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NHS Lewisham Clinical Commissioning Group (CCG) is committed to openness, transparency and accountability. The CCG routinely makes information available to the public and encourages them to take an active interest in the work we do. We are committed to promoting patient centred care, increasing patient choice and involving people in making decisions. The CCG supports NHS England's vision of 'no decision about me, without me'.​

1 Wh​o we are and what we do

1.1 How we fit into the NHS structure

Clinical Commissioning Groups (CCGs) were created following the Health and Social Care Act in 2012, and replaced Primary Care Trusts on 1 April 2013. CCGs are clinically-led statutory NHS bodies responsible for the planning and commissioning of health care services for their local area. There are currently over 200 CCGs in England.
Commissioning is about getting the best possible health outcomes for the local population, by assessing local needs, deciding priorities and strategies, and then buying services on behalf of the population from providers such as hospitals, clinics and community health bodies. It’s an ongoing process, and CCGs must constantly respond and adapt to changing circumstances. CCGs are responsible for the health of their entire population, and are measured by how much they improve outcomes.
NHS Lewisham CCG is:

  • A membership body, with local GP practices as the members;
  • Led by an elected Governing Body made up of GPs, other clinicians including a nurse and a secondary care consultant, and lay members;
  • Responsible for healthcare commissioning such as mental health services, urgent and emergency care, elective hospital services, and community care;
  • Independent, and accountable to the Secretary of State for Health through NHS England;
  • Responsible for the health of 270,000 local people.

The CCG works closely with NHS England, which has three roles in relation to us. NHS England has a responsibility to assure themselves that we are fit for purpose, and are improving health outcomes. Secondly, NHS England must help support our development. Finally, NHS England are also direct commissioners, responsible for highly specialised services. The CCG has also taken on joint responsibility alongside NHS England as co-commissioners of Primary Care (GP Practices only), working with NHS England’s Regional Teams.
As Local Authorities are now responsible for the majority of public health, CCGs work closely with them through Health and Wellbeing Boards to achieve the best possible outcome for the local community, by developing a joint needs assessment and strategy for improving public health.
Commissioning is the process of planning, agreeing and monitoring services. Securing services is much more complicated than securing goods and the diversity and intricacy of the services delivered by the NHS is unparalleled.
Commissioning is not just one action. These range from the health-needs assessment of the local population, patient pathways, to service specification and contract negotiation or procurement, with continuous quality assessment.
There is no single geography across which all services should be commissioned. Some local services can be designed and secured for a population of a few thousand, while for rare disorders, services need to be considered and secured nationally.


1.2 Organisational structure
Good governance is making sure that we achieve our aims for local people and those that use the NHS services in Lewisham that we commission. It is also making sure we do this in an effective, efficient and ethical way. NHS Lewisham CCG is a public body and a membership organisation made up of all the GP practices in Lewisham and led by a governing body of elected local GPs and other experts. Details of members can be found here.

Details of the general practices who are members of the CCG can be found here.

The CCG's Governance structure can be found here.


1.3 Lists of and information relating to key organisations with which the CCG works in partnership
To better identify what services local people need, we also work closely with partners such as London Borough of Lewisham and Public Health England to agree priorities based on the information that we have gathered between us.
The main hospital in Lewisham is University Hospital Lewisham.  It is part of Lewisham and Greenwich NHS Trust which is also the provider for community healthcare services in Lewisham. They offer medical, surgical and emergency services for the local community.
South London and Maudsley NHS Foundation Trust provides the widest range of NHS mental health services to people in Lewisham. We also work closely with Healthwatch Lewisham and London Ambulance Service.

1.4 Meetings with pharmaceutical companies and other medical suppliers


1.5 Senior executives and management board/governing body members
The CCG are led by an elected Governing Body made up of GPs, other clinicians including a nurse and a secondary care consultant, and lay members. Details of our Governing Body can be found here.


Details of our Caldicott Guardian and Senior Information Risk Owner can be found in NHS Digital’s national register here.

 
1.6 Location and contact details for public-facing departments

Freedom of Information Team

Complaints Team

2 What we spend and how we spend it

2.1 Financial statements, budgets and variance reports

Annual Reports

Over £25k expenditure

2.2 Capital programme

2.3 Staff and Board members’ allowances and expenses

2.4 Staff pay and grading structures

Our ‘pay multiple’, which is the ratio between the highest paid salary and the median average salary of the whole of the CCG’s workforce, is 2.37.

