Our achievements in 2016/17

We work with patients, partners and service providers to make improvements to healthcare for the benefit of the whole community.

These are just some of the highlights of the work we have been doing to make a difference to everyone’s health in the last financial year (April 2016 to March 2017).

Better out-of-hospital care

Helping people to live safely and independently at home as they age is a high priority for the CCG. We want to help people stay well in their community, so that they have fewer hospital admissions and spend less time in hospital when they do need to be admitted.

Some of the ways we’ve done this include:

  • Introducing a new frailty service that targets older adults who may need more help and support as they age
  • Establishing a multi-agency discharge service that helps people leave hospital as soon as they are fit for discharge, with follow-on assessments and care planning carried out in the community
  • Working with Age UK, local GP practices and other partners to set up a new ‘wellbeing’ service to help people access local support networks in order to improve their overall wellbeing
  • Introducing a practice-based minor injuries service to help local people access urgent care services without requiring a hospital visit
  • Launching an End of Life Care Co-ordination Centre across all South Gloucestershire GP practices

Figures for the last year demonstrate positive impacts from many of these schemes, including:

  • No growth in the number of South Gloucestershire residents attending A&E, in direct contrast to national trends
  • Referrals to hospital fell by 2.4% between April and November 2016, compared to the same period in 2015
  • Delayed Transfers of Care (DToc) have decreased for patients at both North Bristol NHS Trust and University Hospitals Bristol NHS Foundation Trust
  • 30 to 40 South Gloucestershire patients a month are now being referred to the End of Life Co-ordination Centre, and 77% of patients supported between April 2016 and January 2017 died in their preferred place of death.

Transformed community services for children

We successfully completed a major re-procurement of children’s community health services for South Gloucestershire and Bristol during the financial year.

This involved a partnership of five commissioning organisations (South Gloucestershire CCG, Bristol CCG, Bristol City Council, South Gloucestershire Council and NHS England) working together to develop a cost-effective service for the whole area that recognises specific local needs, and delivers co-ordinated care to children, young people and families.

Tackling diabetes and promoting self-care

We successfully bid to join the second wave of the national Diabetes Prevention Programme from April 2017, building on the diabetes prevention pilot currently running at Leap Valley GP practice, in partnership with South Gloucestershire Council and the University of the West of England.

Quality Assurance and Safeguarding

We published our first Annual Quality Report to provide an overview of quality performance of the CCG and of the provider organisations from whom the CCG commissions a service. A two year Quality Strategy has also been developed.

National recognition

During 2016/17 the CCG, its work and its employees have received both local and national recognition in a number of areas, including:

  • Being shortlisted for the national HSJ Awards for our primary care-cased memory assessment service which helps people living with dementia to access care and support sooner
  • Being shortlisted for the 2016 Healthcare Transformation Award (Clinical Leadership Category) for our work to develop our GP clinical leadership team,
  • National recognition for Dr Peter Bagshaw who was invited to join the national NHS England CCG Improvement and Assessment Framework expert panel for Dementia
  • National recognition for Melanie Green, CCG Director of Primary Care and Medicines Optimisation, who was invited to join a national working group set up by NHS England to consider linkages between primary and secondary care.