Issue - meetings
Presentation - Commissioning Landscape for Health & Social Care
Meeting: 29/07/2015 - Health and Wellbeing Select Committee (Item 15)
Presentation - Commissioning Landscape for Health & Social Care
The Select Committee will receive a presentation on this item.
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Minutes:
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 ... view the full minutes text for item 15
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