summary annual report...writing this report and will be subject to ongoing review. you can read our...

ANNUAL REPORT

2019 | 2020AND ACCOUNTS

SUMMARY

01384 322 777

[email protected]

www.dudleyccg.nhs.uk

@dudleyccg

dudleyccg

As NHS Dudley Clinical Commissioning Group concludes its 7th year, we are pleased to introduce our Annual Report and Accounts.

This year we have both had the pleasure of leading the CCG and are immensely proud of what has been achieved. Throughout this report you will see evidence of our investment in new services, improvements in quality, robust financial management and work to realise the vision for an Integrated Care Provider (ICP – previously referred to as a Multi-Speciality Community Provider - MCP) which is solely focussed on improvements to the health of the population we serve.

It has been a year of collaboration, particularly with our local GPs and hospital colleagues to establish the Dudley ICP, with our wider partners in neighbouring CCGs, and across our Sustainability and Transformation Partnership (STP).

Through these partnerships and joint leadership arrangements, we have not only seen improvements to the way that services are delivered, but we have been able to attract significant additional investment into our system for new facilities and services.

This year we have appointed Mr Paul Maubach as the single Accountable Officer for the four CCGs in the Black Country and West Birmingham. We would like to place on record our thanks to both Dr Helen Hibbs and Mr Andy Williams for the work that they have done in Wolverhampton and Sandwell and West Birmingham to date. As we move forwards we recognise the closer collaboration between our local CCGs, and whilst this will undoubtedly bring benefits to people in Dudley, we remain committed to meeting the needs of local people first and foremost.

This year has not been without its challenges. Our urgent care services continue to face unprecedented demand and, disappointingly, we have not reached the expected levels of performance in some areas such as the Transforming Care Programme for people with learning disabilities, or in identifying all those in our community who are living with dementia. We start 2020/21 with renewed efforts in these areas and remain committed to meeting these targets in the near future.

It is traditional to end this introduction with the many thanks to partners, staff, patients, the public and our many other stakeholders. Without the support of so many, the CCG would not be in a position to achieve what we do.

However, upon writing this we are struck by the unprecedented times which our NHS currently faces. It is March 2020 and as the country enters ‘lockdown’ in response to COVID-19, the nation has never been more united in support for our fantastic NHS.

For those CCG staff on the frontline, providing a Prescription Ordering Direct service or helping to discharge patients from hospital, we are grateful for your dedication. For those leading the incident response, your commitment to finding solutions to this ever-increasing challenge will not be forgotten, and for all those being redeployed in new roles to help our partners, your selflessness and flexibility is to be commended. The CCG has joined forces with our wider health and care family during this pandemic and for that we are proud and thankful. Together we can safeguard and protect the lives of local people against COVID-19.

Dr David HegartyDr David Hegarty MBE - Chair

1. Chair’s Foreword

Welcome to the 2019/20 Annual Report

for Dudley Clinical Commissioning Group (CCG)

Chris HandyChris Handy - Deputy Chair

2Summary

1Summary

Information for patients about procedures of limited clinical value and clinical thresholds

Choosing Wisely: helping you and your doctor to make the right decisions about your care


What does this mean for you?

Your GP may not be able to refer you for a particular treatment because it is not funded by the NHS in Dudley. Your GP has to follow this guidance because it is now an agreed policy of the local NHS. However, in some ‘exceptional’ clinical circumstances your GP, hospital consultant, or health care professional may think you will benefit from a treatment that is not routinely provided. They can then make an Individual Funding Request application on your behalf, which will be considered by an independent panel.

How you can help

Having discussions with your doctor or nurse can help you make better decisions about your care. Often, this will help to avoid tests, treatments or procedures that are unlikely to be of benefit to you. These are the five questions you should ask them:

1. What is my condition?

2. Is it treatable?

3. Does the treatment for this condition fall under the procedures of limited clinical value list in Dudley?

4. What are the alternatives to having treatment?

5. What will happen if I do not have the treatment?

Content reproduced by kind permission of NHS Doncaster Clinical Commissioning Group






How you can help



2. Is it treatable?





NHS Dudley CCG is the NHS organisation responsible for commissioning (planning and buying) healthcare services for the 322,273 people registered with a GP in Dudley.