2.5 Pay – Very senior managers

Details of salaries for very senior managers can be found on page 95 of our annual report.

2.6 Pay – NHS staff other than very senior managers

Staff pay scales are in line with the NHS Agenda for Change pay bands. Spine points from 1 April 2016 can be found here.

High cost area supplements (HCAS) are paid to all NHS staff groups who are covered by the Agenda for Change agreement on working in inner and outer London and the fringe zones.

These supplements are expressed as a proportion of basic pay (including the value of any long term recruitment and retention premia) but are subject to a minimum and maximum level of extra pay.

HCAS payments are pensionable. They will not count as basic pay for the purposes of calculating the rate of overtime, unsocial hours pay or on call payments.


Area 

Level (1 April 2016)

Inner London

20 per cent of basic salary, subject to a:

  • Minimum payment of £4,158 and a maximum payment of £6,405

Outer London

15 per cent of basic salary, subject to a:

  • Minimum payment of £3,518 and a maximum payment of £4,483

Fringe

5 per cent of basic salary, subject to a:

  • Minimum payment of £961 and a maximum payment of £1,665

Full details of the Agenda for Change pay arrangements are available in the NHS Terms and conditions of service handbook.

This is an online resource which is updated as amendments are made. The Agenda for Change handbook contains the national agreements on pay and conditions of service for NHS staff other than very senior managers and medical staff.

All our current vacancies can be found on the NHS Jobs website.

2.7 Funding (including endowment funds)

2.8 Procurement and tendering procedures

Details of procedures used for the acquisition of goods and services can be found in our procurement policy here.

2.9 Details of contracts currently being tendered

Details of contracts currently available for public tender can be found here.

2.10 List and value of contracts awarded

3 What our priorities are and how we are doing

3.1 Our Strategies and plans, audits, inspections and reviews

3.2 Performance against targets (KPI) / performance framework / performance management information

NHS England has designed a set of performance indicators that will help measure how well an individual CCG is tackling these health issues.

You can use these indicators to see how well we are doing and compare it both on national and local terms. All performance indicators can be viewed here.

NHS Lewisham CCG has contracts with NHS providers (e.g. hospitals) to provide care for our patients.  We require our providers to meet national and local quality standards. Our contracts enable us to levy fines against hospitals that do not meet standards. Details of financial sanctions levied can be found here.

4 How we make decisions​

4.1 Decision making processes and records of decisions.

4.2 Public consultations (closures/variations of services)


 

4.3 Our policies and procedures

All Current written policies for delivering our services and responsibilities can be found here.

These include:

  • Policies and procedures relating to the conduct of business and the provision of services
  • Freedom of Information Act 2000
  • Health and Safety
  • Policies and procedures relating to human resources including recruitment and employment policies
  • Equality and Diversity policies
  • Joint procedures which are developed with other public authorities
  • Standing financial procedures/instructions
  • Standards for providing services to the authority’s customers, including complaints procedures
  • Information security policies
  • Records retention, destruction and archive policies
  • Data protection, including data sharing and patient confidentiality policies
  • Records management policy
  • Estate management
  • Charging regimes and policies
  • Details on policy for re-use fees
  • Clinical policies

4.4 Lists and registers

  • List of main contractors / suppliers
  • Asset registers
  • Location of public building
  • Capital asset registers
  • Information Asset Register
  • CCTV register
  • Register of interests
  • Register of Gifts and Hospitality provided to Board members and senior personnel
  • Disclosure Log

4.5 The services we offer

A map showing the geographical area covered by the CCG can be found here.
Please note that map layers are generalised to 200m. To check your exact postcode please click here.
Some of the services we commission are:

