Greenwich Council

Agenda item.

NHS CCG Greenwich: Transforming our Health and Social Care System

Members are asked to receive an update from the Managing Director of NHS CCG Greenwich on the Commissioning Strategy: Transforming our health and social care system.  


The Managing Director, GCCG presented this report and informed Panel Members of the process in developing the commissioning strategy that had gained formal agreement at the Governing Body meeting that took place on 5 September.  Next steps are to develop a road map for improvement to take back to the Governing body in November 2018.


The Director of Commissioning, GCCG summarised the Plan on a Page as presented on page 5 of the NHS Greenwich Commissioning Strategy and in response to Member questions said that tackling loneliness was covering in the frailty and mental health sections of the plan.


Members suggested that health workers work closely with grass roots level organisation to ensure local services for local people.


In response to Member questions, the Managing Director, GCCG said that as part of the engagement process, officers spent time with local communities, with the example given of the work with the Nepalese community to understand their needs.  The recognised that diabetes and loneliness was of real concern for this community.  Officers had learnt that working groups was crucial to bring the right level of challenge to make a noticeable shift.


The Director of Commissioning, GCCG said that the prevention section of the strategy had been co-authored with Public Health and that this section includes Making Every Opportunity Count and Live Well programmes.  It was crucial to empower people to change lifestyles. It was noted that this was a holistic challenge and it needs to be tackled jointly, which includes the third sector. 


The Managing Director, GCCG informed Members that funding of £100,000 per annum had been set aside to develop a small grants programme for the third sector to apply to, so that activity can be delivered locally.


The Director of Public Health outlined the priorities that are being addressed by the Health and Well-Being Board.  These include obesity, which is being presented on at the next Scrutiny meeting. Obesity is a growing risk to ill health and is taking over smoking prevalence. The Director of Public Health offered to provide information on the whole Health and Well-being Strategy to show how partners will work together to deliver this.


In response to Member questions, the Managing Director, GCCG said that Mental Health was a national priority and that it was a statutory duty to meet the Mental Health investment standard.  He outlined that if funding sees a 3% growth, funding for mental health provision has to be increased by 3% and payment can only be grown down based on results. Crisis and intervention provision are areas where challenge is faced by providers as this provision will reduce the number of people presenting themselves at A&E.


In response to Members questions about transition points, Officers agreed that this was a very critical phase in the lives of service users and to achieve better outcomes, people should not have a cut-off point due to age. 


In response to Member questions about QIPP proposals not a different phrase for cuts, the Managing Director, GCCG assured Members that this was not.  CCG’s are allocated funding based on the number of people registered with GP’s and that a funded Patient Champion is placed in A&E departments for 5 days a week to encourage patients to register with a GP.  Members requested information on the numbers of people registered with GP’s. 

ACTION: Managing Director, GCCG


In response to Members questions about GCCG Finance’s, the Managing Director, GCCG said that they have a controlled total allowing for £700k surplus as they have a duty to pay people within certain period of time.  The QIPP challenge will be when there is not enough money to deliver services that are required.


The Chair reminded Members that a briefing session for Members to understand more about the GCCG had been arranged to take place in early December.  This would provide them with an opportunity to hear about finances and the challenges that GCCG face. The Managing Director, GCCG offered, and Members agreed to get the Finance Director, GCCG to present the position on finances at a future meeting.

ACTION: Managing Director, GCCG


The Cabinet Member for Adult Social Care, Health and Anti-Poverty was of the view that this strategy is really welcomed and that the first two priorities are dependent of partnership work with RBG and the third sector. 


The Chair agreed to members of the public putting questions to presenting officers.


In response to a questions by members of the public, the Managing Director, GCCG said that all services will be looked at to see how improvement can be made at transition point to ensure people receive a seamless service.  He outlined that the current model for primary care is challenged and that something needs to be done about it.  The Strategy as presented, sets out a direction of travel. The Primary Care Committee meets every two months and they will look at what needs to be done about the workforce challenge. Working together as an alliance and not in competition is challenges, but only by working together will we achieve best outcomes, not just for service users, but partners as well.


The Cabinet Members for Adult Social Care, Health and Anti-Poverty thanked GCCG for setting up a small grants programme to assist in delivering positive outcomes for residents.


Resolved –


The report be noted.

Supporting documents: