About us

What we do

We are responsible for your local health care budget. The ‘commissioning’ part of our title refers to the services we buy for our patients – for instance if you need an operation we will commission a hospital to carry it out.

The range of services we plan, commission and review is broad and includes everything from maternity services to urgent and emergency care and mental health services to rehabilitation care.  We do not deliver these services directly; they are commissioned by the CCG and delivered by other organisations we call ‘providers’.

Our work is overseen by the CCG Board made up of five GP representatives and other professionals who bring a wealth of skills and expertise.  This means that decisions about health care locally are made by GPs, patient representatives and other healthcare professionals, who really understand what their patients need.

To find out about the information we collect and hold about you, what we do with it, how we look after it and who we might share it with, read our ‘How your information is used‘ page.

We work closely with Bath and North East Somerset Council and other local partners to ensure NHS health and social care services are well coordinated and share information, advice and knowledge to make the best commissioning decisions.

We are constantly reviewing health services, making improvements and trying new approaches to ensure safe, effective, high quality healthcare for the people of Bath and North East Somerset.

In collaboration with patients, the public and partners, we have identified six transformational projects that matter to everyone and which we know will make a measurable difference to health and wellbeing outcomes locally. You can read about these 6 special projects below:

Prevention, including self-care

We need to ensure that our local health and care workforce supports people to take greater responsibility for the management of their own health and wellbeing, particularly those for whom this poses the greatest challenge.

In 2014/15, we set up a prevention and self-care taskforce to undertake a detailed review of existing self-care programmes across the country. We used this analysis to develop a health inequalities framework that brings together public health data from all 27 GP practices in BaNES to better understand the health needs of local people.

We will continue working with our partners to expand existing prevention programmes and deliver new projects such as a self-care package for patients suffering from chronic benign pain who are frequent attenders at A&E.

Musculo skeletal service review and redesign

We are reviewing and redesigning musculo skeletal (MSK) services to provide better coordinated and integrated service  for patients. This review will potentially include orthopaedics, rheumatology, pain management, physiotherapy, osteoporosis and associated podiatry services.

Our work this year has been carried out collaboratively with key strategic partners including providers, Wiltshire Clinical Commissioning Group and the Rheumatology Commissioning Alliance. By working together we have developed a new ‘pain’ pathway to be implemented in 2015/16. The CCG has also completed an evaluation of the ‘Hip and Knee’ patient pathway to ensure it provides high quality cost effective services patients.

The CCG was closely involved in the acquisition of ‘The Min’ or the Royal National Hospital for Rheumatic Diseases (RNHRD) by the RUH and has secured a sustainable future for ‘The Min’s’ internationally-renowned rheumatology services and research expertise.

Joining up our information systems

Our GPs, hospitals and community services all have their own information systems and the CCG wants to connect them up to improve service efficiency, effectiveness and patient safety and enable organisations to work more closely together to provide joined up care.

Patient confidentiality is highly important to us. We will ensure patients, carers and the public are involved in our planning and will seek to make everyone aware of how their information will be shared, what safeguards are in place to protect their confidentiality and how they can exercise their right to ensure their records are not shared if they so wish.

We are working with the West of England Academic Health Sciences Network and ten health and social care organisations operating across BaNES to explore the different options for delivering this project.  We will now develop a business case to adopt an approach already working successfully across Bristol, North Somerset and South Gloucestershire with the intention of rolling this out in BaNES in 2016.

Improving urgent care

The CCG wants to create a more streamlined urgent care system to ensure patients are treated by the right person, in the right place, at the right time. The urgent care system in BaNES, like many areas of the UK, has struggled to meet the four hour target for A&E waiting times so we are putting plans in place to prepare for periods of increased demand such as Christmas and other public holidays.

The System Resilience Group is chaired by Dr Ian Orpen, and includes senior representation from all key partners in the BaNES urgent care system.  A joint exercise with providers in August 2014 identified a number of priorities including a ‘discharge to assess’ scheme, an audit to review GP responsiveness to patients requiring an emergency department admission and improved use of ambulatory care.

Person-centred care for frail, older people

We want older people to be valued, respected and supported to stay well as long as possible and lead fulfilling, happy and safe lives.  To do this, we need to join up the different health and social care services they may need.

In 2014/15 a multi-disciplinary community team was set up for each of the five clusters of GP practices in BaNES. These teams proactively case manage patients at risk of hospital admission with a named care co-ordinator as the main point of contact for the patient or carer to discuss or amend their care plan.

The ‘Active Aging Service’, delivered by Sirona Care & Health, offers older people a holistic assessment of their needs in their own homes to aid early detection of health and social problems.

The ‘Hale and Hearty’ pilot identifies frail and older people living alone with little or no support. Trained volunteers call and arrange a home visit to see if there is any support they need to help them stay independent at home.

Improving diabetes care

The ‘diabetes care’ pathway redesign group brings together the CCG, the Council and the University of Bath to connect up the patient data held by different organisations using individual’s NHS numbers to better understand how patients access diabetes services.

We undertook a survey of everyone in BaNES diagnosed with Type 2 diabetes which generated over 1,300 responses. The findings will help us understand how patients percieve their condition  and their opinions on the care they receive.

We will also be piloting a new community diabetes team in Spring 2015 which will meet regularly to discuss the care of patients with more complex needs.  The team will comprise a consultant diabetologist, a diabetes nurse facilitator, a lead GP and practice nurse with further support from podiatry and dietetics specialists as required.