  • Hospital treatment
  • Urgent and emergency care including NHS 111, A&E and ambulance services
  • Planned (elective) hospital care, such as hip replacement surgery
  • Rehabilitation for those recovering from injury or illness
  • Maternity, new born and children’s care (but not neonatal intensive care)
  • In-patient, out-patient and diagnostic mental health services
  • Adult community health services, such as community nursing, physiotherapy and podiatry
  • Children’s and young people’s community health and wellbeing services
  • Rehabilitation services for those recovering from injury, operations or conditions
  • Mental health services, including talking therapies
  • Improving Access to Psychological therapies (IAPT)
  • NHS continuing healthcare (CHC)
  • Patient Transport
  • Referral Management Centre
  • IVF/Fertility treatment
  • GP Out of Hours
  • Lead for long term conditions including;
    • diabetes
    • cardiac conditions
    • respiratory conditions
    • neurological conditions
    • cancer
  • Sexual Health services
  • End of Life Care
  • Dementia
  • Podiatry

We are not responsible for commissioning dentists, optometrists and pharmacists, or for prison healthcare or specialised health services; these are commissioned by NHS England. A list of specialist services can be found here. ​

4.6 Corporate communications and media releases

 

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expand Month : 2016-04. April ‎(36)
FOI.16.LEW0012016-04. AprilCommissioning of ServicesReferral limits for high body mass index (BMI) patients in need of hip and knee replacementsCompliantAttachment
FOI.16.LEW0032016-04. AprilSpending / FinancialContract information relating to Banking Services, Audit Services and Card Processing ServicesCompliantAttachment
FOI.16.LEW0052016-04. AprilPrescribing / Medicines ManagementNext review dates of the SE prescribing formularyCompliantAttachment
FOI.16.LEW0072016-04. AprilContinuing Healthcare (CHC)Expenditure for residential and nursing care placements for people with mental health problemsCompliantAttachment
FOI.16.LEW0092016-04. AprilOtherData on numbers and treatments for women with fibroids according to age and ethnicityCompliantAttachment
FOI.16.LEW0112016-04. AprilService Provision (details / pathways)Size of patient population covered, cardiac testing and relevant NICE guidanceBreachAttachment
FOI.16.LEW0132016-04. AprilStaffing - Contact DetailsHeads of CHC & Procurement contact detailsCompliantAttachment
FOI.16.LEW0152016-04. AprilSpending / FinancialFunding for practices to work in networks/federations/larger groupsBreachAttachment
FOI.16.LEW0172016-04. AprilOtherCopy of the CCG’s Local Estates StrategyCompliantAttachment
FOI.16.LEW0192016-04. AprilOtherDetails of CCG staff or board members who have attended events hosted or organised by iMPOWER consultancy in the last three monthsCompliantAttachment
FOI.16.LEW0212016-04. AprilOtherStatistics on food bank referrals and the number of people admitted to hospital where malnutrition or malnourishment was a factorCompliant
FOI.16.LEW0232016-04. AprilCCG Membership (GP related enquiries)GP practice managers contact detailsCompliant
FOI.16.LEW0252016-04. AprilStaffing - Contact DetailsDermatology Commissioning Lead contact detailsCompliant
FOI.16.LEW0272016-04. AprilSpending / FinancialValue and number of recycled community disability equipment supplied to disabled childrenCompliant
FOI.16.LEW0292016-04. AprilCommissioning of ServicesCalculation of data information for pain medicine or chronic pain services.Breach
FOI.16.LEW0312016-04. AprilPrescribing / Medicines ManagementArea Prescribing Group/Committee member details and area coveredCompliant
FOI.16.LEW0332016-04. AprilContinuing Healthcare (CHC)Management of continuing healthcare (CHC) and funded nursing care process, numbers of patients receiving CHCCompliant
FOI.16.LEW0352016-04. AprilService Provision (details / pathways)Tier 3 services for management of severe and complex obesityCompliant
expand Month : 2016-05. May ‎(24)
FOI.16.LEW0372016-05. MayMental Health ServicesData on adults in locked rehabilitation; name and contact details for commissioner responsible for locked rehabilitation; expenditure on locked rehabilitation placementsCompliant