The types of services we commission include:

• Elective hospital care;

• Rehabilitation care;

• Urgent and emergency care;

• Most community health services;

• Mental health and learning disability services

We are a clinically led organisation with GPs and other clinicians at the centre of how we operate, the decisions we make and the interaction we have with the public. Our work is overseen by a Governing Body which includes local GPs, Healthwatch Dudley, Dudley Metropolitan Borough Council (MBC) representatives, Lay Members and Senior Managers.

2. Who we are

NHS Dudley Clinical Commissioning Group (CCG) is overseen by a Governing Body made up of a group of skilled and experienced clinical and non-clinical executives and independent Lay Members.

The majority of the Governing Body are local GPs as set out in the CCG’s Constitution.

The Governing Body oversees all decisions made by the CCG, making sure that money is being spent wisely, and that services commissioned are the best possible for the people of Dudley.

In 2019/20 there were some significant changes to the CCG Governing Body, these include:

• The Governing Body agreed the proposal of reducing the CCG Board from ten GPs to five and from five Clinical Executives to three. The GPs that have left the Board have been asked to support the development of the ICP

• September 2019 New Chief Executive for Healthwatch, Ms Jayne Emery replaced Mrs Andrea Crew

• September 2019, Martin Samuels Strategic Director for People, left Dudley MBC and following a restructure at the local authority, it was noted that Deborah Harkins would represent Dudley MBC on the CCGs Governing Body

Meetings of the Governing Body take place every two months and are always held in public.

All dates and papers for the Governing Body meetings can be found on our website at: www.dudleyccg.nhs.uk

3. Our Governing Body

4Summary






How you can help



2. Is it treatable?





Our Vision

Our Values






How you can help



2. Is it treatable?





5. Our Member Practices

Sedgley, Coseley and Gornal 1 Northway Surgery 2 Bath Street Surgery 3 Coseley Medical Centre 4 Woodsetton Medical Centre 5 The Ridgeway Surgery 6 The Greens Health Centre 7 Lower Gornal Health Centre 8 Castle Meadows Surgery

Dudley and Netherton 9 St James Medical Practice (Dr Jalota) 10 St James Medical Practice (Dr Porter) 11 Eve Hill Medical Practice 12 Steppingstones Medical Practice 13 Cross Street Health Centre 14 Central Clinic 15 Bean Road Surgery 16 Keelinge House Surgery 17 Links Medical Practice 17A Hazel Road Surgery (Links Medical Practice Branch) 18 Netherton Health Centre 19 Dudley Wood Surgery Kingswinford, Amblecote & Brierley Hill 21 Kingswinford Health Centre 22 Moss Grove Surgery 23 Summerhill Surgery 24 Rangeways Road Surgery 25 Wordsley Green Health Centre

Brierley Hill 20 High Oak Surgery 26 AW Surgeries 26A Withymoor Surgery (AW Branch) 27 Waterfront Surgery 28 Quincy Rise Surgery 29 Three Villages Medical Practice 35 Thorns Road Surgery 36 Quarry Bank Medical Centre Stourbridge, Wollescote and Lye 30 Lion Health 31 Pedmore Medical Practice 32 Chapel Street Surgery 33 The Limes Surgery 34 Wychbury Medical Group 34A Chapel House Lane (Wychbury Branch)

Halesowen and Quarry Bank 37 Clement Road Medical Centre 38 Feldon Lane Surgery 38A Hawne Lane Surgery (Feldon Lane Branch) 39 Alexandra Medical Centre 40 Lapal Medical Practice 41* Meadowbrook Surgery 42 Halesowen Medical Practice (otherwise known as St Margarets Well) 43 Halesowen Health Centre (otherwise known as Stourside) 34B Cradley Road Surgery (Wychbury Branch))

Data correct as of 1 February 2019

* This practice has agreed that the Halesowen PCN

will provide services for their population, but

are not signatories to the PCN Directed Enhanced

Service (DES) contract.

