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CCG Series: Health, wellbeing and ESy CCG

CCG Series: Health, wellbeing and ESy CCG

23 April 2013

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Clinical chair for East Surrey CCG (once known as ESyDoc CCG), Dr Joe McGilligan, explains the priorities for the clinical commissioning group, and how they were decided. 

Clinical chair for East Surrey CCG (once known as ESyDoc CCG), Dr Joe McGilligan, explains the priorities for the clinical commissioning group, and how they were decided. 

On 4 April, I was elected the co-Chair of Surrey's Health and Wellbeing Board; a true partnership between health and social care, the NHS and the council. The welfare state and the NHS started in 1948, but it took a change in the law in 2012 Health and Social Care Act to get us to work together.

 We are a board of commissioners not a commissioning board.
Our focus is to get the best use of the public pound by co-commissioning rather than duplicating services or planning in isolation.

We approved the Health and Wellbeing Strategy for Surrey for 2013/14.  It was developed from the Joint Strategic Needs Assessment (JSNA) and went through a very elaborate process to get to five agreed priorities. Thirty pre-meeting priorities were voted on by members of the Shadow Board and ranked by each member according to their wishes. We had a lengthy meeting and elaborate voting mechanism to determine a consensus to reduce it to fourteen priorities. Based upon three questions: is it already being done? can it be done? and if we didn't do it now will it come back to bite us?

We then held 80 public meetings presenting our priorities and asking for feedback from the community groups, if they agreed and if they had others.  
We also had an online survey asking the same questions and the results of all three priority setting methods were coalesced by some clever statistical maths and a repeatable and robust method was determined to get five strong deliverable priorities we can all sign up to and embed in our organisations.
They have measurable outcomes but also flexibility; they are not set in stone so can be adjusted if they appear to be at odds with public expectations.

 The priorities focus on prevention and embedding Health and Wellbeing in every decision taken by the council and health just the same way equality and diversity is used. We want to develop one version of the truth and have a collective responsibility to prepare for the future of the technological age which is rapidly approaching. The collective responsibility is for everyone, residents and the professionals, to ensure we build an equitable and fair health and social care model for Surrey.
The priorities are:
Priority 1: Improving children’s health and wellbeing
Priority 2: Developing a preventative approach
Priority 3: Promoting emotional wellbeing and mental health
Priority 4: Improving older adults’ health and wellbeing
Priority 5: Safeguarding the population
This is the start of a new way of working and will take time and patience and a lot of mutual understanding and trust, but I believe it is the right way forward.
Further information can be found on the East Surrey CCG website.  
If you'd like to take part in the CCG Series please email [email protected] for more information

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