Update on Brighton & Hove CCG

1. Update on Brighton & Hove CCG Jane Lodge Patient Engagement and Experience Lead

2. CCG progress • Authorisation: now submitted all documentation and waiting for panel evaluation (October ) • We will then be fully authorised, or authorised “with conditions”

3. CCG Governance • The CCG is a membership organisation – member GP practices x 47 • One “Practice Clinical Commissioning Lead” per GP practice

4. Governance structure CCG BOARD Includes a lay member – Patient & Public Involvement CENTRAL Local Member Group & Local Member Team WEST Local Member Group & Local Member Team EAST Local Member Group & Local Member Team

5. Continued….. Local Member Team 1 x GP 1 x Practice Nurse 1 x Practice Manager 2 x Patient reps: elected/selected from Patient Participation Groups

6. Key posts & personnel • Dr Xavier Nalletamby – CP Chair • Dr Christa Beesley- Accountable Officer • 3 x GP leads (from Local Membership Team) (being recruited) • Clinical Programme Leads - responsible for the overseeing commissioning for an agreed priority area (being recruited)

7. CCG Management team • Clinicians will be supported by a management team. • Structure still to be confirmed • Will include Patient and Public Engagement Lead • Will include a named lead for equalities

8. Engagement update City Wide Health Forum PPG Network Area based work PPG’s

9. Patient Participation Groups • It’s in the CCG constitution- signed by all members- “each member shall set up a Patient Reference Group…. To encourage feedback from its patients” • The main way for patients to become involved in clinical commissioning (but not the only way!) • Out of 47 practices, we have over 40 with some form of PPG • Still lots of problems and difficulties…….

10. PPG Network • Up to two PPG reps from each Practice • Will discuss: - PPG “business” - How PPG members can be supported and involved in Clinical Commissioning - How PPG’s can liaise with other engagement mechanisms within the city

11. Area based work Community “activists” & key local leaders PPG’s and clinicians Community Development Workers Sharing of ideas Joint projects Improving local wellbeing Local interest groups

12. City Wide Health Forum • CVS groups, Community groups, Equalities groups, Patient Representatives • A pooling of intelligence • A place to bring city wide issues • A place to discuss wellbeing in it’s widest sense = HEALTHWATCH

13. How it fits together….. CCG Board HWBB Lay member for PPI CVS orgs Communities PPG members CCG/BHCC City Health Forum run via Healthwatch Patient reps via PPG’s

14. Reaching the “traditionally excluded” (CCG Engagement gateway review) • Rationale: • We are missing some groups in our current process • Funding is inequitable and not transparent • We need to link such groups more effectively • There needs to be a central place to collate/share intelligence

15. Gateway review • Prospectus model • Single pot of funding (top sliced) • Groups not defined • Inviting bids against key characteristics • Emphasis on social capital

16. Timeline • Prospectus expected to go out late October/early November • New arrangements to start July 2013 • Current arrangements to be extended until end June 2103 pending a review of 2012/13 spend

17. Any questions ?