PATIENT PROSPECTUS NHS ASHFORD CCG - PATIENT PROSPECTUS 1

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1 PATIENT PROSPECTUS NHS ASHFORD CCG - PATIENT PROSPECTUS 1

2 Introduction This booklet is about NHS Ashford Clinical Commissioning Group (CCG), which now buys most healthcare for people in this area. It talks about the CCG s priorities, how it plans to spend its money, and how local people can have their say on health services. For further information, and to look at the CCG s Commissioning Plan and Financial Plan, visit: NHS Ashford Clinical Commissioning Group (CCG) plans and pays for NHS health services for the people of Ashford and surrounding area. There are 15 GP practices in our area and I chair the governing body that plans, secures and monitors healthcare services in Ashford on behalf of the member practices /14 will be the first year in which NHS Ashford CCG has operated as an authorised, statutory commissioning body. We are committed to making NHS Ashford CCG a healthcare partnership to be proud of and our ambition is to improve the health and wellbeing of Ashford residents. To do this we will work closely with other organisations, such as NHS England, Ashford Borough Council and Kent County Council s Health and Wellbeing Board. You, our patients, are at the heart of everything we do so it is really important to us that we understand and learn from your healthcare experiences. Your thoughts and needs are integral to shaping our plans and to help us make sure we provide you with the best possible experience of the NHS. Dr Navin Kumta Chair of NHS Ashford CCG 2 NHS ASHFORD CCG - PATIENT PROSPECTUS NHS ASHFORD CCG - PATIENT PROSPECTUS 3

3 The local picture Ashford CCG working for the people of Ashford and surrounding areas What is a Clinical Commissioning Group (CCG)? CCGs are statutory NHS organisations made up of general practices (doctors surgeries) from a local area. They are responsible for buying and planning most healthcare services for patients in an area. These include, but are not limited to: emergency care, planned hospital care, community health services, maternity care, children s healthcare and mental health services. Each CCG has a governing body which is made up of elected clinicians and lay members who run the CCG on behalf of general practices. The people on NHS Ashford governing body are responsible to the GP practices for doing a good job of planning the healthcare services Ashford patients require, securing the most appropriate services and checking that they are delivered well. In Ashford we have 124,968 patients who are registered with one of the 15 GP practices in the area. We have an annual commissioning budget of 130 million to deliver healthcare services to these people that equates to around 1,076 per person. Compared to the national average, residents of Ashford currently benefit from relatively good health outcomes and above average life expectancy. Compared to the rest of England, Ashford has a higher than average population between the ages of 5 to 14, 40 to 49 and 60 to 69. While we are proud of the current health outcomes, we recognise we need to work hard to maintain the good health of local residents and provide for a growing 65+ population. More generally, the town of Ashford is set to double in size over the next 25 years. As new housing developments emerge, we will work with Ashford Borough Council to ensure that these new populations benefit from high quality, local integrated health and social care services. 4 NHS ASHFORD CCG - PATIENT PROSPECTUS NHS ASHFORD CCG - PATIENT PROSPECTUS 5

4 What you can expect NHS Ashford CCG is striving to be a Healthcare Partnership to be proud of. We are committed to improving the health and well-being of the population of Ashford and aim to do this by working closely with GPs, patients, Ashford Borough Council, Public Health and other key stakeholders. Listen We will listen to patients, be responsive and ensure their thoughts and needs shape the CCG s commissioning decisions. We will strive to ensure all patients have the best possible experience of the NHS. Collaborate Be open to change As the needs of patients change and new treatments develop we will strive to make sure we always commission high-quality and value-for-money services. Best healthcare is delivered when working together clinicians, patients, stakeholders and all sections of the community. The Group will work as one with its stakeholders within the area and partner clinical commissioning goups across the East Kent Federation so that we become recognised as a confident organisation that listens, learns and delivers. Be realistic about the challenge ahead We know that with the increasing demands on services we need to deliver sustainable services within the limits of our financial resources. We will be open and honest with all our patients and stakeholders and work closely with them to prioritise commissioning decisions. We will, as a minimum, honour the patient rights set out in the NHS Constitution. These include the right to choose a hospital, to be treated within the maximum waiting times, to be treated with dignity and respect, and for any complaints to be investigated properly. The chief nurse, the governing body and the quality and safety sub-committee will work towards ensuring that the services the CCG commissions are safe, clinically effective and provide an excellent experience for our patients. In commissioning and performance managing providers, we take a vigilant, zerotolerance approach to the quality and safety of all our commissioned services. We encourage our patients to recognise their responsibilities for their own health, including taking steps to maintain their good health and wellbeing, registering with a GP practice, following courses of treatment they have agreed to, treating NHS staff and other patients with respect, keeping appointments (or cancelling in good time) and giving feedback about treatment in our services. 6 NHS ASHFORD CCG - PATIENT PROSPECTUS NHS ASHFORD CCG - PATIENT PROSPECTUS 7

