Health in Focus - East Berkshire Clinical Commissioning Group · Bracknell and Ascot Clinical Commissioning Group Foreword from the Clinical Chairman – Dr William Tong The Clinical

As we approach our second AGM as a Clinical Commissioning Group (CCG), it

is time to reflect on the events and achievements of the last 12 months. The

Bracknell Urgent Care Centre at Brants bridge has completed its first year of

operation. Over 32,000 patients have been treated there for injuries that are

urgent but not life-threatening. Other new services such as the musculo-

skeletal assessment and treatment service are also becoming well

established and many people have already benefitted. Integrated care teams

have been supporting people with complex long term conditions for over a

year now, and the results speak for themselves, with these most vulnerable

people needing 30% fewer admissions to hospital, as the care they need is

anticipated and delivered in their own homes.

But it is not all about treating illnesses, the clinical directors of the CCG are

passionate about prevention, and we are proud to be working with our

colleagues in public health, community services, patients and members of

the public to promote better mental health and physical wellbeing for all.

There has been a whole programme of work from simple things like

skipping in schools, to dementia awareness and prevention campaign

including the Falls Free 4 Life programme and three self-management run

by HealthMakers. We look forward to seeing as many people as possible

when we take to the streets again in November when self-care week comes

round again!

Over the past year, along with our partner organisations, we have worked

hard to improve quality:

We are working to ensure faster, more efficient transfer of information

between services, such as electronic transfer of prescriptions, GP referrals

and discharge summaries.

The Share your Care programme ensures anyone involved in the care of

a patient will be able to access their digital records to ensure their care is

coordinated and integrated services can be developed. This is particularly

important as we move towards seven-day opening in primary care and

increased access to a range of health and social care services.

Online Patient Access allows you, at any time of the day, no matter

where you are, to:

make appointments online;

order repeat prescriptions online;

view your own medical record online.

You will be able to complete these actions using a computer, tablet or

smartphone. You can also still use the telephone or call in to the surgery for

any of these services as well. It is your choice. Please speak to your GP

practice for more information.

These initiatives will all help to improve the quality and speed of care,

reduce delays and duplication.

Health in FocusHealth in FocusHealth in Focus

Bracknell and AscotClinical Commissioning Group

Foreword from the Clinical Chairman

– Dr William Tong

The Clinical Commissioning Group priorities have been agreed with the

Health and Wellbeing Boards of Bracknell Forest Council and Royal Borough

of Windsor and Midenhead and are:

1. Better support for people to manage their long term condition(s)

2. Help people to recover from ill health or following an injury

3. Improved experience of general practice

4. Improve quality in planned care and the number of times people have to

visit hospital

5. Reduce unnecessary, unplanned hospital admissions

Our priorities

The Clinical Commissioning Group believes that everyone should have a say

in how NHS services are provided so there really is ‘no decision about me

without me’.

Would you like to be part of the CCG’s plans to make our area’s health

services truly responsive to local people’s needs?

Do you want to have a say in how those services keep on getting better?

If the answer’s ‘yes’ then there are some great ways you can get involved

and help make a difference. Please see below as well as our website

www.bracknellandascotccg.nhs.uk

Join your GP patient group - this gives you the chance to discuss the

services provided for you, your family and friends and how they can be

improved to suit the needs of your local community. Ask your GP

practice for more information.

Come along to a meeting of the CCG’s Community Partnership Forum –

this is where GPs, patient representatives, local councillors, Healthwatch

representatives, the voluntary sector and care providers get together.

Members of the public are welcome to attend and join discussions on

health issues.

Register with Health Connect on the CCG website to get involved in

surveys and consultations about different aspects of local health services.

We will also keep you informed of developments and news and invite

you to events.

Come along to one of the CCG’s Governing Body meetings or Joint

Commissioning meetings. These take place in public and there are

opportunities to ask questions and meet members of the committees.

Full details are available on the CCG website.

Keep up to date and join in by following us on Twitter @B&A_CCG. We

would like to develop this and other ways of encouraging people to get

involved.

