NHS Vale of York Clinical Commissioning
Group
Draft Strategic Plan 2014-2019
Thursday 3rd April
NHS Planning Requirements
‘Everyone Counts: Planning for Patients 2014/15-2018/19’
Guidance and templates provided by NHS England.
• 5 year Strategic Plan covering the ‘unit of planning’ – deadline
20th June
• Supporting 5 year Financial Plan – deadline 20th June
• Better Care Fund submissions
• 2 year Operational Plan (national template) – deadline 4th
April
• Activity plans – deadline April 12th
Developing the Strategic Plan
Planning started in October 2013 and has focussed on listening to the views
of the community, clinicians and local partners. This has included
• Governing Body workshops on current position and future challenges
• Review of consultation information, performance, comparative spend and
quality review and national policy
• Initial priorities shared with Health and Well-Being Boards, Governing
Body and Council of Representatives
• Stakeholder Event and Provider meetings
• Better Care Fund programme activity to develop the Care Hub approach
• Public Engagement Events on priorities and proposed areas of work (Selby,
Easingwold and York) and online consultation
Objectives and Ambitions for the Vale of York
Listening to the public and responding to the sustainability challenge for the NHS, we
have developed the following objectives:
People will be supported to stay healthy through promoting healthy lifestyles
improving access to early help and helping children have a healthy start to life
People will have more opportunities to influence and choose the healthcare they
receive and shape future services.
People will continue to have good access to safe and high quality healthcare
services
When people become ill, they are treated in a timely manner with access to expert
medical support as locally as possible
Where people have long-term conditions they are supported to manage those
conditions to give them the best possible quality of life
When people are terminally ill, the individual and their families and/or carers are
supported to give them the best possible quality of life and choice in their end of
life care.
Objectives cont.
A move to ‘Care Hubs’, providing increased access to health promotion, care and
support services, including GPs, pharmacies, diagnostics (e.g. scans/ blood tests),
community services, mental health support and social care and community and
voluntary services.
High quality mental health services for the Vale of York, with increased awareness of
mental health conditions, improved diagnosis and access to complex care within the
local area.
A sustainable and high quality local hospital providing a centre for urgent and
emergency care and planned care for a wide range of conditions and elective
operations, maternity and other specialisms within the Vale of York.
Access to world class highly complex and specialist care provided through specialist
centres across the country.
Opportunities for accessing and leading research to improve healthcare systems for
all
Levels of Ambition
We will measure our impact using the national levels of ambition, as well as
delivery against the NHS Constitution and quality outcomes.
Ambition over the next five years
Reduce the potential years of life lost (PYLL) from causes considered amenable to
healthcare by 21%
Improve the health related quality of life of the 15 million+ people with one or
more long-term condition, including mental health conditions to equal the best
amongst our peers
Baseline
Target
1950.6
1545.8
76.73
77.95
Reduce the amount of time people spend avoidably in hospital by 14% through
better and more integrated care in the community, outside of hospital.
1990.0
1712.9
Increase the proportion of older people living independently at home following
discharge from hospital from a baseline of 76.7
76.7
Increase the number of people with mental and physical health conditions having a
positive experience of hospital care by 12%
123.8
108.6
Increase the number of people with mental and physical health conditions having a
positive experience of care outside hospital, in general practice and in the
community by 12%
5.07
4.76
Make significant progress towards eliminating avoidable deaths in our hospitals
caused by problems in care.
n/a
Care Hub Implementation
• Heart of the plan – transforming the system to enable us to
continue to deliver high quality, safe and local services
• Integration of Care – moving away from traditional
boundaries of ‘primary, secondary, community and social
care’
• Phased approach over the plan period, focussing initially on
frail elderly and long term conditions; and expanding to a
broader range of services including mental health
Improving Quality and Outcomes
• Improving health (health promotion, cancer
prevention and diagnosis)
• Reduce health inequalities
• Parity of esteem – mental health reforms
• Quality – quality agenda, safeguarding,
workforce reform and medicines management
Continuous Improvement and Transformation
• Our approach to innovation
• Use of technology
• Promotion of research
Improvement Interventions
These are based on the initial priorities for transformational
work shared with Governing Body, stakeholders and the public.
