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Welcome to the NHS Leeds CCG

Annual General Meeting

Dr Jason BrochClinical Chair

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Achievements Review 2020-21

Tim RyleyChief Executive Officer

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Successes 2020-21• Managing the Pandemic

• Team Leeds Vaccination Programme• Cancer Surgery• Continuing Healthcare (CHC)

• Service Improvements and Investments• Mental Health • Learning Disabilities• Long Covid Service

• Other Success• Partnership Working• Financial Balance • Engaging People & Communities (Involving You)• Staff wellbeing and staff survey results

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Challenges 2020-21• Coronavirus

• Access to services• Uncertainty for investment• New ways of working

• System / winter pressures• Significant Increases in demand for all services

• Waiting lists• Significant increases in waiting times

• System integration (both challenge and success) • Leeds ‘Place’• West Yorkshire and Harrogate Integrated Care Partnership

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Visseh Pejhan-SykesChief Finance Officer

Financial Review 2020-21

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Analysis of CCG 20-21 Activity Compared to 19-20

Number of Appointments Offered / Provided

2020-21 2019-20

Emergency Inpatients 55,387 65,488

Planned Inpatients 50,082 76,019

Outpatients 772,079 821,777

A&E 196,978 261,171

Primary Care 4,400,000 4,800,000

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Some Key Financial Achievements• Financial Balance – changes to NHS Financial Arrangements due to

COVID • High audit assurance – financial systems• Keeping the NHS Operating during COVID• Achieving the Mental Health Investment Standard• Improving financial integration with partners across Leeds and West

Yorkshire

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Adoption of NHS Leeds CCG Annual Report and Accounts 2020-21

Dr Jason BrochClinical Chair

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Impact of Covid and Recovery

Dr Sarah ForbesAssociate Medical Director

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How does it feel?

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How does it feel?

Thought about GP, but thought it would be closed. Thought

111 would take a long time. ED only 5 mins away so just

Went to Shakespeare walk-in but waiting time was quite long, so went to ED. Not an emergency

but wanted to understand why I can’t take my tablets. GP wait is a long time and couldn’t research it

online.

I live in woodhouse so A+E is quite handy for me.

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The perfect storm• Covid 19 numbers• Children’s respiratory virus surge• Additional presentations in all settings for a variety of conditions• Increased acuity of presentations in some settings (including cardiac,

mental health) which appear to be linked to late presentations• Norovirus • Flu vaccine challenges

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Infection RateInfection Rate per 100,000 Population -7 Day Rolling Avg. Laboratory-Confirmed

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Covid predicted course• Sept – Oct: 40-50% of previous peak activity in terms of bed

occupancy, likely higher end for HDU/ITU occupancy• Nov – Dec: Higher activity unless boosters better than predicted

effect (we will know in the next few weeks - trials awaited)• Jan – Mar: Higher activity regardless of boosters. Some predictions

of 60-70% of peak but likely to be varied• If new variant - very worst case scenario is worse than peak, but it all

depends on government response

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Flu predicted course• Likely earlier season (as we have had for Noro and RSV). Greatest

risk is in care homes and long stay wards. • If vaccine uptake good, it will be a normal winter (higher in

December- March with peak in January). • Last year achieved 83% against a 75% target• If lower uptake or a duff vaccine then it will be worst winter – 6 weeks

of intense activity from Mid December to end of January (unless curve shifts as it has for Noro and RSV)

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School and Universities• Schools return = possible increase case numbers for covid (although

not so far….)• Absences due to household isolation/child care• Current expectation is that this will continue throughout the half term• Concern is subsequent impact on older population• Universities return = large rise in cases in areas where the rate is

already high in that age group• Should not impact on absences/isolation

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LTHT waiting lists

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Risks / Constraints• Workforce

• Recruitment, retention and resilience

• Social distancing / IPC measures in clinical settings• Return of national restrictions

• Estate and Infrastructure (e.g. oxygen supply)• Financial pressure• Achieving planned activity levels• Vaccination programmes• Resilience & sustainability of care home and domiciliary sector

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Good news/innovation• Strong partnership working• Commitment to doing what we can for the people of Leeds• Constantly striving for better• Examples:

• Maximising technology: for booking appts and to facilitate out patient appts• GP front door for ED department• GP in reach to elderly wards at LTHT

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Update on transition to ICS

Tim RyleyChief Executive Officer

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Questions & AnswersDr Jason BrochClinical Chair

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Cllr John Illingworth, Leeds City Council asks:• “It is generally acknowledged that Children’s Play and enjoyable Physical

Activity in children and adults are important both for childhood development and for a long and healthy adult life. The opportunities for such activities vary considerably in different areas of Leeds, where there is scope for compensatory provision that might help to “narrow the gap”.

• Will the CCG consider joining with local Universities and Leeds City Council in mapping existing provision per head of population, and developing a realistic model of consumer choice, with a view to identifying areas where additional resources might be expected to yield the greatest benefit?”

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Thank you for joining our

Annual General Meeting