Frequently Asked Questions

General

Why is Basildon and Brentwood CCG undertaking this formal public consultation?

We recognise that the way the health and social care system works at present is disjointed and does not work as well as it could to provide services to our population. Therefore, the CCG will be working with its providers and partners so that the people of Basildon, Brentwood, Billericay and Wickford can remain as well and as independent as possible throughout their lives.

To achieve this all providers will need to work together more closely to ensure a seamless service/services experience for patients.

When does the CCG plan to implement any or all of the proposed changes outlined in the formal public consultation?  This is a formal public consultation and the feedback received will be presented to the Basildon and Brentwood CCG Board for decision at an Extraordinary Board Meeting on 29 September 2016 (click here for further information). Should any or all of the proposed changes be approved by the Board, they will come into effect from 1st October 2016 (click here for further information).
How much money will this save?  As a CCG we are accountable for making the most effective  use of the resources that we have. We can only do this if our services are efficient, effective and of high quality. Last year the CCG spent £6.5m more than our allocation. We are statutorily bound to live within our means and we have agreed a plan with NHS England to do this by 31 March 2018.
Is there going to be a significant increase in healthcare funding?

Basildon and Brentwood CCG is not expecting any significant increase in funding in future years.

Does the CCG plan to close any hospitals? There are no plans to close any hospitals. Basildon and Brentwood CCG plans to spend more money on providing services in the community so that patients who might have been placed in community hospital beds for intermediate care, will instead receive safe and appropriate care in their own homes.
Will I have to travel further for care? Some patients may need to travel further for very specialist care - that is so we can ensure they receive the best care and that we as a CCG can deliver the care in the most efficient way. However, most patients, will continue to receive care locally and we are committed to ensuring a wider range of services are available closer to, or in, the patient's home.
Whose views will be gathered by the CCG in its formal public consultation? As a CCG, we want to get the views of as wide a range of people as possible. We have a number of  public events planned and will also be engaging with providers, system partners, MPs and local councillors, GPs and interest groups.

Intermediate Care proposals

Why are you undertaking the Intermediate Care Bed review? An audit conducted last year showed that as many as 40% of patients admitted to an intermediate care bed may have been better off with a package of care in their own home. There is much evidence that admission to hospital can make it much more difficult to regain previous levels of independence and should be avoided where possible. By investing in services based in the community we are able to offer care to more patients in a way that helps maintain their independence. 
Are you closing Mayflower Community Hospital?  We are not intending to close Mayflower Community Hospital but are proposing to reduce the number of Intermediate Care Beds within Basildon and Brentwood while boosting investment into a range of community health and care services.
 What will happen to patients currently being looked after in an intermediate care bed? Patients who have been admitted to an intermediate care bed will be unaffected. Patients will continue to be assessed on their care needs, just as happens now, but the increased availability of community care services means patients who will be better off remaining in their own home will be able to access this care, resulting in a gradual reduction in patients requiring admission to a bed. Beds will still be there for patients who need them.
Why are you reducing the number of dementia beds when there is an increasing number of patients with dementia?  It is widely recognised that people with dementia should be supported, where safe and possible, to stay in their own home. The services we have had in place to support people with dementia in the community have successfully managed to reduce the number of admissions by supporting dementia sufferers in their own home. We are increasing investment in these services to make them available to more people and therefore expect demand for dementia beds to reduce further.

Service Restriction Policy proposals - general

Will this mean people who live outside the Basildon, Brentwood, Billericay and Wickford areas will continue to receive the services you are proposing to restrict or stop?  The CCG is responsible for commissioning services for our population and making the best use of the resources we have available. Other CCGs are responsible for services in their areas. While some other CCGs have made similar decisions on services to the ones we are proposing, not all will be making the same changes so there may be differences in the services offered.
Why are you proposing that some procedures and treatments should be restricted or stopped and not others? We reviewed all the services on the current service restriction policy.
The procedures/treatments we are proposing to stop are those for which there is evidence of limited clinical effectiveness.
For other procedures/treatment (e.g. gallstones) there is evidence that people are receiving surgery when this may not be the best treatment and we therefore we are proposing changes to some of the criteria
What if I have already been referred for one of the treatments where changes are being proposed? You should only have been referred where your condition meets the criteria within the current Service Restriction Policy.
After the CCG Board decision on 29 September 2016 (click here for further information), the clinician who will undertake the proceedure will assess if you meet the new criteria which may have been adopted in the upated Service Restriction Policy. You will only be referred if you meet any new criteria. Should the CCG Board have decided not to fund a particular treatment, you will no receive that treatment.
For those people referred for assisted conception and already in the system as at 29 September 2016, any new criteria for treatment will be applied.
For those not yet referred for assisted conception, it is expected that, following the CCG Board meeting on 29 September (click here for further information), these people will not be referred for treatment should that be the decision of the CCG Board.

Cosmetic Surgery

The information in your consultation suggests that reconstructive survery for cosmetic reasons won't be funded. Does this include breast reconstruction after mastectomy following breast cancer? One of the principles of equity is that people are treated based on their needs. We would not necessarily be making a distinction between the reason for people requiring treatment e.g. cancer or injury. The reason for undertaking this formal public consultation process is to listen to the views of our population. The CCG Board will then take a decision taking these views into account.

IVF and Assisted Conception (existing treatment)

Hasn't the CCG already consulted on the future of specialist fertility services? In Summer 2015 the CCG consulted on the provision of specialist fertility services for new patients. Through this current engagement process (Summer 2016) we are consulting on provision for existing patients. The outcome of both consultations will be presented at an Extraordinary Board Meeting on 29 September 2016 (click here for further information) for agreement of future provision. At the moment, the CCG currently commissions a service in line with NICE Guidelines.
Will people who have already been told they are eligible for three full cycles of IVF have their treatment stopped?

Patients referred for specialist IVF services after April 2013 should have been made aware that the CCG commissions in line with NICE Guidance and the number of funded cycles depends on a number of criteria. Patients referred prior to this date would have been informed of the criteria and provision set by East of England Specialist Commissioning who were responsible for commissioning specialist fertility services at the time. For those people referred and already in the system as at 29 September 2016 (click here for further information), any new criteria for treatment agreed by the CCG Board meeting on 29 September will be applied.  It is proposed that this would be a phased process.