N H S Doncaster C C G

A Message from Lord Pickles and Lord Blunkett, followed by N H S Doncaster C C G's best practice article

The ability to listen and learn from one another has always been vital in parliament, in business and in most aspects of daily life. But at this particular moment in time, as national and global events continue to reiterate, it is uncommonly crucial that we forge new channels of communication and reinforce existing ones. The following article from N H S Doncaster C C G is an attempt to do just that. We would welcome your thoughts on this or any other Parliamentary Review article.

Blunkett signature Rt Hon The Lord David Blunkett
Pickles signature Rt Hon The Lord Eric Pickles


Clinical Chair Dr David Crichton
Doncaster Clinical Commissioning
Group’s HQ, Sovereign House
Doncaster, in South Yorkshire, is one of the most deprived
communities in England. Famous for building the
locomotive in 1923, the area was significantly
affected by the collapse of the mining industry and subsequent
pit closures across South Yorkshire. However, despite these
challenges, Doncaster Clinical Commissioning Group (CCG)
has been rated “outstanding” for the second consecutive year.
The CCG was created in April 2013 and has responsibility for
commissioning the borough’s £500 million budget and providing
health and care services for the borough’s 309,000 residents.
Dr David Crichton, Chair of the CCG, gives an insight into the
organisation and some of its recent “outstanding” activities.
An occasion to celebrate
In 2018, the NHS celebrated its 70th birthday – an occasion to remind Doncaster
of its significant role in the development of modern health and care. It was also an
occasion for us to celebrate the special birthday by recreating an iconic scene, which
took place here on July 5, 1948, when Nye Bevan, then health minister (and son of a
coal miner), announced the launch of the brand-new NationalHealthService.
Records relay that 70 miles away, in the mining village of Edlington, the community
hosted large celebrations to mark the arrival of comprehensive healthcare for
all. The Yorkshire colliery brass band marched to the surgery of the general
practitioner, DrJimmy. Dr Jimmy himself draped a Union Jack from his window
and offered members of the assembled crowd a drink. The birth of the NHS was
»Clinical Chair: Dr David Crichton
»Chief Officer: Jackie Pederson
»Established in 2013
»Based in Doncaster
»Services: Clinical
commissioning group
»No. of employees: 170
»Comprised of 40 GP member
»Responsible for a £500 million
health budget to care for
the 310,000 residents in the
NHS Doncaster Clinical
Commissioning Group (CCG)
Highlighting best practice
a source of much jubilation. The
re-enactment of this scenario in July
of this year represented Doncaster’s
contemporary willingness to further
develop the key principles of the
Health and Social Care Act.
Integrating care across health
and social care
Contextually speaking, Doncaster
resides within the 20th percentile of
deprived unitary authorities in England,
entailing poor health and extremely
challenging financial conditions.
Nevertheless, the Metropolitan Borough
of Doncaster has looked beyond its
individual organisational boundaries
and come together to develop a
shared vision and plan for the future.
Announced in 2016 under the collective
title “Doncaster Growing Together”,
the local Doncaster Place Plan was
born. This begins by concentrating on
seven areas of opportunity:
»The first 1,001 days
»Vulnerable adolescence
»Complex lives
»Learning disability
»Urgent and emergency care
»Intermediate care
Developing a new way of working with
current legal frameworks is far from
straightforward, but, with a concerted
effort to develop a network of strong
relationships between local leaders,
there is much that can be done. Already,
a number of ways to work smarter
have been identified, which reduce
duplication and avoid working in isolated
silos. The two main commissioners,
the CCG and Doncaster Metropolitan
Borough Council, have shown their
commitment to a legal agreement that
brings our work together.
A single care record
One significant area of success is the
introduction of the integrated Doncaster
Care Record (iDCR), which went live
in June 2018 and is now available
to a team of health and social care
professionals. As a new electronic system
for sharing patient information, it pulls
together an individual’s health and social
care details from six current electronic
systems (five clinical and one social care)
from five different organisations.
The information is then viewed via a
secure portal. Initially, the iDCR was
available to teams and professionals
involved in providing intermediate
care. Moreover, the Rapid Response
Pathway aims to prevent unnecessary
hospital admissions and facilitates
earlier discharge. The successful
implementation of this has led to
discussions about expanding this to
many other pathways of care.
A peaceful end-of-life journey
Often a taboo subject, end-of-life care
rarely gets a mention. At Doncaster
CCG, we have identified aspects
of care that could be improved to
support patients, carers and relatives
at this important time in people’s lives.
The introduction of a new approach
called “Woodfield 24” provides
people approaching the end of life
with personalised support for their
social, practical and emotional needs –
affording them the opportunity to be
independent for as long as possible.
CQC “outstanding” for
the last two years
Jackie Pederson,
Chief Officer
Being able to see
patient records
at any time, in
locations, means
that health and
social care
professionals can
make quicker
and safer
decisions about
a patient’s care
Inthe past year, more than 300 families
have been supported with a jointly
developed, flexible package of care.
During Dying Matters Week, the
commissioning team held its first
“death café” at Doncaster Museum,
during which the public had an
opportunity to discuss plans for
the future, such as drafting a will,
managing their digital legacy and
sharing future wishes with a loved one.
All of this was conducted with a view
to helping address the treatment of
future health complaints.
Thinking outside of the box
Building relationships outside the normal
context is an important part of our
success. A partnership with Doncaster
Rovers, our local football club, through
the Club Doncaster Foundation
(the community arm) allowed us to
commission a programme called “Fit
Rovers”: a targeted eight-week lifestyle
course for men who don’t usually
attend traditional health clinics. So far,
over 200 men have lost an incredible
combined total of 103 stone in weight
over the past year – a feat that was
recognised by the English Football
League, which gave the programme
the accolade of regional community
project of the year. The overwhelming
interest in this cause prompted the club
to run a self-funded veterans’ course for
participants that would help them to
continue their new, healthierregimes.
“Outstanding” rating
NHS Doncaster CCG was one of
just 20 CCGs in the country to be
awarded an “outstanding” rating
for 2017/18 by NHS England. The
CCG was assessed against a number
of benchmarks, including financial
management and leadership, and
was awarded the top rating for the
second consecutive year – one of just
11 of the 195 CCGs in the country to
achieve this.
This is due to a concerted effort on
our behalf to engage more widely
with partners in health and social
care across the borough – evidenced
through our annual 360 Stakeholder
survey. This effort is supported by
the strong leadership team, which
listens carefully and is always willing to
consider new ways of working.
On top of this, the Care Quality
Commission rated all of our 40 GP
member practices as good or above,
with five of the local practices rated as
We recognise that not everything
commissioned is perfect and that
significant challenges remain, in
particular increasing financial pressures
and how we use finite resources.
Furthermore, the success of medicine
and an increasing life expectancy brings
with it a greater complexity of medical
conditions. This means that we cannot
rest on our laurels, and clinical areas
such as those relating to cancer remain
of particular concern in our population.
Re-enactment of
1948 launch of NHS
in Edlington as part of
NHS70 celebrations
You enabled us to carry out his wish to
die at home with dignity a reality. You
not only provided personal care for Dad,
but emotional care to all of us, especially
Mum. The genuine care and compassion
given has made the grief of Dad’s
passing a little easier to bear
An integrated record


