Ing Intentions 2018 2019 - Translating our 2020 vision into reality - South Warwickshire ...
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Commissioning
ing Intentions 2018
2018-2019
2019
Translating our 2020 vision into reality
2018 - 2019 Commissioning Intentions
2018-19 sees NHS South Warwickshire Clinical
Commissioning Group (the CCG) move into year
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our 2020 vision into reality.
Building on the Kenilworth
foundations
delivered
through our Royal
Leamington Spa
previous Henley in Arden
strategy. The Warwick
Southam
plan sets out an
ambition to
deliver more Stratford upon Avon
Alcester
integrated and
personalised NHS South Warwickshire CCG
services to our
population in
order to
improve the
experience and
health of the Shipston on Stour
nearly 282,000
people who we,
as a CGG, are
responsible for.
1
NHS South Warwickshire Clinical Commissioning Group
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has been done over the last 12 months to progress our strategic plan. Much
has been achieved but, as in previous years, we recognise that much more
work will be required to deliver the transformational change that we want to
see.
Increasingly, this will see us working in collaboration with our partners across the Coventry and
Warwickshire health and care system (two other CCGs, two Local Authorities, local District
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system as a whole and to address the structural, cultural and professional barriers to delivering
truly person-centred care. As partners, we will hold ourselves collectively to account for delivering the
necessary transformation of services and for getting the most out of each pound spent on health and
social care within Coventry and Warwickshire. If we are successful, the impact of this work will be to
deliver the CCG’s 2020 vision; better healthcare for everyone. As we explain in our 2 Year Operational
Plan, this vision is directly aligned with the triple aim that NHS England set for the NHS as a whole in
2014 in the NHS Five Year Forward View (FYFV):
Improved Transformed Sustainable
health and quality of ƂPCPEG
wellbeing care delivery
Along with our partners, we recognise that delivering the transformation required to make our system
a truly integrated one, in which every patient’s experience of care is seamless, will require sustained
effort over the coming three years. The change will be driven by effective collaboration between
organisations, cultural shifts within the workforce and building more effective relationships with the
people who receive health and care services. Those familiar with the NHS England’s Next Steps on the
NHS Five Year Forward View may recognise these as some of the features of developing ‘accountable
care’. Locally we are at a very early stage of thinking about accountable care, recognising it, primarily
as a collective effort that will unite organisations across Coventry and Warwickshire and bind us to a
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expect to take forward local discussions about and progress our thinking on accountable care during
2018-19. In line with our recently published Communications and Engagement Strategy, listening to
and involving patients, the public, our member GP practices and our staff will be one of our guiding
principles as we undertake this work.
2
2017 2019 Commissioning Intentions
2018 - 2018
Context
In this document we set out our priorities for 2018-19. The document should be read in conjunction
with both our own Strategic and 2 Year Operational Plans and the Coventry and Warwickshire Better
Health, Better Care, Better Value Plan. Together these documents explain in detail the local and
national context in which the CCG will be working in 2018-19.
The CCG, of course, does not work in isolation and both existing local strategies and plans, national
policy requirements and the publication of the Next Steps on the NHS Five Year Forward View have
shaped our latest commissioning intentions. The ‘Next Steps’ recaps the progress that has been made
to date to deliver the change described in the NHS Five Year Forward View and goes on to identify the
key improvements that must be made this year (2017-18) and next year (2018-19) in order to main-
tain momentum.
In this document, we take the opportunity to review how our commissioning intentions align to both
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health and social care need and exists as a shared, evidence-based consensus on the key local priori-
ties across health and social care.
3
As we explain in our 2 Year
Operational Plan, the CCG’s plan to
2018 - 2019 Commissioning Intentions
deliver our 2020 strategic vision is
built around four key cornerstones.
INSIGHT
OUT OF HOSPITAL
Our Plan...
To Prevent negative To Innovate
The 2016-2020 lifestyle choices the provider market
Strategic Plan is specific to our
CCG and sets out how we are
going to deliver this
transformation within our
locality. The Plan is built around Ensuring that people
four cornerstones. To Respond 24/7 have a positive
in a coordinated way experience of care
and support
Enhancing the People are helped to
quality of life for live healthy lifestyles,
make healthy choices
BETTER HEA
people with long
and reduce health FOR EVERY
term conditions
inequalities
INSPIRE
To ensure people Preventing people
feel supported to from dying
manage their
Our Aims...
prematurely
condition
Improving responsiveness
By identifying the ‘Four across health and social
Cornerstones’ of the 2020 Plan
To Support a care to personal needs
personalised approach
– Out of Hospital Care,
Personalisation, Specialist
Provision and Delivering Today –
we can group together enabling
programmes that collectively can
deliver real changes in outcomes
To Align resources
To Transform
for patients. commissioning
to deliver better care
arrangements for vulnerable
groups
PERSONALISATION
34 NHS South Warwickshire CCG
4
NHS South Warwickshire Clinical Commissioning Group
INSIGHT
SPECIALIST PROVISION
Our Vision...
To increase
Confidence To Accelerate Our vision for commissioning of
healthcare for the people of south
of service users integrated working
Warwickshire is to build
relationships with patients and our
communities to improve health,
transform care and make the best
To increase the proportion
of stroke patients To Centralise use of our resources.
reporting an improvement expertise to improve
in activity/lifestyle outcomes
Helping people
to recover from
ALTHCARE To improve outcomes
episodes of ill
from planned
YONE health or
treatments
following injury
INTEGRATE
Treating and caring People know what
for people in a safe choices are available
environment and to them locally and
Our Values...
protecting them feel they have had
from avoidable harm their voices heard
The CCG remains assured
by NHSE and balances
planning for tomorrow
with delivering for today,
whilst improving the To Listen to the Our seven core values - Committed,
health outcomes for the patients and the public Listening, Innovative, Empowering,
people of south Responsible, Collaborative and
Warwickshire Equitable - will continue to guide
us and underpin our relationships
and interactions with our partners
and stakeholders.
To Assure quality
To Drive the best
outcomes for our
and performance population
INVOLVE
DELIVERING TODAY
35
5
NHS South Warwickshire Clinical Commissioning Group
Commissioning Intentions
6
2018 - 2019 Commissioning Intentions
Out of Hospital
This cornerstone of the strategic plan includes the projects which will improve primary care and
community resilience and reduce the demand on acute hospital care. Projects in this area include
integration between health and social care and the delivery of different contractual models to
improve outcomes.