Surgeries by Primary Care Network 12

54

3

6

7 89/10

17A

16

15

1413

12

11

17/18

19

2122

23

24

25

34A 38A

40

41

43

47B

42

44

34

30

31 33

32

34B

37

38

Sedgley, Coseley and Gornal

1 Northway Surgery2 Bath Street Surgery3 Coseley Medical Centre4 Woodsetton Medical Centre5 The Ridgeway Surgery6 The Greens Health Centre7 Lower Gornal Health Centre8 Castle Meadows Surgery

Dudley and Netherton

9 St James Medical Practice (Dr Jalota)10 St James Medical Practice (Dr Porter)11 Eve Hill Medical Practice12 Steppingstones Medical Practice13 Cross Street Health Centre14 Central Clinic15 Bean Road Surgery16 Keelinge House Surgery17 Links Medical Practice17A Hazel Road Surgery (Links Medical Practice Branch)18 Netherton Health Centre19 Dudley Wood Surgery

Kingswinford and Wordsley

21 Kingswinford Health Centre22 Moss Grove Surgery23 Summerhill Surgery 24 Rangeways Road Surgery25 Wordsley Green Health Centre

Brierley Hill

20 High Oak Surgery26 AW Surgeries26A Withymoor Surgery (AW Branch)27 Waterfront Surgery28 Quincy Rise Surgery29 Three Villages Medical Practice35 Thorns Road Surgery36 Quarry Bank Medical Centre

Surgeries by Primary Care Network

Stourbridge, Wollescote and Lye

30 Lion Health31 Pedmore Medical Practice32 Chapel Street Surgery33 The Limes Surgery34 Wychbury Medical Group34A Chapel House Lane (Wychbury Branch)

Halesowen37 Clement Road Medical Centre38 Feldon Lane Surgery38A Hawne Lane Surgery (Feldon Lane Branch)39 Alexandra Medical Centre40 Lapal Medical Practice41* Meadowbrook Surgery42 Halesowen Medical Practice

(otherwise known as St Margarets Well)

43

Halesowen Health Centre (otherwise known as Stourside)

34B

Cradley Road Surgery (Wychbury Branch)

Data correct as of 1 February 2019

28

3536

20

2627

29

26A

* This practice has agreed that the Halesowen PCN will provide services for their population, but are not signatories to the PCN Directed Enhanced Service (DES) contract.

6Summary

5Summary






How you can help



2. Is it treatable?










How you can help



2. Is it treatable?





Each year the CCG sets out a plan to tackle the areas of priority. The CCG Operational Plan for 2019/20, which is available on the CCG website, details the CCG’s corporate objectives for 2019/20 as:

• Develop the place-based care model – create a local health and care service with our partners

• Develop the quality improvement assurance framework – ensure that the services we buy are of good quality, delivered safely and perform well

• Manage the money well

• Maintain compliance with our statutory duties – work within the law

• Develop the plans for the CCG for both the here and now and the future – make sure the CCG is the best we can be

• Develop place-based partnership arrangements – work well with Dudley Council

• Lead and design the development of the Black Country STP – work with the other Black Country CCGs and providers to provide joined up health.

Our plan was developed in the context of the NHS Long Term Plan and addressed the 2019/20 national planning guidance deliverables:

• Emergency care

• Referral to Treatment Times (RTT)

• Cancer treatment

• Mental health

• Learning disabilities and autism

• Primary care and community health services

• Workforce

• Data and technology

• Personal Health Budgets and personalisation 7. A summary of Our Achievements

In addition, we set out our key priorities in relation to:

• Children, young people and families

• Maternity services

• Better Care Fund (BCF)

• Medicines optimisation

• Quality and safety

• Future commissioning arrangements

• Governance and delivery

Paul Maubach, Chief Executive “This year we have made some significant improvements in how health and care services support the people of Dudley, including”

