Agenda item

Purpose: to receive the CCGs' 2 year operational plans and assure alignment with the Health and Wellbeing Strategy.

Philip Mcnamara drew the Board’s attention to Newbury and District Clinical Commissioning Group’s (CCG) Operating Plan for 2014/16. The aim of presenting the plan was to assure the Board that it aligned with the health needs of the population and the Health and Wellbeing priorities.

The operating plan detailed a review of Newbury and District CCG’s clinical aims and also achievements for 2013. The Operating Plan detailed the health needs of the population drawn from the JSNA and took account of patients’ views and public opinion. A key “Call to Action” event had been held in November 2013 and over 60 members of the public had attended to contribute their views. The public would be continuously consulted on plans and listened to moving forward. Newbury and District CCG had identified three local priorities that reflected feedback from its patients and the public including:

·        To better identify those who were Carers in their area, so that they could provide them with support. 

·        To offer Cardiovascular Health Checks to eligible patients, in order to proactively help people to remain well and healthy. 

·        To offer nine care processes to people identified with diabetes, so that all patients diagnosed with diabetes had the samestandard of care. 

The Newbury and District CCG had worked with the three other CCGs in Berkshire West to develop a five year Strategy and vision for the Berkshire West health and social care economy, which had been endorsed by the West Berkshire Health and Wellbeing Board. Through implementing their vision Newbury and District CCG were looking to secure a number of improvements in outcomes for patients and services users by 2019:

·        A 3.2% reduction in the potential years of life lost from conditions which could be treated;

·        An increase in the proportion of patients who said they felt supported to manage their long-term condition from 78.5% to 81%;

·        A (tbc) reduction in unplanned admissions to hospital;

·        A 3.6% reduction in the number of patients reporting poor experience of inpatient care;

·        An (tbc) increase in the number of people reporting a positive experience of care outside hospital.

Philip Mcnamana reported that local aims outlined how the CCG wanted to join up mental and physical health.  Key improvement Interventions covered the urgent care system including hospital at home and the NHS 111 service, both of which required further promotion.

Philip Mcnamara reported that close working had been demonstrated when developing the Operating Plan and it reflected both guidance from NHS England and the Area Team. Philip Mcnamara stressed that the document was just in draft form at present.

Councillor Graham Pask pleaded that agencies work together to improve discharge rates and utilise the district’s greatest asset, West Berkshire Community Hospital. The access to this facility was excellent and it was hoped that the CCG would do all possible to promote its future use. Philip Mcnamara reported that this had been a key piece of feedback from both members of the public and staff.  He confirmed that they were looking to develop specific services which could be delivered from the West Berkshire Community Hospital.

Lise Llewellyn queried the aim of reducing the potential years of life lost from conditions which could be treated by 3.2% and was concerned that this figure was unrealistic. Lise Llewellyn also queried how realistic it was aiming to reduce the number of caesarean sections to less than 10%. Lise Llewellyn stated that West Berkshire was one of the healthiest places to live in the country and therefore progress was even more difficult. Philip Mcnamara reported that many of the measures were set nationally and West Berkshire was already doing well against many of them.

RESOLVED that Philip Mcnamara would look into the figures queried by Lise Llewellyn and confirm to the Board.

Rachael Wardell stressed that she did not want to see the number of targets dedicated to improving outcomes for children and young people diminish. It was often the case that adult issues dominated over those of children and young people. Rachael Wardell confirmed that she would be looking closely at objectives for children and young people.

Adrian Barker felt that the Operating Plan was full of innovative ideas that were aligned to the Health and Wellbeing Strategy. He felt however, that there was a lack of sense within the plan that it was part of a wider strategy, of which the Health and Wellbeing Board was one of the drivers. Further emphasis was required on prevention and this needed to be aligned with what others were doing in this area. Philip Mcnamara agreed and stated that steps could be taken to see what other information could be captured,  for example from GPs as well as patients.

Cathy Winfield reported that there would eventually be an appendix to the Operating Plan which showed how the document linked to the Health and Wellbeing Strategy and other documents.

Lesley Wyman stressed that there needed to be more input from the CCGs when developing the Health and Wellbeing Strategy and this is what she hoped she would see moving forward.

Dr Rupert Woolley referred to North and West Readings draft two year Operational Plan and stated that there was much overlap with Newbury and District CCGs operating plan. The prioritise were slightly different in that they included diabetic services, end of life care, improved communications between GPs and West Call (the Out of Hours GP service) and finally the health of those living with long term conditions. Rupert Woolley reported that other areas, in particular urgent care overlapped with the Newbury and District area.

Councillor Graham Pask noted that one area that had not been mentioned was elderly dental services. It was felt that this was an area which was often forgotten however, had great repercussions.

RESOLVED that Jan Fowler would bring a report to a future Board meeting  regarding the Dental Review.