FWCCG Annual Report 2020-21: Section 1- Performance Report

NHS Blackpool Clinical Commissioning Group (CCG) is a clinically led organisation, which brings together 17 local GP practices and other health professionals to plan and design services to meet local patients’ needs. Our GP practices serve a registered population of 174,000 across 32sq/km of a largely coastal area. We have an allocated budget of £405.2m that we spend on health and care services for our population.

The CCG is responsible for commissioning (or buying) a range of services for people living in Blackpool, including urgent care (such as A&E and the out-of-hours GP service), routine hospital treatment, mental health and learning disability services, community healthcare (such as district nursing) and continuing healthcare packages.

The primary provider organisations with whom we have contractual arrangements for services include:

  • Blackpool Teaching Hospitals NHS Foundation Trust
  • Lancashire and South Cumbria NHS Foundation Trust
  • North West Ambulance Service NHS Trust
  • Fylde Coast Medical Services Ltd
  • Spire Fylde Coast Hospital

We also work with Healthwatch, the independent champion for local people who use health and social care services.

The COVID-19 pandemic has brought significant changes to the way in which CCGs operate. It has been essential to adopt a co-ordinated response led at both a national and regional level and for service provision to be handled as part of a system-wide approach across the Integrated Care System (ICS) of Lancashire and South Cumbria.

The safety of our patients and staff remains our number one priority. The pandemic has brought a number of changes to many services with some adopting different operating models and some suspending services temporarily. Many people have been able to continue to access services through telephone, video and online options with face to face contact only when absolutely necessary. Technology has been crucial in supporting this approach and the CCG has helped to establish a vast range of digital options for staff and patients. It has also enabled CCG staff to work from home over the past year and continue the work that is essential to support the effective delivery of safe, high quality services.

There will however be lasting consequences as a result of the COVID-19 pandemic. A number of elective services were suspended, and we also know that people have delayed seeking help for serious health conditions such as cardiovascular disease and cancer.

This will compound the issues we already faced on the Fylde Coast where almost a third of our population experience a long-term condition such as respiratory conditions, cancer, diabetes, kidney disease, frailty, or mental health: many patients have more than one long-term condition.

Blackpool experiences one of the highest levels of deprivation and health inequalities in England with a low level of life expectancy for both men and women compared to other parts of the country.

It is important to acknowledge that these challenges require a long-term commitment to resolving health inequalities, and it is more important than ever that we do not lose sight of our role in protecting people’s long-term health and wellbeing.

Over the last year we have continued to progress our work across the Fylde Coast as an Integrated Care Partnership (ICP) and many of our achievements are the result of joint working with our health care partners and local authorities who have a responsibility for Public Health and social care. Examples of this include the respiratory programme and winter planning.

We have continued to provide regular reports to our Governing Body about how we are meeting all of our pledges. These pledges, which can be found on the next page, are as relevant now during the COVID-19 pandemic as they have always been and represent our commitment to providing our residents with the information they need to make healthy choices and make the best use of health services locally.

Although we are working more closely across Lancashire and South Cumbria, we continue locally to remain committed to the 10 pledges we developed with members of the public. The pledges make the following commitments:

You will…

  1. Have clear information relevant to your health and wellbeing which is easy to understand.
  2. Be encouraged to live a healthier lifestyle and supported to keep well both mentally and physically.
  3. Be more involved in decisions about health services and your healthcare.
  4. Receive safe, high quality healthcare.
  5. Have services that are easy to access, timely and appropriate for your needs.
  6. Have services tailored to the needs of your neighbourhood.
  7. Receive care in a community setting or at home, where appropriate.
  8. Be supported by organisations that work together to provide the care and support services you need.
  9. Be supported using the most appropriate technology and equipment as it becomes available.
  10. Have a health service that uses resources effectively.

These were endorsed by our patient groups, the Fylde Coast Patient and Public Engagement and Involvement (PPEI) Forum and delegates at the 2019 Patient Participation Group (PPG) Conference. We continue to report progress on these pledges to the Governing Body regularly.

Across the Lancashire and South Cumbria Integrated Care System (ICS) health, social care and other organisations are working much more closely together during 2020/21, as part of the planned progression to integrated working and as part of the response to the COVID-19 pandemic.

Each of the eight CCGs in the ICS have agreed to include details about their joined-up working in their annual reports.

This performance overview therefore will outline the main areas that organisations have worked as a system to deliver and demonstrate the partnership approach being taken in Lancashire and South Cumbria. Facts and figures for the Fylde Coast will be included along with additional information on Fylde Coast specific projects.

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