Annual Report Summary West Norfolk
This is a short summary of the West Norfolk CCG Annual Report for 2019/20.
2019/20 was the CCG’s final year before merging with the other four NHS CCGs in Norfolk and Waveney, following extensive engagement with our member practices, key partners, and members of the public. We created one joint management and staff team, including locality teams to maintain existing CCG business and the locality working partnerships, plus teams covering ‘system’ issues such as mental health and acute services transformation. The CCG developed its Local Delivery Group, to coordinate delivery of services with other public sector partners, further strengthening relationships in West Norfolk.
We have worked hard to ensure these strengths are carried forward into the newly created NHS Norfolk and Waveney CCG, with strong clinical leadership and a locality focus. Having one, larger, CCG offers an opportunity to tackle some of the really significant ‘system-wide’ issues such as strengthening our community mental health services, meeting demand for NHS care and supporting our three hospitals to work closer together.
You can read some of the achievements of West Norfolk CCG’s final 12 months below. It is important to recognise they are built upon six prior years of serving our local population.
Dr Paul Williams (Chair) Melanie Craig (Chief Officer)
- £296.7m budget to commission health services
- £3.8m running costs
- 178,000 people registered with a West Norfolk GP practice
- 21 Member Practices
NHS and care organisations in Norfolk and Waveney work in partnership to transform how we provide services, so that they meet growing demand. Our five-year plan remains formally in draft but is available here. We have set ourselves three main goals:
- To make sure that people can live as healthy a life as possible
- To make sure that you only have to tell your story once
- To make Norfolk and Waveney the best place to work in health and care
The Covid-19 pandemic will have far reaching consequences for both our health and care system and our wider society. In early 2020 the CCGs rapidly established an incident control room, a primary care incident response team and aligned senior staff to Strategic and Tactical Control groups with local authorities and police colleagues.
The CCG’s entire focus was switched to supporting the health and care response. Early achievements included:
- Re-deploying as many staff as possible to Trusts
- Supporting GP practices and Primary Care Networks to ensure patients could access services safely – such as introducing new websites for online consultations and dedicated zones in surgeries or dedicated buildings where people with Coronavirus symptoms could be seen by a clinician
- Sourcing Personal Protective Equipment (PPE) for GP practices, as NHS Trusts had different established supply routes
- Early work to establish Covid Protect, our innovative project supporting ‘high risk’ patients, in which they are asked to send in daily updates on their health with phone calls to those who were identified as needing extra assistance.
In this final year, West Norfolk CCG reported many other achievements and milestones. This is a snapshot of some of them.
Our member practices were supported to establish four Primary Care Networks, led by clinical directors, comprising teams made-up of different health and care professionals to provide people with more coordinated care.
We helped practices introduce a new type of website which enables online consultations.
Norwich Practices Limited formally merged with th OneNorwich alliance, to form OneNorwich Practices.
Norfolk and Waveney successfully bid for £70 million of funding to develop diagnostic and assessment centres at our hospitals.
A new model to assist patients self-presenting at the Emergency Department at QEHKL was piloted at peak periods of demand. If their condition did not require an Emergency Department specialist, they were ‘streamed’ into a primary care treatment room.
Heart failure pathways in West Norfolk were redesigned, with closer working between the Queen Elizabeth Hospital King’s Lynn and the community heart failure service.
For our cancer services we were awarded £1,673,210 in 2019/20 to employ additional staff, additional education and training for clinicians and nurses. We also introduced a new test to help detect and diagnose bowel cancer earlier.
We commissioned training to help people with diabetes to manage their condition and also for clinicians to increase their skills in this area.
We are implementing our adult mental health strategy. For example we are developing a Wellbeing Hub in Norwich, re-aligning community mental health services to Primary Care Networks and GP practices, and we have increased the number of Crisis Resolution Home Team staff.
Norwich GPs have undertaken specific mental health training to become GP Champions.
Reducing the number of people placed in mental health beds outside Norfolk and Waveney was again a system-wide focus. From a high of 1742 out of area bed days in April 209, this reduced to 336 in December but rose again to 883 in March 2020.
The Dementia Diagnosis rate has remained on target through working with the Admiral Nursing service.
The West Norfolk Local Delivery Group has supported the development of a ‘Help Hub’ which enables partners from across statutory, community and voluntary sector organisations to jointly discuss and plan support for people with higher needs.
The CCG’s Network Escalation Avoidance Team (NEAT) built capacity over the year, handling about 3-4 referrals per day, preventing 1-2 admissions per day. Our system was selected as one of seven new “Ageing Well” accelerator sites in England to help develop innovative ways of helping older people remain safe and well at home.
Key areas of work for the Norfolk and Waveney Children, Young People and Maternity team, and partners, included:
- Working with partners to meet the requirements of the Special Educational Needs and Disabilities reforms.
- Increasing resources for paediatric and incontinence services
- Commissioning a Mental Health Support Team providing enhanced targeted support to children and young people in schools and colleges, launched in January 2020, based in Kings Lynn.
Among developments this year the CCG’s digital team helped GP practices introduce new websites that enable online consultations, secured funding to improve our system-wide IT including replacing the outgoing NHS network, N3, with the new Health and Social Care network, and connecting care records electronically so emergency clinicians can see important patient notes.
We have engaged with local people and partners throughout our work, either formally via our engagement team or through the ongoing course of commissioning meetings and dialogue. Activities included:
- The CCGs led engagement towards developing the Norfolk and Waveney Health and Care Partnership five-year plan and also undertook a substantial engagement exercise about the merger of our CCGs.
West Norfolk CCG’s Community Engagement Forum meetings, held quarterly, enabled organisations representing a diverse range of communities and interests shared their views with commissioning staff. The West Norfolk Patient Partnership