)95%96% √ To meet the better payment practice code target (volume) 95%90% x

Our plans for 2015/16 engaging with our local population about Islington’s health priorities, and providing information about appropriate access to care, including self- care supporting local GPs in launching iHubs with funding from the Prime Minister’s Challenge Fund continuing our work on integrating care with our partners - children’s health, long term conditions, mental health and wellbeing 9

Our plans for 2015/16 and beyond developing Islington’s health and social care workforce through our Community Education Provider Network building clinical leadership with insight from Islington’s GPs to drive commissioning in partnership with patients and service users working across north central London to jointly commission general practice to improve the quality of services and care for local people 10

Your views 11 Overall services:  What do you think our priorities should be for next year (2016/17)?  Where do you think services are meeting needs of local community?  Where do you think there are gaps in services?  What are you concerned about when supporting the local community to look after their health? Prompts  Accessing services  Looking after your health  Treatment in services?  Lack of support.

Your views 12 Planned care:  Do you think certain hospital appointments could be better provided in a community or GP setting?  Would this better support the local community’s needs?  Could you support delivering some of this change or services? Primary care:  Is primary care meeting the needs of the local community?  Where could there be improvements? E.g. Extended opening hours?