Croydon CCG’s decision on prescribing proposals and the decommissioning of Foxley Lane

CCG headerToday, Croydon Clinical Commissioning Group (CCG) approved recommendations to stop the prescribing of gluten-free products, vitamin D for maintenance, self-care medications and baby milk, and to decommission Foxley Lane women’s service, an eight-bedded mental health stand-alone unit in Purley.  Foxley Lane women’s service is run by South London and Maudsley NHS Foundation Trust (The Trust).

The CCG explain that these decisions have been made in the context of the financial pressures the local NHS is facing. Croydon CCG needs to make savings of over £30 million next financial year, which is around 6% of the commissioning budget for local health services of £482.3 million.

Today’s decisions follow two engagement periods run from early November last year to Friday 6 January 2017 when the proposals were put to the public to give the local NHS their views.

Foxley Lane
Throughout the engagement process for Foxley Lane, Croydon CCG engaged face to face with almost 150 Croydon residents, patients and professionals and received a total of 57 written responses through the online and paper survey. A petition opposing the closure of Foxley Lane was created on the 38 Degrees website which, when delivered to Croydon CCG, had received 737 verified signatures.

The CCG state that the decision has been clinically based and reflects the borough’s mental health strategy and commitment to treat more patients in the community, closer to their own home.  Instead of being admitted to Foxley Lane, patients will be provided with individual care packages in their homes, where appropriate.  Patients that require more intensive support could be admitted to inpatient services, including a new 14 bedded women’s ward on the Bethlem site which will open in the spring.

These community services will be provided by a range of community mental health services including Croydon Home Treatment Team and the Community Liaison Team.  Last year 55 women were treated at Foxley Lane. By treating patients in the community rather than at Foxley Lane the local NHS could save over £500,000 a year.

Dr Tony Brzezicki, Clinical Chair of NHS Croydon CCG said:

“We want to thank all of those people who took the time to give us their views on our proposals. This insight has meant we have been able to amend and adapt our commissioning intentions to prioritise what is most important for our patients.

We have heard first hand at public and community meetings, as well as in the written responses and petition, the passion people feel for Foxley Lane women’s service.  Those who responded, felt overwhelmingly that they did not agree with this proposal and they raised a number of concerns that we will continue to work closely with the Trust to address and to make sure those women who are affected will be supported.

We know that the community mental health services in Croydon can offer patient centred packages of care to support women previously treated at Foxley Lane within their own homes.  We will work with the Trust to embed the Foxley Lane ethos within the community mental health services, which also receive positive feedback from their current patients.”

Dr Hugh Jones, Clinical Director, South London and Maudsley NHS Foundation Trust said:

“We have developed a treatment model based around the individual which we are confident will allow us to make sure every patient receives the best quality care.  The number of patients who are referred to Foxley Lane is very small, and we believe we can support all of them appropriately within the range of community mental health services we have in place following £9 million investment in Croydon over the last two years.

We would also like to reassure people who raised concerns about mental health inpatient capacity in the local area that the Trust is opening a new 14 bed inpatient ward for women in the spring this year at Bethlem Hospital.”

Prescribing
Throughout the engagement process for the prescribing proposals, Croydon CCG engaged face to face with over 300 individual Croydon residents, patients and professionals at over 30 events, groups or locations.  The CCG received a total of 346 written responses through the online and paper survey.

Dr Tony Brzezicki, Clinical Chair of NHS Croydon CCG said:

“These are very difficult decisions but we need to focus our limited resources where we can have the biggest impact on people’s health and well-being.

Although the response we received to our prescribing proposals was predominantly positive with over 70% of respondents agreeing that the CCG should stop providing self-care medications, we know these changes will cause some people who currently receive these products on prescription difficulty.  We want to work with local communities, Croydon pharmacists and GPs to help make sure we support people to find affordable alternatives and a phased approach to implementation over the coming weeks.

As we heard during the engagement period, we share the public’s concerns and want to do what we can to prevent these changes impacting on the most vulnerable in our communities.  We are committed to working with local health professionals, community groups and the public to make sure everyone has access to good information to help them find appropriate alternatives to meet their needs.”

 

The full Patient and Public Engagement reports for both engagement processes are published on the CCG’s website at www.croydonccg.nhs.uk

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Currently consulting on routine prescribing of IVF
Croydon CCG is currently asking local people about their proposal to stop the routine prescribing of IVF.  To find out more and respond to the consultation, which ends on Wednesday 1 March 2017, go to www.croydonccg.nhs.uk

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Presentation from Public Meeting on NHS Croydon CCG’s proposed changes to prescribing – Weds 23 November 2016

The slides produced by NHS Croydon CCG (Clinical Commissioning Group) at our public meeting on 23 November 2016 are reproduced here:

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You can download a copy here.

