We are an NHS group led by local GPs & health professionals, responsible

for planning and buying the majority of your local health services.

Through clinical and public engagement, we work to ensure you can access

the best health care and are supported to stay healthy.

Crawley

Clinical Commissioning Group

Introducing

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NHS care

NHS care

Clinical leadership

Public engagement

Building the bigger picture

www.crawleyccg.nhs.uk

What the changes to our NHS mean for our local communities

For the first time, health and social care services are being designed around the

needs of the individual and local community in which they live.

Doctors and nurses, who know their patients best, have the power and freedom

to make decisions so their local communities get the care and services they really

need. By using resources more effectively and working together with other NHS and

care organisations clinical commissioning groups will help their patients to access

better care that better caters for their requirements while addressing the needs of

the most vulnerable and dependant in the community. We are already working to

improve care for frail and elderly people and those with long-term conditions,

making sure they have more support so they are not admitted into hospital unless

absolutely necessary. In the new NHS, patients also have more involvement and

choice in their healthcare, designing services around what they say is important

and how they want to access services according to what suits them best.

Clinical commissioning groups are responsible for the care and treatment you may

need in hospital and in the community; prescribing; mental health services;

support and services for people living with learning disabilities. Importantly

they are not responsible for primary care which includes your GP practice, dentists

and opticians – these areas are now commissioned by the Kent, Surrey and Sussex

team at NHS England.

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How we fit together

Introducing Crawley Clinical Commissioning Group

Our area comprises 13 member GP Practices, serving a population of more than

120,000 across Crawley. We are led by a team of GPs and health care professionals

committed to involving as many residents and patients as possible to develop a

healthcare system with real relevance to you.

www.crawleyccg.nhs.uk

Our members

• Bewbush Medical Centre • Bridge

Medical Centre • Coachman’s Medical

practice • Crawley Health

Centre • Furnace Green

Surgery • Gossops Green Surgery • Ifield

Medical practice • Langley Corner

Surgery • Leacroft Medical

practice • Pound Hill Medical Group and

Copthorne Surgery • Saxonbrook

Medical Centre • Southgate Medical

Group • Woodlands and Clerklands

Partnership

Our Governing Body oversees the

decisions that the CCG makes about local

health services, ensuring our activities

meet the best standards of quality for

the local population.

Patient engagement is at the heart of

everything we are doing. We firmly

believe “the NHS belongs to the people”

and your engagement is key to ensuring

local care reflects local need. Patient

representatives from practices across

Horsham and Mid Sussex meet together

monthly as the Commissioning Patient

Reference Group (CPRG) to discuss

health services and the CCG’s work. This

group is central to ensuring the health

services in our area are meeting what

you need.

Get involved We want local NHS

services to meet the needs of our

patients and our local community. To

help us do this we are keen to hear and

learn from your experiences and your

ideas for how we can improve services.

To find out more visit our website or

telephone 01293 600300 ext 3965

“The NHS belongs to the people.” The NHS Constitution

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Our Vision Working together to deliver health and wellbeing for you and your

community

Our Mission Develop high quality services that provide care in the right place, by

the right person the first time around.

Our Values

Right person

Right time

Right place

Right care

Putting the right pieces in the right place

www.crawleyccg.nhs.uk

Equality

Fairness

Honesty

Innovation

Affordability

Focussed on need

What we’re working towards in Crawley

Focussing on our ageing population and care of our carers

Improving the health of children and young people

Improving mental wellbeing and reducing alcohol abuse

Tackling inequalities and reducing premature mortality

System Transformation—using limited resources better to provide safe,

sustainable and high quality integrated care

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Our area has a relatively young

resident population of 126,270 (as at

September 2012) which is projected

to increase by 9 per cent within the

next 20 years with the largest growth

in the older age groups (65 years

plus).

There is a clear east/west divide in

Crawley, evident in the health, social

and economic status of our residents

- this is a consequence of the 1950s

development of Crawley New Town in

the west of the borough. This all

means that tackling inequalities is a priority for the NHS locally.

Overall, smoking rates and obesity rates are higher in Crawley than in other parts of West

Sussex and Crawley has a lower physical activity rate. Additionally, data from health visitor

checks on women who smoke while pregnant and smoking in the households of newborn

babies show that rates are higher than in neighbouring Horsham and Mid Sussex areas.

Smoking and obesity are the highest and physical activity is lowest in the most deprived

wards of Crawley, mainly to the south west (Bewbush, Broadfield North and Broadfield

South) neighbourhoods, which also have with the poorest health.

In terms of drinking behaviours, 22 per cent of the adult population in Crawley are

estimated to be ‘increasing risk drinkers’, meaning that they drink daily and they drink at or

above recommended weekly levels. Admissions for alcohol-attributable conditions are

increasing in Crawley, as elsewhere.

