Annual Report Summary Norwich

This is a short summary of the Norwich 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.

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. 

The CCG's annual 360 survey conveyed that Norwich CCG performed above the national average in almost all areas reviewed, of note in improving patient outcomes and tackling inequalities

You can read some of the achievements of Norwich CCG’s final 12 months below. It is important to recognise they are built upon six prior years of serving our local population.

 Tracy Williams    Melanie craig  

   Tracy Williams  (Chair)              Melanie Craig (Chief Officer)

                                    

 

Norwich CCG in numbers

  • £321.7m budget to commission health services
  • £4.9m running costs
  • 240,000 people registered with a Norwich GP practice
  • 22 Member Practices

 

The Norfolk and Waveney Health and Care Partnership

NHS and care organisations in Norfolk and Waveney work in partnership to transform how we provide services, so that they meet a 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 

 

Covid-19 (Coronavirus)

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, Norwich CCG reported many other achievements and milestones. This is a snapshot of some of them.

Primary Care

Our member practices were supported to establish one Primary Care Network (PCN), with four ‘neighbourhoods’ within it, and each supported by a Neighbourhood Lead who work alongside the PCN Clinical Director. These comprise of teams made-up of different health and care professionals from partner organisations  to provide people with more coordinated care, all of which are represented at the Norwich Local Delivery Group (LDG).

The PCN achieved all requirements in year 1, including the delivery of Extended Hours, and the recruitment of new roles, such as Clinical Pharmacists and Social Prescribers.

A new Primary Care Strategy was co-produced with system partners.

For vulnerable adults a new service was coproduced with key stakeholders and mobilised, comprising of an Inclusion Hub and 7 GP inclusion health practices to address inequalities.

Norwich Practices Limited formally merged with th  OneNorwich alliance, to form OneNorwich Practices.

 

Planned care

Norfolk and Waveney successfully bid for £70 million of funding to develop diagnostic and assessment centres at our hospitals.

In collaboration with the 3 Central Norfolk General Practice Provider Organisations we introduced “GP streaming” in the NNUH Emergency Department. Local family doctors provide primary care to patients who do not need to see a specialist.

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, working with secondary care colleagues  

The 3 central Norfolk localities came together to form a Clinical Reference Group to review planned care arrangements.

Mental Health

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.

Community care

The CCG worked with   partners to develop our Community Fully Integrated Care and Support project with e addition of an Integrated Care Coordinator for the Norwich Home Visiting Service. The CCG worked with the Healthy Norwich Partners to review and relaunch its community prevention programme based on the Five Ways to Wellbeing initiative.

The CCG worked extensively with partners to develop a new and improved model to support people who are homeless, sex workers, migrants and other people who find accessing NHS services more difficult.to access.

The Norwich Escalation Avoidance Team received about 7-8 referrals per day, of which the teams were able to help 2-3 people remain safely at home rather than be admitted to a hospital bed. Pilot work with EEAST commenced to explore how potential hospital admissions could also be avoided.

Children and Young People

Key areas of work for the Norfolk and The CCG worked with   partners to develop our Community Fully Integrated Care and Support project with e addition of an Integrated Care Coordinator for the Norwich Home Visiting Service. The CCG worked with the Healthy Norwich Partners to review and relaunch its community prevention programme based on the Five Ways to Wellbeing initiative.

The CCG worked extensively with partners to develop a new and improved model to support people who are homeless, sex workers, migrants and other people who find accessing NHS services more difficult.to access.

The Norwich Escalation Avoidance Team received about 7-8 referrals per day, of which the teams were able to help 2-3 people remain safely at home rather than be admitted to a hospital bed. Pilot work with EEAST commenced to explore how potential hospital admissions could also be avoided.

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. Key working with the Young Person Child Health Network have been developed.

The Healthy Norwich Partnership has delivered healthy-child activities in schools, which are aimed at prevention.

New technology

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.

Engaging with people and partners

We engaged with local people and partners either formally via our engagement team or through the ongoing course of commissioning meetings and dialogue. Activities included:

    • In-depth engagement and pathway events to assist in co-designing a new inclusive service for our marginalised communities.
    • 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.
    • Co-designing an end of life strategy with stakeholders and patients 
    • Forming a Community Involvement Panel to ensure patient perspective and quality of care were core in planning and delivering health provision.
    • To review and relaunch our Healthy Norwich programme.
    • Coproduce and implement the Norwich Local Delivery Group Memorandum of Understanding, developed to formalise the collaborative arrangements between all partners to meet the needs of the local population. 

 

 

 

 

 

 

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