The document summarizes the transition of healthcare commissioning in England from Primary Care Trusts (PCTs) to Clinical Commissioning Groups (CCGs) under the Health and Social Care Act 2012. It introduces Sandwell and West Birmingham CCG, which covers over 525,000 patients across 110 general practices. The CCG is made up of five local commissioning groups and has made progress on health needs assessment, quality improvement, and clinical leadership in preparation for full authorisation in 2013.

1. Strengthening the patient voice
West Bromwich Albion
5 July 2012
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2. Sandwell and West Birmingham CCG
Healthcare Without Boundaries
Our journey so far…
Dr Nick Harding
MBChBBSc FRCGP MFLM DRCOG DOccMedPGDip(Cardiology)
5 July 2012
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3. Overview
 NHS Changes
 An introduction to Sandwell and West Birmingham
Clinical Commissioning Group
 Progress towards authorisation so far
 The wider context for delivery
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4. Health and Social Care Act 2012
• Clinical Commissioning Groups to take over responsibility of
commissioning health services for local populations – abolition of PCTs
and Strategic Health Authorities by 2013
• Creation of NHS Commissioning Board *(*primary care contracts)
• Establishment of HealthWatch and local Health and Wellbeing Boards
to increase accountability for patients and the public
• Creation of Public Health England to improve the health of the
population and public health transfer to local authority
• Commissioning Support Services
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5. After April
Before Now
2013
Department Department of Department of Department of
of Health Health Health Health
Strategic 10 SHAs 4 SHA Clusters NHS
Health West Midlands (Midlands & Commissioning
Authorities East) Board
(SHA)
151 PCTs 50 PCT Clusters 27? Local
Local Health e.g. Sandwell. e.g. Birmingham offices for NHS
Economy Heart of &Solihull, Black
Commissioning
Birmingham Country
Board
Local 230 CCGs 200? CCGs(tbc)
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6. How things are changing
From 2013 new organisations will take on PCT responsibilities
Individual PCTs Transition to Cluster Flip Future
Public Health
Heart of Birmingham
Teaching PCT Commissioning Support Service
Clinical Commissioning Groups
Local Office (NHS Commissioning Board)
Sandwell PCT
NHS Property Co.
Up to 2010 2011 April 2012 2012 and beyond
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7. A phased approach
From 1st April 2012, as part of a phased approach for transition, after a
rigorous Board to Board Challenge pre-authorisation process, NHS
PCT Clusters started delegating some responsibility to CCGs such as:
Commissioning and monitoring of services
Delivery of improvements and savings (QIPP)
Improving quality and safety
Achieving financial balance
Hitting Key Performance Measures
Communications and engagement
..To help achieve a seamless transition for patient care
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8. An Introduction to CCG
►We are passionate about improving the
healthcare for the people of Sandwell
and West Birmingham.
►Our vision is for transforming services
to ensure excellence for everyone and
in everything we do.
►Our aspiration is to create a new kind of
organisation really rooted in its membership,
relationships and local knowledge.
►We will be using local and clinical knowledge
for change and improvement in health for our patients.
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9. Our health priorities
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10. CCG area
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11. Our health needs
• SWBH commissioning area is around 530,000
• West Birmingham ranked 10th most deprived Local
Authority in England with 68% BME population
• Sandwell ranked 12th most deprived Local Authority
in England with approx 20% BME population
• Health challenges against rising costs and demands
for healthcare
• Absolute commitment to improving quality of care
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12. Who we are
Building on long standing foundation of partnership working through
Right Care Right Here between Sandwell and West Birmingham
NHS and local authorities.
“Serve a unique population - diversity unifies us”.
Bridging the health gap
Unsafe Journey © Amy Helene Johansson 12 12

13. The journey so far
2002 PCT arrives
2003 Right Care Right Here partnership forms
2007 Practice Based Commissioning
2008 Primary Care Collaborative
Clinical Commissioning Directors appointed
2009 Partnerships form: Vitality Partnership, ICOF
10 Strategic Models of Care and clinical strategies agreed
2010 GP Consortia HealthWorks, ICOF, Black Country Alliance and
Pioneers for Health
22 Care Pathway Reviews agreed across health economy
2011 Sandwell and West Birmingham Clinical Commissioning Group
September - agree vision values with clinical leaders
2012 Interim Board is formed with five LCGs
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14. Our role
By April 2012 - shadow form as a CCG in readiness for 2013.
We want to:
1. Be clear on the health needs of our population and how we are going to
improve their health
2. Get the balance right between local and strategic decisions
3. Show real clinical leadership and development across the health economy
4. Do this new role in the most effective way we can
5. Create a Clinical Commissioning Group that leads by example
6. Be effective in communications within our organisations and the people
we serve
7. Be ready to lead and manage the NHS as a system by April 2013.
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15. Our Clinical Commissioning Group
Local Commissioning Groups Chair Practices Population
Black Country Dr George Solomon 20 112,228
HealthWorks Dr Nick Harding 22 132,985
ICOF Dr Samar Mukherjee 27 106,953
Pioneers for Health Dr Vijay Bathla 10 46,151
Sandwell Health Alliance Dr Basil Andreou 31 127,519
Clinical Commissioning Group Chair Practices Population
Dr Nick Harding
Sandwell and West Birmingham 110 525,836
(Interim Chair)
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16. Black Country
Practices – 20
Population – 112, 228
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17. HealthWorks
Practices – 22
Population – 132,985
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18. ICOF
Practices – 27
Population – 106,593
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19. Pioneers for Health
Practices – 10
Population – 106,593
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20. Sandwell Health Alliance
Practices – 31
Population – 127,519
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21. Strengthening the patient voice
Questions
5 July 2012
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