Cnthoroe Advertiser &Tlines,Thursday, March 29/2012


hithoroeadvertlser.co.uk www.clitheroeadvertl8er.co uk Ctitheroe Advertiser &Tlmes,Thursday, March 29,2012


next three years


Our spending over the


'.East Lancashire Clinical Commissioning Group . expects to'’ have a budget in the region of ; £450 million for 2013/2014, to commission i .hospital and community services, but is taking on d^egated. responsibility for a budget of


"~£7?0iTKKprr^12/2013 as a sub-committee of the Primaiy:C'^Tlt^(PCT).


Local provider landscape


- The allocation of the budget in East Lancashire is distributed to health service providers to . provide health services for patients in the area.


Seventy-three per cent of the current total PCT budget will be devolved to CCGs, the remaining


. 27%. will move to the National Commissioning Board, which will be responsible for Primary Care and Specialist Care. The Public Health budget will be transferred to Public Health Lancashire. '


The services are currently commissioned from:


• 22 secondary care (hospital) providers . - 16 NHS and 6 independent sector


Ni ■ •p ilf-m


• 1 mental health trust • 236 GPs in 65 practices, of whom 16 are training practices


The main acute hospital service provider is East Lancashire Hospitals NHS Trust, although a significant number of patients who reside around the borders of East Lancashire choose to use Pennine Acute Hospitals NHS Trust or Airedale NHS Foundation Trust. In addition, the PCT hoids contracts with:


't


• 55 dental practices • 1 0 0 pharmacies • 49 opticians


M Acute and Specialist @ Priority Care @ Public Health


M Mental Health & Older People


® Community ^ Prescribing


The financial challenge


The NHS has been tasked with identifying efficiencies of £20 billion. This is referred to as the QIPP (Oualitv Innovation, Productivity and Prevention) challenge. In East Lancashire the target for 2012/13 is a £14 4 ^OlTto 2016


^he budget throughout the period from


^ o^ S o n ThP r p S t


aonTach ?o -N ^ i n c r e a s i n g public


approach to the delivery and commissioning of health services. challenge Wor the CCG tonsure financial balance, whilst it redesigns services to meet the needs of


Of services and the health of its population whilst " transformational


Its patients and follows national guidance. For example, the aspiration of more support in the community and in patients own homes through investing more in community based care is only possible if we reduce he amount of money we spend on hospital services. Patients want assurance that hospita s areThe e


possible. This means that the CCS will need to work with the public and with colleagues in hospital and te r™ 'o V p “


osS" Sreantte tf rrr-r'" “ - b e i n g S b ^ IT S YOUR NHS - SO HAVE YOUR SAY ... YOUR VIEWS MATTER


Over £60 million has been invested in the primary care infrastructure since 2004, with 7 large scale new health centres built and funded by LIFT. These schemes cover the Burnley, Pendle, Hyndburn and Rossendale areas. The St Peters Primary Care Cen­ tre in Burnley is a co-located health and leisure centre in partnership with Burnley Borough Coun­ cil. Three further schemes are under review and include a Ribble Valley (Clitheroe) scheme.


[Acute Health'Care services are predominately I provided by East Lancashire Hospitals NHS Trust 1 (ELHT) for the East Lancashire population, as well as Blackburn.


Overall health profile for the residents of East Lancashire - Ribble Valley


Tile popiiir.tion of the five boroiigiis of East Lancashire is acp!Q.\imateiy 370.C00.


Evist Lajicashiie IS a Qeographicaliy diverse area, which indudes fura! areas ot outstanding natural beauty such as the Ribble Valiev a.< wel! as high density urban industrial rtiill towns such as Burnley, u is located to the east of the M6 rr.oiop.vav, and is biiected by the MGS and M56 motoiwajfs, and the Leeds to LKerpoo' Canal.