FOI.16.LEW0392016-05. MayMental Health ServicesMental Health of Fathers in the period of the birth of a child. Numbers treated and amount spent.Compliant
FOI.16.LEW0412016-05. MayCorporateFees charged for hospital car parkingCompliant
FOI.16.LEW0432016-05. MayService Provision (details / pathways)Hospitals that prostate cancer patients are reffered to by CCG. Clarification of referral/care pathways. Requests for re-use of information.Breach
FOI.16.LEW0452016-05. MayMental Health ServicesWaiting times for talking therapies, appointments with psychologists/psychiatrists – referral to treatment time and nnumber of referrals for 2013 to dateCompliant
FOI.16.LEW0472016-05. MayContinuing Healthcare (CHC)Numbers of Continuing Healthcare (CHC) funding applications received, declined and approved, CHC request appeals and medical involvement in decision makingBreach
FOI.16.LEW0492016-05. MayIT / Telephony SystemsMobile phone contract detailsBreach
FOI.16.LEW0512016-05. MayCommissioning of ServicesCommissioning of intermediate or community dermatology services, copy of service specification, details of contractCompliant
FOI.16.LEW0532016-05. MayPrescribing / Medicines ManagementStaff contact details for Procurement Office or Medicines Management Pharmacist, GP Diabetic Lead and Lead Diabetic nurse.  Guidance on blood glucose meters and testing strips, any recommended strips or rebates for blood glucose strips.Compliant
FOI.16.LEW0552016-05. MayService Provision (details / pathways)Ophthalmology procedures commissioned by the CCG, performed at hospitals, and population data.Compliant
FOI.16.LEW0572016-05. MaySpending / FinancialDetails of the Annual IT BudgetCompliant
FOI.16.LEW0592016-05. MayIndividual Funding Requests (IFR)Availability/provision of iontophoresis through routine funding or Individual Funding Request (IFR) processCompliant
expand Month : 2016-06. June ‎(17)
FOI.16.LEW0612016-06. JuneSpending / Financialbudgets and expenditure on Child and Adolescent Mental Health Services (CAMHs) and all-age mental health spend that relates to children and/or young adults.Compliant
FOI.16.LEW0632016-06. JuneService Provision (details / pathways)Patients requiring neurological rehabilitation, the breakdown between NHS and independent provision and the allocation of funding.Clarification Sought
FOI.16.LEW0652016-06. JuneStaffing - Contractual / Policy / NumbersThe  use of compromise agreements (settlement agreements)Compliant
FOI.16.LEW0672016-06. JuneIVF / Fertility Treatmentcurrent assisted reproduction services policy or criteria, as well as an outline of any changes to the policy or criteria over the past five years (for example, changes to age, BMI or smoking status criteria, numbers of cycles etc.)Compliant
FOI.16.LEW0692016-06. JuneSpending / FinancialSpending on support for people living with HIV in 2015/16 and plans for 2016/17Compliant
FOI.16.LEW0712016-06. JuneService Provision (details / pathways)organisational structure chartCompliant
FOI.16.LEW0732016-06. JuneMental Health ServicesImproving Access to Psychological Therapies (IAPT) servicesCompliant
FOI.16.LEW0752016-06. JuneSpending / FinancialSpend on incentive schemes, , GP IT, co-commissioning from 2013 until 2016Compliant
FOI.16.LEW0772016-06. JuneService Provision (details / pathways)physiotherapy and rehabilitation servicesCompliant
expand Month : 2016-07. July ‎(14)
FOI.16.LEW0792016-07. JulyContinuing Healthcare (CHC)CHC sharing models and best practiceCompliant
FOI.16.LEW0812016-07. JulyIVF / Fertility TreatmentIVF policy, eligibility and take up in 2015/16Compliant
FOI.16.LEW0832016-07. JulyService Provision (details / pathways)Copies of the documents or policies that define and list the procedures, treatments, services, etc that you do not routinely fund or that require prior funding approval.Compliant
FOI.16.LEW0852016-07. JulyCommissioning of ServicesCommissioning of hip replacement operations, waiting times and guidelinesCompliant
FOI.16.LEW0872016-07. JulySpending / FinancialMental Health spendingCompliant