Our focus in 2018-19 will remain in part on the Coventry and Warwickshire Out of Hospital
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out of hospital system at the centre of the future south Warwickshire care system – getting the Out
of Hospital Programme right will lay the foundations for the wider system transformation envisaged
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Programme will be taken forward by developing a lead provider contract with South Warwickshire
NHS Foundation Trust (SWFT). We will work closely with SWFT during 2018-19 to support the roll-out
of the Programme, including the implementation of the underpinning clinical model. In addition, a
large part of our focus will remain on primary care – making sure that general practice in south
Warwickshire is sustainable for the future and able to work effectively in a more integrated system.
The work that we will be doing is set out in our plan Transforming General Practice Together, which
was developed as a response to NHS England’s General Practice Forward View. The plan will provide
the mechanism to connect services within the wider out of hospital environment to our GP practices,
enabling GPs to more easily access the support of other professionals in meeting the needs of their
patients.
7
NHS South Warwickshire Clinical Commissioning Group
Next 2018-19 Deliverables;
JSNA
We will 2018-19 Steps on 2018-19 Requirements what can you expect
Theme
FYFV to see?
Monitor the performance
Fit for Frailty evaluation
of our GP Member Practices
report.
participating in the CCG's Fit
for Frailty programme against
Increase in people being
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referred to lifestyle
Indicators relating to Module
services from primary
1 (Prevention and Early
care.
Intervention).
Develop and
implement Increase in people self-
Complete 12 month evaluation of
a new referring to lifestyle
the Fit for Frailty Programme and
approach to services.
Long-Term formulate recommendations for
delivering Primary Care
Conditions future commissioning model/s.
preventative Increased uptake of
services universal screening/
Explore greater use of navigators/
in general immunisation
digital technology to support
practice. programmes in south
patients to navigate the health
Warwickshire.
and care system.
Coventry and
Work with our Coventry and
Warwickshire Prevention
Warwickshire partners to explore
Make and Early Intervention
other opportunities to incentivise
prevention Plan, and aligned Local
prevention and early intervention
the job of Delivery Plan.
through primary care.
everyone
Evaluation report.
Greater self-care
Continue to
management by
work with
patients with long-term
our partners
conditions.
to develop
new
Roll out telehealth programme to Patients self-report
approaches
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that support Harnessing
Long-Term or more of the following long- KORTQXGFEQPƂFGPEGCPF
people to Technology
Conditions term conditions: diabetes, heart emotional well-being.
self-care, & Innovation
failure and chronic obstructive
including
pulmonary disease (COPD). Practices report that they
through
JCXGDGPGƂVVGFHTQOVJG
the use of
roll out of the telehealth
innovative
programme.
technology
solutions.
A reduced number of
emergency admissions
for this patient group.
8
2018 - 2019 Commissioning Intentions
Next 2018-19 Deliverables;
JSNA 2018-19
We will 2018-19 Steps on what can you expect
Theme Requirements
FYFV to see?
An evaluation
report on social
prescribing, including
recommendations.
Review local Evaluate south Warwickshire A business
social prescribing General Practice social case, including
pilot schemes prescribing model pilot recommendations for
and look to Physical programmes in partnership future commissioning.
Primary Care
commission Wellbeing with Public Health and
a sustainable formulate recommendations Sustainable social
social prescribing for future commissioning prescribing model
model. model/s. implemented.
Improved patient
experience through
lower numbers of GP
appointments needed.
Implement
the National
Diabetes
Implementation of the
Prevention
national programme
programme Roll-out of the national
aligning and enhancing
Make along with our Integrating Long-Term diabetes prevention
the current local
prevention Coventry & Care Locally Conditions programme following a
pathways (Fitter Futures
the job of Warwickshire procurement process.
and the diabetes
everyone System partners,
Telehealth project).
supported by
the central NHS
England team.
Identify opportunities
to strengthen and build
Continue to
community capacity
work with
and resilience through
our partners,
continued participation in
through the
the Warwickshire Third and
Warwickshire
Public Sector Partnership
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Group. On-going participation
Together
in the Warwickshire
programme,
Develop and roll-out locality Third and Public Sector
including the
level asset maps aligned Partnership Group.
third sector,
with the GP practice locality
to identify
boundaries. Locality level asset maps.
opportunities
to build and
Work with our Coventry
strengthen
& Warwickshire System
community
partners to explore other
capacity and
opportunities to build
resilience.
community capacity and
resilience.
9NHS South Warwickshire Clinical Commissioning Group
2018-19 Deliverables;
Next Steps JSNA 2018-19
We will 2018-19 what can you expect to
on FYFV Theme Requirements
see?
Support the Develop an action Improvement in the 3 key
Warwickshire plan to address the CTGCUKFGPVKƂGFD[2WDNKE
Health 3 key areas identi- Health Warwickshire:
Protection ƂGFD[2WDNKE*GCNVJ air quality; screening and
Strategy 2017- Warwickshire: air immunisations and excess
2021 quality, screening and winter deaths/fuel poverty.
immunisations and
excess winter deaths/ Regular reporting to the
fuel poverty. Clinical Quality and
Governance Committee.
Make Focus on the
prevention KFGPVKƂGFCTGCUKPVJG
the job of CCG’s public facing
everyone communications
(newsletter, etc.).
Commission Develop a Mobilise new A new contract in place
person- process to contract. for out of hospital services.
centred monitor the
outcomes performance Implement actions Regular reporting to the
for our most of the new from the End Of Life Performance Committee
complex Out of Hospital Improvement Plan. CPF)QXGTPKPI$QF[YJKEJ
group of contract captures the outcomes of
people against the Urgent & Long-Term on-going contract
outcomes Emergency Conditions monitoring.
framework Care
developed in An implementation plan
collaboration for delivery of the End of
with providers, Life Improvement Plan (as
stakeholder part of the Out of Hospital
clinicians, transformation plan).
patients, carers Primary
and the wider Care
public.
102018 - 2019 Commissioning Intentions
2018-19 Deliverables;
Next Steps JSNA 2018-19
We will 2018-19 what can you expect to
on FYFV Theme Requirements
see?
