Clinical Commissioning Group (CCG) engagement – a view from CCGs on what they need to deliver and how

Dr Amir HannanGP, Haughton Thornley Medical Centres, www.htmc.co.ukLong Term Conditions Lead, Information Management & Technology Lead, Patient Engagement / Empowerment LeadTameside & Glossop CCGamir.hannan@nhs.net @amirhannan

Partnership of Trust

Type of patient How many have signed up %

Asthma 458/1739 26%

COPD 74/343 21%

Diabetes 219/792 27%

Cancer 75/256 29%

Depression / Anxiety 555/1367 40%

Rheumatoid Arthritis 26/72 36%

Heart disease 108/476 22%

Nursing home 30/30 100%

Learning disability 5/45 11%

Bengali patients 256/1507 16%

Medications ordered online 711/11703 6%

Total patients 2525/11703 22%

Managers provide the context for patients and clinicians to excel

http://si.easp.es/derechosciudadania/wp-content/uploads/2009/10/4.Informe-Wanless.pdf

• scenario 1: solid progress • scenario 2: slow uptake

• scenario 3: fully engaged

Solid Progress Slow Uptake Fully Engaged

Public Engagement + No change ++

Life expectancy + (+) ++

Health status + (neutral / -) +++

Confidence in primary care + - +++

Appropriate use of primary care + - +++

Health service responsiveness + - +++

Technology uptake + - +++

Efficient use of resources + - +++

Total health spend in 2022 as % GDP (starting at baseline of 7.7 for all 3 categories in 2002)

11.1 12.5 10.6

Total NHS spending (£billion) starting from 68

161 184 154

Average annual real growth in NHS spending (%) starting from 6.8%

2.7 3.5 2.4

Securing our future for health: Taking a long term view

  Current situation Future plans

Practice

Currently offer booking appointments online

Currently offer ordering repeat prescriptions online

Currently offer patient access to the full records

Would you like to offer booking appointments online

Would you like to offer ordering repeat prescriptions online

Would you like to offer patient access to the full records

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 4 Yes Yes No Yes Yes Yes

 5 Yes Yes No Yes Yes Yes

 6 Yes No n/a Yes Yes Yes

 7 No Yes No Yes Yes n/a

 8 Yes No No Yes Yes Yes

 9 Yes Yes Yes Yes Yes Yes

 10 No No No Yes Yes Yes

 11 Yes Yes Yes Yes Yes Yes

 12 Yes Yes No Yes Yes Yes

 13 Yes No No Yes Yes Yes

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 15 No No No Yes Yes Yes

 16 No Yes No Yes Yes No

 17 No No No Yes Yes Yes

 18 No No No Yes Yes Yes

 19 Yes Yes Yes Yes Yes Yes

 20 No Yes Yes Yes Yes Yes

 21 No Yes Yes Yes Yes Yes

 22 No Yes Yes Yes Yes Yes

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 25 No No Yes Yes Yes Yes

 26 Yes Yes No Yes Yes Yes

 27 No Yes No Yes Yes Yes

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 29 Yes Yes Yes Yes Yes Yes

 30 No No No Yes Yes Yes

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 32 Yes No No Yes Yes Yes

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 34 No No No Yes Yes Yes

 35 No No n/a Yes Yes n/a

 36 Yes yes No Yes Yes Yes

 37 No Yes No Yes Yes Yes

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 39 No No No Yes Yes No

 40 Yes Yes No Yes Yes Yes

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 42 No No No Yes Yes No

 43 No No No Yes Yes Yes

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What can you do to help• Local Area Team can provide vital role in changing culture• Strategic Clinical Networks have an essential role• Patients are voting with their feet (when supported)• Open door to support patient, clinicians and managers• Big impact for patients with LTCs / Mental illness• Big impact for dementia / nursing / residential / home• We need your support to scale this NOW• Let’s work together and make BIG CHANGE happen