Transforming
your local
NHS:
Our year in review
July 2016
Our vision:
“Everyone should have the
support they need to live the
life they want, take control
of their health and be as
independent as possible
throughout their lives...”
We are responsible for developing, planning and purchasing your health services in
Fareham and Gosport. We think that everyone should have the support they need to
live the life they want, take control of their health and be as independent as possible
throughout their lives. With this in mind, here are the things we think are really
important and they form the priorities in our five year strategy:
1
2
3
4
5
Staying healthy and preventing ill health: this is about giving everybody
the best chance in life, supported by services of consistent quality
wherever they are. It is fundamental to our vision.
Integrated care outside hospital: we will ensure that people who are the
most vulnerable are supported by a team of experts from across the NHS,
who can give them the joined-up care they need.
Urgent and emergency care: our aim is to deliver this care in the right
place at the right time, and to manage and meet demand as required.
Improving elective care: we will commission consistently high quality
services so that when you need an operation or a planned course of
treatment you'll know that it's being provided to your requirements, in the
best possible way, to ensure the best possible outcome.
Improving quality and reducing variation: we will eliminate variable
standards and ensure consistency in the quality of services across all care
providers. It should not matter where you go, the care you receive should
be of the same high standard wherever and whoever you are.
This document gives you a flavour of what we have been doing over the past 12
months to meet these priorities and highlights some of our plans for the year ahead.
The NHS locally has experienced a number of challenges over the past year and we
know that people are concerned about the way urgent care is provided in the area,
that you want to see a GP quickly and easily when you need to, and that care closer
to home is something many would support. These are important considerations for
us too, as is our financial position locally, and this document highlights the work we
are doing to make improvements to the way local health services are provided.
What
you’ve
been
telling us
We are grateful to everyone who has taken the time to comment on
local health services over the past year. People in Gosport, for
instance, told us their views on primary care services - that they
were happy to be seen by a healthcare professional other than their
own GP (including a pharmacist where appropriate) and would be
prepared to travel to somewhere other than their own GP practice, if
need be, which helped us to plan a new same-day access service.
Meanwhile, through a series of focus groups, people with long term conditions have
been engaging with us over improvements they would like to see to the way they are
supported to manage their care more effectively. We also worked with South Eastern
Hampshire CCG to seek the views of local people about how care could best be
organised in the community to support more patients being cared for at home.
Results from this feedback will be shared with local GPs to help them plan effective
community care for people in the area.
Delivering care to the
required standards
We know that services for local people have
been improving throughout the year, and
this has contributed to delivering high and
improved standards of care, such as:
Looking
back:
the past 12 months
• 94% of outpatients received treatment in
less than 18 weeks from initial referral;
• 98% of patients requiring diagnostic tests
have been seen within six weeks;
• Most people with suspected cancer have
been seen very quickly.
But there are some areas, too, where we
know performance can and needs to
improve. In particular A&E waiting times
but we also need to: work with the South
Central Ambulance Service to improve
ambulance response times in certain areas;
ensure people have faster access to
psychological therapies when they need
them; and some of our referral to
treatment times, which have strayed
beyond the 18 week target time, must also
be addressed. Plans are in place to tackle all
of these and we expect improvements over
the next few months.
Focus remains on using Fareham
Community Hospital to full capacity
2015/16
We are part of a ‘task force’ that is seeking to make best use of
the modern facilities at Fareham Community Hospital. It was
recently awarded ‘dementia friendly’ status and, with help from
Fareham MP, Suella Fernandes, NHS and voluntary organisations
are meeting regularly to plan how the building can be best
utilised in future, particularly in supporting our initiatives to
support more care closer to home. A Carers’ Hub and dementia
advisory service have been popular recent additions.
Our focus on improving urgent care
for local people
Plan for care closer to
home to benefit patients
We want to transform the way care is provided
locally over the next few years, bringing more
services away from hospitals and closer to
home, and we are part of a ‘Better Local Care’
scheme which is driving this aim forward.
