Brighton and Hove Clinical Commissioning Group

1. Brighton and HoveClinical Commissioning Group

2. Overview of CCG in Brighton and Hove One Clinical Commissioning Group for the city comprising: 48 GP practices (each covering 1-16,000 pts) 299,000 population 184 GPs Split into three localities: East, Central and West Co-terminus with Local Authority boundary There are approximately 3,646 children with disabilities or special needs: 2,545 of these are under 16 years old. There are around 2,551 children and young people who are deemed to be in need. This refers to vulnerable children and young people and those who are vulnerable in the family setting. Within the city, 70 out of 10,000 children or young people are looked after by the council. Brighton and Hove has a higher proportion of children in care than the national average, with a higher proportion of these categorisedThere are approximately 3,646 children with disabilities or special needs: 2,545 of these are under 16 years old. There are around 2,551 children and young people who are deemed to be in need. This refers to vulnerable children and young people and those who are vulnerable in the family setting. Within the city, 70 out of 10,000 children or young people are looked after by the council. Brighton and Hove has a higher proportion of children in care than the national average, with a higher proportion of these categorised

3. Overview of CCG in Brighton and Hove All practices signed up to the Emerging CCG through an annual Inter Practice Agreement (IPA): Engage in commissioning processes in partnership with clinicians, patients and the public Review practice commissioning budgets and develop action plans where appropriate Participate in education and training events Abide by mechanisms for effectively managing referrals into secondary care There are approximately 3,646 children with disabilities or special needs: 2,545 of these are under 16 years old. There are around 2,551 children and young people who are deemed to be in need. This refers to vulnerable children and young people and those who are vulnerable in the family setting. Within the city, 70 out of 10,000 children or young people are looked after by the council. Brighton and Hove has a higher proportion of children in care than the national average, with a higher proportion of these categorisedThere are approximately 3,646 children with disabilities or special needs: 2,545 of these are under 16 years old. There are around 2,551 children and young people who are deemed to be in need. This refers to vulnerable children and young people and those who are vulnerable in the family setting. Within the city, 70 out of 10,000 children or young people are looked after by the council. Brighton and Hove has a higher proportion of children in care than the national average, with a higher proportion of these categorised

4. Clinical Commissioning Leadership Elections in April - all of Primary Care ie GPs, Practice Nurses and Practice Staff; Chair – Dr Xavier Nalletamby (St Peters) 3 Locality Chairs for East, West and Central Dedicated Clinical GP/Nurse Leads for priority areas eg mental health, urgent care etc Commissioning Champions to support commissioning development at Practice level Reconfigured PCT resource and aligned to CCG structure: Chief Operating Officer (job-share) Locality Commissioning teams integrated with clinical commissioning leads. There are approximately 3,646 children with disabilities or special needs: 2,545 of these are under 16 years old. There are around 2,551 children and young people who are deemed to be in need. This refers to vulnerable children and young people and those who are vulnerable in the family setting. Within the city, 70 out of 10,000 children or young people are looked after by the council. Brighton and Hove has a higher proportion of children in care than the national average, with a higher proportion of these categorisedThere are approximately 3,646 children with disabilities or special needs: 2,545 of these are under 16 years old. There are around 2,551 children and young people who are deemed to be in need. This refers to vulnerable children and young people and those who are vulnerable in the family setting. Within the city, 70 out of 10,000 children or young people are looked after by the council. Brighton and Hove has a higher proportion of children in care than the national average, with a higher proportion of these categorised

5. Governance and Accountability CCG Board meets monthly includes lay members, Council, LMC; Held to account by NHS Sussex for delivery of plans and development of CCG: As specified in Accountability Agreement Process for Authorisation by April 2013 “Pipeline” will be launched at September CCG Board Period of self assessment and development against 6 key domains: Clinical focus Public and patient engagement Sound strategic planning Governance - including capacity and capability to deliver all duties Collaborative arrangements Leadership – clinical and managerial

6. CCG Vision and Values Opportunity to make a real difference to the quality of healthcare in the city Collective and powerful voice in representing their patients in service design and delivery Identifying and addressing inequalities of care Re-connecting clinical community across healthcare settings Focusing on local clinical priorities informed by constituent practices: Care of the elderly Mental health Children

7. Summary CCG - optimum configuration for moving forward Excellent support at practice level for CCG development Inclusive and democratic selection of very strong clinical leaders working in partnership with managers Good and developing relationships between CCG and partners across the city Sound (but nonetheless challenging) financial position from which to build Focus on strengthening links with neighbouring CCGs Development of a more systematic process for public/patient engagement building on Practice Participation Groups Development programme to take us through pipeline for full authorisation by April 2012