1. Central Manchester Clinical Commissioning Group Practice Nurse forum, 7/1/14 Tony Ullman, Head of Commissioning and Quality

2. What I’ll cover About Central Manchester CCG – who we are Our health needs needs in Central Manchester The wider context How we work CCG priorities - improving health outcomes Developing Primary Care Issues for Practice nursing Any questions

3. The CCG’s Vision Create healthier, more resilient communities in Central Manchester actively managing their own health Lead a network of health and social care providers who promote, measure, monitor and improve quality over quantity Create a better balanced system for Central Manchester by shifting hospital care to services delivered in the community Create with our practices and our partners affordable & sustainable health services in Central Manchester

4. Informed by the views of local people and working closely with other health and social care professionals; Central Manchester Clinical Commissioning Group will design and develop health services which are high quality, safe and affordable and which will support communities to be the healthiest they can be.” Our Mission

5. Our CCG £244m budget 35 practices, 4 localities 1 Foundation trust 1 Mental Health Trust 1 City Council

6. Our CCG £239m budget 35 practices 1 Foundation trust 1 Mental Health Trust 1 City Council Our population 212000 Young >30% from BME groups 100+ languages spoken 40% of children living in poverty 9 th most deprived CCG population High levels of age specific chronic disease Low life expectancy

7. Current outcomes in Central Manchester

8. CCG priorities - by 2015 we will.... Improve life expectancy by one year by 2015 Achieve expected long term condition prevalence Reduce avoidable readmissions by 1/3 Improve: Access to primary care End of life care Reduce avoidable harm Deliver a balanced budget and shift resources to primary & community care

9. Fitting it together Living Longer Living Better in Manchester Developing Primary care in Central Manchester Healthier Together in Greater Manchester

10. The vision for Primary care - All people in Central Manchester should have access to Long term condition management Identification Condition management Medicine Optimisation Integrated Care teams Involvement in care Access to care record Promotion of self care Primary prevention Patient die in place of their choosing Easy appointment booking Continuity of Care Increased access to Primary Care services GP is co-ordinator of care Access Smooth 1ary/2ary care interface Locality based enhanced services Inter practice referrals Specialist primary care services Consistent, high quality care

12. Primary Care Manchester Ltd – GP Provider Organisation (GPPO) GPPO as the organiser of services Interested practices become shareholders who then appoint directors Practices do not need to be shareholders to offer services GPPO manages the “LES” and Beacon services GPPO also creates a Community Clinic, using a variety of resources, for any other patients. Generic Service Provision GPPO CCG Practice APractice BPractice CPractice D Community Clinic “LES”“Beacon” Patients Specialist Nurse GPSI Cons Room

13. Issues for Practice nursing Supporting practice nurses – – Coming together – Education Influence and a voice within the CCG Long term conditions Developing the workforce for the future Primary Care working together – PCM Others?

14. Thank you for listening. Any questions?