Our meeting was held at the Carers Support Centre in central Croydon, with costs of room and equipment hire, plus the lunch covered by the CCG. CCC organised the meeting, the bookings and provided tea coffee and biscuits.

 

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Croydon CCG is keen to hear from you.
The engagement period runs until Friday 6 January 2017.

To find out more about what is proposed, click here.

You can contribute your views using the online survey here.

 

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Help tranfom diabetes care service in Croydon to meet the needs of Type 1 and Type 2 diabetics – Meeting on 1 December for patients, families and carers

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Transforming Diabetes Care Services in Croydon
 
A public meeting on
Thursday 1st December 2016
 Croydon College
College Road
CROYDON
CR9 1DX
10 am to 12 noon.
 
If you have type 1 or 2 diabetes and are a Croydon resident, NHS Croydon Clinical Commissioning Group (CCG) want to hear from you about your experiences of the diabetes services you currently use.
 
Croydon CCG plan and buy most of the Health services on behalf of Croydon residents, including the services you use at Croydon University Hospital and the intermediate diabetes service run by Bromley Healthcare.
 
They are currently looking at how they provide specialist services for people with diabetes. This event is for everyone with an interest in diabetes care locally, whether as a patient, carer or someone who supports people with diabetes.
 
 This meeting is your opportunity to:
• Meet together with other patients, carers, providers and commissioners to talk about the development of ideas around improving diabetes care for Croydon residents.

• Give your feedback on the right care for Type 1 & Type 2 diabetics, including care in the right place at the right time.

• Improve the experience of patients.
• Receive information and advice regarding managing your diabetes.

The CCG see this as the start of the conversation about how they develop services which meet the needs of patients, families and carers for the future.

Book a free place here: https://www.eventbrite.co.uk/e/nhs-croydon-ccg-transforming-diabetes-care-services-in-croydon-tickets-2898509520

If you have any questions, please contact the CCG’s engagement team on

E: getinvolved@croydonccg.nhs.uk
T:  020 3668 1384

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Public Meeting on NHS Croydon CCG’s proposed changes to prescribing – Weds 23 November 2016 from 11.30am

Please join us for our public meeting, held in association with NHS Croydon CCG (Clinical Commissioning Group) at

Carers Support Centre
24 George Street
Croydon
CR0 1PB

on Wednesday, 23 November 2016
from 11.30 to 1.30pm

Registration and refreshments, including a light lunch, from 11.30am
Meeting from 12 noon to 1.30pm

Come to hear what NHS Croydon CCG proposes, ask questions and share your views.

Please book a free place to attend.

Please note:

As catering for this event needs to be ordered, please book a place by midday on Monday 21 November.  Thank you!

Later bookings can be accommodated but we may not be able to offer a light lunch. Tea, coffee and biscuits will be on offer to all.

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NHS Croydon Clinical Commissioning Group (CCG) is calling for local people to have their say on a proposal to reduce the prescribing of gluten-free foods, vitamin D for maintenance, baby milk and self-care medications.

The CCG state that,

“Prescribing in Croydon eats up £42.8 million each year, 9% of the local £465 million health budget. The CCG was placed in special measures in July this year, and needs to save a further £5.7 million savings on top of existing plans to save £12.7 million this year.  In total, this is just under 4% of the CCG’s total commissioning budget of £475.4 million for 2016/17.

Croydon CCG could make savings of up to £600,000 each year by reducing the prescribing of:

  • gluten-free foods
  • vitamin D
  • baby milk
  • and self-care medications

Some groups of people with particular conditions would be exempt from these changes, and the products the CCG intend to stop prescribing are now widely-available at a reasonably low cost, both online and in local shops.”

 

One of the questions the CCG is asking local people is to what extent the local NHS should prescribe items that can be bought more cheaply directly by the patient.

Croydon CCG is keen to hear from you.
The engagement period runs from Friday 11 November 2016 to Friday 6 January 2017 and this meeting has been set up, in partnership with the Croydon CCG, to explain the proposals and to gather your views.

To find out more about what is proposed, click here.

Places are limited so please ensure you book a place.

Booking:
Please book a free place on Eventbrite here: https://www.eventbrite.co.uk/e/public-meeting-on-nhs-croydon-ccgs-proposed-changes-to-prescribing-tickets-29343096993

This helps us to cater for numbers.

If you prefer you can email us at CroydonNeighbourhoods@gmail.com and we can book for you.

Those who have not pre-booked will be asked to register on the door and those who have pre-booking will be given preference if numbers exceed capacity. 

How to find the venue:
The Carers Support Centre is situated opposite George Street tram stop, near to bus and rail links.

Please feel free to add your questions and comments to this post ahead of the event.

