Being heard http://youtu.be/Noq5R1Fn2KQ
Being the difference http://youtu.be/1I7ibVQnwzQ
Equality and diversity http://youtu.be/zSgrCfSNxuw
What about me http://youtu.be/-XjrjOlTM1w
Wheelchair users http://youtu.be/N_bXeMWjIl8
This weekend I'm off to watch the Ryder Cup (an opening remark that will have some people navigating away from this blog as fast as they can!). I've been to the last three home Ryder Cups and they have all been fantastic; this one completes a tour of England, Ireland, Wales and Scotland. The Ryder Cup is the only professional golf event I've every been to and it has fascinated me from being very young.
I have only seen Europe win - the first time was the most glorious week at the Belfry, bathed in sunshine watching Paul McGinley sinking the winning put on the 18th. Then things got progressively wetter at the K Club in Ireland before an onslaught of torrential rain at Celtic Manor in Wales meant a delay of the final round (this meant I was back in work on the Monday when the tense final day played out, which definitely wasn't a highlight).
So the perfect weekend this weekend will involve hearing only happy stories from the family at home, finding that the Travelodge in Edinburgh is ok, a hot day on Sunday, a good view and a win, but a close win with the winning putt happening right in front of us. It is just as likely to be raining and that we are watching a meaningless shot as the crucial action is happening elsewhere, but I am going to back the thought that I'll be able to write next week that I was there when Garcia sunk that amazing bunker shot to win the cup again.
Next week's highlights might happen on holes 1,7,11, 14 and 18, but for those not excited by golf, I'll promise only one paragraph next week....
Highlights of the Week - 26th September 2014 (@jeclo)
Highlights of the Week 1: Discussing Right Care - is this the method to underpin our work major programmes of work?
Matthew Cripps from NHS Right Care came to run a workshop with us this week. It is important that we have a sound methodology to underpin the major programmes of work that we are involved in and Right Care may be the thing we are looking for. We looked at the commissioning for value pack last year - essentially Right Care points to the top areas where we could improve cost, quality or both by comparing us to other parts of the country and particularly the performance achieved by the top 20% and these aren't necessarily the same as the areas we are currently working on.
The analysis shows to gains we could make if we performed at the top quintile in diseases of circulation, cancer and orthopaedics. It is vital that we verify that the data is pointing in the right direction and not just an anomaly compensated for somewhere else, but we know we are spending many millions more than our budget so there are definitely several areas where we need to improve.
The advice was not to look to take on too many areas at any one time, which is good advice and one we need to contemplate on as we embark on 9 simultaneous workstreams. We do need to find the real issues that have significant enough potential for saving, but the level of overspend in our systems does mean that we can't afford to limit the number of issues too much.
Highlights of the Week 2: Locality Board in Tavistock - there are some very different places within our Locality, but many similar issues
I don't think many people, even those who don't know the south west very well, would be surprised to find out that Tavistock in West Devon is significantly different from Plymouth. The leafy market town in Dartmoor is truly beautiful and the view from the moor on the way home down across Plymouth harbour is fabulous. Not that Tavistock is more than 10 miles from the outskirts of the city and, as I have said several times before, Plymouth has some fantastic parts, most notably the view from the Hoe, but Tavistock is very different.
The Locality Board this week included the usual set of public questions and, despite there being different people there, the issues are the same. People are concerned at the moment about what the future holds for the NHS and the sense that they need to be watchful to ward off any potential local service reductions. They are grateful too and we get stories of what the NHS has done for them.
The things we discussed in Tavistock - future of community services, the safety of different elements of service and our financial position - were the same and ultimately we are working to ensure that the NHS in Tavistock or in Plymouth is delivering what people need.
Highlights of the Week 3: Communities of Practice meeting-an invited guest at someone else's gathering: hugely interesting
A day in London to finish the week as I had been invited to a Communities of Practice meeting with a group of integration pioneer organisations who have started getting together two or three times a year to talk through the challenges they are facing and to share the real successes they have had.
So I got to hear from Greenwich about their integrated teams, Eastern Cheshire about their Better Together programme and North West London about their work on primary care co-commissioning, as well as brief updates from a number of other areas. They are doing some fantastic things and I have come away with some great new ideas of what we might be able to add to our thinking locally.
But I had a lot to say too (I guess many will not be surprised to hear); once you get past our financial challenges, the progress we are making on community services, on integration of both commissioning and provision in Plymouth and on our Local NHS Futures programme is good to share and people are very interested. It is easy to describe where we are: everyone in the NHS knows Torbay, we are the bit of Devon and Plymouth that isn't that!
Highlights of the Week 4: @markmarriottydh has brought the capacity and skill we need to drive forward our programmes of change, but not singlehanded
I got a chance to spend a couple of days this week with Mark Marriott our new Programme Director for Local NHS Futures. He is exactly what the programme needs and we are already starting to see the benefit of his first couple of weeks with us. He brings great experience in running complex programmes and a focus on delivery that has been well honed within the navy.
We discussed the immense challenge that we have set ourselves with nine programmes of work to make significant progress with over the next couple of months. Ultimately, everything needs to be able to feed in to next year's contract intentions - a different way of doing business between commissioners and providers in our system.
What is clear, though, with a programme of the size and scale that we are embarking on, is that Mark can't do this alone and we collectively need to make sure that we are putting enough resource in to the supporting programme office and to each project to ensure that we get the benefit of Mark's leadership. It isn't easy with the number of competing challenges we have, but it is critical.
Highlights of the Week 5: Huge opportunities for Primary Care as we look towards next year's commissioning intentions
I get to do the introduction and context setting type of presentation at different events in the CCG and this week at our opening planning session for next year's planning round. As I'm setting out how our Local NHS Futures programme working collaboratively with all our providers will guide how we work, it is important to try and give some examples of how things might be different next year.
So I start to describe, or speculate about, what outcomes based commissioning or capitation based funding systems might mean to how we commission or contract. The examples include how we might do things differently around orthopaedics with secondary care providers, but the most exciting to me seem to be around how it might stimulate primary care to become more proactive in shaping the future care system.
We have a significant deficit, we don't have any money to invest without guarantees about value and return on the investment. But we can invite primary care to think about the areas where we could share risk and as a result increase services provided around general practice. I can describe real potential around different ways of looking at pharmacists or dermatology or diabetes - in fact the list is really long. Let's hope we have some practices ready to take up the challenge!
You can read other blogs related to the work of the Western Locality of NEW Devon CCG
About our workplan: Western Locality Workplan
About our Locality business: Western Locality Business
Jerry Clough is Chief Operating Officer for Northern, Eastern and Western Devon Clinical Commissioning Group. He is also Locality Managing Director for the Western Locality of the CCG covering Plymouth and the surrounding areas of South Hams and West Devon.
Previously Jerry has been a Chief Executive and Finance Director in the NHS before spending several years running his own business driving programmes of change and delivering executive coaching and team and Board development.
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