Trie area has significant levels of poor housing and low levels of educational aitainnient. There is a high incidence


. cf ccionary' heart disease, cancer, drabetes and respiratory’ disease. There is also a high inddence of teenage pregnancy, sexuasiy transmitted irfeaions, alcohol, drag and tobacco misuse, infant deaths are an important priority iocaily, and especially in Pcndie disma, which has the 8th highest infant death rate of 32G districts in trrgiand (200S-T0 data; OMS),


There are striking differences in social drcumstances between the districts witiun East Lancashire. Burnley, Pendle and


|n estimated 9% of the East Lancashire popula- Don belong to a south /\sian ethnic group which 5 the predominant BME group within East Lanca­ shire. This_ is higher than the Lancashire County, Jlorth West and England average. The East Lanca­ shire south Asian population is predominantly of rakistani heritage, and is markedly young in age tructure compared to the white population. 0th- invise, East Lancashire is less ethnically diverse han nationally, with proportionally fewer people relonging to BME groups other than south Asian mid-2009 estimates; ONS)


n line with national trends, the population of East Lancashire is projected to age over the coming years. From a 2008 baseline, it is estimated that by 2020 the number of people aged 65 years and over living in East Lancashire will have increased by an estimated 18,100 people (or 30%). (2008 based sub-national population projections; ONS)


(lyndDum are ranked within the top 35 most deprived of average, however 6S0 children live in poverhy. life expectancy the oiS districts in EriOiand. Burnley is the most depiived for men is higher than the England averaoe,


- ' >


among these three - ran.ked 1 ith most deprived in Engiand. Ribble Valley on the other h.rnd is ranked among the more Life expectancy is 4.7 years lower for women in the most affluent districts in the country (ranked 2S0th out of 325.1. - depsived areas of Ribble Valley than in the least deprived


(2010 Indites of Deprharion; pep* or Communities & Local areas (based on the Slope index of Inegualitv published on Government)


Government)


Tnese differences in social drcunrstances are refieaed in the wide inequalities in life expeaancy between people living irv different areas cf East Lancashire. Male life expeaancy in the most deprived tenth e? areas within East Lanca,shiie is 10.3 years less than that in the least deprived tenth of areas. Tne difference for females is 8; 1 years, (Slope Index of Inequality, 2005-10 pooled data; APHO)


Ribbie Valiey at a glance The Ribble Valley has an approximate popuiation of-around 58 000. The health of people in Ribble Valiey is generally better than the England average, Depriv'ation is lower than


The CCG commissions hospital and secondary care services from other providers outside of the Pennine Lancashire region, including


• Lancashire Teaching NHS Foundation Trust • Bradford & Airedale NHS Foundation Trust • Royal Bolton NHS Foundation Trust • Pennine Acute Hospitals NHS Trust • Wrightington, Wigan & Leigh NHS Foundation Trust


The CCG commissions specialist services via the North West Specialist Commissioning Team and typically commissions the following services:


• Alder Hey Childrens NHS Foundation Trust • Blackpool Teaching Hospitals NHS Trust • Calderstones Partnership NHS Foundation Trust


.• Central Manchester University Hospitals NHS Foundation Trust


Mental health services are predominately provided by Lancashire Care Foundation NHS Trust (LCF) and Lancashire County Council (LCC). There is also a range of provision delivered from the voluntary and independent sector. Substance Misuse services are provided by a range of statutory and non-statutory provider organisations.


5th January 2011),


Over the last 10 years, cause miortality rates have fallen. Early death rates from cancer and frortt heart disease and


stroke have fallen and toe latter is better than the England average,


•About 12.7SS of Year 5 children are dammed as spend at least three hours each week on schcol sport, obese. A lower percentage than average of pupiis 70.1% of mothers initiate breast feeding and 20.1 % of expectant m.others smoke during pregitancy.


An estimated IS.SfS of aduhs smoke and 21.4% are obese. Tne rate of road injuries and deaths is higher than averaoe.


If you have not already been diagnosed with heart disease, stroke, diabetes or ■ kidney disease, then why not take the opportunity to have a free check up?


■You will be assessed on your individual risk of developing heart disease, stroke, diabetes and kidney disease and given support and advice to help reduce or manage that risk.


You can either contact your local GP surgery or call in at one of the follo'wing participating pharmacy:


Peter Buckley Pharmacy 34 King Street, Ciitheroe BB7 2EU-


www.eastlancspct.nhs.uk/strategicplan


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