Work with the Development of an Care closer to home, less
Out of Hospital integrated pathway hospital admissions and
collaborative covering primary care unnecessary interventions.
to develop a and out of hospital
full end-to-end services. Improved patient
frailty pathway outcomes and patient
Commission covering Physical experience.
person- prevention Wellbeing
centred through to end Delivery of person-centred
outcomes of life. care to support patients at
for our most the end of their lives.
complex
group of
people Evaluate the Evaluate the pilot An evaluation report
impact of pharmacy support identifying the outcomes
enhancing scheme in 7 of the pilot project.
pharmacy residential care
support to homes. A business case,
residential Urgent & Physical including
homes. Emergency Wellbeing Consider future recommendations for
Care commissioning future commissioning.
options.
Evaluate Engage with CCG GP An independent report
options to Member Practices to that enables us to
redesign develop options. understand the key
current requirements of primary
methods of Engage with our care from the perspective
resourcing population to of our Member Practices
Make general Primary understand what and population.
sure that practice over Care they want and expect
primary care and above the from primary care #ENGCTN[FGƂPGFUGTXKEG
maintains its core General both now and in the offer from local practices
status as the Medical future. to their populations.
lynchpin of Services (GMS)
care delivery contract,
in south aligning the
Warwickshire incentives
that we apply
to general
practice with
those applied
to the wider
system and
vice versa.
11NHS South Warwickshire Clinical Commissioning Group
2018-19
Next
JSNA 2018-19 Deliverables;
We will 2018-19 Steps
Theme Requirements what can you
on FYFV
expect to see?
Work with Use the outcomes Leadership capacity within
Member Practices of the public and each locality that is
to redesign the workforce working with South
delivery of services engagement Warwickshire Foundation
through increased exercise Trust on the implementation
collaborative completed in of the Out of Hospital
working. The Primary Physical VQFGƂPG clinical model.
development of Care Wellbeing critical
this model will success factors
enable resources for future primary
to be wrapped care models.
around groups of
practices and create Work with
a foundation for Member Practices
delivering ‘primary to develop the
care at scale’. collaborative
working
arrangements
Make between practices.
sure that Seek to improve Engage with our An action plan that
primary care uptake of Member Practices KFGPVKƂGUDCTTKGTUCPF
maintains its ‘enhanced’ service to understand actions that we will take to
status as the offers (locally barriers to uptake. overcome these.
lynchpin of commissioned
care delivery services and Primary Long-Term Develop an action Improved uptake of
in south national enhanced Care Conditions plan based on the ‘enhanced’ service offers.
Warwickshire services) by our outcomes of this
Member Practices. engagement.
Consider whether Monitor the An evaluation report on the
to commission pilot service pilot service, including the
a primary care- commenced in impact on dementia
led dementia 2016/17. diagnosis rates.
diagnosis and Complete 12-
care management month A business case, including
service based on Primary Mental evaluation of the recommendations for future
evaluation of the Care Wellbeing pilot project. commissioning.
pilot implemented
in December 2016. The Coventry Any variations required to
and Warwickshire the contract with CWPT are
Partnership Trust KFGPVKƂGFCPFKORNGOGPVGF
(CWPT) Memory
Assessment Shared learning locally and
Service will be across the wider Coventry
required to and Warwickshire footprint.
provide support
and advice to GP Improved understanding of
practices the service requirements of
participating in the people diagnosed with
pilot. dementia and their carers.
122018 - 2019 Commissioning Intentions
2018-19
Next
JSNA 2018-19 Deliverables;
We will 2018-19 Steps
Theme Requirements what can you
on FYFV
expect to see?
Evaluate Complete evaluation of the pilot An evaluation
the Primary project following the year-long pilot. report
Care Mental identifying the
Health Explore options for future outcomes of the
Service commissioning of mental health pilot project.
(active Mental Mental support services within GP surgeries.
monitoring) Health Wellbeing A business case,
pilot project including
which begins recommendations
August for future
2017. commissioning.
Work with Further develop Outline Primary Full Primary Care
our Member Care Estates Strategy produced in Estates Strategy
Practices 2016/17 to include full options ƂPCNKUGF
to deliver appraisal for each locality, leading to including agreed
a Primary the production of an agreed plan to plans at
Care Estates secure the physical capacity required locality level.
Strategy Primary to meet future demand.
Make which Care New premises
sure that builds on Completed relevant engagement development
primary care the existing (stakeholder and public) to inform completed in
maintains its Outline options appraisal process. Central locality
status as the Strategy. (Hastings House).
lynchpin of Progress schemes (new
care delivery development and improvement) that New premises
in south have reached business case stage development
Warwickshire CPFJCXGEQPƂTOGFCRRTQXCNHQT completed in
2018/19. Warwick locality
(Prior Medical
Engage with Member Practices to Centre/Cape Road
evaluate opportunities to develop Surgery).
‘shared space’ within individual
NQECNKVKGU GIUJCTGFDCEMQHƂEG Contributions
space). (secured via
Section 106
Continue to engage with Planning
Warwick and Stratford-on- Obligations or the
Avon District Councils to secure Community
Section 106 contributions from Infrastructure
developers and in relation to the Levy) are passed
local introduction of the from the District
Community Infrastructure Levy. Councils to the
CCG to support
Collaborative working with NHS RTQLGEVUKFGPVKƂGF
England (West Midlands) to in the Primary
support the progress of new build Care Estates
schemes prioritised for funding Strategy.
through the Estates and
Technology Transformation Fund
(ETTF).
13NHS South Warwickshire Clinical Commissioning Group
2018-19
Next
JSNA 2018-19 Deliverables;
We will 2018-19 Steps
Theme Requirements what can you
on FYFV
expect to see?
Develop and Progress the Regular
TGƂPGQWTRNCP Strategy through the relevant reporting to the
‘Transforming approval/assurance process. Primary Care
General Practice Committee and
Together’ in )QXGTPKPI$QF[
response to Primary Long-Term in relation to the
engagement Care Conditions implementation
with our Member of the Strategy.
Practices, patients
and the wider
public and other
key stakeholders.
Mental
Wellbeing
Extend access to Progress project plan Our population
general practice established in 2017/18 to has access to
services in line with implement new extended evening and
Make the requirements access service in 2018/19. weekend GP
sure that of the General appointments by
primary care Practice Forward Primary Physical 2TQITCOOG$QCTFVQ March 2019.
maintains its View (GPFV) by Care Wellbeing maintain oversight of the
status as the commissioning project plan.
lynchpin of a new extended
care delivery access service
in south which meets the 7
Warwickshire core requirements
URGEKƂGFD[0*5
England.