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Other opportunities

  • NHS Croydon CCG will also be holding a meeting on the evening of 13 December. Details and booking here.
  • You can contribute your views using the online survey here.

 

You can also join our mailing list to get an invitation to our events and occasional updates via email by emailing CroydonNeighbourhoods@gmail.com with your name and ‘Add me’ in the subject line.

Croydon CCG and Croydon NHS Trust both placed in special measures – the CCG’s Clinical Chair responds

For details, see the Croydon Guardian article,

Croydon’s entire health service has been placed under new special measures designed to “restore financial discipline” to troubled parts of the NHS.

The borough’s NHS trust and clinical commissioning group (CCG) are among 14 providers forecasting “significant deficits” for 2016/17 that have been chosen by NHS England and regulator NHS Improvement to fall under the new regime.

http://www.croydonguardian.co.uk/news/14634308.Croydon_s_NHS_trust_and_CCG_both_placed_into_special_measures_to_tackle_financial_troubles/

 

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Clinical Chair, Dr Anthony Brzezicki, writes,

Today, NHS Improvement and NHS England have announced a range of new measures to help address the financial challenges faced by a number of NHS organisations across the country. As part of this, Croydon CCG and Croydon Health Services NHS Trust have both been identified as requiring additional support to close our long-standing financial deficits.

For us, this follows NHS England’s 2015/16 Annual Assurance Framework where all CCGs have been given an annual rating.  Croydon CCG have received a headline rating for 2015/16 of requires improvement alongside 90 other CCGs across the country.*

As a result of our financial performance in the first quarter of this financial year, we have been put in financial special measures.  This means that NHS England will be providing us with extra support to work closely with our senior team to help further develop our financial recovery plan and take steps to help us to reduce our deficit.

As you know, Croydon CCG inherited a hugely challenging deficit which we have been working to address since our establishment.  We have also been historically funded to a lower level that we should have been to meet the health needs of our population. This means that money for healthcare in the borough has been particularly tight up until this financial year, as it is now close to the expected level.

We have clinically led savings of £72 million over the last five years and consistently met our financial targets whilst improving quality and performance each year.

We know even more needs to be done and we welcome NHS England’s continued support.   We have had independent assurance of our financial plans every year and we are under no illusions that this year will be our hardest yet.

Our focus is on transforming services to make them more efficient, effective and sustainable.  This includes:

  • Together with Croydon Council we are making great strides in our Outcomes Based Commissioning (OBC) programme of work, transforming the way services for patients over 65 years old will be provided in Croydon by putting the things that matter most to them and their families at the heart of service provision.
  • We are commissioning a new network of urgent care services, to improve the outcomes, safety and experience of local people, helping them to get the right treatment by the right person in the right place when it launches in April 2017.
  • We have made real improvements in cancer, mental health and A&E, urgent care and community services, improving the health of our population.

We are very grateful to our staff and GP membership for their hard work, support and commitment to finding new ways to make savings and efficiencies.  We need to focus our resources where we can have the biggest impact on people’s health and well-being whilst continuing to improve the quality of local services.

We will continue to address our financial challenges with our providers, Croydon Council and NHS England to make sure we do everything we can to bring our expenditure within our allocations.

We will keep you updated on our progress and very much value your continued support and contribution to further strengthening our financial position.
Best wishes,

Dr Anthony Brzezicki

Clinical Chair
Croydon Clinical Commissioning Group

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NHS England’s 2015/16 CCG Assurance Framework has given each CCG a rating.  Croydon CCG have received a headline rating for 2015/16 of requires improvement alongside 90 other CCGs across the country.

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As you can see from the five components of the rating, the financial position is the main element which has led to the overall rating.  For this element the CCG has been rated as inadequate, as has been the case since authorisation in 2012 primarily due to the inherited financial deficit.

The CCG are pleased to have been rated as ‘Good’ for both the ‘Well-led’ and ‘Delegated Functions’ element of our annual assessment.  The senior leadership team have made significant contributions to both the South West London STP and the Healthy London Partnership work for homelessness, 111 and urgency and emergency care.  NHS England also appreciate that we have demonstrated innovative thinking in the development of our Outcomes Based Commissioning work for older people in the borough.

The CCG’s ratings for ‘Performance’ and ‘Planning’ are understandably brought down by the financial position. Overall, NHS England recognises the CCG’s commitment and engagement, and that there are significant challenges in the local health economy as a whole. 

Dr Tony Brzezicki

Chair
Croydon Clinical Commissioning Group

 


Bernard Weatherill House
2nd Floor, Zone G
8 Mint Walk
Croydon CR0 1EA

www.croydonccg.nhs.uk

Twitter: @NHSCroydonCCG

 

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Croydon CCG selects Croydon Urgent Care Alliance as the preferred bidder to deliver Urgent Care services in Croydon

 

Paula Swann, Chief Officer of Croydon Clinical Commissioning Group (CCG) says,

We are delighted to announce that after a procurement process we have selected Croydon Urgent Care Alliance as the preferred bidder to run a new seamless urgent care service across the borough from April 2017.  Croydon Urgent Care Alliance is a new team made up of Croydon Health Services NHS Trust, the Croydon GP Collaborative and AT Medics.

