Commissioningintentions

• Our commissioning intentions are the proposals we develop that shape our contract discussions with organisations that provide healthcare

• It is a complex process with responsibilities ranging from assessing population needs to prioritising health outcomes

What are Commissioning Intentions?

Why are they important?

• They are important as they help us to ensure we are meeting the health needs of our local population

• We don’t have the resources to do everything so have to prioritise how we invest tax payers money

How do we develop them?

• Understanding the health needs of our population

• Understanding existing services and gaps• Talking to local stakeholders at events such

as this• Clinical discussions with provider

organisations about our shared priorities

What have we learnt?

• ‘Co- development’ of intentions works• Draws on expertise from primary and

secondary care, Birmingham City Council, community and voluntary groups and our patients and carers

• All are well placed to identify gaps and potential improvements in care

• Historical ways of working can be improved

Understanding our population• Majority of the area covered by Birmingham

CrossCity is highly deprived• Areas of high unemployment• Ethnically diverse• High birth rate• Variation in life expectancy across Birmingham

CrossCity area of over 5 years - the ‘life expectancy gap’

• Ageing population with increased frailty

Health needs• Life expectancy gap due to:

Circulatory diseases – diabetes, hypertension Respiratory diseases – COPD (Chronic obstructive pulmonary

disease) Cancers – lung cancer

• High numbers of emergency admissions for respiratory disease and COPD

• 37 % of Year 6 primary school children are overweight or obese

• High levels of teenage pregnancy in some areas• High levels of infant mortality• ‘Hidden communities’ – homeless, travellers, asylum

seekers & refugees• High spend on mental health services

What work have we done already?• Service Redesign: Cardiology, Ophthalmology,

Respiratory• Trauma• Communication – record sharing, excess bed days, out

patient and inpatient letters• Diagnostics• Enhanced recovery• Antibiotics in the community

How does it happen?

• NOW! Ideas please• October First draft of intentions shared• December Agreement of 13-14 intentions

and plans• February Improvement plans written

collaboratively in working groups• March Improvement plans signed off by

JCCG for inclusion in the contract• April The work starts

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

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

Thank you