Thank you for getting involvedA few examples of how your feedback has influenced the work the CCG

undertakes:

A New Vision of Care: We received over 100 responses to an online

survey on Health Connect about the care provided to older people and

met face to face with over 50 more who attended public workshops. The

outputs from here fed into the clinical engagement workshops and

together we designed the core principles of care.

Primary Care TransformationEarlier this year, we invited members of the public to explore what

needs to happen so that people with long term conditions receive high

quality routine primary care and are motivated to self-manage their

condition. Participants believed we could make improvements to ensure

“Better Futures for All” which is now the name of this programme of

work. Significant changes are being planned based on the feedback

received, and we are keen to continue hearing from you via your GP

Practice Patient Group.

Help build better health services– how you can get involved

Investing in technology to improve care

Stay up to date with CCG news at www.bracknellandascotccg.nhs.uk

Follow us on Twitter @B&A_CCG

Email [email protected]

Call 01753 860441

Write to Bracknell and Ascot Clinical Commissioning Group (CCG),

King Edward VII Hospital, St Leonard's Road, Windsor SL4 3DP

Audio tapes or CDs of this newsletter are available on request for

people with visual impairments.

اگر آپ کو اس کی ایک نقل بڑے حروف کی عبارت یا آپ کی اپنی زبان میں ترجمہ شده درکار ہو تو برائے

214 362 01753مہربانی اس نمبر پر فون کیجئے:

If you would like a copy of this in large print ortranslated, please call 01753 362 214.

Jeśli ten tekst wymagany jest w formie przetłumaczonej lubwydrukowanej z użyciem większej trzcionki, prosimy o telefonpod 01753 362 214.

Keep in touch

This year our focus will be:

Transforming Primary Care, with new weekend and evening services

planed from the Autumn. We continue to work on plans to develop the

workforce, and on using technology to support better care

Working to support carers through all our programmes to ensure this

priority group, whose needs for convenient access, particularly to

primary care, are taken into account.

Our focus for 2015/16

– Dr William Tong, Clinical Chairman,

Bracknell and Ascot Clinical Commissioning Group

To commission local outcome-based, cost-effective

services for the health benefit of our

population now and in the future.

www.bracknellandascotccg.nhs.uk www.bracknellandascotccg.nhs.ukwww.bracknellandascotccg.nhs.uk

Self-care and

prevention:Falls prevention is a priority

and under the leadership of

public health we are partners in Falls

Free 4 Life a targeted programme of

advice, assessment and exercise and

preventative therapy.

The vision for the Better Care Fund includes a focus on

health, not illness. The population will be happier,

healthier and active for longer; through having access to better

information and support to make the right choices.

The Prevention and Self-Care Programme spans many projects. From

promoting fun exercise in schools, to hydration in the elderly, as well as

important advice on keeping well in winter and the HealthMakers self-

management courses. Self care week 2014 was bigger and better than ever with

more people getting health checks, taster session and advice tailored to their needs from

our “Street GPs”.

Primary care:The Clinical Commissioning Group is now jointly commissioning primary care services with NHS

England, therefore having more responsibility and accountability closer to home.

A second initiative has been the Transformation of Primary Care which is seeing the

investment of £2.1m in local primary care to make services more available. We are

designing new services in partnership with local patients to reflect their needs and

preferences. This means changing services to meet the needs of working people

as well as carers, and people with long term health needs. You can get

involved by joining your GP practice patient group. We are looking at

innovations in technology as well as the workforce to ensure we

recruit and retain the best doctors and nurses to support our

patients. Our member practices have come together to

form a legal entity; Berkshire Primary Care Limited

(independent of the CCG), to be the single voice of

the GP practices as a provider organisation,

giving them the ability to work with the

CCG to transform primary care. The

potential for conflict of interest is

taken very seriously by the

CCG – please see website

for more

information.

Unplanned care:

The Urgent Care Centre at Bracknell

Healthspace opened in April 2014. This

was a significant achievement and one that

had been in the planning for many years.