This article was sponsored by N H S Doncaster C C G. The Parliamentary Review is wholly funded by the representatives who write for it. The publication in which this article originally appeared contained the following foreword from Rt Hon Kwasi Kwarteng.

Rt Hon Kwasi Kwarteng's Foreword For The Parliamentary Review

By Rt Hon Kwasi Kwarteng

This year’s Parliamentary Review reflects on a tumultuous and extraordinary year, globally and nationally. As well as being an MP, I am a keen student of history, and I am conscious that 2020 would mark the end of an era. It will be remembered as the year in which we concluded Brexit negotiations and finally left the European Union. Above all, it will be remembered as the year of Covid-19.

In our fight against the pandemic, I am delighted that our vaccination programme is beginning to turn the tide – and I pay tribute to the British businesses, scientists and all those who have helped us to achieve this. But the virus has dealt enormous damage, and we now have a duty to rebuild our economy.

We must ensure that businesses are protected. We have made more than £350 billion available to that end, with grants, business rates relief and our furlough scheme supporting more than 11 million people and jobs in every corner of the country, maintaining livelihoods while easing the pressure on employers. The next step is to work with business to build back better and greener, putting the net zero carbon challenge at the heart of our recovery. This is a complex undertaking, but one which I hope will be recognised as a once in a lifetime opportunity.

Through the prime minister’s ten point plan for a green industrial revolution, we can level up every region of the UK, supporting 250,000 green jobs while we accelerate our progress towards net zero carbon emissions.

With our commitment to raise R&D spending to 2.4% of GDP and the creation of the Advanced Research & Invention Agency, we are empowering our fantastic researchers to take on groundbreaking research, delivering funding with flexibility and speed. With this approach, innovators will be able to work with our traditional industrial heartlands to explore new technologies, and design and manufacture the products on which the future will be built – ready for export around the globe.

And I believe trade will flourish. We are a leading nation in the fight against climate change. As the host of COP26 this year, we have an incredible opportunity to market our low-carbon products and expertise. Our departure from the EU gives us the chance to be a champion of truly global free trade; we have already signed trade deals with more than 60 countries around the world.

As we turn the page and leave 2020 behind, I am excited about the new chapter which Britain is now writing for itself, and for the opportunities which lie ahead of us.
Rt Hon Kwasi Kwarteng
Secretary of State for Business, Energy and Industrial Strategy