Continue to work Identify potential support Practices that
with our Member requirements via engagement YQWNFDGPGƂV
Practices to respond with practices, soft from support are
to opportunities intelligence and the KFGPVKƂGFCVCP
ƃQYKPIHTQOVJG systematic approach described early stage.
sustainability and Primary in the CCG’s Primary Medical
transformation Care Care Quality and Performance Support requests
programme Framework. are successful in
outlined in the securing
General Practice Maintain engagement with funding.
Forward View the Local Medical Committee
(GPFV) (e.g. (LMC) via regular quarterly
General Practice meetings.
Resilience
Programme). Maintain engagement with
the NHS England (West
Midlands) Primary Care Team
via the local GP
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142018 - 2019 Commissioning Intentions
2018-19
Next Steps 2018-19 Deliverables;
We will 2018-19 JSNA Theme
on FYFV Requirements what can you
expect to see?
Work with our Ensure practices On-going
Member Practices to are aware of contract
increase uptake of the support and monitoring.
GP online services, resources available
thereby enabling to them. On-going liaison
patients to take more Harnessing Physical with the NHS
control of their own Technology & Wellbeing Maintain links with England Patient
health. Innovation the NHS England Online
Patient Online Programme
Programme Team Team.
and work with
them to promote
support and
resources available
to practices.
Enforce relevant
contractual
Make requirements in
sure that the General
primary care Medical Services
maintains its (GMS) contract.
status as the Develop and deliver Roll out IP IP telephony
lynchpin of an agreed GP IT telephony to our rolled out to
care delivery Strategy and work Member 35/35 practices.
in south with our Member Practices.
Warwickshire Practices to enable Practices report
general practice to Harnessing Progress work- that they have
make greater use of Technology & UVTGCOUKFGPVKƂGF DGPGƂVVGFHTQO
technology in order to Innovation in the Local the roll out of IP
enhance patient care Digital Roadmap. telephony.
and experience, and
release capacity. Work with our Funding
Member Practices allocation for
to respond to Online
opportunities Consultation
ƃQYKPIHTQOVJG Systems
Online invested in line
Consultation with the
Systems stream of requirements of
the General the scheme.
Practice
Development
Programme
(publication of
rules and
URGEKƂECVKQP
awaited).
15NHS South Warwickshire Clinical Commissioning Group
2018-19
Next Steps 2018-19 Deliverables;
We will 2018-19 JSNA Theme
on FYFV Requirements what can you
expect to see?
Continue to develop Work with the Streamlining of
and work with our South general practice
Member Practices Warwickshire GP administration to
to progress local Federation and free up clinician
implementation of the NHS England time.
the Releasing Time Primary Care Sustainable
for Care Programme Improvement Team $GVVGT
in order to support to deliver the signposting to
general practice Programme locally. other services as
sustainability and appropriate to
release capacity. support
Our intention is for appropriate care
all practices to be and
Make engaged with the management.
sure that programme in order to
primary care accelerate the 10 high
maintains its impact changes to
status as the release time for care.
lynchpin of Develop and Produce a primary Primary care
care delivery commence care workforce workforce
in south implementation strategy in UVTCVGI[ƂPCNKUGF
Warwickshire of a Coventry & collaboration and
Warwickshire Primary with key partners implementation
Care workforce Integrating (Member commenced.
strategy with Care Locally Practices, Local
appropriate local Medical Council, Regular reporting
variation and actions. Health Education to the Primary
England, SWGP Care Committee
Federation) with and Governing
the support of $QF[KPTGNCVKQP
the Coventry and to the
Warwickshire Local implementation
Workforce Action of the Strategy.
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162018 - 2019 Commissioning Intentions
2018-19
Next Steps 2018-19 Deliverables;
We will 2018-19 JSNA Theme
on FYFV Requirements what can you
expect to see?
Roll out Electronic Develop and System launched
Palliative Care implement roll out across all
Coordination Systems plan, including Member
(EPaCCS) across all education and Practices.
Member Practices training for
to support timely Harnessing practices. Monitoring of
information sharing Technology & uptake and usage
between primary care, Innovation on-going.
the Out of Hours
service and NHS 111.
,QKPWRRCTVU
of the urgent
care system Contribute to the Develop a local Local action plan
that need implementation of the action plan aligned agreed.
to respond West Midlands Urgent to the vision of
to our and Emergency Care the West Midlands Monitoring of
population Network. Urgent and delivery against
24/7 Urgent & Emergency Care the action plan is
Emergency Network and on-going.
Care which addresses
the need to
effectively join-up
providers.
As part of the
development of
this plan, identify
gaps in terms of
being able to offer
an urgent response
to our population.
17NHS South Warwickshire Clinical Commissioning Group
Personalisation
This cornerstone of the strategic plan focuses on the provision of care for people with the most
complex needs in our community – groups such as children, people with learning disabilities and long-
term mental health conditions. Our strategic plan recognises that many of these people would be
better served by shared resources across partner organisations and, where appropriate, with access to
personalised care.
Our focus in 2018-19 will be on working with Warwickshire County Council to build on the collabo-
rative arrangements established in 2016-17 in relation to the commissioning of services for children
and young people. Through the delivery of our Transforming Care Programme, we will continue to
work with partners across Coventry, Warwickshire and Solihull to design and commission services that
enable people with a learning disability and/or autism to live safely with support in their communities
and prevent unnecessary admissions to hospital. At the same time through joint working with the two
other Coventry and Warwickshire CCGs, we will maintain momentum on the delivery of our work
programme developed in response to the Five Year Forward View for Mental Health.
182018 - 2019 Commissioning Intentions
2018-19
Next Steps 2018-19 Deliverables;
We will 2018-19 JSNA Theme
on FYFV Requirements what can you
expect to see?
Ensure that On-going audit and Raised visibility of
people included monitoring of 2*$UXKCTGIWNCT
in the CCG KORNGOGPVGF2*$U internal
QHHGTHQTC2*$ reporting.
Make sure (people who Work with
we have the are eligible for Mental Mental Providers to
systems and NHS Continuing Health Wellbeing respond to the
processes Healthcare, requirements of the
to provide children who national roll-out of
Personal are eligible for 2*$U
Health continuing care
$WFIGVU and individuals
2*$U who have
complex needs
as a result of
their Learning
Disability) who
want to achieve
a personalised
approach with a
2*$CTGCDNGVQ
do so.