6. Our Priorities • Providing an additional 159 hours of GP consultation time – or the equivalent of 636 extra appointments – each week, by successfully delivering extended access GP services

• Fewer wasted hospital appointments by using peer review on referrals for some specialties so that patients are seen by the right kind of doctor at the right time

• 15.5% of our population who have Type 2d diabetes received structured education within a year of diagnosis, compared to only 4.4% across the West Midlands overall, thanks to our work with Dudley Public Health to increase the numbers of health checks

• Safer and better use of medicines by rolling out our Prescription Ordering Direct service, which allows patients to have their medication reviewed over the phone and then ordered immediately

• Fewer hospital admissions from residents of the care homes most at risk, by developing a new Care Home Support Service

Areas where we performed well when compared nationally:

• Inequality in unplanned hospitalisation for chronic ambulatory care, sensitive and urgent care and sensitive conditions

• Antimicrobial resistance – appropriate prescribing of broad-spectrum antibiotics in primary care

• Cancers diagnosed at an early stage

• Mental health out-of-area placements

• Proportion of people on GP severe mental illness register receiving physical health checks

• Delayed transfers of care per 100,000 population

• Population use of hospital beds following emergency admission

• Patients waiting 18 weeks or less from referral to hospital treatment

• Patients waiting over 52 weeks for treatment

• Utilisation of the NHS e-referral service to enable choice at first routine elective referral

• Effectiveness of working relationships in the local system

Areas requiring improvement when compared nationally:

• Percentage of children aged 10-11 classified as overweight or obese

• Percentage of deaths with three or more emergency admissions in the last three months of life

• One-year survival from all cancers

• Cancer patient experience

• Ensuring the quality of mental health data submitted to NHS Digital is robust (DQMI)

• Proportion of people with a learning disability on the GP register receiving an annual health check

• Choices in maternity services

• Estimated diagnosis rate for people with dementia

• Dementia care-planning and post diagnostic support

• Percentage of patients waiting six weeks or more for a diagnostic test

• Staff engagement index

8Summary

7Summary






How you can help



2. Is it treatable?










How you can help



2. Is it treatable?





At Dudley CCG the patient and public voice plays a key part in our decision making process. We are committed to carrying out meaningful engagement and putting patients at the heart of every decision we make.

There are lots of way you can get involved in shaping health services in Dudley.

Online

Website: Visit www.dudleyccg.nhs.uk to find out about us, our commissioning plans, our Governing Body members, current consultation and engagement opportunities and to see our publication scheme, which includes details on how we spend money, how we make decisions and other key information

Social media

Social media is a great opportunity for us to listen and have conversations with the people we wish to influence. It not only allows us to make announcements (e.g. health news, service information, up-coming events), it allows people to respond to whatever we post and encourages conversation and feedback. Unlike other methods of promotion, social media encourages two way communications in real time

Follow us on Facebook and Twitter

Face to Face

Come along to one our meetings or join a group:

Patient Participation Groups (PPG)

We support all of our 43 practices to have a PPG. PPGs work with the practice to make suggestions and improvements and to offer a patient perspective. We have some great PPGs in Dudley, many are taking steps to connect the practice to the wider community and members of the community to each other. Three Villages PPG runs a very successful monthly “tea party” for local residents, The Lanes PPG support the CCG and the voluntary sector with community initiatives such as fibromyalgia support and Lower Gornal PPG also link in with their local community on a range of issues

Patient Opportunity Panel (POPs)

The POPs meeting is made up of members of our Patient Participation Groups (PPGs) from our local practices. Meetings take place every two months and we encourage each PPG to send along members to join in. The Lay Member for Patient & Public Involvement from Dudley CCG chairs the meeting, which enables feedback to go directly to Governing Body and then be fed back to the group. The POP’s members decide which issues they wish to discuss and take to the Governing Body

8. How we engage with you

In the financial year 2019-20 Dudley CCG spent £519.0m on providing NHS Healthcare for 322,273 patients spread over 43 GP practices at a cost of £1,610 per patient.;

The chart below shows how this money was spent.