FOI.16.LEW0892016-07. JulyProcurement / ContractsExisting contracts for Learning Disability and Mental Health services.Compliant
FOI.16.LEW0912016-07. JulyCommissioning of ServicesNeurorehabilitation placements for adults, Commissioner lead details and expenditure.Compliant
expand Month : 2016-08. August ‎(27)
FOI.16.LEW0932016-08. AugustContinuing Healthcare (CHC)Personal health budgets and long term conditionsCompliant
FOI.16.LEW0952016-08. AugustCommissioning of ServicesFunding and commissioning of any services for patients in the City Of York area.Compliant
FOI.16.LEW0972016-08. AugustProcurement / ContractsGainshare agreements details and contact leadCompliant
FOI.16.LEW0992016-08. AugustCommissioning of ServicesCommissioning provisions of Bereavement, counselling and current waiting times.Compliant
FOI.16.LEW1012016-08. AugustCommissioning of ServicesType of neonatal units and hostipal regionsCompliant
FOI.16.LEW1032016-08. AugustPrescribing / Medicines ManagementMedicine tablets suppliers information such as paracetamol, ibruprofen, aspirin and codeine phosphate.Compliant
FOI.16.LEW1052016-08. AugustStaffing - Contact DetailsAn up to date organisational structure chart for Risk & Governance, Quality and Finance including all manager names, contact details & Job titles.Compliant
FOI.16.LEW1072016-08. AugustCommissioning of ServicesCCGs use of the Public Services (Social Value) Act 2012, policy, strategy, framework, commissioning, tendering and grant makingCompliant
FOI.16.LEW1092016-08. AugustMental Health ServicesAter care packages, patients detained under the Community Treatment Order (CTO), length of time patients provided for after care and expenditure from 2013-16Compliant
FOI.16.LEW1112016-08. AugustPrescribing / Medicines ManagementAntidepressant Prescriptions, information broken down by single year of age, gender, type of drug prescribed and total number for each year from 2013-16Compliant
FOI.16.LEW1132016-08. AugustMental Health ServicesMental health expenditure and patient numbers in 2013/14 to 2015/16Compliant
FOI.16.LEW1152016-08. AugustIndividual Funding Requests (IFR)Number of listed procedures funded by the CCG between 2013/14 and 2015/16Compliant
FOI.16.LEW1172016-08. AugustCommissioning of ServicesBreakdown on purchase of care from non-NHS bodies in 2015/16Compliant
expand Month : 2016-09. September ‎(20)
FOI.16.LEW1192016-09. SeptemberStaffing - Contact DetailsTier 3 obesity services Commissioner, lead contact, figures, patients referred and providerCompliant
FOI.16.LEW1212016-09. SeptemberPrescribing / Medicines ManagementAccess to specialist fetal medicine units, should the need arise in pregnancy, including any service level agreements in place between local and specialist units to ensure this activity is fundedCompliant
FOI.16.LEW1232016-09. SeptemberCommissioning of ServicesCommissioning out of hours GP services, contracts to provide out of hours GP services, provider and patient population size 2014-16.Compliant
FOI.16.LEW1252016-09. SeptemberStaffing - Contact DetailsHead of Continuing Health Care Services and Head of Procurement contact details, job title, email address and telephone number.Compliant
FOI.16.LEW1272016-09. SeptemberCommissioning of ServicesERCP plus cholangioscopy availabilityCompliant
FOI.16.LEW1292016-09. SeptemberProcurement / ContractsCompetitive tendering NHS contracts, number and value of contracts, services awarded by competitive tender and requirement under the National Health Service Act 2006.Breach
FOI.16.LEW1312016-09. SeptemberService Provision (details / pathways)Delay/refusal of treatment/proceduresCompliant
FOI.16.LEW1332016-09. SeptemberPrescribing / Medicines ManagementList of pharmaceutical products/medicines/drugs that North West Surrey CCG currently holds rebate agreements.Compliant
FOI.16.LEW1352016-09. SeptemberContinuing Healthcare (CHC)Patients with prolonged disorders of consciousness, supported by the Continuing Healthcare budgetCompliant
FOI.16.LEW1372016-09. SeptemberService Provision (details / pathways)Patient participation Groups from The BMJ, practices and person responsible.Compliant
expand Month : 2016-10. October ‎(17)
