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 • • • • Why we are talking with you The vision for health services in Stockport The context and reason for change The priorities for change – – – – – – 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? • • • • • • 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 – – – – 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 • • • • 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 – – – – 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 • • • • 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. • 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 – – – – 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