Earlier diagnosis, through the appropriate use of primary care and community settings,

through tackling risk factors, such as high blood pressure and high cholesterol, through

improved treatment in hospital services and through preventing recurring admissions for

the same condition are key objectives for the NHS.

www.crawleyccg.nhs.uk

Our population

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In England about 20,000 lives a year would be saved if mortality rates were reduced to the best in Europe – too many people are dying too soon from illnesses that can be prevented or treated, such as cancer, liver and lung disease. There are also persistent inequalities between communities and groups in life expectancy and healthy life expectancy.

We are committed to prevention and early diagnosis through primary care within the community, tackling risk factors such as high blood pressure and high cholesterol, and improved hospital services. The CCG will:

Work with Public Health to increase the coverage of NHS Health Checks

Improve stroke services

Reduce alcohol related harm

National research has shown that the awareness and earlier detection of cancer is likely to support longer healthy life expectancy and improve survival rates. We will:

Work with the NHS and the charity sector to raise understanding of signs and symptoms of cancers among GPs and the local community and share learning

Continue to participate in national and local campaigns that raise the profile of cancer and increase rates of screening,

Target specific groups at risk and work with local communities to ensure screening provision is culturally sensitive.

Preventing people from dying prematurely

Priority one:

Our Priorities

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Ensuring access to the right services for children, people with mental health problems and those with learning disabilities, as well as treatments and drugs will be essential in improving care and reducing premature deaths. We will:

Support the development of cancer services, including radiotherapy treatment, at East Surrey Hospital

Ensure patients can access drugs recommended by NICE and commission the Health Policy Support Unit to advise on appropriate treatments

Manage a process for funding decisions for patients with individual needs (IFR)

Improve local mental health services, including mental health day care for older people and inpatient services for those living with dementia

Work to diagnose people with dementia early to ensure their wishes and needs, as well as those of their carers and families, can be heard and implemented

Commission a dedicated shared care dementia ward in the local acute hospital

Reduce anti-psychotic prescribing

Reducing avoidable deaths and improving hospital standards is key to preventing people dying prematurely. Working alongside Public Health we will:

Better assess and understand the local need

Improve engagement with voluntary and community groups

To ensure that people stay healthy and the risk of a premature death is reduced, NHS staff will use every contact they have with people (including others working in the NHS) to encourage them not to smoke, to drink less alcohol, to eat more healthily and to exercise more. We will:

Reduce the number of smokers through targeted campaigns and support

Increase support for drug and alcohol treatment and focus on alcohol prevention and intervention for young people under the age of 24 years

Work to reduce obesity with weight management programmes, a physical activity strategy and healthy eating

Preventing people from dying prematurely

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Long-term conditions or chronic diseases are conditions for which there is currently no cure but can be managed with drugs and other treatments. Many are debilitating and life-limiting and those affected will mostly be older people. To achieve the best outcomes it is vital that care is coordinated . We will lead innovative solutions to delivering integrated care for our patients.

We are committed to reducing inequalities by supporting people with on going health problems to live healthily and independently, with better control over the care they receive. We will:

Ensure care is more convenient and centred on the person, not the condition. A holistic approach via a combination of professional and voluntary sector care will ensure patients can manage their own conditions, reducing time spent in hospital.

Integrate services based on patient’s needs, including musculo-skeletal care.

Enable patients to take charge of their care and have ownership of the plans to treat them, giving them the skills and confidence to manage their own health. Working with the local authority, we will:

Involve patients and carers in personalised care plans, personal health budgets and self care to ensure they feel supported and to improve their quality of life.

Support carers to take short breaks and gain or maintain employment.

Enhancing quality of life for people with long-term conditions

Priority two:

Our Priorities

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The number of older people who are living longer with multiple conditions is increasing. Improved care for the frail elderly, including timely diagnosis, treatment and care for people with dementia, is a priority. We will:

Commission specialist dementia nurses (Admiral Nurses)

Improve care and support for complex cases, including in nursing homes

Introducing information systems and processes that help people to take control over the decisions they make about their health

Technology can help people manage their health. By 2015 we want to significantly

increase access to support people with long term conditions. We will:

Empower self care by introduce telecoaching for patients to manage their own

care via timely and relevant information and support

Ensure a patient’s records follow them (with consent) to different health and care

settings

Provide online booking of GP appointments and patient access to health records

Establish an updated electronic Prescription Service and repeat prescriptions

By 2017, enable patients to self-monitor their health with the help of technology

(using telehealth and telecare), monitored by Specialist Nurses and Community

Matrons.

Communicate via secure email

Avoid unnecessary treatments or prescription dispensing that does not benefit

patient care.

