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‘Corby and Nene CCGs working together for Northamptonshire’
The Northamptonshire CCGs
Transition Programme
NHS Commissioning
‘Corby and Nene CCGs working together for Northamptonshire’
NHS Clinical Commissioning Groups (CCGs) established by Government legislation in 2013
Commissioning:
Planning services which meet the health needs of the local population
Putting those services in place and paying for them
Monitoring their quality, performance and impact
Clinically led:
All GP practices are members of the CCG covering their area
GP representatives on Governing Bodies
(the most senior CCG decision-makers)
Current Position
‘Corby and Nene CCGs working together for Northamptonshire’
NHS Corby CCG
5 member practices Serving 80,000 people Annual commissioning budget of £117m
NHS Nene CCG
66 member practices Serving 693,000 people Annual commissioning budget of £850m
The Proposal
‘Corby and Nene CCGs working together for Northamptonshire’
To disestablish the two existing CCGs and create one new one – a single efficient and effective county-wide CCG, for the people of Northamptonshire.
We want to hear your views
Nene CCG
Corby CCG
Northamptonshire CCG
Reasons for Change
‘Corby and Nene CCGs working together for Northamptonshire’
Key Drivers
Build upon existing joint/ collaborative arrangements
Remove duplication and reduce organisational
inefficiencies
More effectively enable sustainable
and affordable services at the same time as ensuring high
quality standards
Take a consistent and equitable approach to commissioning across
the county
Alignment to NHS Long Term Plan: “every Integrated Care
System (ICS) will need to streamline commissioning arrangements to enable a
single set of commissioning decisions at a system level…
that will typically involve a single CCG for each ICS area”.
More effectively respond to our stakeholder
feedback
Potential Priorities
Priorities of the proposed new organisation:
‘Corby and Nene CCGs working together for Northamptonshire’
Remain a clinically led and managerially supported membership organisation
Enable the development of an Integrated Care System
Reduce variation in services
Strengthen delivery of improved quality of patient care and experience
Improve the way we plan and commission services
Reduce health inequalities
Are there any others you think we should add?
Achieving the Priorities
‘Corby and Nene CCGs working together for Northamptonshire’
Are there any other ways we should achieve our agreed priorities?
A strong, consistent and credible voice in the Northants Health and Care Partnership (NCHP)
The capability and leadership to be effective strategic commissioners
Equitable access to high quality services county-wide
Strong and effective relationships with our population, members and partners
Ensuring the best use of resources
Sharing best practice
Moving towards further commissioning reform with social care
Northamptonshire Health & Care Partnership
The priorities of a potential single CCG support NHCP priorities:
We will work together with all local health and care partners to make sure our strategies are aligned
We will ensure our partnership work is always aligned with ongoing national priorities, including the new GP contract and NHS long Term Plan
And our shared transformation priorities:
Care in your area (primary, community and social care)
How we plan, buy and monitor services (strategic commissioning)
Our hospitals working more closely together (unified acute model)
Urgent and emergency care
‘Corby and Nene CCGs working together for Northamptonshire’
“collective commitment to work together, with input from our community and staff, to transform the future care in our county.”
Through the NHCP there is a:
Learn From the Past
‘Corby and Nene CCGs working together for Northamptonshire’
Learn from Good Practice
• Financial management
• Regulatory compliance
• Pockets of membership engagement
• System collaboration
Opportunity to Improve
• Strategy and Planning
• Transformation
• Stakeholder engagement
• Responding and acting upon feedback
A single Northamptonshire CCG should take learning from the 2 existing CCGs, build on good practice and proactively develop the areas requiring improvement.
‘Corby and Nene CCGs working together for Northamptonshire’
The Bigger Picture
This is the national direction of travel
14 areas looking to create a single CCG from April 2020, including:
Northamptonshire Nottinghamshire Staffordshire Coventry and Warwick Hereford and Worcester
12 more areas in 2021, including:
Black Country
Leicestershire
Lincolnshire
Shropshire
Telford
What we are Doing Together Already
We already work together on the following areas:
With Public Health to tackle health inequalities
Redesign clinical pathways to improve patient outcomes
Monitor the quality and safety of clinical services
Developed the online portal to make sure that all of our GP practices have up to date information about clinical guidelines and referral forms
Recruited international GPs for the county
Formed countywide Strategic Safeguarding Partnership
Joint CEO, CFO and management teams already in place
‘Corby and Nene CCGs working together for Northamptonshire’
‘Corby and Nene CCGs working together for Northamptonshire’
New Structure
1 Governing Body
‘Corby and Nene CCGs working together for Northamptonshire’
Staying Local
16 Primary Care Networks Groups of practices providing
local services together
Localities The CCG working and engaging in
different areas with GPs, patients and public
CCG Governing Body To include 4 local GP reps
71 member GP practices
Tackling inequalities
Reducing variation
Better engagement
Improved planning
The Process
‘Corby and Nene CCGs working together for Northamptonshire’
Nov 18
Jan 19
Apr 19
May 19
Jun 19
Oct 19
Mar 20
Joint/common governance meetings established Substantive Joint CEO appointed
Single Northamptonshire CCG established
1st April 2020
Governing Bodies support initial proposal to consider establishment of a single CCG
Full joint/ in common meetings established Single Executive Director Team consultation started
Early engagement with members and stakeholders
Spring 2019: Executive team established
Summer 2019: Further engagement following early feedback
NHS England recommendation in principle
Transition and resolution of conditions for authorisation
July 19
Aug 19
Seeking practice support
‘Corby and Nene CCGs working together for Northamptonshire’
Do you support the direction of travel?
Do you have any concerns?
Would you add any further priorities for a Northamptonshire CCG?
Is there anything else you think the CCGs should consider when discussing future arrangements for commissioning?
What Do You Think?