Opening slides introducing the Birmingham CrossCity Clinical Commissioning Group given at a patient and public engagement event at Birmingham City Football Club, hosted by BVSC and Birmingham LINk, 4th October 2012.

1. Birmingham
CrossCity

2. Agenda
Time Item Presenter
12.45pm Welcome Stephanie Belgeonne
Setting the scene
12.50pm Birmingham CrossCity Dr Gavin Ralston
1.10pm Commissioning intentions Dr Barbara King
1.30pm Involvement and engagement Dr Peter Thebridge
Group discussions
2.20pm Birmingham Local Involvement Janis Deakin
Network (LINk)
2.30pm Feedback Dr Gavin Ralston
Dr Peter Thebridge
Dr Barbara King
3.00pm Close Dr Gavin Ralston

3. Setting the scene: moving forward
Development of Clinical Commissioning Groups
Establishment of NHS Commissioning Board
Support to provided by Commissioning Support Units
Transfer of public health to Local Authorities,
supported by Public Health England
Establishment of HealthWatch

4. Birmingham
CrossCity

5. Birmingham CrossCity
Excellence in
commissioning,
through excellence
in primary care
730,000 patients
117 practices
125 sites

6. Commissioning – the concept
Planning for the year and letting local services know so they
can be prepared
Setting contracts around what will be required and
standards around quality
There is a degree of continuity with commissioning, but
each year there is an opportunity for service redesign and
innovation
Clinical solutions for financial problems - Mission
Impossible

7. Local Commissioning Networks (LCNs)
Board Structure
1. Bordesley Green, South Yardley, Small Heath, Acocks Green 2. East Birmingham 3. Edgbaston 4. Hall Green
5. Kingstanding & New Oscott 6. Northfield 7. North East 8. South Birmingham 9. Washwood Heath
10. Sutton Coldfield and Shard End
Local
Commissioning
Network Chairs
Chair of Local
Commissioning
Network Group
Chair
Managing Chief Contrac- Secondary Primary
Primary Partnership
Partnership Information
Information Nurse Consultant Lay
Director Finance ting & Care Care
Care and Quality
and Quality Advisor Advisor Advisor
Redesign &
Redesign & Commissioning
Commissioning Assurance
Assurance
Officer QIPP Redesign Quality
Quality
HEFT x2 Urgent Care Mental Health Informatics
UHB x2 (Elective (x2) and LCNs
BCH Care Local Authority
BCHC x2 (x2)
BWH Long Term
ROH WMAS Conditions
Board Birmingham CrossCity

8. Across the city
Our Local
Commissioning
Networks

9. Complex landscape
• Our population and member practices
• Neighbouring CCGs
• Hospitals, Community services and Ambulance
Service
• Birmingham City Council and two neighbouring
councils Sandwell and Solihull
• Third Sector

10. Opportunities and risks
• Introduction of new evidence-based interventions -
equitable and affordable
• Sustainable approach to the NHS - keeping health services
‘free at the point of delivery’
• Opportunity for clinicians to directly influence pathway
design, have a central role rather than just on the edge…
hopefully this will be a good thing
• Opportunity to bring primary and secondary care closer
together and on more equal terms
• There is a steady stream of new technologies and not all
can be afforded within current budget

11. CCG leadership in practice
Birmingham CrossCity Clinical Commissioning leads seek
assurance through a range of channels including:
•Local Commissioning Networks
•Open Forum meetings
•Patient engagement through Patient Participation Groups
(PPGs)
•Direct public engagement through open events (including
an Annual General Meeting)

12. Progress so far
• Joint Clinical Contracting Groups (JCCGs)
Shared forum between CCGs and Providers
Clinically led
– Strategy
– Implementation
Scrutiny role
– Performance
– Quality
• Advice and Guidance
• Acute Medical Clinics

13. Priority areas that we have identified…
• Reducing premature deaths through prevention
-Smoking cessation, life style advice
• Maternity and early years
• Frail Elderly - dementia, stroke care, end of life care
• Long Term Conditions - respiratory, diabetes
• Improving mental health care
• Improving urgent care
• Ensuring that people have a positive experience of
care
• Commissioning high quality and safe services

14. Key steps
• Event feedback report to be compiled
• Will help feed into first draft of commissioning
intentions
• For more information visit:
– Website: Bhamcrosscityccg.nhs.uk
– Email: bhamcrosscity@nhs.net
– Telephone: Communications and Engagement
Department on 0121 255 0875

15. Thank you