A newsletter for NHS Commissioners in East Surrey

In this edition

Main article
New office address
Commissioning & Qipp
Finance
Quality
SASH meeting
Dementia Case Findings
Developing supportive design for people with dementia
Medicines Management
Winter campaign and NHS 111
Time to change Surrey
Many of you will know that the CCG is about to relocate to a new space within Tandridge District Council offices. Not only will this be welcomed by CCG staff, who will be able to operate more efficiently with improved facilities in a more modern environment, it also sets the tone for a new chapter of partnership working. This move will go even further to cement relationships with the Tandridge District Council, but also the other tenants in the building including, Surrey County Council, Surrey Police and the Health and Safety Executive. This co-locating approach represents the best use of public sector estate and will allow us to integrate more effectively with local partners.
While we embrace the opportunities this move creates, we are also focusing our efforts on the challenging financial landscape we currently face. We will be looking to our member practices to share responsibility and increase efforts to gain control of our finances and we look forward to discussing this with you in more detail at the November Practice Commissioning Committee meeting.
Initiatives like the Better Care Fund, a key development designed to join up health, social care and community services, will present more opportunities for changes to the way patient services are delivered. The fund will be used to enable more care to be delivered out of hospital and either in or close to patients’ homes. The onus will ultimately shift to prevention and wellness rather than ill health.
Mark Bounds
Chief Officer, NHS East Surrey CCG

New office address

From 10 November 2014 the main contact number for the CCG will be 01883 772800 and the new address is:
NHS East Surrey CCG
The Council Offices
8 Station Road East
Oxted
Surrey
RH8 0BT

Commissioning & QIPP

We have been working with providers to develop Better Care Fund pathways and have two hot house events coming up in early November for CCG management and other stakeholders, which will inform how we use the fund in 2015/16.
We have been developing QIPP schemes for the latter part of 2014/15 and 2015/16. The Director of Commissioning, Sam Stanbridge, has been doing detailed work to understand contractual overspend and will discuss this in detail during the November PCC meeting.

Finance

The financial environment remains extremely challenging.Our QIPP plans have delivered around £3.6m to the end of September. There is an ever increasing probability that we will fall short of our target of £13m in 2014/15. At November’s PCC meeting we will be discussing with our member practices what other measures can be introduced to contribute to a reduction in the deficit position.

Quality

East Surrey are at high risk of breaching the 31 case trajectory for C diff cases for the year, with only 5 occurrences left within the remaining 7month timeframe. The C diff toolkit is due for roll out shortly with post infection review (PIR) investigations due to be undertaken. It is important for us to identify learning and share best practice to reduce risk e.g. review anti- biotic prescribing. You will receive a letter detailing cases that relate to your practice, the PIR template and will be supporting you to complete this. The CCG quality and safety group will review PIRs and share key areas of learning with practices.
SASH is using an adapted version of the Southampton antibiotic application microguide, which is available for all GPs to download on Apple and Android smartphone devices. The app provides GPs with an evidence base and pathways that are currently in place.

SASH meeting

We held our regular Clinical Executive team meeting at SASH in October, and used the opportunity to meet Chief Executive, Michael Wilson and have a tour of the hospital.


Dementia Case Findings

Latest data for East Surrey CCG
Current performance
(September 2014) / Estimated prevalence (DPC denominator)
September 2014) / Annual Number of Diagnoses required to hit 67% / Number of diagnoses
year to date
(September 2014) / Number of diagnoses still required before March 2015.
49.8% / 2440 / 1627 / 1216 / 411
CCG Monthly Improvement Trajectory to hit 67% by end March 2015
Year to date
Sept 14 / Oct 14 / Nov 14 / Dec 14 / Jan 14 / Feb 14 / Mar 14
In month diagnoses / 1216 / 42 / 63 / 63 / 83 / 83 / 83
Cumulative diagnoses / 1216 / 1258 / 1321 / 1384 / 1467 / 1550 / 1633
Percentage diagnosis / 49.8% / 52 / 54 / 57 / 60 / 64 / 67

Developing supportive design for people with dementia

To support clinical and care staff, managers and estates colleagues, The King's Fund has produced a range of resources to enable hospitals, care homes, primary care premises and specialist housing providers to become more dementia friendly.

Medicines Management

European Antibiotics Awareness Week

click the image to view a larger copy
This year’s European Antibiotics Awareness Week will be from 18th to 23rd November and your Medicines Management team is here to support you in your efforts to reduce antibiotics’ prescribing and encourage patient self-care.
Elisabeth Durodie / Debbie Bunn / LizetteHowers / Ulrike Lukas
07894 599642 / 07894 599641 / 07894 599640 / 07870 131910

Winter campaign and NHS 111

We are working with SASH on a joint media story with the objective of raising the profile of NHS 111. Work is ongoing to finalise the launch of the Health Help Now app (Right Care Right Now) and supporting marketing campaign. We have planned a broad distribution network of marketing materials across East Surrey and we are working with Crawley and Horsham CCGs to match up the signposting data that feeds the app so that residents are directed to the most appropriate service.

Time to change Surrey

Following a very successful pilot by Time to Change Surrey, a local programme of work to support the national mental health anti-stigma campaign, additional activity is being rolled out across Surrey, with support from CCGs and Surrey County Council. You can read the full evaluation report from the pilot.‘Flashpoint’ – a short play about a man’s struggle with mental illness following redundancy and other life events – is being performed at Tandridge District Council on 12th November.To attend this performance, please contact el 07824 364703.

NHS East Surrey CCG

The Officers’ Mess
Coldstream Road
Caterham Surrey
CR3 5QX
Telephone: 01883 333033
@eastsurreyccg