Give our Monitor the Work with Regular
population performance providers to reporting to the
the best start of the new support the Performance
in life by Children and delivery of the new Committee and
using our Young People’s Emotional )QXGTPKPI$QF[
collective Emotional Mental Mental Wellbeing and which captures
resources Wellbeing Health Wellbeing Mental Health service the outcomes of
most and Mental for 0-25s. on-going
effectively Health service contract
contract against On-going monitoring monitoring.
the outcomes and evaluation of the
framework new service.
developed in
collaboration
with providers,
stakeholder
clinicians,
patients, carers
and the wider
public.
19NHS South Warwickshire Clinical Commissioning Group
2018-19
Next Steps 2018-19 Deliverables;
We will 2018-19 JSNA Theme
on FYFV Requirements what can you
expect to see?
Ensure robust On-going monitoring Regular reporting
arrangements of relevant providers through the CCG's
are in place to to provide assurance governance
understand the that CLA receive well structures.
needs of, and co-ordinated care that
deliver high Vulnerable meets their needs.
quality services Young People
to Children
Give our Looked After
population (CLA).
the best Develop the Develop the Secure aligned
start in life governance and governance and budgets between
by using our commissioning commissioning commissioners
collective infrastructure infrastructure required through a
resources required to for the new Children’s formal process (i.e.
most establish a Integrating Vulnerable Integrated Section 75
effectively new Children’s Care Locally Young People Commissioning Unit agreement).
Integrated (CICU).
Commissioning Governance
Unit (CICU), CICU to develop a structure is agreed
which will bring plan to integrate 0-25s and in place.
together teams services to
from across the address transition Regular reporting
Local Authority within universal on the activities of
and 3 local services and drive the CICU through
CCGs (South personalisation. the CCG’s
Warwickshire, governance
Warwickshire structures.
North and
Coventry and Integration plan in
Rugby). place.
Work with Contribute and Integrated
Public Health support development approach to
Warwickshire and delivery of the perinatal mental
to take forward action plan. health.
actions related
to the Perinatal Mental Mental Improved access to
Mental Health Health Wellbeing advice and support
agenda. for new parents.
202018 - 2019 Commissioning Intentions
Next 2018-19
Steps JSNA 2018-19 Deliverables;
We will 2018-19
on Theme Requirements what can you
FYFV expect to see?
Support the joint Work with Increased numbers
commissioner for learning Member of people with
disabilities to deliver the Practices and learning
agreed commissioning providers to FKUCDKNKVKGUKFGPVKƂGF
strategy. implement the and included on
Mental Mental Coventry and the General Practice
Health Wellbeing Warwickshire- learning
wide action disabilities ‘health
plan. check’ registers.
Increased % of
people with
learning disabilities
have an annual
Change our health check from
commissioning their GP practice
arrangements and receive an
for mental associated care
health and plan.
learning Continue transforming care On-going Regular reporting
disability for people with learning monitoring of through the CCG’s
services disabilities and/or autism by progress against governance
to allow a implementing Transforming the plan. structures.
personalised Care for People with Learning
approach Disabilities, the joint plan Mental Mental Continue to A reduction in the
developed through the Arden Health Wellbeing repatriate number of people
and Solihull Transforming Care patients who are in inpatient beds in
Partnership. placed in other accordance with
areas and/or in agreed trajectories.
NHS England
commissioned
inpatient beds
back to south
Warwickshire,
in line with their
wishes and
treatment
pathways.
Work in collaboration with Attend and Updated Autism
Warwickshire County Council support the Strategy.
and other partners to deliver Autism
an updated Autism Strategy. Partnership
$QCTF
Mental Mental
Health Wellbeing
21NHS South Warwickshire Clinical Commissioning Group
2018-19
Next Steps JSNA 2018-19 Deliverables;
We will 2018-19
on FYFV Theme Requirements what can you
expect to see?
Change our Evaluate options for Further Evaluation of the
commissioning the development development of an adult pathway
arrangements of an all age neuro all age pathway and decision on
for mental developmental across Coventry and an all age
health and pathway to support Warwickshire pathway.
learning the diagnosis of Mental Mental following evaluation
disability people with autism Health Wellbeing of the adult
services CPFCVVGPVKQPFGƂEKV pathway.
to allow a hyperactivity disorder
personalised (ADHD).
approach
Deliver the 2017- Attend and support Improved service
2020 Carers Strategy the Carers Strategy and support for
in partnership with &GNKXGT[$QCTFKP carers.
Warwickshire County order to deliver the
Council. KFGPVKƂGFCEVKQPU
Carers
Review of respite
and short breaks
services across health
and social care.
Seek to improve Review processes in Positive feedback
the experience of association with the and reduced
Work to individuals going new 'embedded' volume of
transform the through the NHS CHC team. complaints.
environment Continuing Healthcare Long-Term
to empower (CHC) process. Conditions
patients
Work in partnership Progress the actions Regular
with colleagues on on the revised reporting through
the Mental Health mental health crisis the CCG’s
Commissioning Group care concordat. governance
to deliver in full the structures.
agreed actions from Mental Mental Work with providers
the Mental Health Health Wellbeing to review the Clearer roles and
Commissioning Group UGTXKEGURGEKƂECVKQPU responsibilities
work plan in order to for community and within mental
deliver the Five Year acute mental health health services.
Forward View for care.
Mental Health for all
ages. Review of the secure
care pathways
including
rehabilitation.
On-going monitoring
of progress against
plan.
222018 - 2019 Commissioning Intentions
2018-19
Next Deliverables;
Steps JSNA 2018-19 what can
We will 2018-19
on Theme Requirements you
FYFV expect to
see?
Continue to roll Implement the programme in Patients
out the three partnership with local partners and diagnosed
year Increased deliver a new service that meets with
Access to the needs of people with long-term respiratory
Psychological conditions. conditions
Therapies (IAPT) Mental Mental and diabetes
programme Health Wellbeing will be
to support the offered
population psychological
of south support
Warwickshire following
with long-term their
Work to conditions. diagnosis.
transform the Deliver actions Work collaboratively with partners Regular
environment KFGPVKƂGFKPVJG to implement the Warwickshire reporting
to empower Warwickshire Suicide Prevention Strategy and through the
patients Suicide associated action plan. CCG’s
Prevention governance
Strategy Mental Mental Collaborate with Public Health structures.
2016-20. Health Wellbeing Warwickshire to commission suicide
awareness training for front-line
workers e.g. GPs.
