Stockport Health Plans - NHS Stockport Clinical Commissioning Group

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Stockport Health
Plans
Consultation on Strategic and Operational Plans
NHS Stockport Clinical Commissioning Group
7th Floor
Regent House
Heaton Lane
Stockport
SK4 1BS
Tel: 0161 426 9900 Fax: 0161 426 5999
Text Relay: 18001 + 0161 426 9900
Website: www.stockportccg.org
What will be covered today
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Why we are talking with you
The vision for health services in Stockport
The context and reason for change
The priorities for change
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Mental Health
Health Literacy and Prevention
Out of Hospital Care
Unscheduled Care
Elective Care
Healthier Together (Hospital Reconfiguration)
• The next two years operational plans
Why are we talking with you today?
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It is about your services
Our commitment to transparency
Your views and knowledge are important
Two year operational plans submitted 4th April
Influence on five-year plans for 20th June
Big consultation in July for Healthier Together
Health Services in Stockport Tomorrow
• Support to live healthier lifestyle
• A remodelled general practice– proactive and
anticipatory with better access
• Person centred integrated care service in the
community
• Locality based provision
• Smaller higher quality hospital services
• Better access to mental health services for
children and adults
Health Services in Stockport Now
• Health Outcomes are about average, but…
– Cancer greatly improved
– Flu among best in country
– Big inequalities divide
• Over Hospitalisation
– High Admissions
– Long length of stay
• Poor Performance in A&E
• Good Quality Primary Care
• Stretched Community and Mental Health Services
Financial Context
• Stockport CCG’s budget is £350m
Very limited growth in health funding
Pressure on social care
£16m short of target
Growth
• Ageing Population
• Medical Advances
• Inflation
• Result - c£100m gap across health and social care
What the public have said already
• Strong support for more integrated health & social care
enabling people to stay at home including at end of life or
with dementia
• Desire for better access to primary care with more services
available locally
• A willingness to use technology and information to improve
services and safety
• A desire for better mental health services and improved
mental wellbeing including support for carers and a better
transition from children to adult services
• Better compliance with NICE guidance – e.g. IVF, epilepsy
Priorities: Mental Health
• National Context:
– Parity of esteem, dementia and IAPT
• Our response
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Improved Access to Psychological Therapies
Children & Adolescent Mental Health 0-25
Dementia – Mental Health Liaison & EOL
Attention Deficit Disorder & Autism
• But, same expectation on efficiency as all
Priorities: Health Literacy and Prevention
• National Policy
– Health Outcomes, Reduce years of Life Lost
unnecessarily
• Our Response
– Health & social care workforce better equipped
– Early Identification
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Hypertension
Atrial Fibrillation
COPD
Cancer
Priorities: Out of Hospital Care
• National Context:
– Integrated Care & Primary Care at Scale
• Our Response
– Adult Integrated Team (Health & Social Care)
– People Powered Health
– Remodelling General Practice
• Better response to acute need
• Greater focus on Long-Term Conditions
– Proactive Care Home Support
Priorities: Unscheduled Care
• National Policy
– Reduce admissions, meet targets
• Our response
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See Previous section
Reformed Front-End
New role for ambulance services
Stronger rapid response type services in community
Priorities: Elective Care
• National Policy
– 30% more efficient
• Our Response
– Improve referral practice through peer review in both
primary & secondary care
– Tighten thresholds for some surgical procedures
• Weight Loss and smoking cessation
– Reduce follow-up procedures
– Not introducing additional triage centres
Priorities: IM&T
• Integration of records
– Single record
• Digital services to the population
– Access to your own records
– Apps
• Supporting people remotely
• Video consultation
• Tele-medicine and Tele-care
Priorities: GM Acute Sector Reform
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Addressing variation in quality & sustainability
Twenty clinical congresses involved
Single services to be shared across hospitals
Specialist and District General Hospital teams
one and same
• Plan specific detailed proposals for consultation
in July.
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Major Reforms Across Greater Manchester
10 local models of integrated health & social care
Integrated
Care
Association of
Greater
Manchester
CCGs
Healthier
Together
Primary
Care
NHS England
+ local CCG
work
Next steps
• Operational plan submitted 4th April
• On-going public conversation and work on vision
and 5 year plan until end of May
• Publication of 5 year health strategy 20th June
• Questions and feedback
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What sounds good?
What would you like more information on?
What do you think we have missed?
What causes anxiety or concern?
Questions
– What sounds good?
– What would you like more information or
detail on?
– What do you think we have missed?
– What causes anxiety or concern?
Link to Detailed Plans
http://stockportccg.org/how-you-can-get-involved/
Survey on our Plans
https://www.citizenspace.com/stockporthaveyoursay/consultation-andengagement/ccg-strategic-plans-2014
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