Health Summit 2 nd December 2015

Became statutory body on 1 April 2013 GP-led organisation with 79 member practices GPs leading the CCG mean they can use patient feedback to directly influence decisions – patients are at the heart of what we do Serve GP registered population of 420,000 Commission (buy) urgent care, planned hospital care, community health services, mental health services Aim to ensure that highest quality care is delivered for our local population Work in partnership with providers, Ealing council, voluntary and community organisations Joined collaborative with Central London, West London, Hammersmith & Fulham and Hounslow CCGs in December 2013 which better reflects our patient pathways with providers 2 About Ealing CCG Background

Focus on improving care for residents of Ealing 3 Primary Care Community Services Intermediate Care Planned and Urgent Care Voluntary Sector Mental Health Self Care Extended Hours Primary Care GP Federation Primary Care Transformation Community Services Review Additional investment for District Nursing ICE Review and implementation of recommendations EIICS Procurement (jointly with local authority) Voluntary Sector Grants to support Self Care, inclusion in community and respite Community and voluntary sector (CVS) organisations to bid for funding to provide alternative community care services Dermatology service MSK Waiting list initiative Mental Health Transformation agenda Shifting Settings of Care Acute Psychiatric Liaison Interactive workshops for people living with long term conditions Training for GPs and clinicians Focus on Integration Joined up delivery of care Voluntary sector involvement

Improved hospitals delivering better care 7 days a week, more services available closer to home Promoting Wellbeing and improving mental health for North West London Multi- disciplinary Care co-ordinated around the patient, led by the GP Better out of hospital services, greater access to GPs at convenient times and locations 7 days a week People are empowered to manage their own wellbeing and health Our Vision of Care 4

Delivery in (1/2) Achieved surplus of £10.5m against a plan of £8.7m Focus maintained on patient and lay involvement – examples include Shifting Settings of Care, Integrated Model of Care and Cardiology projects Local Priority target achieved, with 6074 care plans completed for patients over 75 in Ealing Primary care provider Federation (Ealing GP Limited) for all 79 GP practices established as a legal and management structure entity Procurements completed and contracts awarded for: Pathology, RFS, Rehabilitation Beds, and Dermatology service Intermediate Care Service (ICE) review completed, and immediate recommendations implemented Common IT Platform (SystmOne) implemented in 77 out of 79 Ealing General Practices ‘ Right Care Campaign’ launched in conjunction with other NWL CCGs, to encourage local people to use the NHS services wisely All practices signed up to EPS2 (Electronic Prescribing system), and are now on Choose & Book Commissioning Intentions for developed through extensive co-production, in consultation with the CCG staff, Governing Body, joint commissioning colleagues from LBE, patient and public, PPGs, lay partners and the CCG membership Held Governing Body elections for North Southall, Sessional GP, South Central Ealing, South North Network Lead and Practice Manager role 5

Delivery in (2/2) Community Transport Pilot launched in November; evaluation completed by year-end, and decision made to extend the pilot until March 2016 and provide complete coverage across Ealing Lay Partners actively involved in Contract and Service Monitoring for the Out of Hospital Services being commissioned through Primary care and the Prime Ministers Challenge Fund Confirmed the decision to transition maternity services from Ealing Hospital in October Governing Body meeting and reviewed assurances for safe transition in March Governing Body meeting British Medical Journal awarded Argyle Care Home Service awarded the ‘ Primary Care team of the year ’ The CQC rated the Cuckoo Lane GP practice as outstanding in its provision of primary care Primary care services to Nursing Homes expanded ; offering care to 800+ nursing home residents Mental Health and Wellbeing transformation progressed – Shifting Settings of Care, Acute Psychiatric Liaison Out of Hours CAMH services review completed Dementia diagnosis rate increased from 55% at the end of 13/14, to 63% at the end of Joint work with WLMHT and Dementia Concern to implement a plan for the new pathway for Cognitive Impairment and Dementia Service Improving Access to Psychological Therapy (IAPT) Recovery performance exceeded the target Primary care co-commissioning formally launched on 1st April 2015, following voting from membership and GB 6

Success Story: Ealing Community Transport Pilot PlusBus for Health - a project aimed at: reducing the number of GP house calls and no-shows at surgeries improve the well-being of patients and provide opportunities for patients to leave their homes and increase social contact More consistent access to community services Scope of pilot - to transport patients struggling to attend healthcare appointments due to disability, limited mobility or other complex health problems to a growing range of primary care and out of hospital services in Ealing Scale - Started with 5 GP surgeries in November ’14 and now working with 61 surgeries in the Ealing area of which 34 are active users. Evaluation of pilot and positive feedback from Patients / Carers / GP practices - advised the CCG to extend the pilot to March 2016, now includes Southall and Acton with a view to fully commission future delivery by Ealing Community Transport (ECT) The ECT pilot model has provided: -real evidence of improvements in patient experience -more efficient use of GP services Summary The Pilot in numbers Trips from November ‘14 to November Trips taken in May ‘ GP surgeries signed up to the pilot 34 - GP surgeries actively using the service 7

Jonathan Webster Director of Quality, Nursing and Patient Safety Priorities for onwards Tessa Sandall Acting Managing Director, Ealing CCG

CCG Priorities in and beyond (1/2) 7 day a week primary care services access within networks Deliver full suite of Out of Hospital services and commission contracts at Ealing GP Limited level Develop GP based integrated care and coordination, including Care Planning and Case management, Care Navigation, Community Transport, Joint Care Teams and Care Ordination Procure, mobilise and launch whole systems integrated Ealing Intermediate Integrated Care Service (EIICS) and new Cardiology Service Implement Child and Adolescent Mental Health Services Out of Hours new service model Collaborate with neighbouring CCGs to resolve cross border issues and develop cohesive pathways/processes for the NWL population, including UCC/111 and MSK Implement Atopic services for children, and introduction of community specialist service Increase the number of Health checks and Action Plans completed for patients with Learning Disabilities in Ealing Deliver Local Improvement Scheme, which has been signed off by Local Medical Committee and NHS England 9

CCG Priorities in and beyond (2/2) Achieve a 67% Dementia diagnosis rate, through close working with care homes, GP practice, providers, and the Voluntary sector Improve the identification of and support for carers, increase the number of Carer Friendly Practices Award Voluntary Sector Grants for information services, to support planning, Self Care, Counselling, inclusion in the community and respite Models of Care Scheme; developing care plans with patients, to be rolled out to Southall and North Localities Develop a patient engagement strategy, to provide a structure for PPE committee to discharge its individual and collective patient participation duties Implement agreed Perinatal Mental Health service Continue Community Transport Pilot; covering across Ealing, and develop plan for commissioning this service Increase use of IT to support engagement with patients online; complete the update of the Ealing CCG website and pilot the use of Twitter Build upon long standing and constructive working relationship with Ealing Community Voluntary Services (ECVS) and Health Watch 10

Patient, Public and Lay Engagement in onwards Strengthening our online presence Increase engagement with patients of working age through social media and online presence Improve engagement through the CCG website and pilot the use of Twitter Supporting patient involvement Review mechanisms for recruiting patients and public, especially from a more diverse background Ensure involvement opportunities are accessible and engagement is meaningful and sustained Evaluate impact of involvement and engagement on each stage of the commissioning cycle and service outcomes Develop and implement a robust and sustainable reimbursement policy Carer’s Project with GP practices Increase engagement with carers while addressing local health needs and identified health inequalities 11