FOI.16.LEW1392016-10. OctoberPrescribing / Medicines Managementpathway / formulary for prescribing of  Opioid induced constipationCompliant
FOI.16.LEW1412016-10. OctoberCCG Membership (GP related enquiries)the sums spent between 1 April 2013 and 31 March 2016 on supporting the formation of collaborative units and/or legal entitiesCompliant
FOI.16.LEW1432016-10. OctoberService Provision (details / pathways)Policies to reduce inappropriate referrals to GPs/A&ECompliant
FOI.16.LEW1452016-10. OctoberCCG Membership (GP related enquiries)Referral management centres that assesses referrals by local GPsCompliant
FOI.16.LEW1472016-10. OctoberProcurement / ContractsICT training courses purchased from QA TrainingClarification Sought
FOI.16.LEW1492016-10. OctoberCommissioning of ServicesDoes the CCG commission homeopathic services, and if it does expenditure over the last four yearsCompliant
FOI.16.LEW1512016-10. OctoberSpending / FinancialExpenditure over the last five years on homeopathyCompliant
FOI.16.LEW1532016-10. OctoberSpending / FinancialExpenditure on type 1 diabetes treatmentsCompliant
FOI.16.LEW1652016-10. OctoberSpending / FinancialCCG expenditure in 2015/16 and 2016/17Breach
expand Month : 2016-11. November ‎(26)
FOI.16.LEW1562016-11. NovemberCommissioning of ServicesFunding of cosmetic proceduresCompliant
FOI.16.LEW1582016-11. NovemberMental Health ServicesDid the CCG receive the extra funding promised by Government in the March 2015 budget and Autumn 2014 StatementCompliant
FOI.16.LEW1602016-11. NovemberContinuing Healthcare (CHC)Budgeting for personal health budgetsCompliant
FOI.16.LEW1622016-11. NovemberPrimary Care CommissioningReports relating to community pharmacy servicesCompliant
FOI.16.LEW1642016-11. NovemberPrescribing / Medicines ManagementInformation about oral nutrition sip feedsCompliant
FOI.16.LEW1672016-11. NovemberStaffing - Contact DetailsStaff namesCompliant
FOI.16.LEW1692016-11. NovemberCorporateUsing the NHS constitution as a basis for CCG workCompliant
FOI.16.LEW1712016-11. NovemberPrescribing / Medicines ManagementDetails of continence products formularyCompliant
FOI.16.LEW1732016-11. NovemberIT / Telephony SystemsPatient data transfer systems and planned procurementCompliant
FOI.16.LEW1752016-11. NovemberPrescribing / Medicines ManagementWhich formularies does the CCG followCompliant
FOI.16.LEW1772016-11. NovemberService Provision (details / pathways)Copy of podiatry service spec and eligibility criteriaCompliant
FOI.16.LEW1792016-11. NovemberSpending / FinancialHow much was spent on staff parties in 2015Compliant
FOI.16.LEW1812016-11. NovemberPrescribing / Medicines ManagementThe annual spend on Oral Nutritional Supplements as a proportion of the total annual drugs spend.Compliant
expand Month : 2016-12. December ‎(21)
FOI.16.LEW1832016-12. DecemberService Provision (details / pathways)Referral management scheme, type of staff responsible for screening, incentives to reduce referrals.Compliant
FOI.16.LEW1852016-12. DecemberMental Health ServicesInformation about CAMHS referrals - statistics etc.Compliant
FOI.16.LEW1872016-12. DecemberOtherChronic fatigue syndrome/myalgic encephalomyelitis (M.E.) diagnosis, service provision, and referrals.Compliant
FOI.16.LEW1892016-12. DecemberOtherTelehealth/telemedicine/telecare services and commissioning.Compliant
FOI.16.LEW1912016-12. DecemberSpending / FinancialSum of your Oral Nutritional Supplement rebates the past 12 months for all dispensing practices.Compliant
FOI.16.LEW1932016-12. DecemberOtherAddress and contact details for all Healthy Living Pharmacies.Compliant
FOI.16.LEW1952016-12. DecemberCommissioning of ServicesCommissioning of care for blood and marrow transplantation (BMT) patients who are beyond 100 days following a stem cell or bone marrow transplantBreach
FOI.16.LEW1972016-12. DecemberCCG Membership (GP related enquiries)Details of hospitals inappropriately passing patients back to GPsCompliant
FOI.16.LEW1992016-12. DecemberOtherFinance/accounting software, recruitment and staffing details.Compliant
FOI.16.LEW2012016-12. DecemberSpending / FinancialCost of breast implant removals over the last five yearsCompliant
  
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