An early success from this scheme is the sameday access centre at Gosport War Memorial
Hospital, which makes it easier for people to
see a GP, nurse or other health professional on
the day they make contact. Four GP practices
are currently running the scheme, but it may
be expanded to cover a wider range of
surgeries if it continues to succeed.
Surgery Signposters is another new initiative,
run with the help of volunteers, who have a
crucial role in ensuring that people in Gosport
don’t miss out on all of the help and support
available locally. They can put you in touch
with voluntary and community services which
meet your specific needs. This service, run by
Gosport Voluntary Action from the Waterside
Medical Centre and funded by the CCG, has
also recently become available in Fareham.
There are more new models of care to come,
with Better Local Care now launching in
Fareham, as we seek to ensure that you can
get the NHS help you need, when and where
you need it.
In the year ahead we’ll be working closely with partners to
ensure urgent care services in the area improve, particularly how
quickly people are seen if they have to go to A&E at QA Hospital.
The Care Quality Commission’s report from its inspection visit
earlier this year revealed serious concerns about A&E care and a
great deal of work still needs to be done to provide patients with
the services they want and should expect. Staff in A&E are
working extremely hard, under enormous pressure, and it is
important that their huge efforts are recognised. Portsmouth
Hospitals NHS Trust needs to be supported to make the
necessary improvements to better manage the demands being
placed upon the service.
All parts of the local NHS – including teams working elsewhere in
QA, as well as in community settings – will have a part to play in
giving patients better emergency care, and everyone is
committed to making the changes we all need to see over the
next few months.
Looking
forward
:
the year ahead
Year ahead will present challenges
We have had a tough year financially and are one of the 20
lowest-funded CCGs in the country. Last year we made a
deficit of £4m which is around 1.5% of our overall budget.
This is money which will need to be reclaimed from our
allocation for 2016/17 and that means we will have a very
testing financial plan to deliver.
This will be happening against a backdrop of needing to
resolve issues with urgent care services across the area and
greater demand for other services – such as those provided
by your GP or local surgery.
So, implementing new models of care will be an important
priority for us as we seek to reshape the way services are
provided in future, with much more emphasis placed on care
that can be delivered away from traditional hospital settings.
2016/17
fact that we finished the year with a £4m deficit means that we were
The CCG in numbers – Theunable
to meet all our statutory financial duties in 2015/16. As a result
financial challenges to overcome in 2016/17. If you want
a few facts and figures we have more
to see our annual accounts they are available on our website.
The amount we spent, overall, on health
services last year in Fareham/Gosport
£254m
£696,000
What we spend every day on healthcare in
Fareham/Gosport
£18.20
The annual cost, per resident, of running the
CCG as an organisation
£1,145
The average amount we spend on
healthcare, per person per year
99%
Patients recommending maternity care at Portsmouth
Hospitals to their friends/family
95%
Breast cancer referrals seen in under 2 weeks
97%
Cancer patients seen within 14 days of referral by their GP
Patients who rated as ‘good’ their most recent experience of
treatment at their Fareham or Gosport GP surgery
81%
If you would like to get in touch…
This leaflet provides you
with a short summary of
our activity over the
past 12 months and
some of our priorities
over the year ahead.
If you want to view our
annual report, operating
plan or five year strategy
they are all available on
our website (see panel
opposite) where you can
also download this
handy guide to local
urgent care services.
We value your views on your local NHS. We particularly welcome comments about all
patient services, as these help us to monitor the quality of the services we commission and
to make improvements. If you are interested in getting involved in helping us plan, develop
and deliver NHS services in the Fareham/Gosport area why not join a Patient Participation
Group through your GP surgery. Details are on our website.
You can contact us through our website
www.farehamandgosportccg.nhs.uk
or by emailing us at
[email protected]
You can also follow us on Twitter
@NHSFGCCG
Fareham and Gosport Clinical Commissioning Group
CommCen Building, Fort Southwick, James Callaghan Drive, Fareham, PO17 6AR
You can request this information from us in the following versions:
Translated
Large print
Braille