During its first year of operating 32,000 people came

through the door looking for help. The service treats

minor illnesses and injuries. Having a GP on site during

opening hours means patients needing medical advice can be

seen without being directed elsewhere.

People who may be frail and need an urgent specialist medical review no

longer need to be admitted to hospital. A Rapid Access Community Clinic

(RACC) opened at the Bracknell Healthspace in December, where frail older

people can be referred by their GP.

Planned care One example of improvements

in planned care is the creation of a

musculo-skeletal assessment and

treatment service. Since June 2014, GPs

have been referring patients with painful

shoulders, knees and hips to specialist physicians

and therapists at this new assessment and treatment

centre. This is especially for those patients who may

respond without the need for an operation.

Patient and public engagementAs you can see from the information provided in the back page, there

are various ways you can get involved in the work we do, including the

practice level Patient Groups and the Patient Assembly. Local people can

also join HealthMakers. We have recruited patients with long-term

conditions to train as facilitators of self-management training. We have

also recruited patient leaders who have participated in leadership

training. This has included students from Bracknell College who will be

our first young HealthMakers, helping us reach the young people of the

area. We have listened to our patients and public and we will continue

to embed the patient and public engagement in our work.

QualityThroughout the year the Clinical Commissioning Group has worked closely

with local health providers for hospital, community, mental health, primary

care and nursing home care services across East Berkshire. Mechanisms are in

place for regular monitoring of these providers, allowing the CCG to quickly

identify areas of poor performance and quality for which sanctions are issued

and focussed improvement initiatives are implemented. Serious incidents or

adverse events regarding patient safety are reported by Providers directly to

the CCG within 48 hours of occurrence, with CCG overseeing the

investigations and agreeing actions. The action plans are then monitored by

the CCG to ensure implementation. This is a robust system that ensures that

lessons learnt from such incidents are shared widely to prevent recurrence. If

any themes or trends emerge or re-occurring incidents the provider is

requested to undertake a deep dive, an internal review against all the

incidents or an external review.

During 2013/14 we developed and published our three year quality strategy. To find out more about the six key areas, please visit our website. Forest Health Group

Binfield Surgery

Boundary House Surgery

Crown Wood Medical Centre

Easthampstead Surgery

Evergreen Practice

Skimped Hill Health Centre

Forest Health Group

Ringmead

Gainsborough Practice

Great Hollands Practice

Green Meadows Surgery

Heath Hill Surgery

Kings Corner Surgery

Magnolia House

Ringmead Medical Practice

Sandhurst Group Practice

Waterfield Practice

A New Vision of Care will

simplify the way services

work for people with

complex needs to

ensure services

are delivered,

keeping the

patient’s best interest kept

at the centre.

Our two-year operating plan, 2014-16GP member practices

A New Vision of Care

People aged over 6513.8%

Children aged 0-1418.8%

139,393

We serve a populationof 139,393

H

55%

9%

12%

9%

6%

2%4%

3%

Acute hospital services

Mental health services

Community health services

Other Programmes

Primary care & prescribing

Continuing care

Corporate

Surplus

Main acute hospital providers:

Frimley Health NHS Foundation Trust

Royal Berkshire Hospital NHS Foundation Trust

Main community and mental health provider:

Berkshire Healthcare NHS Foundation Trust

GPs

GP Practices

15

79

Bracknell and AscotClinical Commissioning Group 2014/15

Analysis of Net Expenditure

Planned expenditurefor 2015/16 is £151m- less than last year

££

£138m = £1,002equivalent to £1,002

for every personregistered

£80mSpent on acute

services

Looking to 2015/16, the CCG has earmarked funding for improving

access to mental health services, and the overall investment in

mental health services with our main provider Berkshire Healthcare

Foundation Trust is forecast to increase by 8.4%.

£15mPrescribing costs

£MoneyMoneymattersmattersMoneymatters

Key facts

55%

9%

12%

9%

6%

2%4%

3%

HEALTH

INTEGRATED

CAREVOLUNTARY

SECTOR

SOCIAL

CARE

COMMUNITY

2014/15 expenditure

www.bracknellandascotccg.nhs.uk