Participate in local and national
suicide prevention events and
disseminate through the local
health and social care system.
Review every death from suicide
reported as a serious incident using
a robust root-cause analysis
approach.
Improve the Implementation of RESPECT forms More
quality of end of and use of the CASTLE register for people dying
life care. end of life care. in their place
of choice.
End of life will form part of the
Primary frailty pathway as developed via the
Care Out of Hospital design board.
23NHS South Warwickshire Clinical Commissioning Group
Specialist Provision
This cornerstone of the strategic plan looks at delivery models for acute specialties. Echoing the NHS
Five Year Forward View it recognises that that in some services where there is a strong relationship
between the number of patients and the quality of care – such as stroke, specialised surgery, some
cancer and other specialist services - there is a compelling argument for a greater concentration of
care.
Our focus in 2018-19 will be on kick-starting elements of our strategic plan that have been prioritised
D[VJG%QXGPVT[CPF9CTYKEMUJKTG$GVVGT*GCNVJ$GVVGT%CTG$GVVGT8CNWGRCTVPGTUJKR6JKUOGCPU
VJCVYGYKNNDGDTKPIKPIUQOGQHQWTNQECNRTQLGEVUHQTYCTFKPQTFGTVQDGPGƂVHTQOCU[UVGOYKFG
approach.
Across many of the work programmes being progressed under this cornerstone, we will be looking at
how we can streamline service delivery, simplifying and standardising pathways to ensure people are
supported in the right place, at the right time and as quickly as possible. Under this cornerstone we
YKNNCNUQNQQMCVVJGYC[KPYJKEJYGEQPVTCEVYKVJRTQXKFGTQTICPKUCVKQPUURGEKƂECNN[KFGPVKH[KPIVJG
type of contracts and the ways of awarding contracts that will facilitate collaboration and deliver the
outcomes that are important to our population.
242018 - 2019 Commissioning Intentions
Next 2018-19
Steps JSNA 2018-19 Deliverables;
We will 2018-19
on Theme Requirements what can you
FYFV expect to see?
Ensure that our Ensure GPs and other referrers % increase in
population has have access to relevant utilisation of NHS
access to up to information to help and e-Referral service.
date information support patients to make
to enable choices. Action plans in
them to make place for GPs/
informed choices Increase utilisation of NHS referrers who are
about their care e-Referral Service (e-RS). low users of e-RS.
and treatment. Work with GPs/referrers
who are low users of e-RS Systems and
to understand barriers and processes in place
develop action plans to that promote
increase utilisation. and measure
awareness of
Co-produce information choice.
to support choice with the
Ensure that CCG’s Public and Patient Co-produced
our population Participation Group (PPPG). information
knows what available to our
choices are Undertake an engagement population.
available to exercise with patients on an
them and that KFGPVKƂGFECTGRCVJYC[VQ On-going
they have the test whether patients fully monitoring of
information understood the choices providers.
available to available to them before
make those entering that pathway and Engagement
choices whether their expectations as exercise
VQJQYVTGCVOGPVYKNNDGPGƂV completed.
them are well-informed.
Ensure choice is considered
for new models of care for all
client groups.
Work in Ensure 85% of Continuing Targets
partnership with Health Care (CHC) achieved in
Warwickshire assessments take place out of relation to CHC
County Council the hospital setting. assessments.
and South
Warwickshire Long-Term Enhanced performance Reduction in
Foundation Conditions management of CHC key DTOCs.
Trust to ensure performance indicators.
patients are Project Plan.
discharged from Implement the High Impact
hospital in a Change Model for reducing
timely manner. Delayed Transfer of Care
(DTOCs).
25NHS South Warwickshire Clinical Commissioning Group
2018-19
Next Steps JSNA 2018-19 Deliverables;
We will 2018-19
on FYFV Theme Requirements what can you
expect to see?
Continue Review the National Public and
to work /CVGTPKV[4GXKGYoUn$GVVGT patient
with system $KTVJU +ORTQXKPIQWVEQOGU engagement
partners to of maternity services in on future
develop a new England’ and work with commissioning
Coventry and Physical local partners to identify arrangements.
Warwickshire Wellbeing gaps and implement
clinical model a range of actions in
for Maternity response.
and Paediatric
services. Work with service users
and providers to develop a
clinical model.
Encourage our Increase Continue to review the An appropriate
providers to specialist mental current service and identify level of service to
develop new health care in requirements. CFFTGUUKFGPVKƂGF
partnerships Accident and need.
and ways of Emergency Urgent & Physical
working in (A&E). Emergency Wellbeing
order for them Care
to adapt to
Continue 4GXKGYCPFTGƂPGVJG[GCT Options appraisal
the changing
to develop 1 work plan for the DCN for future
landscape,
the Diabetes with the key partners: GPs, commissioning
within the
Clinical Network practice nurses, South arrangements
context of
(DCN) with key Warwickshire Foundation completed.
Coventry &
stakeholders Integrating Long-Term 6TWUV&KCDGVGU7-RCVKGPV
Warwickshire
across south Care Locally Conditions representatives, dieticians,
Better Health,
Warwickshire. podiatrist/and digital
Better Care,
Retinopathy services.
Better Value
Plan
Deliver new and enhanced
services to improve
structured education and
foot care, whilst testing
new approaches in
technologies - including
telehealth - to support
people with complex type 1
diabetes and pre-diabetics.
262018 - 2019 Commissioning Intentions
2018-19
Next
JSNA 2018-19 Deliverables;
We will 2018-19 Steps on
Theme Requirements what can you
FYFV
expect to see?
Work in 6JGTGYKNNDGCURGEKƂE Higher cancer
partnership with focus on: prevention
the Coventry and • Prevention - increasing rates from
Warwickshire focus on screening better screening
Cancer Group programmes initiatives.
to drive Cancer Long-Term • Early Diagnosis –
delivery of the Conditions enhancing primary care Reduction in
National Cancer development through a diagnosis time
Strategy and Cancer Education Network, for patients
recommendations and reviewing diagnostic diagnosed with
from the cancer capacity across the cancer.
task force Coventry & Warwickshire
Encourage our (through aligning System footprint Reduction in
providers to commissioning • Improved care pathways patient waiting
develop new responsibilities and patient experience - times for the
partnerships across the to reduce waiting times whole cancer
and ways of cancer pathway across the whole pathway pathway.
working in and enabling from primary care through
order for them collaborative to end of treatment, this More support
to adapt to working across will include supporting for patients
the changing providers). direct diagnostics from with cancer
landscape, Primary Care to condense and those
within the the patient pathway recovering from
context of • Living with and beyond cancer.
