Agenda item

The Hillingdon Clinical Commissioning Group (HCCG) had started discussions in relation to its Commissioning Intentions for 2017/2018 which would focus on a smaller number of transformation themes.  It was agreed that the Commissioning Intentions now reflected more of the detail that the Board had been looking for and that information about how the services were being shaped and opportunities for market development should also be included.  In addition, the document needed to demonstrate the improvements that would be delivered to residents. 

It was noted that a public event would be held on 13 July 2016 at Brunel University and would be used to gain service user feedback on the HCCG Commissioning Intentions.  It was suggested that awareness of this event needed to be maximised and that, in future, health related information could be placed in Hillingdon People to raise awareness across the Borough.

The QIPP (Quality, Innovation, Productivity, Prevention) programme had achieved £7.033m savings against the £5.5m target that had been agreed with NHS England (NHSE).  Consideration was now being given to future years' QIPP savings targets. 

HCCG had ended 2015/16 with an in-year surplus of £7.525m (comprising £6.455m surplus on programme budgets and £1.07m surplus on running cost budgets).  The additional surplus would be carried forward into 2016/17. 

Proposals for new models of care identified by the Shaping a Healthier Future programme included reconfiguring the way in which children’s in-patient care was delivered in North West London.  It was noted that the children's in-patient services at Ealing Hospital would cease and would be redistributed to the major hospital sites in North West London with the transition taking place on 30 June 2016.  Although, the majority of patients would transfer to Northwick Park Hospital, it was anticipated that the change would result in an increase in the number of patients presenting at Hillingdon Accident and Emergency (the majority of which would be urgent care cases). 

GPs and Hillingdon Hospital were aware of the changes to the provision of children's in-patient services.  To manage the expected increase in demand, Hillingdon Hospital was in the process of recruiting a paediatric consultant, a Paediatric Assessment Unit was being developed and the Accident and Emergency department was being enlarged (due to open in July).  The Hospital was confident that the increase would be manageable in terms of physical and human resources as long as demand remained within the projected profile (although there was also a contingency in place to manage double the number of additional patients expected).  However, an assessment was being undertaken to identify any impact that the changes would have on CAMHS patients presenting at Hillingdon's Accident and Emergency department.

Concern was expressed that NHSE communication with regard to the transition of maternity services from Ealing Hospital had been poor.  It would be important for the communication around the transition of children's in-patient services to be managed well. 

The Board was assured that an extensive exercise had been undertaken two years ago regarding the transport implications of changes proposed by Shaping a Healthier Future.  It was noted that there had been more Ealing patients attending Hillingdon Accident and Emergency than anticipated but that there had also been a general increase in the number of non-residents attending Hillingdon Hospital. 

It was anticipated that the Accountable Care Partnership (ACP) would result in better integrated care for people over 65 years. 

The Board was advised that the CCG Annual Report and Accounts had been formally signed off by external auditors. 

It was noted that Ms Caroline Morison had taken over from Ms Ceri Jacob as the HCCG Chief Operating Officer. 

RESOLVED:  That the Health and Wellbeing Board to noted the update.