Slides from a patient and public engagement event at Birmingham City Football Club, hosted by BVSC and Birmingham LINk, 4th October 2012.

1. Commissioning
intentions

2. What are Commissioning Intentions?
• Our commissioning intentions are the
proposals we develop that shape our
contract discussions with organisations
that provide healthcare
• It is a complex process with
responsibilities ranging from assessing
population needs to prioritising health
outcomes

3. Why are they important?
• They are important as they help us to
ensure we are meeting the health needs
of our local population
• We don’t have the resources to do
everything so have to prioritise how we
invest tax payers money

4. How do we develop them?
• Understanding the health needs of our
population
• Understanding existing services and gaps
• Talking to local stakeholders at events such
as this
• Clinical discussions with provider
organisations about our shared priorities

5. What have we learnt?
• ‘Co- development’ of intentions works
• Draws on expertise from primary and
secondary care, Birmingham City Council,
community and voluntary groups and our
patients and carers
• All are well placed to identify gaps and
potential improvements in care
• Historical ways of working can be improved

6. Understanding our population
• Majority of the area covered by Birmingham
CrossCity is highly deprived
• Areas of high unemployment
• Ethnically diverse
• High birth rate
• Variation in life expectancy across
Birmingham CrossCity area of over 5 years -
the ‘life expectancy gap’
• Ageing population with increased frailty

7. Health needs
• Life expectancy gap due to:
 Circulatory diseases – diabetes, hypertension
 Respiratory diseases – COPD (Chronic obstructive pulmonary
disease)
 Cancers – lung cancer
• High numbers of emergency admissions for respiratory
disease and COPD
• 37 % of Year 6 primary school children are overweight or
obese
• High levels of teenage pregnancy in some areas
• High levels of infant mortality
• ‘Hidden communities’ – homeless, travellers, asylum
seekers & refugees
• High spend on mental health services

8. What work have we done already?
• Service Redesign: Cardiology, Ophthalmology,
Respiratory
• Trauma
• Communication – record sharing, excess bed days,
out patient and inpatient letters
• Diagnostics
• Enhanced recovery
• Antibiotics in the community

9. How does it happen?
• NOW! Ideas please
• October First draft of intentions shared
• December Agreement of 13-14 intentions
and plans
• February Improvement plans written
collaboratively in working groups
• March Improvement plans signed off by
JCCG for inclusion in the contract
• April The work starts

10. Priority areas that we have identified…
• Reducing premature deaths through prevention
-Smoking cessation, life style advice
• Maternity and early years
• Frail Elderly - dementia, stroke care, end of life care
• Long Term Conditions - respiratory, diabetes
• Improving mental health care
• Improving urgent care
• Ensuring that people have a positive experience of
care
• Commissioning high quality and safe services

11. Key steps
• Event feedback report to be compiled
• Will help feed into first draft of commissioning
intentions
• For more information visit:
– Website: Bhamcrosscityccg.nhs.uk
– Email: bhamcrosscity@nhs.net
– Telephone: Communications and Engagement
Department on 0121 255 0875

12. Thank you