Coventry & cancer-supporting the
Warwickshire delivery of the living
Better Health, with and beyond cancer
Better Care, programme.
Better Value Review and update CCG quality team focus Reduced
Plan our Systematic TGƃGEVUPGYRTKQTKVKGU variation in
Approach to provision of
Quality document primary and
VQTGƃGEVSWCNKV[ community
and safety priorities services
in light of the NHS including
Five Year Forward Continuing
View (FYFV) and Health Care
Specify the other national (CHC).
outcomes guidance.
we want for Implement Expansion of the south /5-VTKCIG
key elective an integrated Warwickshire service. assessment
specialities Musculoskeletal and treatment
to support /5- UGTXKEG Explore options for wider service in
providers to across Coventry geographical scope. place in south
deliver the and Warwickshire. Physical Warwickshire.
right level of Wellbeing Develop an action plan
care and best that delivers improvements
outcomes in the short, medium and
long term.
27NHS South Warwickshire Clinical Commissioning Group
2018-19
Next Steps JSNA 2018-19 Deliverables;
We will 2018-19
on FYFV Theme Requirements what can you
expect to see?
Specify the $GRCTVQHC Undertake relevant Work plans
outcomes Coventry and stakeholder and the developed,
we want for Warwickshire- public engagement to with regular
key elective wide approach support this work. reporting in
specialities to the review of place.
to support other planned Develop an action
providers to care pathways. plan that delivers
deliver the improvements in the
right level of short, medium and
care and best long term.
outcomes
Centralise Commission Undertake relevant New service
services improved stakeholder and the model in place
where there is Coventry and public engagement to by May 2018.
evidence that Warwickshire- support this work.
will provide wide stroke Regular
better clinical services to meet Integrating Physical Progress through NHS reporting to the
outcomes for the outcomes Care Locally Wellbeing England assurance Performance
our population outlined in the process and obtain Committee and
Midlands and approval to proceed. )QXGTPKPI$QF[
East regional which captures
stroke service Providers will need to the outcomes
URGEKƂECVKQP be able to respond of on-going
and deliver the agreed contract
UGTXKEGURGEKƂECVKQP monitoring.
Implement new service Improved stroke
model. outcomes as
TGƃGEVGFKP
Monitor the new agreed business
contract in line with case.
the agreed outcomes
framework.
282018 - 2019 Commissioning Intentions
Delivering Today
This cornerstone of the strategic plan sets out the regular activities that are required to provide
CUUWTCPEGVQDQVJQWTQYP)QXGTPKPI$QF[CPF0*5'PINCPFVJCVYGCTGHWPEVKQPKPIGHHGEVKXGN[CU
an organisation and delivering our various statutory duties.
Our focus in 2018-19 will remain on achieving and improving performance standards against
the standards in the NHS Constitution. Driving improved quality, whether that be clinically or
experientially, will continue to be a priority and is central to the proposed outcomes focused
contracting approach described under cornerstone 3. Finally, we will need to ensure that we deliver a
DCNCPEGFKP[GCTƂPCPEKCNRQUKVKQPCPFOGGV0*5'PINCPFoUƂPCPEKCNRNCPPKPITGSWKTGOGPVU
29NHS South Warwickshire Clinical Commissioning Group
2018-19
Next
JSNA 2018-19 Deliverables;
We will 2018-19 Steps on
Theme Requirements what can you
FYFV
expect to see?
Proactively Work with the Public and Information will be
engage with Patient Participation Group publicly available
stakeholders and and the Gateway Group. showing how
enable people feedback supports
to contribute to Actively engage with changes to services.
shaping future minority community
health services groups. Increased numbers of
commissioned by Health Champions.
the CCG. Actively promote
and recruiting Health Coordinated approach
Champions. to public engagement
across all health and
Work with key partners to social care.
share information.
An increase in
Report feedback to public reported satisfaction in
Continue meetings of the CCG. VJG%%)#PPWCNř
to seek the Stakeholder Survey.
views of,
listen to and An increase in use of
drive our our communications
relationship channels e.g. the CCG
with patients, website.
partners and Develop a Ensure the organisation’s Staff will be
communities culture that vision and values, statutory empowered and
promotes open requirements and aspiration have the tools to
communication for public engagement are deliver high quality
and engagement known by every member of commissioning for the
with patients and staff. DGPGƂVQHNQECNRGQRNG
the public.
Deliver proactive and Staff will know the
reactive media relations. vision, aims and
priorities of the
Ensure all project managers CCG and be able to
are aware of expectations articulate these and
regarding communication how their work relates
and engagement and are to them.
suitably trained to deliver
them. There will be an
improved balance in
Project plans describe media coverage in
stakeholder engagement. local media.
Regular engagement
activities such as ‘Have
Your Say Day’.
302018 - 2019 Commissioning Intentions
2018-19
Next
JSNA 2018-19 Deliverables;
We will 2018-19 Steps on
Theme Requirements what can you
FYFV
expect to see?
Strengthen Provide opportunities for GPs Member practices are
our VQKPƃWGPEGEQOOKUUKQPKPI informed, engaged and
relationship and the provision of services involved in the work of
with our through Member Council their CCG and this is
Practices meetings. TGƃGEVGFKPVJGHGGFDCEM
in order to Primary KPVJG%%)#PPWCNř
ensure that we Care Promote clinical involvement Stakeholder Survey.
act as partners in commissioning.
Continue in the delivery GPs and their teams
to seek the of our plan, Maintain and develop the will be actively involved
views of, Transforming website. in service redesign and
listen to and General the clinical leads will be
drive our Practice Develop feedback known.
relationship Together. mechanisms for issues and
with patients, concerns raised by GPs and GP Member Practices will
partners and other stakeholders. know the vision, aims
communities and priorities of their
'PUWTGUVCHHDTKGƂPIUCTG CCG and be involved
focused on key topics and in implementing the
there are opportunities for strategic plan.
feedback.