Enhancing quality of life for people with long-term conditions

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We will work with others providing different types and levels of health and social care across the local area so that patients receive the right support at the right time, improving recovery and preventing unnecessary emergency admissions. We will:

Share, promote and encourage best practice and joint working

Gather patient feedback and numerical data and review this at the highest level to shape future care

Where change is needed the public will be fully consulted and involved through strong public and patient opportunities. We will:

Develop a Commissioning Patient Reference Group, including representatives from all of our GP member practices, to advise us

Ensure patient views are embedded in every activity and work programme, including developing ways of engaging hard to reach or disadvantaged groups

Expand our public membership scheme

Improve care services for people leaving hospital care such as community rehabilitation beds and therapy at home

Helping people to recover from episodes of ill health or following injury

Priority three:

Every year the NHS helps millions of people to recover from illness or injury. Fundamental to people regaining as much independence as they can, as quickly as possible, is effective treatment and ongoing support. Partnerships are essential to ensuring recovery is effective.

Our Priorities

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People with mental health problems have been shown to have worse outcomes for their physical healthcare; similarly those with physical health needs often have mental health needs that are not recognised.

The gap between systems for people with mental health problems and those with physical conditions should be closed and there should be timely access to services for all. We will:

Ensure people can access mental health services when they need them, regularly reviewing access

Ensure problems accessing services are improved, including shorter waiting times for patients

Helping people to recover from episodes of ill health or following injury

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Ensuring that people receive high quality care, as well as high quality treatment, is a priority for the NHS and delivering the rights of patients as they are defined by the NHS Constitution is vital. We want to ensure that the delivery of care is at the highest standards

We have an important role to play in leading the delivery of your care is of the highest standards, so that patients, their carers and relatives can be assured services will be held to account for the care they provide. We will:

Work with local authorities to ensure that vulnerable people, particularly those with learning difficulties and autism are receiving appropriate and high quality care within their local communities and within their own homes where possible.

Patients should be able to expect to be treated in a safe and clean environment and to be protected from avoidable harm. Continuous improvement is at the heart of all our activities, including access to service and waiting times. We will:

Always ask people how they feel about their care and respond in an appropriate way to ensure that poor performance is driven out, and then measure improvements.

Ensure that the rights and commitments of the NHS Constitution are upheld.

Continually monitor complaints and the performance of our local hospitals and services

Ensuring that people have a positive experience of care

Priority four:

Our Priorities

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By giving children the best possible start in life, many future health problems can be avoided. We will:

Work in partnership to make a difference to women during pregnancy and to families; including access to services that support children and young people with special educational needs and disabilities.

Ensure maternity service meet high level quality and safety standards as defined by the Royal College of Obstetricians and Gynaecologists

Ensuring that people have a positive experience of care

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The NHS is organising itself around a single definition of quality: care that is

effective, safe and provides as positive an experience as possible

Higher standards and expectations will result in safer care and improved outcomes for patients. We will:

Implement a set of working guidelines for the services we commission around this single definition of quality.

We are committed to continuously improving the quality of services, ensuring a patient’s needs are at the centre. Using national tools, we will:

Set an ambition for the quality of patient services and promote active engagement between stakeholders across local health care, encouraged by performance monitoring, financial incentives and close joint working

Set infection control targets (e.g. no more than 24 cases of C Difficile)

To reduce the risk of harm, a culture of excellent patient safety and support is crucial. We will:

Commit to initiatives and services that address the needs of those people most at risk of suicide and serious harm to themselves or others.

Treating and caring for people in a safe environment and protecting

them from avoidable harm

Priority five:

Our Priorities

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Our Budget

How much we have to spend and how we will make it fit health needs

We have around £142.4m to spend each year on health services for local people.

We are committed to using this money to improve your health and to buy safe,

high quality services while working to help you stay healthy.

In 2013/14 here's the big areas we are funding to keep you healthy:

Hospital services - £69.0m All hospital services including ambulance, maternity and

accident and emergency.

Community health services – £21.5m Community hospitals and community-based

care including nurses, health visitors and therapists.

Medicines – £18.7m Prescriptions for medicines issued by GPs and health

professionals.

Mental health services – £9.5m Hospital and community based mental health

services.

Learning difficulties – £2.0m Services for people with learning difficulties, delivered

in partnership with West Sussex County Council.

Continuing and funded care – £9.5m Health care packages for people with

continuing health care needs and funded nursing care for people in nursing homes.

*please note that the CCG does not contract all health services (specialised services, dental,

public health and primary care services are funded by other bodies)

www.horshamandmidsussexccg.nhs.uk

www.crawleyccg.nhs.uk

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We are an NHS group

led by local GPs &

Published 2013 www.crawleyccg.nhs.uk

If you live locally why not sign up to Crawley CCG Membership Scheme? You will

receive regular news updates, hear about opportunities to work with us, be

offered the chance to be part of surveys and consultations and can help to improve

local health services. Membership is free. To join please telephone 01293 600300

and dial extension 4139 or email us at CCCG.Contactus-crawleyccg@nhs.net

We are committed to the principle “No decision about me, without me” and we want to work

with local people to shape health services.