5 Where we started 130m The total budget to spend on Ashford health services is 130 million. The vast majority of this money is likely to be spent on care provided in an acute setting (e.g. hospitals). To achieve our ambition (improving health and well-being), we recognise that this proportion must reduce while spending on care closer to home must increase. What we are responsible for buying: Urgent and emergency care (including NHS 111, A&E and ambulance services) Out-of-hours GP services Planned hospital care Community health services (such as rehabilitation services, speech and language therapy, continence services, wheelchair services, and home oxygen services) Rehabilitation services Maternity and newborn services (excluding neonatal intensive care) Children s healthcare services (mental and physical health) Services for people with learning disabilities Mental health services (including psychological therapies) NHS continuing healthcare Infertility services. 45% Local hospital services 14% Other contracts 13% Prescribing 11% Community services 8% Mental health commissioning 4% Continuing care placements 3% Ambulance and patient transport 2% Independent sector Note: Other services, such as specialised care and primary care, are paid for by NHS England, while Kent County Council commissions public health services, such as sexual health, stop smoking and healthy weight programmes. 8 NHS ASHFORD CCG - PATIENT PROSPECTUS NHS ASHFORD CCG - PATIENT PROSPECTUS 9

6 Our priorities and the future The healthcare priorities for Ashford in 2013/14 have been developed in consultation with local residents. They are also informed by the Joint Strategic Needs Assessment (JSNA) produced by Kent County Council s Health and Wellbeing Board, and national policy. In addition, we also want to: Maintain the health status of the population Reduce health inequalities across wards Maintain clinical effectiveness Priority 1 Maintain Health Status The CCG s health priorities are in line with the NHS Outcomes Framework and include: Preventing people from dying prematurely Enhancing quality of life for people with long-term conditions Helping people to recover from episodes of ill health or following injury Ensuring that people have a positive experience of care Treating and caring for people in a safe environment and protecting them from avoidable harm Our priorities also dovetail with the Kent Health and Wellbeing strategy, and we aim to ensure: Every child has the best start in life People take greater responsibility for their own health The quality of life for those with long-term conditions is improved with quality care and support Those with mental ill health are supported to live well People with dementia are assessed and treated earlier Geriatrician Project We piloted support from a geriatrician (a consultant for older people s medical care) to care homes and GP practices to see if this resulted in more people being looked after in their home or the care home where they live, rather than needing to be taken to A&E. The pilot has resulted in: 50 per cent reduction in urgent care transfers and subsequent admissions 5 per cent reduction in readmissions Increased partnership working between care homes and integrated health and social care teams Increased awareness within care homes of CCG priorities for improving care The CCG is continuing the service to support: Care homes new admissions and complex cases GP access to assessment Patients identified as a result of risk stratification (assessment) 10 NHS ASHFORD CCG - PATIENT PROSPECTUS NHS ASHFORD CCG - PATIENT PROSPECTUS 11

7 Priority 2 Reduce Health Inequalities Smoking in Pregnancy Locally, in 2011/12, around 22 per cent of women at their first antenatal booking were recorded as being a smoker but only around 40 per cent of them were referred to the smoking cessation service. We are working with our midwives to improve this rate of referral so that our smoking cessation services can better assist mothers-to-be to quit. Breastfeeding Significant local improvements have been made in increasing breastfeeding rates over the last five years. Rates of starting breastfeeding have improved to 73 per cent, an improvement of around 5 per cent. But the improvement has flattened out. Also, the number of mothers still breastfeeding after six weeks is less than 40 per cent. We recognise that breastfeeding is influenced by a range of factors and we are working with our midwives and health visitors to see how we can better support mothers. Priority 3 Maintain Clinical Effectiveness Integrated health and social care Currently many services are fragmented between different parts of the NHS, social care and the voluntary sector. We want to see services coming together to work in a more joined-up way, which will enable them to provide more effective support to our residents. It will also mean services offer a personalised approach to care which will lead to: Fewer hospital admissions Safe early discharge from hospital for patients where admission has been necessary Overcome fragmentation in the delivery of health and social care, providing a better experience for patients and carers. 12 NHS ASHFORD CCG - PATIENT PROSPECTUS NHS ASHFORD CCG - PATIENT PROSPECTUS 13

