North East Essex CCG is celebrating, having been rated ‘outstanding’ by NHS England (NHSE) in its Annual Assurance Assessment.
Pictured: North East Essex CCG staff.
NHSE formally recognised the Colchester based CCG’s key achievements across 2018/19, highlighting the work undertaken to achieve the overall rating - especially “the strong leadership, the pro-active approach to system working; and the commendable approach to organisational development.”
Through collaboration with a broad range of system partners (including county, borough and district councils, the wider voluntary sector, St Helena Hospice, EPUT, ACE, GPPC and ESNEFT), the CCG has helped to establish the North East Essex Health & Wellbeing Alliance with the aim of transforming the health and wellbeing of the local population by creating a sustainable system of health and wellbeing services to meet the immediate and longer term needs of the communities across NE Essex.
Also noted was the CCG’s community engagement on topics such as the NHS Long Term Plan, actively engaging with hard to reach groups across the region and system partners to share and discuss the ideas set out in the national plan. The CCG held a wide range of public events through the year - such as ‘The Big Sing’ festive concert at Colchester Town Hall, a tea party for care home residents to mark NHS70, and supporting the Friends and Neighbours (FaNs) Network to create a ‘wishing washing line’ in the CCG, where wishes of local care home residents were displayed and fulfilled by staff members.
In addition, the CCG was shortlisted for two Health Service Journal (HSJ) awards, the ‘Innovation in Mental Health’ award for the Tendring Mental Health Hub and the ‘Improvement in Emergency and Urgent Care Award’ for the High Intensity Users project. The Hub helps those with mental health needs, often at risk of social isolation, poverty, substance misuse, and being victims or perpetrators of crime, to be supported by drop-in or referral appointments. Those who receive help can go on to become shop volunteers, building life skills that aid their reintegration into the community. By helping people to resolve problems at an early stage, the Hub has prevented them descending into crisis. The High Intensity Users project identifies patients who use health emergency services inappropriately, such as A&E and the ambulance services, and uses a personalised approach to support them to receive the assistance they need, while empowering them to take ownership of their health and wellbeing.
The CCG launched the Red Bag Scheme to ensure when a care home resident becomes unwell and needs emergency hospital treatment, care home staff fill the Red Bag with personal items such as medication, care records, dentures, glasses, hearing aid, toiletries, slippers and change of clothes. This enables the person to function well, get out of bed and be ready to go home from hospital as soon as they are able. North east Essex has the highest number of care homes in the region signed up to the Red Bag scheme (85).
Additionally, through the North East Essex Diabetes Service and with support of transformation funding, the CCG has improved outcomes for patients with diabetes in north east Essex and the outcomes for patients who have had a stroke are among the best in the country.
Another key achievement throughout the year was providing £110,000 to fund community based solutions to respond to higher winter pressures. This included supplying 300 packs to vulnerable residents containing vital resources to stay warm and conducting outreach sessions in at least six locations across the areas which are identified as at risk during the winter period.
Ed Garratt, Accountable Officer for North East Essex CCG, Ipswich and East Suffolk CCG and West Suffolk CCG, said: “It is excellent to share that the CCG has secured an ‘outstanding’ rating from NHS England – a wonderful reflection of everyone’s hard work and dedication. What makes this more special is knowing that all three CCGs in our STP area have been rated ‘outstanding’ – probably a first for the country.
“This is recognition of the wide scope of innovative and effective work the organisation has and continues to carry out - in collaboration with our partners - to improve the health and wellbeing of our communities.
“Thank you to all our teams and partners for your energy, effort and dedication to achieve this.”
NOTES TO EDITORS
Other NEE CCG achievements recognised by NHS England include:
- Reducing delays when people are ready for discharge from hospital through the ‘Trusted Assessor’ scheme, with providers adopting assessments carried out by suitably qualified ‘Trusted Assessors’ working under a formal, written agreement.
- Launching the Discharge to Assess pathway in north east Essex in December 2018, supporting people to remain in their own homes following a hospital admission. The OPAT service (outpatient parenteral antimicrobial therapy), which was launched in February 2019, supports the delivery of intravenous antibiotics to patients who are medically stable within their own home.
- Commissioning the North East London Foundation Trust (NELFT) to provide the Children and Young People’s Mental Health Early Intervention Services (CYP MHEIS) across north east Essex to improve the emotional wellbeing, emotional intelligence, resilience and self-esteem of children, young people, their families and carers. It is anticipated that this will also continue to improve community resilience.
- Improvement in the Emergency Department four hour standard at Colchester Hospital, supported by a programme of work around demand management, improved hospital flow and discharge; improved use of voluntary sector support; and ongoing commitment to the Alliance operations system resilience team.
