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ePanel Round-up: June 2019

Proposed new commissioning arrangements  

New proposals are being discussed about the way the clinical commissioning groups (CCGs) across Sussex and East Surrey work in the future.

The Governing Bodies of the eight CCGs – Brighton and Hove; Coastal West Sussex; Crawley; East Surrey; Eastbourne, Hailsham and Seaford; Hastings and Rother; High Weald Lewes Havens; and Horsham and Mid Sussex - have been exploring how commissioning can be done more effectively to bring greater benefits for our populations. 

This includes the following options that would see some CCGs merge to create commissioning bodies working across our local authority footprints:
  • Coastal West Sussex, Crawley and Horsham and Mid Sussex CCGs would merge to become one CCG for West Sussex
  • High Weald Lewes Havens, Eastbourne, Hailsham and Seaford and Hastings and Rother CCGs would merge to become one CCG for East Sussex;
  • Brighton and Hove would remain as a single CCG but, due to its relatively small size, would work closely with the CCGs in East Sussex, through joint committees and teams. 
  • East Surrey CCG would formally integrate with the Surrey Integrated Care System and no longer working within the management structure of our CCGs. 
These proposals will be discussed by the Governing Bodies this month with a view of making recommendations that will then be discussed with the CCG GP memberships. 

For Sussex, this proposed new configuration of CCGs would be run and overseen by a single strategic commissioner management structure and supporting functions that will form part of the Integrated Care System (ICS) across the footprint. 

For Surrey, discussions are ongoing around how East Surrey CCG will work within the Surrey Heartlands ICS but the exploration work that has already taken place has been very positive and we are confident that we will have a clearer picture of how the system can work effectively in the coming months. 

We believe these proposals would provide the foundation to develop a new model of commissioning that focuses on more integrated work with local authorities to improve population health outcomes and a reduction in health inequalities

Working in this way will enable us to commission more effectively and efficiently for local populations across established and recognisable boundaries, while also being able to commission and plan strategically across wider county-wide footprints.

Why these changes are being considered now

There are three main reasons why these changes are being considered now. 
  1. It is widely recognised that individual CCGs are no longer able to operate and commission effectively and efficiently for the changing needs of our populations. This is due to the relatively small size of CCGs, which has meant that across our health and care system there have been inconsistency in how services have been commissioned, there has been unnecessary duplication in work, it has been difficult to commission at scale when needed, and it has been increasingly difficult to recruit and retain specialist expertise and skills among our staff.   
  2. Our local health and care system has to respond to the expectations of the NHS Long-Term Plan, which outlines a fundamental shift in how CCGs will work and how future commissioning will be done. This involves the expectation of greater integration with local authorities and other partners, with commissioning arrangements and configurations that will support the formation of Integrated Care Partnerships (ICPs) and Primary Care Networks (PCNs). 
  3. All CCGs across the country are required by NHS England to reduce their running costs by 20% by April 2020. This represents a significant proportion of the running costs for each of our individual CCGs and it is clear they will no longer be able to work as independent organisations in the future. Changing the configurations of the CCGs and streamlining our processes and ways of working will help us achieve the required cost reduction, while also being able to commissioning effectively for our populations. 

Next steps

The Governing Bodies of the CCGs will discuss the proposals this month, with a recommendation to take this out to the member practices for consideration.

We will be keen to work with PPGs and our engagement forums to shape how best to communicate and engage with patients and local people in the future.

Name change  

In last months newsletter we explained a bit about how the NHS Long Term Plan sets out the concept of Primary Care Networks (PCNs) and how our member practices are talking together about setting these up. This has meant there is now a new acronym of PCNs to refer to these networks.

However, in Coastal West Sussex we already have a PCN acronym in place for our Patient Care Navigators.

To reduce any confusion as Primary Care Networks move forward, we are changing the name of the Patient Care Navigators team to the Referral Support Team with effect from 07 May 2019.

As well as the name change, there is also a change to the hours the team is available. The team are now available on the phone Monday, Tuesday, Thursday and Friday, to allow Wednesdays for case management and training and development.

The team process over 60,000 referrals each month and have recently been chosen by NHS England as part of a case study project. This means our local model of delivering patient choice will be included in national best practice advice. 

Kids interview people with dementia  

Many people are worried about ‘saying the wrong thing’ to people living with dementia. To mark the recent Dementia Action week, The Alzheimers Society have released a video and advice and tips about why we need to start taking. Evidence suggests that there are more than 120,000 people with dementia who live alone - and that figure is likely to rise over the coming years.

Watch what happens when kids interview people with dementia and help challenge misconceptions and show that people with dementia are still people by sharing with friends and family.

Annual General Meeting  

Our 2019 Annual General Meeting will take place on Tuesday 25 June 2019 from 3 - 4pm in The Barn at Field Place, The Boulevard, Worthing BN13 1NP.

The AGM will be an opportunity to look back on our achievements and challenges, as well as look at how we are working now and our plans for the future. Our Annual Report 2018/19 sets out in more detail the CCGs work over the last 12 months along with detailed accounts.

In addition to the formal meeting, we are also holding a marketplace event from 2 - 3pm in the same venue to showcase some of our key areas of work over the past year. This will also include details of some of the engagement we have been carrying out over the past few months under our “Our health and care, our FUTUREprogramme. You will be able to meet our teams, find out more about the plans for health services locally and across the Sussex area. 

You can book your place by contacting our Communications and Engagement team.

Read the latest news from our partner organisations... 

Coastal bites

  • The Care Quality Commission (CQC) has again rated Queen Victoria Hospital NHS Foundation Trust as Good overall. You can read the full report which is published on the CQC website.
  • NHS 111 online has been used more than one million times to get people the medical help they need since its launch in December 2017...and the data shows the service continues to grow!
  • Sussex Community NHS Foundation Trust (SCFT) has featured in a national report on the future role of community services.
  • Time for Dementia is appealing for families affected by dementia from Sussex to participate in its ground breaking, award winning programme for trainee healthcare professionals. Sussex Partnership NHS Foundation Trust have more information if you are interested
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