The Health and Social Care Act 2012 gave frontline professionals a strong leadership role through the establishment of Clinical Commissioning Groups (CCGs). As your health care commissioners, we work to deliver excellent health care services for everyone in our borough. A short factsheet on the Act
is available on Gov.uk.
We were responsible for commissioning hospital and community healthcare services for our patients in Merton.
We know that the population of our borough is growing. We also know that people are living longer now. Meanwhile medical technology continues to advance as new or improved treatments and medicines are made available to patients. This means that there is more demand than ever on NHS services, and this demand is continuing to increase.
At the same time we know that the funds available to spend on health services will not be able to keep pace with this rise in demand.
Merton CCG's Vision and Strategy (Revised in Dec 2015)
When the CCG was three years old (and had a change in both Clinical Chair and Chief Officer) the new leadership took the opportunity to review the current operating plan, models of care, working and governance of the CCG.
This was to ensure ensure that the CCG is both demonstrably clinically led and patients, partners and the public have a strong voice that is heard.
The CCG will be working with local practices, partners and providers to take forward the revised
'Whole Merton' vision. This document outlines the CCG's forward work plans for the rest of this year. These include addressing significant in year operational and financial pressures faced by the CCG.
Merton CCG commissions services from a range of providers to meet local healthcare needs. This includes acute hospital care, community healthcare and mental health. Within this the CCG has a particular focus on 8 key delivery areas; older and vulnerable adults, mental health, children and maternity services, keeping healthy and well, early detection and management, and urgent care.
A Merton model of care will be developed for out of hospital care. This will increasingly seek to integrate and join up services around people's needs.
Currently NHS England has the responsibility to commission Primary Care services. However these are now being co-commissioned with the CCG in Merton and there is a possibility that the CCG will take on full delegated commissioning in the coming years.
The CCG is committed to working collaboratively with a range of partners across the wider health and social care system including local authorities and voluntary organisations to develop the Whole Merton vision and strategy. In particular the CCG will work with the London Borough of Merton as a key strategic partner to further develop and implement the most appropriate joint commissioning and system leadership arrangements to progress the 'Whole Merton' approach.
We are also working across SW London.
Working across SW London
The NHS in south west London (Croydon, Kingston, Merton, Richmond, Sutton and Wandsworth CCGs) is working with local authorities on a long term plan for local services. All NHS regions across the country are required to do this. The five-year plan is called the ‘sustainability and transformation plan’ (STP). Our draft plan is still being finalised and we will share the final draft once it has been agreed.
In May, we wrote to over 1,000 local organisations across south west London, sharing our emerging thinking about the STP and asking for comments. Thus built on the ‘’Issues Paper’ published in 2015 and supported by large-scale events in each of our six local boroughs. We received a good deal of feedback from the May letter and the Issues Paper, and we will share a summary of this shortly, together with our response. All feedback has influenced the development of our STP.
We are today sharing an updated summary of our emerging thinking, which forms the basis of our initial draft STP.
Each year the CCG must set out our priorities for the coming year and describe how we will improve the health of the communities we serve. As some of these priorities may lead to changes or developments that affect existing contracts, we follow best practice in giving providers six months’ notice of any changes. For changes to take effect from 1 April 2016, we must let providers know of our commissioning plans (or intentions) by the end of September 2015.
We could propose changes and developments at any time after this, but if we do, we must follow contractual rules so that providers have adequate notice. Thus, to gain maximum benefit from contracts that begin on 1 April 2016, we must notify providers and partners of our plans no later than 1 October 2015.
Commissioning intentions 2016-2017
For the first time in 2015/16 we agreed two sets of commissioning intentions – one covering the collaborative work needed across South West London (SWL) as part of the five-year strategy for the sector; and a further set, describing what we should do locally to meet our population’s needs and to contribute to the SWL work. Both sets of commissioning plans are essential to help provide a framework for all services delivered locally and regionally.
to see our current Commissioning Intentions document.
Commissioning intentions 2014-2016
We agreed a set of priorities for 2014 -15 which we believed would make a real difference to the quality of care in Merton, described in our Two Year Operating Plan and Commissioning Intentions. Many of these initiatives aimed to tackle the most common diseases which affect local people and their quality of life. Our performance against these priorities is in the annual report.
Updated March 2017