What we do

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What we do

Here you can discover more about the work we do, what healthcare we are responsible for commissioning, and how we prioritise our decisions to meet the health needs of everyone in Bristol.

What is commissioning?

In its simplest form, commissioning involves an on-going process of:

  • understanding the community’s health needs 
  • assessing the quality of existing services
  • designing and redesigning services
  • buying services from providers, such as hospitals or community service providers
  • measuring the impact on people’s health and experiences

Understanding local health needs and responding with appropriately placed, timely and high quality healthcare is central to what we do.

Our Commissioning Intentions

We have recently drafted our Commissioning Intentions for 2015-2016. These have been developed in line with the Health and Well Being Board’s overarching health themes for the City of Bristol, our analysis of the joint strategic needs assessment and the feedback we received when developing our plans.

We have developed a summary document outlining our draft Commissioning Intentions for 2015/16:

How we plan for local health needs

Bristol is one of the largest cities in the UK, and includes people from very different social, economic, cultural and ethnic backgrounds. This means that health needs vary considerably across Bristol.

To better identify what services local people need, our clinical leaders represent three distinct areas in Bristol, known as localities. We also work closely with partners such as Bristol City Council and Public Health England to agree priorities based on the information that we have gathered between us.

Our localities

This information, along with expert clinical leadership and patient and public involvement, enables us to develop our own plans and priorities, published in our two-year and five-year commissioning plans.

How we make decisions

What services are we responsible for?

We’re responsible for commissioning a range of local healthcare services for the population of Bristol. These services are provided by a variety of organisations, such as local NHS hospital trusts and community health service providers. 

Our partners

The services we commission include:

Hospital treatment and urgent care

  • 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

Community healthcare

  • 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
  • NHS continuing healthcare – healthcare at home or in a care home for those with on-going complex needs

We are not responsible for commissioning primary care services, such as GPs, dentists, optometrists and pharmacists, or for prison healthcare or specialised health services, all of which are commissioned by NHS England.

What is a CCG?

Our priorities

Our NHS budget is limited, so we prioritise spending on high-quality services that bring most benefit to people and meet identified local health needs. 

We also prioritise services that help to keep costs down over a longer period of time through prevention and treatment.

Our priorities for 2014–16 are:

  • Long term conditions - delivery of care closer to home
  • Earlier cancer diagnosis
  • Improved vascular outcomes - e.g. for people with diabetes or other circulatory illnesses
  • Managing growing demand for children's services
  • Modernising mental health services
  • Understanding and addressing inequalities in health
  • To develop integrated working across health, social care and voluntary sectors
Cover for Bristol CCG Annual Report and Accounts 2015/16

Bristol CCG Annual Report and Accounts 2015/16

Published on Friday 27 May 2016. The annual report includes Locality Reports, Performance Report, Accountability Report, Remuneration Report, Statement of Accountable Officers Responsibilities, Governance Statement, External Audit Opinion.

Cover for Audit Report 2015

Audit Report 2015

Published on Friday 5 June 2015. Audit findings for NHS Bristol Clinical Commissioning Group for year ending 31 March 2015.

The NHS Constitution for England

The NHS Constitution for England brings together in one place details of what staff, patients and the public can expect from the National Health Service. 

Read the NHS Constitution

The Operational Resilience and Capacity Plan for Bristol 2014-15

Bristol CCG is responsible for the health and social care system resilience and capacity planning that is done annually. This details initiatives to deliver and sustain capacity in the Bristol health and social care system, and is also linked to, and enhances the system wide 4 hour 95% emergency department standard recovery plan.

The plan is informed by the National Quality and Outcomes framework for NHS and Health & Social Care and its indicators grouped around the five domains listed below. These priorities are also reflected in our emerging urgent care strategy and the specific schemes put in place as part of the 2014-15 ORCP will further support the achievement of these.

  • Preventing people from dying prematurely 
  • Enhancing quality of life for people with long-term conditions 
  • Helping people to recover from episodes of ill health or following injury 
  • Ensuring that people have a positive experience of care 
  • Treating and caring for people in a safe environment and protecting them from avoidable harm.
Cover for Bristol CCG Operational Plan 2014 to 2016

Bristol CCG Operational Plan 2014 to 2016

Bristol Clinical Commissioning Group (CCG) 2014-2015 Operational Plan for 2014 to 2016.