Great Yarmouth and Waveney Clinical Commissioning Group (CCG) commissions healthcare for a registered population of of 238,090 (Jan 2017) people. Our patch is broadly aligned with Great Yarmouth Borough Council and Waveney District Council - see map of our area. We work in partnership with other organisations, such as local councils and the voluntary sector, to improve the health and wellbeing of the residents of Great Yarmouth and Waveney.
Clinical Commissioning Groups (CCGs) are new organisations introduced by the coalition government to organise planning and purchasing of local NHS services.
The government published its proposals in a White Paper in July 2010, a widely publicised public consultation was held and the plans were fully implemented on 1 April 2013. Under the CCG arrangements local GPs and clinicians are responsible for planning and managing how health care is arranged for all of their local residents. In the Great Yarmouth and Waveney area NHSGYWCCG has taken on these responsibilities such as managing the contracts of our major providers.
Across England local groups of GPs will together work with other members of the NHS (eg hospitals, mental health trusts and community health services) and are responsible for the funding to pay for all services. All of the practices in Great Yarmouth and Waveney have come together to form a local group – NHS Great Yarmouth and Waveney CCG .
For the financial year 2016/17 GYWCCG is responsible for a budget of around £357 million. Even though it is an enormous sum there will always be choices to be made on how we spend it and although the government has not reduced the NHS budget as part of its economy measures there will be very little growth funding for the next few years, and medical cost inflation is much greater than general inflation. So we have to be even more careful about getting value for money. Of course GPs are the health professionals closest to patients and who work on their behalf all of the time so they are in the best place to make those decisions. That is why the government has introduced CCGs.
Every time a local patient receives care of any sort the cost of the bill is allocated back to the relevant practice budget. So we can review the value for money and make plans to use it better.
GYWCCG's role is to focus on commissioning and the practice services for Great Yarmouth and Waveney residents using the commissioning cycle shown below:
Commissioning starts by looking at the needs of the local population (needs analysis). This information is provided from information collected by health service organisations and is collated and organised by Public Health.
We also look at the services which are provided very carefully (service review). We work with the other local clinical professionals in groups known as programme boards. These cover planned and unplanned care. The programme boards comprise of doctors, nurses and other professionals. They consider in detail how care is provided to patients and work on ways to make changes to improve it.
Having reviewed how services are being provided and worked with colleagues to design new, better ways of organising things we at the CCG will specify exactly what services must be available (service specification). We will then agree a contract with health care providers such as the James Paget University Hospital, the Norfolk and Norwich University Hospital and East Coast Community Healthcare.
The final part of the cycle is monitoring. We are continually considering how services are working and listening to patient feedback. Both service quality and its impact on the health status of local residents is covered. Using this information we can further review what we commission and continue to improve it.