NHS Fylde and Wyre CCG Annual report 2021-22 – Section 1 – Performance report

NHS Fylde and Wyre Clinical Commissioning Group is a clinically led organisation, which brings together 19 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 178,000 across 449sq/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 co-ordinated response to the COVID-19 pandemic continues, led at both a national and regional level with service provision handled as part of a system-wide approach across Lancashire and South Cumbria.

The CCGs of the Fylde Coast have been working together for some time and over the last year more joint working has been taking place across all the CCGs in Lancashire and South Cumbria.

We continue to work in an agile way which we began at the start of the COVID-19 pandemic with many staff working from home or in different roles on a temporary basis.  Whilst some changes that were made during the pandemic have begun to revert to their previous delivery model, often referred to as service restoration, others have been retained and a blended approach of old and new service delivery models offers more options for patients.  For example, GP practices now offer a range of face to face, video and telephone appointments with many patients finding the convenience of the latter improves their ability to access support from a GP, practice nurse or other allied health professional when they need it. The safety of our patients and staff remains our number one priority and we will continue to review and improve patient experience and quality as part of our core offer to our residents.

It is widely publicised across the country that the COVID-19 pandemic response has had a negative effect on waiting lists with some people waiting much longer for appointments for both secondary and primary care. This is also the case on the Fylde Coast and compounded by the fact that 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 also 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 Healthier Fylde Coast as a place-based partnership (PBP) and many of our achievements are the result of joint working with our partners across all sectors.

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