Annual General Meeting and Listening Event, 2014 Welcome !

1. Annual General Meeting and Listening Event, 2014 Welcome!

2. Review of the year 2013/14 Dr William Tong Chairman

3. A Year of Firsts • Authorised without conditions • First meetings in public • First Annual Report • First year of assurance by NHS England Area Team • First new services commissioned as a CCG

4. Primary Care Led • Opened 7 April • Great community engagement and feedback from Day 1 • Key enabler to 7 day working in primary care • Innovative fracture pathways to 3 acute trusts • New provider in the market • Enabler for new ambulatory care pathways • Support for new falls services – prevention and intervention • Children’s evening clinic in place • Co-located with GP Out of Hours service

5. Integrated Care Teams • Three clusters involving all B&A practices • North Bracknell • South Bracknell • Ascot • Over 340 people have a multi-agency care plan already • More investment this year to increase mental health, social work and community matron capacity

6. Musculo-skeletal ICATs and physiotherapy • Following the learning from a pilot service, the contract for a new ICATs was tendered this year • The contract was awarded to Healthshare • New service started from Healthspace in July 2014 • Early signs are that more people are being helped to resolve musculo-skeletal problems without the need for surgery • Community physiotherapy has been transformed and a new contract awarded to BHFT • A new knee clinic is also being trialled, in Ascot, which offers people an alternative to knee replacement surgery for those who would prefer this

7. We have taken many opportunities to talk and listen.. • Patient assembly • Community forum • Carers conference • GP Council • System leaders • Health and Wellbeing Boards • Retirement Fair • Health promotion talks • Self care week • …. And much more!

8. What’s next?? • Urgent care centre expansion of pathways • An explosion in prevention and self-care • Better care fund plans for further integration • Primary care ‘co-commissioning’ and transformation • Specialist commissioning • What would you like to see????

9. Today’s workshops • You have the chance to participate in all three workshop discussions as each one will run three times • Urgent Care • Primary Care • Prevention and Self-care • And if there is anything else you would like to add – stick it on the graffiti wall or catch one of us during the afternoon

10. Financial Performance 2013-14 Nigel Foster Chief Finance Officer

11. In 2013-14 we spent… £130m That’s… £955 per person a year £356,000 per day £255 per minute

12. Where does £955 / person go?

13. £510 / head - Acute Hospitals & Ambulance £213 (42%) Frimley Park £132 (26%) Heatherwood & Wexham Park £81 (16%) Royal Berks • OR (across all providers) • 38,000 A&E attendances • 108,000 outpatient appts • 11,400 non-emergency • admissions • 10,700 emergency • admissions

14. £28 / head - Ambulance • 17,850 calls to South Central Ambulance • 13,600 “blue light” responses • 8,100 convey to hospital • 34,000 calls to 111

15. £125 / head - Primary Care • £117 /hd prescribing (£15.9m pa) • 1.6 million prescription items ie 12 per person pa • Range in cost from 37p to £3000

16. …and some other examples • £55 /hd(£7.5m) on nursing home places or other packages of care in patients homes • £99 /hd (£14m) on community health • 42,000 district nursing visits • 1,000 diabetic appointments • 5,750 speech & language therapy appointments • £23 /hd(£3m) on CCG running costs • 2% of total spend

17. CCG financial responsibilities Financial duties…. • Revenue Resource Limit Achieved Surplus of £3.9m (3%) • Cash Limit Achieved • Unqualified audit report • Unqualified regularity opinion • Unqualified “value for money” opinion

18. Listening Exercise and workshops • Urgent Care • Primary Care • Prevention and Self-care

19. Primary Care Transformation

20. Workshop Feedback

21. Thank you for attending !