From spring next year, people living and working in Croydon will have access to a wide range of services run by a team of doctors and nurses to provide seamless expert care.  The new services will include:

  • Three ‘GP Hubs’ open 365 days a year, from 8am to 8pm and able to treat all ages.  The GP hubs will increase opening hours and expand the services available at Purley War Memorial Hospital, New Addington Minor Injuries Unit and Edridge Road Walk-in Centre.  The third GP hub will be located at or close to the current walk-in centre service on Edridge Road.  The exact location of this site will be part of the contract negotiations.
  • 24/7 Urgent Care Centre at the front door of the Emergency Department at Croydon University Hospital; which will include the functions of the GP hub for the north of the Borough
  • A roving GP service will provide urgent home visits to care for local residents and prevent unnecessary hospital admissions;
  • Out-of-hours GP services will provide rapid telephone advice from trained clinicians from 6.30pm to 8.30am Monday to Friday, and 24/7 over the weekends and during bank holidays.

The new ‘GP Hubs’ will be led by GPs, and can treat all ages. They will provide all of the same services as the current Walk-in Centre at Edridge Road combined with those provided at the Minor Injuries Units at Purley and New Addington. Local people will be able to get advice and treatment from GPs and nurses for minor illnesses, injuries and ailments between 8am and 8pm, 365 days a year.

As you know, this is a result of extensive engagement with local residents earlier this year to develop a new model for urgent care services which will see services expanded across the borough.  We wanted to take this opportunity to thank you for the part you played in engaging with our proposals.  The ‘GP Hub’ plans were drawn-up by Croydon clinicians after local residents called for extended opening hours, improved access to urgent GP appointments, and more facilities away from Croydon University Hospital.

Local residents also asked for a simpler system with clearer descriptions and signposting to the care and support available.  One way we hope to help local residents navigate the new system is encouraging them to “phone before you go” and call NHS 111.  NHS 111 is fast, easy and free to call from landlines and mobiles. Callers speak to a highly trained advisor supported by health professionals, who ask questions to help refer people to the best medical care for their symptoms. This could be taking care of yourself at home, visiting a community pharmacist or being booked in for an urgent appointment at one of the borough’s four GP hubs.   We hope that this will also help address an essential element of this new service, to further empower local people to feel confident enough to treat themselves at home.

We are now working closely with Croydon Urgent Care Alliance to confirm the detail of the contract.  We look forward to building a strong partnership with them over the coming weeks and months to get these services up and running for April next year.

 

 

For more information please visit the Croydon CCG’s website at http://www.croydonccg.nhs.uk/news-publications/news/Pages/New-alliance-chosen-to-provide-network-of-urgent-care-services-in-Croydon.aspx

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Croydon CCG’s Patient and Public Involvement Forum – 6 July 2016 – Together in Health

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You are invited to NHS Croydon Clinical Commissioning Group’s (Croydon CCG) 

Patient and Public Involvement Forum  

This will be held on Wednesday July 6 July from 6pm to 8.30 pm

Book a free place here: https://nhscroydonccgworkingtogetherforhealth.eventbrite.co.uk

The Patient and Public Involvement (PPI) Forum is an opportunity for NHS Croydon Clinical Commissioning Group to share their ideas with you and learn from your knowledge and experiences of local health and care services. This learning helps the CCG to shape the healthcare services they buy to meet the needs of our local residents.

This will be an open space meeting focusing on Together for Health. The Together for Health programme is about ensuring that residents and patients are supported and empowered to take charge their own health, stay healthy and reduce the risk of disease in the future and is based on the principles that:

  • Prevention is better than cure
  • When someone does become ill they are better able to make decisions and lifestyle changes that control the negative effects of their condition and improve their wellbeing
  • When a person does need treatment they are seen in the right place at the right time
  • There is shared decision making between patients and health professionals.

Time and location:

Date:              Wednesday 6 July 2016

Venue:            Community Space
Bernard Weatherill House
8 Mint Walk
Croydon CR0 1EA

Start time:     Arrival from 5.45pm for a 6.15pm start

Finish time:     8.30pm

How to register your interest in attending:

To register your interest to attend, please book via Eventbrite.

https://nhscroydonccgworkingtogetherforhealth.eventbrite.co.uk

If you have any questions, please contact Ros Spinks, at

E:  Ros.Spinks@croydonccg.nhs.uk
T:  020 3668 1384

 

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