(Presentation given at 2014 League of Friends Annual General Meeting)

The Surrey Downs CCG’s Commissioning Plans and Priorities 2014/15

Dr Simon Williams

Dr Williams is the Chair of the Mid Surrey Locality and Governing Body member of the CCG.

The CCG is one of six clinical commissioning groups in Surrey and has a budget of over Ł300 million to buy healthcare for just over 296,000 people in the Epsom and Ewell, Mole Valley, Banstead and east Elmbridge area. The CCG’s do not commission core services from GP practices, pharmacies, opticians and dental practices; nor do they commission very specialist care – this being done by NHS England.

The CCG has set a series of standards for their commissioning plans and priorities to ensure high quality outcomes for patients. The current priorities are:-

• Maximise integration of community and primary care services, with a focus on frail older people and those with long-term conditions (including improvement of X-ray services with the help of LoF’s).

• Provide care closer to home and increase choice for patients.

• improve access to urgent care services (including revision of ‘out of hours’ service).

• Improve support for patients who need end of life care (introduction of electronic personal records for those in last year of life to ensure that they get their preferred care package).

• Raise the standards in children’s and maternity care.

• Improve patient experience particularly in mental health and learning disabilities, making sure people don’t suffer inequalities.

The CCG believes that their commissioning plans will improve care and health outcomes for the local population, and for patients it means that:

• We will commission high quality services that meet national standards

• Where there are opportunities to improve the quality of services we will work with hospital and community providers to redesign and improve patient’s journeys.

• Care will be more joined up and better co-ordinated with partner agencies working more closely together.

• Investment in primary care and community services will ensure the right care in the right place, reduce unnecessary admissions and readmissions, reduce length of stay in hospital and improve discharge processes.

• We will support people to manage their health conditions at home and promote independent living by providing more support in the community.

• Where savings need to be made we will focus on redesigning clinical pathways and improving care, involving local people as we go.

In response to questions, Dr Williams went on to say:

• The CCG has no desire to reduce the importance of Leatherhead Hospital, which will continue to feature significantly, and is likely to be an important hub.

• Patient referrals to remote hospitals such as St Georges were recognised as creating difficult transport problems particularly for older people, the whole area of patient transport services were being looked at by the Epsom Transformation Board. In most cases there was patient choice, but many referrals are onward referrals because a specialist service cannot be supplied locally.

• The electronic register system for those in the last year of life is already up and running.