About the CCGs
The CCGs are clinically led and managerially supported membership organisations that comprise of 57 GP Practices and have a combined budget of £724,997,000. Collectively, the two CCGs commission health services for nearly 485,497 people across the county of Shropshire.
The two CCGs commission the majority of their acute hospital-based services from the Shrewsbury and Telford Hospital NHS Trust (SaTH). The majority of community and acute inpatient mental health services are commissioned from Midlands Partnership Foundation Trust (MPFT) and Community services are commissioned from Shropshire Community Health NHS Trust
Each CCG has delegated authority to commission Primary (General Medical) care services.
Both CCGs work closely with NHS England, who are responsible for buying GP, pharmacy, dental and other specialised services in the local area.
Other key partners include the local authorities. Shropshire Council for Shropshire CCG and Telford and Wrekin Council for Telford and Wrekin CCG. Both CCGs work closely with their local authority counterparts, commissioning services that cross social and health boundaries. This work involves using the Better Care Fund where a joint strategy has been developed.
The CCGs have previously explored opportunities to work together with the greatest focus being on Future Fit. Launched in January 2014, the programme aims to develop safe, accessible and sustainable acute hospital services across Shropshire and Telford & Wrekin for the next 20 years, and beyond. The programme acknowledges that there are some very good health services in our region, but the population’s needs are changing, and the local health economy faces new challenges, such as not enough of the right medical workforce to adequately staff our hospitals, tighter budgets and more stringent quality standards.
Following public consultation in the summer of 2018, at the end of January members of the Joint Committee of Shropshire and Telford & Wrekin CCGs, voted unanimously to see Royal Shrewsbury Hospital become an Emergency Care site and Princess Royal Hospital a Planned Care site with both hospitals having a 24 hour urgent care centre. It is a great achievement for both CCGs to start to move this project forward and deliver better health outcomes for its local population.
The CCGs have continued to build on the strong ethos of partnership working with a number of their partners, and this has been furthered cemented with the introduction of Strategic Transformation Plans (STP). Both CCGs are leading on a number of initiatives with partners that are key to delivering STP objectives and this will continue to be a key focus for 2019/20.
Each CCG has their unique identity and local assets that can be built upon to further strengthen the historic partnership working between each CCG and with other key health and care partners.
Overall both CCGs have a complex health and social care landscape but due to the local population the challenges are different for each CCG.
Shropshire CCG currently serves 312,407 and has more of its local population living in rural areas rather than urban. In addition, the number of over 65s living in the Shropshire area has increased significantly compared to the national and regional average. Shropshire is, therefore, an area with one of the fastest growing ageing populations in the country and - as reported in other areas of the country - is experiencing increased demand for services, challenges around workforce recruitment and retention and has a significant financial deficit as a health and social care economy.
Telford CCG currently serves 173,000 people across the Telford and Wrekin area. The CCG has a large younger urban population with some rural areas. Many of the population live in deprived areas with more than a quarter (27 per cent) of the Borough’s population living in the 20 per cent most deprived areas nationally, an increase of 24 per cent in 2010.
Delivering universally for everyone to the best possible standards is not always possible in the current health and care system and - whilst generally a well performing system with good health outcomes - there are inequalities in access to services and health outcomes across both Shropshire and Telford and Wrekin. Should nothing change in the way health and social care services are commissioned and provided then these inequalities will widen alongside an ever-increasing financial challenge and resulting deterioration in the quality of and access to health and social care services.
In partnership with the two local authorities within Shropshire and Telford and Wrekin (Shropshire Council and Telford and Wrekin council), both CCGs are engaged in a significant amount of work to better align existing resources and programmes of work to help accelerate the development of integrated health and social care by 2020.
As both CCGs have progressed their work around integrated commissioning, collective agreement has been reached to progress towards a single shared CCG management team ahead of a planned move to becoming one single CCG from 1st April 2020 (subject to the appropriate approvals). To oversee and drive this work forward, the CCGs have agreed to progress the appointment of a single Accountable Officer for both CCGs.
|Shropshire CCG Website
|Shropshire CCG Annual Report 2019-20
|Telford and Wrekin CCG Website
|Telford and Wrekin CCG Annual Report 2019-20