Continue Continue to On-going performance
to develop manage all of management of provider
the people, our provider contracts.
processes contracts
and reporting in order to Regular reporting which
that we have ensure delivery captures the outcomes of
in place to of local and on-going monitoring.
oversee the national Regular reporting to
quality of performance On-going monitoring of the CCG’s Performance
the services and quality patient and GP feedback on Committee and the
delivered standards services. )QXGTPKPI$QF[
to the across all
population contracts. On-going monitoring of the
of south WUGQHUVCHƂPITGUQWTEGU
Warwickshire in order to ensure safe,
and drive sustainable and productive
continuous services.
improvement
in terms On-going monitoring of any
of patient Care Quality Commission
safety, (CQC) action plans.
clinical
effectiveness Review of the CCG’s
and patient Systematic Approach to
experience Quality.
312018 - 2019 Commissioning Intentions
2018-19
Deliverables;
Next Steps JSNA 2018-19 what can
We will 2018-19
on FYFV Theme Requirements you
expect to
see?
Continue to be Local implementation
an active member of the national Accident
of the Coventry and Emergency
and Warwickshire Improvement Plan.
Accident and
Continue to Emergency Urgent & Delivery of the agreed
develop the &GNKXGT[$QCTFVJG Emergency VTCLGEVQTKGUHQTVJGƂXG
people, processes Scheduled Care Care mandated improvement
and reporting $QCTFCPFQVJGT initiatives:
that we have in joint programmes Streaming at the front
place to oversee within the Coventry door – to ambulatory
Shorter wait
the quality of the & Warwickshire and primary care.
times at A&E.
services delivered system.
to the population Reduction
NHS 111 – Increasing
of south in Delayed
the number of calls
Warwickshire and Transfers of
transferred for clinical
drive continuous Care (DTOCs).
advice.
improvement in
terms of patient Ambulances – Dispatch
safety, clinical on Disposition and
effectiveness code review pilots; HEE
and patient increasing workforce.
experience
+ORTQXGFƃQYsnOWUV
do’s’ that each trust
should implement to
GPJCPEGRCVKGPVƃQY
Discharge – mandating
‘Discharge to Assess’
and ‘trusted assessor’
type models.
32NHS South Warwickshire Clinical Commissioning Group
2018-19
Deliverables;
Next Steps JSNA 2018-19 what can
We will 2018-19
on FYFV Theme Requirements you
expect to
see?
Provide the Continue to Maintain positive relationships Financial
ƂPCPEKCN FGNKXGTƂPCPEKCN with our partners and providers balance.
stability and balance in line and seize on opportunities to
contractual YKVJQWTƂPCPEKCN work in partnership to deliver Strategic
ƃGZKDKNKV[VQ strategy for the GHHGEVKXGCPFGHƂEKGPVEJCPIG deliverables
deliver the period 2017- Funding & to the healthcare system and achieved.
CCG strategy 2019 in order to 'HƂEKGPE[ improve health outcomes
allow sustainable for the population of south Regular
transformational Warwickshire. reporting to
change to happen. the Executive
Team,
Primary Care
Committee,
Performance
Committee
and
Governing
$QF[
Deliver projects On-going management of the QIPP projects
KFGPVKƂGFYKVJKP CCG’s QIPP programme. successfully
the CCG’s Quality, implemented
Innovation, Maintain regular reporting in line leading to
Productivity and with agreed governance delivery of
Prevention (QIPP) Funding & processes. QIPP target.
programme, 'HƂEKGPE[
achieving Regular
KFGPVKƂGF monitoring of
milestones in line implemented
with individual schemes to
project plans. evidence
outcomes.
Embrace the Develop an Update the GP IT strategy GP IT Strategy.
technology IT strategy in to enable the Transforming
changes collaboration General Practice Together plan Improved
required to with partners to be underpinned by sound functionality
improve our and providers infrastructure and to support the of GP IT.
GHƂEKGPE[ to address the Harnessing delivery of the enhanced care
and patient RTKQTKVKGUKFGPVKƂGF Technology record between primary care and
experience in the Local Digital & Innovation community services as part of
Roadmap. the Out of Hospital programme.
Implement the Universal
Capabilities Delivery Plan, which
will track progress in 10 key
CTGCUKFGPVKƂGFD[0*5'PINCPF
332018 - 2019 Commissioning Intentions
Next Steps
In this document we set out our draft commissioning intentions for 2018-19 under the four
cornerstones of our strategic plan. The commissioning intentions have been designed with the aim
QHRWVVKPIKPRNCEGVJGDWKNFKPIDNQEMUHQTCUKORNKƂGFU[UVGOKP%QXGPVT[CPF9CTYKEMUJKTGCPFCTG
based on the following:
1. A review of local, regional and national priorities and plans
1WTWPFGTUVCPFKPIQHVJGPGGFUQHNQECNRQRWNCVKQP CPFƂPCNN[
6JGCODKVKQPUQHVJG%%)VQVTCPUHQTOVJGJGCNVJCPFECTGU[UVGOVQGPUWTGVJCVKVKUƂVHQTVJG
future.
Our local population and stakeholders will have an opportunity to comment on the draft
commissioning intentions. Any comments and feedback received will be considered by our Members’
%QWPEKNRTKQTVQVJGƂPCNCFQRVKQPQHVJGEQOOKUUKQPKPIKPVGPVKQPUCVVJGGPFQH5GRVGODGT
We request that you review the commissioning intentions and provide feedback via the form at the
end of this document. This can be submitted electronically or via post.
Your views are important to us and we look forward to receiving them.
Reference Documents
NHS Five Year Forward View
https://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf
Next Steps on the NHS Five Year Forward View
https://www.england.nhs.uk/wp-content/uploads/2017/03/NEXT-STEPS-ON-THE-NHS-FIVE-
YEAR-FORWARD-VIEW.pdf
General Practice Forward View
https://www.england.nhs.uk/wp-content/uploads/2016/04/gpfv.pdf
The Five Year Forward View for Mental Health
https://www.england.nhs.uk/wp-content/uploads/2016/02/Mental-Health-Taskforce-FYFV-
ƂPCNRFH
NHS Operational Planning and Contracting Guidance 2017-2019
https://www.england.nhs.uk/wp-content/uploads/2016/09/NHS-operational-planning-
guidance-201617-201819.pdf
NHS South Warwickshire CCG Strategic Plan 2016-2020; Translating our 2020 vision into reality
http://www.southwarwickshireccg.nhs.uk/About-Us/Publications-and-Policies/Strate-
gic-Plan-2016-2020
NHS South Warwickshire CCG Operational Plan for 2017/18 and 2018/19
http://www.southwarwickshireccg.nhs.uk/About-Us/Publications-and-Policies/2-Year-Plan
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