1. NHS Gloucestershire Clinical Commissioning Group Patient Participation Group Presentation

2. About us: Joining up your Care Membership organisation (all local GP practices members) Responsible for commissioning (buying) health services 7 Localities Population: 627, 500 Our budget: £810m

3. A Challenge for all of us Ageing population More people living with complex illness, LTCs and disabilities Increasing demand for services Tackling health inequalities Reducing obesity and harm caused by alcohol Mental health - impact of pace of life Pressure on tight budgets

4. Problem solving together Greater focus on prevention and self care Enabling Communities – improving connections Improving signposting and quality of information Looking at the whole patient pathway, Greater proportion of care at home and in the community (care co-ordination) Joined up care and services

5. Why is the relationship between the CCG and Primary Care so important? Member practices as commissioners of care General Practice is the cornerstone of the NHS patient relationship through their role as providers Primary Care as Providers Primary Care handle 90% of all NHS patient contacts, but receive <9% of total NHS funding Therefore delivery of much of our ambitions as a CCG, is dependent upon primary care

6. Delegated Commissioning NHS Gloucestershire Clinical Commissioning took over primary care commissioning from NHS England on 1 April 2015. Delegated commissioning arrangements allow us to create an integrated strategy across Primary, Community and Secondary Care, with Primary Care at the centre of an out-of-hospital system We will work to the principle of moving care ‘upstream’, aiming to prioritise resources within our care pathways towards primary care and prevention

7. How patients and members of the public can influence their health and social care services?

8. The CCG’s approach to engagement and experience: Our Open Culture “We want to hear the ‘quiet voices’ and be ‘commissioners on the ground”.

9. What is ‘Our Open Culture’? ‘Equality’ and working in ‘Partnership’ and the desire to enable ‘Anyone and Everyone’ to have a voice. To achieve this we will provide ‘Information and good Communication’, focus on ‘Experience’ feedback and undertake good ‘Engagement and Consultation’. The CCG’s aim is to makes effective engagement a reality and to ensure that the individual’s experience of care is a driver for quality and service improvement.

10. Why do we do it? We have to do it: –S14Z2 – Health and Social Care Act –NHS Constitution: Patient and Staff Rights and Responsibilities We want to do it: –it ensures a better outcome for patients, their families and carers and staff satisfaction is improved!

11. How do we do it? Level 1 – one to one Level 2 – specific service change Level 3 – policy & strategic service development

12. Who do we do it with? People, Patients, Carers, our Staff Local Community/Voluntary Groups Healthwatch Gloucestershire Local stakeholders e.g. Health and Care Overview & Scrutiny Committee, MPs, District Councils

13. How can people you get involved? People get involved in many ways: Contact a Patient Advice and Liaison Service (PALS) Contribute to Clinical Programme Groups Inform new service procurements Join Locality Groups Join Project Groups Feedback on service change reviews such as Emergency Department Reconfiguration – Surveys, CCG Information Bus, community events, twitter

14. PPGs From 1 April 2015 contractual requirement for all English practices to: form a PPG make reasonable efforts for this to be representative of the practice population engage with the PPG including obtaining patient feedback and, where the practice and PPG agree, act on suggestions for improvement. Most practices in Gloucestershire have a PPG. It is expected for CQC inspection.

15. How have we worked with PPGs so far? Changes to practices Procuring (buying) new services Closing a practice Promoting healthy lifestyles Reducing waste Influencing commissioning decisions

16. Examples of good practice in PPGs Winchcombe PPG Brockworth PPG 3 x Cirencester PPGs Former St Luke’s PPG Springbank PPG

17. Questions followed by…

18. …the hard work!

19. What is working well for PPGs? What could be improved?

20. What might the future bring for PPGs?