8 Priority 4 - Dementia As people live longer, the number of people with dementia is on the increase. In Ashford there are 583 people diagnosed with dementia, but we believe only 43 per cent of people in the Ashford area with the disease have been diagnosed. NHS organisations across Kent and Medway have received 1.2 million of government funding to support work on dementia. In the Ashford area we are working on a number of initiatives to help improve the tools available to GPs to make diagnosing dementia easier. We will also work in partnership with Kent County Council, Ashford Borough Council, charities and voluntary organisations to support people with dementia and their carers. Changes are also being made to the environment in hospitals, to make them more dementia-friendly. Big picture The NHS across the country has seen significant pressure recently on emergency and urgent care, particularly in A&Es. There are complex reasons for this. While it is important that people who require, or think they require, urgent care, advice, treatment or diagnosis are able to get it, we want to see more patients given support sooner to keep them well, so they don t need to go to A&E. With our colleagues in east Kent, we have agreed a new approach to this kind of care. We are going to bring in primary, community, voluntary and social care services that, wherever possible, prevent patients with long term conditions deteriorating. This will mean fewer people go into crisis, needing urgent and emergency services. This is important because once people with complex long-term health conditions are admitted to hospital urgently, they sometimes end up staying longer than is ideal, particularly if they need a range of support when they go home. We want to help people to get the right care at the right time so they have the best possible experience of care. 14 NHS ASHFORD CCG - PATIENT PROSPECTUS NHS ASHFORD CCG - PATIENT PROSPECTUS 15

9 How you can have your say Listening and learning We are committed to listening and learning from our patients. Your feedback is an essential part of making sure everyone can get the best healthcare service possible in the NHS Ashford CCG area. NHS Ashford CCG has a dedicated website at where further information about us, our plans, healthcare services and how you can get involved or have your say is regularly updated. Some of the ways you can have your say include: Patient Participation Group (PPGs) Every GP surgery in our area has a PPG which patients can join. We meet with the groups on a regular basis to listen to the views and concerns of patients. A PPG representative from each practice also attends the Ashford Patient Participation Group, which meets to discuss CCG plans. A PPG representative also attends the CCG s Governing Body meeting (in a non-voting capacity). Stakeholder events - We run events for residents to come and tell us what they think about healthcare services in the Ashford area. Ashford Health Network A virtual group of patients, members of the public and voluntary organisations who help make decisions about local health services. Governing Body meetings We hold monthly governing body meetings which members of the public can come along to and observe. We will make time for members of the public to ask questions at some point during the meeting. For event details visit the website: 16 NHS ASHFORD CCG - PATIENT PROSPECTUS NHS ASHFORD CCG - PATIENT PROSPECTUS 17

10 If you have a comment, complaint or compliment about the care you or a relative have received, please contact the organisation which provided the care, whether it is a GP practice, hospital, mental health trust or other organisation. Comments, complaints, compliments If you have a comment, complaint or compliment to make about NHS Ashford CCG please get in touch: Telephone (Monday to Friday, 8.30am to 5pm) complaints.kmcs@nhs.net Address KMCS, Complaints Team, Kent House, 81 Station Road, Ashford, TN23 1PP My role on the governing body is to make sure that both the patient and public s views are listened to by the CCG. It is through the CCG that GPs and other healthcare professionals will be responsible for commissioning most services to meet their patients needs. The feedback helps us plan a dynamic bottom up approach to healthcare commissioning where the public and patients at the local level are genuine stakeholders in the decision making process. Please contact your local GP practice where there will be an active Patient Participation Group, the first step to getting involved. Martin Harvey Governing Body Representative for Patient and Public Participation and Engagement martinharvey1@nhs.net 18 NHS ASHFORD CCG - PATIENT PROSPECTUS NHS ASHFORD CCG - PATIENT PROSPECTUS 19

11 NHS Ashford Clinical Commissioning Group Inca House Trinity Road Ashford Kent, TN25 4AB Website: Phone: