The CCG has a number of ways in which it engages with patients and the public on an on-going basis. There are some occasions when the CCG is required to carry out a formal consultation. This is usually when the CCG is considering a change to existing services and the CCG wants to seek the views and opinions of its patients.
Moss Grove Kinver Practice
South East Staffordshire and Seisdon Peninsula (SES&SP) Clinical Commissioning Group (CCG) and Dudley CCG are seeking your views on a proposed CCG constitutional change. Moss Grove Surgery in Kinver has indicated that they wish to transfer from SES&SP CCG to Dudley CCG.
Many of the GP partners at the Kinver practice also manage a practice in Kingswinford and they have started to seek the views of patients on the proposal so that they may put in an application to merge the two surgeries. They have articulated their reasons for the proposed merger of the two practices as follows:
- Merging and transferring Kinver under the commissioning structure of Dudley CCG would improve access and choice to our Kinver/Kingswinford patients. As patients would be able to use services at both sites.
- It is currently harder to offer patients of both practices extended hours or extended access appointments in our Kinver surgery. Combining both surgeries will give a greater ability to manage variations in ‘on the day’ demand
- There will be improved continuity of care. Currently, patients are sometimes unable to see their preferred doctor as they are working across 2 surgeries; if the transfer and merger were accepted then patients could see doctors at either site.
- Merging would mean that it is easier to offer patients in Kinver access to nurse services for five days of the week.
- Clinics available now to Kingswinford patients (minor operations, IUCD clinics, injection clinics to name a few) would be available to all patients
- Currently the partnership works and supports two CCGs and two NHS England area teams. This increases workload on an already stretched partnership management team.
- Economy of scale across both clinical and administration areas in Dudley would be realised.
- It is hoped that the merger will improve recruitment and retention of staff to both practices.
It is not possible for the CCG to consider a merger application from practices in two separate CCGs so any proposal to merge is subject to a decision by NHS England on whether they support an application to amend the CCG Constitutional Boundary. This application is made by each of our CCG Governing Bodies to NHS England articulating whether we support the proposal or not.
We are seeking views on this matter to help our Governing Bodies reach a decision. We will of course also be taking into account the views expressed by patients at the two practices (as sought by the practice) and through our own involvement mechanisms.
Please find below a number of key points which may help you to reach an opinion on this matter:
- Kinver Practice has a list size of approximately 5480 patients.
- A vast proportion of these patients are resident in South East Staffordshire and Seisdon Peninsula.
- The majority of patients currently choose to use the hospital services in Dudley. These arrangements and patient choice would continue regardless of the host CCG.
In the event of a CCG transfer the responsibility for existing contracts for health services would transfer to Dudley CCG, the intention being to maintain access to services for patients as exists at present.
- Although there will be a single health commissioner, arrangements for the commissioning of social care and other Council services will remain the same
- In the event of a CCG transfer, the funding associated with patients registered at Kinver would transfer from South East Staffordshire and Seisdon Peninsula (SES&SP) CCG to Dudley CCG
- In the event of a CCG transfer NHS England have indicated that the practice would not transfer with any proportion of South East Staffordshire and Seisdon Peninsula (SES&SP) CCG financial deficit, this may create a challenge within that health economy. The application to NHS England is required by the 1st June 2018 with any agreed change happening the following April (2019).
Burntwood Health and Wellbeing Centre
South East Staffordshire and Seisdon Peninsula Clinical Commissioning Group (SES&SP CCG) were reviewing the services it provides at Burntwood Health and Wellbeing Centre and in the wider area. Information was collated in the form of a survey - this survey is now closed.
The CCG would like to use this feedback from patients who have used the service as either a registered patient at Burntwood Health and Wellbeing Centre or those who have used the service and are registered with another surgery, to help inform its decisions about how these services will be delivered in the future. More information will be available soon.
Improving access to primary care services / GP Extended Access
Across England, all Clinical Commissioning Groups (CCGs) are required to put in place arrangements for extended access to general practice (GP) from 1 October 2018. Extended access will allow all patients to have easier and more convenient access to GP services, including appointments in the evening and at weekends.
The six Staffordshire and Stoke on Trent CCGs (the CCGs) have worked together to develop their commissioning approach. In doing so, the CCGs have considered the extended access services required in each of our areas and how they can be delivered. As a result of that work, the CCGs are satisfied that the services required to meet the needs of our local populations are an extension of the services already provided by GP practices during core opening hours. Consequently, the CCGs are also satisfied that only general practice is able to provide those services.
The CCGs will now seek to commission extended access services directly from general practice, on the basis that the services are list-based primary medical care that cannot be delivered by any other providers. Formal proposals for delivery the services will be invited from general practice and it is anticipated that these will come from groups of practices working together at scale as localities or Federations although there will be no mandatory requirement for any GP to deliver the services. Proposals will then be assessed by a non-conflicted panel ahead of making any contract award decisions. The extended access contract(s) will not impact on existing GMS, PMS or APMS contracts and their requirements, currently in place.
The CCGs consider that this is the most appropriate way to secure services to meet patients’ needs and improve the quality and efficiency of services. The proposed commissioning route is also in line with the GP Forward View and the need to achieve transformation of general practice services.
The Governing Bodies of the CCGs have approved this commissioning route.
December 2017 to February 2018: The six NHS Clinical Commissioning Groups across Staffordshire and Stoke-on-Trent were looking at how to give patients easier and more convenient access to services at GP surgeries outside of the usual hours, including over the weekends. A survey was created to capture this feedback. This survey is now closed.
A summary of the feedback received from the patient engagement exercise, including the online survey, document is available here (830 KB) . This feedback is now being used to help shape what the potential models might look like in each area. Once the models have been developed, through engagement with local primary care providers, these will be shared with patients and the public in each area.
The CCGs will also be seeking ongoing feedback from patients and the public on any new models developed to make sure they are meeting the needs of the patient populations.
Ear, Nose & Throat (ENT) services
December 2017 to January 2018: The ENT survey was to support the development of a full community ENT service in the SESSP CCG area. This is already in place for Cannock Chase and Stafford & Surrounds CCGs so we were looking to capture the experiences of service users in both secondary care and the community. Response to the survey was poor highlighting the need to engage with service users via an alternative method to obtain the level of feedback required. Lessons learned from this survey will be applied going forward.
Following discussions at the locality boards they did not support the development of a full community ENT service, however it was noted that a lot of the referrals that are made to ENT are mainly for micro-suction procedures. Options will be reviewed for the development of a standalone micro suction clinic to be provided at a location within the Seisdon boundaries.
September 2017 to January 2018: We were gathering views of service users to understand the expectations from existing cardiology services and to find out what is important when accessing services. We wereparticularly targeting service users and their family / carers, with experience various conditions including Heart Failure, Cardiac Rehabilitation, Stable Angina, Unstable Angina, Atrial Fibrillation and Arrhythmia. Response to this survey was poor, so plans are in place to look at alternative methods to gain views from users of this service.
September 2017 - January 2018: The Ophthalmology survey was to obtain feedback from service users of their experiences when referred into the existing community and acute providers. Responses were positive however the survey has highlighted the need for wider promotion of the community service available via local opticians on the high street which negate the need for a GP referral into the acute. As a result we have commissioned leaflets to be printed promoting the Minor Eye Conditions Service, these have been distributed to GP Practices, Pharmacies and Libraries within the Stafford, Cannock and South East Staffordshire & Seisdon Peninsula CCG areas.
August 2017 - January 2018: The CCGs were keen to understand more about your last NHS appointment and, where appropriate, what choice you had at that time. Patients were encouraged to complete an online survey. Find out more about Patient Choice.