7. How we spend your money

In summary, we have met our financial objectives over the last twelve months. Moving forward, financial plans for 2020/21 were constructed to make sure we meet our duties but we intend to manage our finances in a way that allows us to invest in the services outlined in our Strategic Plan over the next five years and to fully implement our new service model that will deliver long term financial sustainability in Dudley. Such plans are under review, however, as we, and the wider system, continue to respond to the COVID-19 pandemic. The longer-term impact on the financial plan for 2020/21 is unknown at the time of writing this report and will be subject to ongoing review.

You can read our full annual report and accounts on our website at: www.dudleyccg.nhs.uk

TOTAL CCG SPEND FOR 2019/20

£6,354

£9,993

£45,065

£67,611

£56,022

£333,941

£6,354

£9,993

£45,065

£67,611

£56,022

£333,941Healthcare from NHS Providers (Acute, Community & Mental Health)

Prescriptions & Drugs

Healthcare from Non NHS Bodies and Care Homes

Healthcare from GP Practices

Other Spend Including Premises and NHS 111

CCG Running Costs

Services £000’s

Total Gross Operating Expenses £518,986

10Summary

9Summary






How you can help



2. Is it treatable?










How you can help



2. Is it treatable?





We continue to work collaboratively with partners in the Black Country and West Birmingham as part of the Healthier Futures Partnership

The Healthier Futures Partnership, previously known as the Black Country and West Birmingham STP, is the collaboration between 18 organisations across Councils, NHS bodies and the voluntary and community sectors that has been established to address these challenges.

The aims of the Healthier Futures Partnership are:

a) To improve the health of our population by reducing inequalities in health outcomes and improving the quality of and access to services

b) To attract more people to work in health and care in our region through new ways of working, better career opportunities, support and the ability to balance work and home lives

c) To work together to build a sustainable health system that delivers safe, accessible care and support in the right locations, in order to get the greatest value from the money we spend.

There is much work to do in order to achieve our aims. However, progress has started, with closer collaboration already leading to stroke services having being reconfigured, pathology services consolidated to improve efficiency and turnaround times, advances made in personalised care arrangements and a new perinatal mental health community service.

We also created our Healthier Futures website, giving us an online presence to update people on our aims, projects, achievements and challenges. www.healthierfutures.co.uk

This is a summary version of our Annual Report, if you want to know more you can find our report in full on our website at www.dudleyccg.nhs.uk

Contact Us

Dudley CCG. Brierley Hill Health & Social Care Centre, Venture Way, Brierley Hill, DY5 1RU

01384 322777

[email protected]


9. Working in partnership Healthcare Forum (HCF)

Every three months we hold a public meeting called the Healthcare Forum (HCF). It is chaired by local GPs and it is an opportunity to find out more about what the CCG is up to and to share your views, opinions and experiences on what it is like to be a patient, carer or part of the community in Dudley Borough. We talk about lots of different things, depending on what the hot topics are. The meetings are friendly and relaxed and we always offer a warm ‘cuppa’ and an opportunity to meet with other people. Topics this year have included: the NHS Long Term Plan; Commissioning Intentions; updates from the development of the Multi-speciality Community Provider (MCP); self-care; and views around perceptions and expectations of acute care

Feet on the Street

The Engagement Team regularly go out and about around the borough for ‘Feet on the Street’. Our GPs set us a task or question to ask and our team get Dudley people to share their views, we simply record the views expressed and the footage then gets presented at our Governing Body meetings for debate and to be uploaded on to our YouTube channel

We use your feedback to inform and change how we do things. For more information visit the ‘Your Voice’ section of our website at www.dudleyccg.nhs.uk/get-involved

ANNUAL REPORT

2019 | 2020AND ACCOUNTS

SUMMARY

01384 322 777

[email protected]


@dudleyccg

dudleyccg

summary annual report...writing this report and will be subject to ongoing review. you can read our...

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