Agenda item

(To receive a report from each of the four CCG's, which ask the Board to review commissioning intentions/operational plans for 2016/17 against the priorities in the Joint Health and Wellbeing Strategy)

The Board received an update from each of the four Clinical Commissioning Groups on their commissioning intentions/operational plans for 2016/17 against the priorities in the Joint Health and Wellbeing Strategy.

South Lincolnshire Clinical Commissioning Group

Consideration was given to a report from Dr Kevin Hill on behalf of South Lincolnshire CCG which provided the Board with the 2016/17 Operational Plan for South Lincolnshire CCG.

The Board were advised that the Diabetes Prevention Plan had been a key focus for the CCG and confirmed that all six Clinical Commissioning Groups in Lincolnshire had signed up to the plan which targeted high risk patients. 

The Board were advised that the CCG continued to focus on:-

·       Mental Health;

·       End of Life Care;

·       Proactive Care;

·       Neighbourhood Working;

·       More Services at Local GP Practices;

·       Care Closer to Home;

·       Cancer Services; and

·       Dementia Care

During discussion, the Board made reference to:-

·       Page 34 of the agenda pack referred to commissioning of Home Start services for under 5's and the integration of partners working together and how successful this had been.  It was confirmed that Health Visitors had reached the trajectory but there were no future plans to increase the numbers further;

·       The Board requested a list of acronyms to assist members with their consideration of future reports;

·       It was suggested that only one district council had been invited to complete an online survey which appeared to be a discrepancy in the level of engagement across the county.  It was confirmed, however, that the intention was for all district councils to be invited to participate in the consultation process in relation to the Diabetes Prevention Plan and that these invitations were to have been issued by the respective CCGs.  Dr Hill advised that he would contact his colleagues across the Clinical Commissioning Groups to ensure that the consultation information had been sent to all district councils as expected; and

·       Commissioning Plans were currently in draft form awaiting approval from NHS England.  It was acknowledged that the system was fluid which made the document difficult to follow on paper.

Lincolnshire West Clinical Commissioning Group

Consideration was given to a report from Dr Sunil Hindocha on behalf of Lincolnshire West CCG which provided the Board with the CCGs Plan on a Page 2016/17.

The Board were advised that there was an opportunity for better prescribing costs as noted on page 48 of the report.  Page 53 of the report provided the Board with future models of the CCG which would become population based services rather than residents accessing a number of different organisations for care.  It was also confirmed that district councils had formed a key part of the consultation process.

The Board were advised that the CCG continued to focus on:-

·       Integrated Diabetes Care;

·       Cardio Vascular Disease;

·       Mental Health;

·       Prescribing;

·       Primary Care Strategy Implementation;

·       Improved Cancer Standards;

·       Childhood obesity; and

·       Diabetes.

During discussion, the following point was noted:-

·       Clarification was requested on page 53 of the report which made reference to Community Children's Services.  It was explained that the whole community base would be reviewed to improve joint working and this would also include children's services and the links between health visitors, Surestart and other relevant organisations.

Lincolnshire East Clinical Commissioning Group

Consideration was given to a report from Dr Peter Holmes on behalf of Lincolnshire East CCG which provided the Board with details of the Operational Plan for 2016/17.

The Board were advised that the CCG continued to focus on:-

·       The progress made in dementia and the replication of this in frailty;

·       Musculoskeletal services;

·       Diabetes Prevention;

·       Prescribing;

·       Cardiology services; and

·       Development of a portal which would link various data systems in order to present a temporary viewpoint of patient records in one pace.  This would give all service providers the ability to look at all information systems which was intended to streamline services and improve patient care.

South West Lincolnshire Clinical Commissioning Group

Consideration was given to a report from Allan Kitt on behalf of South West Lincolnshire CCG which provided the Board with the Draft 1 Operational Plan outlining the key priorities for 2016/17.

The Board were advised that countywide work continued. Closer working with Lincolnshire County Council in relation to learning difficulties was looking at the possibility of breaking the dependence on hospital places and providing services closer to home whilst delivering the basics and ensuring that access to services is not extensively delayed. 

The Board were advised that the CCG continued to focus on:-

·       Urgent Care;

·       Primary Care;

·       Cancer Services;

·       Planned Care;

·       Mental Health, Learning Disabilities;

·       End of Life Care; and

·       Proactive Care

During discussion, the following points were noted:-

·       It was envisaged that a step change in the provision of community services would improve patient choice by enabling providers to work together with all CCGs to provide a range of community based services.  As an example, within the dermatology service, was given whereby photographs could be taken on an ipad/ipod and sent electronically to a dermatologist who would then confirm if a referral was required;

·       It was acknowledged that one of the main reasons why it was not possible for patients to be discharged from hospital was due to the lack of appropriate accommodation once discharged.  It was stressed that this was a key area which required joined up working with relevant partners to ensure that patients could be safely discharged from hospital.

The Chairman thanked the four CCGs for the updates.

RESOLVED

          That the updates on the Clinical Commissioning Groups Commissioning/Operational Plans, as presented, be noted.