- Improved ambulance handover performance at the Emergency Department – over the last year reducing the hours lost to the ambulance service by 75%.
- In December 2018 launching the new national Integrated Urgent Care service across our shadow Integrated Care System, ensuring over 50% of all NEE callers phoning NHS 111speak to a clinician for expert advice and guidance.
- Significant reduction in acute adult mental health patients placed in a bed outside of Essex, allowing reinvestment of £1.7m across North Essex (including Mid & West) in 2018/19.
- Increased IAPT access rates and sustained recovery in 2018/19. It is anticipated the CCG will achieve the 4.75% Q4 access target and continue to over achieve the recovery target.
- Since April 2018 over 300 people have been added to NEE’s dementia register, empowering people and their loved ones to make informed decisions about their future needs. This has led to an improvement in the diagnosis rate by 5%, and our improved alliance working around dementia services.
- Winter planning – the CCG has continued to support active system planning with regard to seasonal variance, having a senior manager dedicated to winter oversight and delivery. This has been a key learning opportunity which has led to the alliance operational team, and follow up of winter actions has also been valuable not only to the CCG but to the wider system for NE Essex. This will be taken into our planning for 19/20. For 2018/19 the CCG invested £4.7m non recurrently and £2.6m of this has been reviewed for recurrent investment during 2019/20.
- A policy change designed to reduce surgery complications and improve recovery rates was introduced, ensuring patients have at least one appointment with the Stop Smoking Service if they are referred for elective surgery or a surgical procedure.
- Planning was completed for the introduction of Faecal Immunological Testing (FIT) across NEE and Suffolk into GP practices to improve early bowel cancer diagnosis and prevent people undergoing invasive testing. This was launched in April 2019.
- Extended Access was launched and delivered, with primary care appointments delivered Monday-Friday 6.30pm-8pm and appointments are available on Saturdays, Sundays and Bank Holidays. Working with our GP Alliance groups COLTE, NEE GP Network, Clacton GP Alliance, Mill Road Surgery and Suffolk GP Federation, over 30 minutes of additional clinical time per 1000 weighted patient population have been commissioned.
- Primary Care Collaborative – £1.50 per patient has been invested in our GP Alliance Groups (COLTE, NEE GP Network, Clacton GP Alliance and CMP) in 2018/19 to support the development of Primary Care Network maturity; the same funding has been invested in 10 independent practices to support work and commitment towards alignment with an Alliance or Network.
- Clinical Leadership Development Programme - This pioneering development programme is aimed to bring together GPs and consultants from across north east Essex to develop and improve leadership capability and to encourage collaboration in order to improve cross boundary working and system innovation.
- Support for community pharmacists undertaking the ARU Safer Consulting in Minor Illness course with GP-led facilitated training sessions (a further session will be held early in 19/20).
- Joint STP working on the Medicines Optimisation in Care Homes Projects. The service will be hosted on behalf of the STP by St Helena Hospice in Colchester, three pharmacists and three pharmacy technicians have been appointed to the project team.
- The CCG worked with the following six organisations in the voluntary sector to provide system wide support to children and young people - Colchester Mind, The Maze Group, The Ark, Beat, Reprezent, and Community 360.
- During 2018-19, a ‘Hub and Spoke’ Programme Team was established to drive and support the provision of a fit-for-purpose estate to act as an enabler to deliver transformed services for the local population. This programme is supported by an established and robust STP Estates Plan that was developed in collaboration with STP partners.
- The North East Essex Health and Wellbeing Alliance and local community voluntary transport services are working in collaboration to identify suitable transport solutions to the population of North East Essex to improve access to healthcare facilities. The CCG have provided grant funding to voluntary transport services during 2018/19 and are considering further support for 19/20 and beyond. An example is the Hospital Hopper, delivered by Tendring Community Transport, which runs 7 days a week and provides on average 9,800 patient journeys per annum.
- The new Learning Disability Specialist Healthcare contract that went live in November in Essex is supporting the uptake of annual health checks. As a key priority, the provider is working closely with the CCG and primary care and we are anticipating achieving the delivery of health checks this year.
- The CCG continues to work towards the delivery of the STP Local Digital Roadmaps. Key achievements for this year include digitising all historic Lloyd George medical records in primary care; increasing electronic referrals for all first consultant outpatient appointments from 13% to 99.1%; and increased sign up for “patient online” and “summary care additional with additional information”. Seven practices are already using Footfall Websites and Online Consultation product, with a further 20 agreed to proceed over the coming months. There has been joint work with Colchester Borough Council and Tendring District Council to support the training of citizens to use digital technology and the new practice websites. All GP Practices now have free public WiFi available for patients to use in the waiting rooms.
Media enquiries: Please contact the CCG’s Communications team on 01206 918653.