Agenda item

The Select Committee will receive a presentation on this item.

Dr Ian Orpen gave a presentation to the Select Committee regarding this item, a copy will be placed on the Minute Book and available online as an attachment to these minutes. A summary is set out below.

Role of NHS England

·  To allocate resources to CCGs and support them to commission services on behalf of their patients

·  To deliver improved outcomes for patients

·  To directly commission

-  primary care

-  military, offender health and

-  specialised services

·  To plan for civil emergencies,

·  To provide system oversight and leadership

What are CCGs responsible for?

Urgent & Emergency Care

Out of hours Primary Care

Services for people with Learning Disabilities

Mental Health Services

Children’s Healthcare Services

Maternity & Newborn Services

Community Health Services

CCGs are now also responsible for

·  Co-commissioning  of Primary Medical Services

–  GP services

–  With NHSE

·  Specialised commissioning

–  Wheelchair services

–  Neurology Outpatients

·  Next Year

–  Renal services

–  Bariatric surgery

Expenditure

Almost half of our total resources go on Acute ie Hospital services both planned and emergency care (48%).

Roughly the same proportion on prescribing (12%), community services (11%) and Mental Health (incl LD) (12%)

Looking to the future

·  Progress six transformational projects

–  Urgent Care

–  Musculoskeletal services

–  Self Care and Prevention

–  Long Term condition care – Diabetes services

–  Frail Elderly

–  Shared records - Interoperability

·  Continue your care, your way community services review

·  Transforming primary care

·  Children & young people

·  Improving mental health services

·  Focus on learning disabilities services

Financial Headlines

·  Commissioned services funding £221m

·  Running costs funding £4.2m

·  Non-recurrent investment £2.1m

·  New recurrent investment:

–  £1.8m general

–  £0.5m mental health

–  £1.1m seasonal (winter) pressures

·  Savings plans of £4m to fund new investment and growth £4.0m

Councillor Tim Ball asked how the planned savings would be mitigated against the services required.

Dr Orpen replied that he was aware of the pressures surrounding social care and that areas would be looked at where natural savings could be made. He added that the Your Care, Your Way project was central to future ways of working and to utilise community links and services.

The Director for Adult Care and Health Commissioning commented that members should be aware of the Council’s Better Care Fund that has been recognised nationally and has a pooled budget of £12m in conjunction with the CCG. She added that the fund protects social care services and puts the Council in a strong position.

Councillor Tim Ball stated that he had concerns over the plans that were stated for the future and asked if services would be managed adequately.

Dr Orpen replied that this will be assessed through the Your Care, Your Way project and that he would not like to pre-judge the outcome of this work.

Councillor Paul May asked if the CCG had any influence on how to direct patients to the services that they can obtain.

Dr Orpen replied that the Choose and Book service was found to be confusing for some members of the public. He added that the Referral Support Service had been in place from November 2014 and had been a well received change, with 20 out of 27 practises involved.

Councillor Geoff Ward asked how the CCG integrates with Public Health to promote self-care and prevention and thereby reducing demand on other services.

Dr Orpen replied that the CCG has a significant role in this matter through the work it carries out in the licensing process, the sale and consumption of sugary drinks and its anti-smoking campaigns.

Councillor Geoff Ward asked if Public Health were involved with the work of the CCG Board.

Dr Orpen replied that Public Health are invited to all meetings of the CCG Board and that Dr Bruce Laurence attends on their behalf.

Councillor Eleanor Jackson asked if the CCG September Update could include information on future expenditure that takes into account the rising birth rate, the fact that people are living longer and any new trends looking through to 2020.

The Chair thanked Dr Orpen for his presentation on behalf of the Select Committee.