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Croydon CCG Annual General Meeting . Thursday 18 September 2014.
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Croydon CCG Annual General Meeting Thursday 18 September 2014
The CCG is responsible for overseeing the local NHS budget of approximately £407 million for hospital, community and mental health services. Our job is to make sure it is spent on the right services to meet the health needs of people in Croydon.
Our GP networks now have significant controlover their own network plans and agendas. Our networks have been responsible for shaping localised commissioning plans which meet the needs of our local communities.
We are proud of our achievements.We have improved the quality ofservices for people in Croydon,and introduced the rigorous financial control necessary.
Improving the quality of services is at the heart of everything we do. The CCG consistently aims to ensure it commissions health services that are safe, that employbest clinical practice.
What do we want to achieve this evening? • Report back on our first year’s work. • What are our priorities for the future? • What do you think?
“We are happy with £11m redevelopment at Purley War Memorial Hospital, but unhappy with changes to MIU” “Not all outpatient referrals should go through CReSS” “There are significant issues accessing Mental Health services” “Practice’s Patient Participation Groups should be more involved in CCG work” “You should have better links with voluntary sector organisations” “You need to do more meaningful engagement with patients”
We need to fundamentally change how we do things… • Improving quality of services • Tackle issues caused • by high levels • of obesity • Improve patient experience • Address demand for mental health • services • Delivery of national performance targets • Services for large numberswith long • term conditions • Involving patients in decisions • Reducing health inequalities • £46m a year underfunding
How have we spent your money? Based on 391,070 registered patients: We spent £1,087 per person in Croydon. We were funded £1,003 per person in Croydon
1. Adult Community ServicesDr Atif HasanGP Governing Body Member
What patients told us I want to be supported as an individual with services specific to me I want access to the best quality care available so I can live as I choose and live as independent a life as possible I want to be supported by someone who has the training and specialist knowledge to understand both my health and social care needs I want to be supported to manage my condition and experience better control and reduced complications I want to stay healthy & active for as long as possible
How does it work? Case 1 • Elderly couple were identified as requiring support by the GP and community matron – the husband had Parkinsons which suddenly deteriorated increasing his risk of falls. Case Information • Joint visit by community matron and social worker to assess • Conversation with wife about how she is coping • Request for changes so the social worker liaised with colleagues to make the required changes • The social worker continued to work with the couple proactively
Rapid response • Reviewed by Community Matron and physiotherapist within 30min of referral • Admitted that day to Barrington Lodge • Remained in Barrington Lodge for 2 weeks where her analgesia was reviewed and she had rehabilitation. • Now at home with a minimal package of care Case 2 • Referral received from London Ambulance Service • 83yr old lady with right knee pain and stiffness. Unable to stand up from her chair. • Diagnosis: osteoarthritis right knee • LAS had received 6 calls in the last 2 weeks from the patient Case Information
2. CardiologyDr Agatha NortleyMesheClinical Network Leader for New Addington/Selsdon
What patients told us I want to have more choice about my own care There needs to be a mix of support including consultants, GPs and nurses I don’t want to have to travel all the way to CUH for my appointment I want to avoid having to be admitted into hospital as an emergency patient Sometimes I just need advice and support to help deal with my condition
Over the next three years we expect about 40% of the patients currently being seen in a hospital out-patient setting will be seen in more convenient community based locations.
3. DiabetesDipti GandhiBrigstock and South Norwood Medical Partnership
What patients told us Why do I have to go into hospital all the time? Services are disjointed and not joined up: I feel like I am being passed around from person to person I can’t get access to the education programmes that I know I need, and am supposed to be able to attend The doctors and nurses are great, but overall I think the care I get is of poor quality. I feel as though I don’t have control over my own condition?
Thank you. We value your involvement.
