We are keen to make sure that services for local people offer the best care possible, in the most appropriate place, at the right time. It is also our responsibility to prioritise services for those most at need and ensure that we make the best use of every public penny we spend. So, we have recently assessed at a number of services where we thought we could refine our offer to patients. This consultation is seeking your views on our proposals to changes to:
The proposals have been carefully chosen to ensure that the CCG continues to prioritise those services that deliver the greatest health gain for local people.
Sometimes commissioning healthcare for a whole population means proposing a difficult approach in order to make best use of resources and enable best care to be available. In this consultation, we propose stopping some services being routinely available, and putting in place stricter criteria for accessing other services.
We believe that this approach will mean that we can protect the most important services so that they can be available when people need them, whilst at the same time continuing to live within our financial means.
The consultation runs for 8 weeks from 1st February until 29th March 2017. Your opinion really counts and we need your feedback on our ideas.
You can have your say here
This consultation is all about protecting the most important services so that they can be available when people need them, whilst at the same time continuing to live within our financial means.
We have used a number of principles throughout this review:
We have spoken to clinicians, patients and members of the public to help develop these proposals. We have also used national best practice and new clinical guidance to review our services and the treatments and procedures we offer.
We have been speaking to our patients about our proposals. They have told us that it is important that care is provided closer to home and that patients are given choice where possible and are involved in their care. They also feel that it is really important that patients in exceptional circumstances are given the option to apply for procedures which may not be routinely available.
Our patients are concerned about the challenges to the NHS budget and want to ensure that the changes we make do not have broader implications in terms of patient care and put pressure on other parts of the health and care system.
Absolutely not. This consultation is all about protecting the most important services so that they can be available when people need them, whilst at the same time continuing to live within our financial means.
As a CCG we have a 2.4% increase in funding for 2017/18, but our population is growing by 2% and people are living longer and needing more care. Historically Milton Keynes has received less than
its “fair share” of NHS funding. In 2016/17 Milton Keynes’s allocation of funding was 3.9% below its assessed “fair share”. The cost of healthcare is also increasing and we are experiencing a greater demand for services.
These factors combined means that despite our increase in budget, we still have to find £9.7 million of savings in the next financial year. Consequently, whilst our proposals are motivated by getting the best for patients, embedding clinical excellence and improving patient care, ensuring best value for NHS money is also absolutely vital.
The changes we are proposing seek to offer the people of Milton Keynes a fair and clinically appropriate range of services delivered in the right place at the right time, and not to deprive patients of services they need.
Where new clinical criteria are applied and an individual patient does not meet the clinical criteria set out in the new proposals, a facility will still exist for the patient’s clinician to apply to the CCG for the procedure through an Individual Funding Request (IFR). As part of this process they will be asked to demonstrate why their circumstances are exceptional.
It is important that we get the views of our local population on these proposals in order to understand the impact that the proposals may have and in order to tailor our approach to best meet the needs of our population. Your contribution to this is extremely important and is valued.