CCG Operating Plan: Commissioning Intentions 2013 - 14

1. CCGOperating Plan: Commissioning Intentions2013 - 14 Health and Wellbeing Board

2. Introduction and context • The Operating Plan combines local and nationally mandated priorities for CCG Commissioning in 2013/14 from the NHS Constitution and National Mandate • The local priorities identified fall out of the CCG Integrated Strategic Operating Plan (ISOP) and cross reference to the priorities identified in the Health and Wellbeing Strategy • Page 6 of the Plan demonstrates the alignment of the Operating Plan to the Transformation Agenda and the Strategic context for the next 4 years. • The attached is an early draft for further development. A final draft will be submitted to the National Commissioning Board on 5th April 2013. • The Plan is set in a challenging context of a (2013/14 – 2015/16) financial recovery arising from an inherited financial position

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4. Overarching Priorities of the CCG • Prevention of ill-health • Self-Management and shared decision making • Long Term Conditions • Children and Young People • Planned Care • Primary and Community Care • Urgent Care

5. What We Are Doing How it will look different in 5 years • Individuals take responsibility for their health • Integrated pathways • Care in right settings • Understand how to use services • People choose Croydon Health Services

6. What We Are Doing How it will look different in 5 years • Services re-configured: • CHS: A&E, Maternity, Day cases • Elsewhere: Planned inpatients • South London Hospitals changes • Better Services, Better Value changes • Stable finances

7. Core Operational Principles • Working with Public Health: Roll out Prevention Programmes • Emphasis on Self-Care / Shared Decision Making • Evidenced based commissioning, aligned with Plans • Collaborate (where adds value) to jointly commission services • with our Local Authority and Neighbouring CCGs • Work to integrated clinical and referral pathways/common protocols

8. Primary & Community Response

9. Commissioning Intentions 2013/14 Longer, healthier lives for all the people in Croydon

10. Commissioning Intentions 2013/14 Longer, healthier lives for all the people in Croydon

11. National Mandated Priorities NHS Constitution • 18 week – referral to treatment • 4-hour maximum wait in A&E departments • 62-day - urgent GP referral to 1st definitive treatment for cancer • 8 minute responses for category A red 1 ambulance calls

12. National Mandated Priorities NHS National Mandate • Helping people live longer • Helping people manage on-going physical and mental health conditions • Helping people to recover • Making sure people experience better care • Providing safe care

13. 3 Local Quality Premiums In addition to meeting NHS Constitution and NHS Commissioning Board Mandatory Requirements3 Local Quality Premiums to support ‘One Plan on a Page’ to be identifiede.g. • Take up of Risk Stratification • Numbers of People on MDT Caseloads • Increase Dementia Diagnosis Rate – Stretching Current Target • Increase in Capacity to Tier 3 and Tier 4 Children CAHMS • Increase % Health Visitor Ratio • Increase in Day Case Infusions in Intermediate Care • Reduction in Emergency Admissions from Care Homes