Following the analysis of feedback these have been finalised.
Each ‘Improvement Intervention’ is supported by work
programmes (QIPP projects and strategy development) to
deliver the expected outcomes.
The CQUIN and Quality Premium measures for 2014-15 have
been set to complement the delivery of these programmes of
work.
Improvement Interventions
Improvement Intervention
Work programmes
Integration of Care
•
•
•
•
•
•
•
•
Person Centred Care
•
•
•
•
•
Better Care Fund programme
Mental Health Street Triage
Hospice at home
Psychiatric liaison
Single point of contact
Rapid assessment team
Community Services review
Community equipment review
Public Health Strategies
Cancer Pathway Review
Primary Care promotion of healthy lifestyles
Personal budgets
Communication, Engagement and Involvement
Strategy
• Health Service Directory
• Self-Management Strategy
• Carers Support Strategy
Improvement Interventions
Improvement Intervention
Work programmes
Urgent Care Reform
•
•
•
•
•
•
Transforming mental health
services
•
•
•
•
•
•
Demand and Capacity planning
Emergency Care Practitioners
Under 5’s admission review
Patient Transport Services Review
Out of Hours service review
DVT Pathway
Review of mental health provision and estate
Active placement management
Psychological Therapies Service
Dementia Friendly Communities
Memory clinics and care navigator
Physical health standards in in-patient mental
health facilities
• Access to health and dental checks
Improvement Interventions
Improvement Intervention
Work programmes
Primary Care Reform
•
•
•
•
•
Primary Care Strategy
Practice engagement strategy
Risk profiling and proactive case management
E-Consultations
Doctor First appointment triage
Transforming mental health
services
•
•
•
•
•
•
•
•
Outpatient Follow-Ups
Referral Support Service
Dressings management
Diabetes pathway review
Renal pathway review
Dermatology pathway review
Ophthalmology pathway review
Neurology pathway review
Children and Maternity
•
•
•
•
•
•
Implementation of the Children and Families Act
Review of Child and Adolescent Mental Health services
Autism Pathway
Maternity Commissioning Strategy
Looked After Children health reviews
Review of emergency admissions for children with lower
respiratory tract infections
Keeping the NHS Sustainable and Governance
• Financial Plan
• Sustainability Strategy
• Governance and monitoring arrangements for
the plan
Operational Plan
• Standard national template – developed to support the 5-year
plan
• Levels of Ambitions: measures provided nationally in the
‘Atlas’ – looked to move performance to the top quartile or to
be comparable with the best performing of our peers. These
are supported by the BCF initiatives
• National measures – Quality premium, IAPT, Dementia, A&E
activity
• Local Quality premium – injuries relating to falls (aligned to
the BCF programme)
Measure
Objectives – 5 year plan
Improvement
Interventions/ Strategies
Levels of Ambition
All
Quality Strategy
Care Hub/ Integration of
Care
Person Centred Care
Urgent Care Reform
Transforming mental
health
Primary Care Reform
Planned Care
Medication Error Reporting People will continue to
have access to safe and
high quality healthcare
services
Quality Strategy
Friend and Family
reporting
Quality Strategy
People will have more
opportunity to influence
and choose the healthcare
their receive and shape
future services
Measure
Objectives – 5 year plan
Improvement
Interventions/ Strategies
QP: Reduction in injuries
relating to falls (5%
reduction)
Where people have long
term conditions they are
supported…to give them
the best possible quality of
life
Integration of Care (BCF)
Urgent Care Reform
C.Diff (target 90)
People will continue to
have access to safe and
high quality healthcare
services
Quality Strategy
Dementia Diagnosis (to
reach national target)
High quality mental health
services for the Vale of
York
Transforming mental
health
IAPT (to reach national
target)
High quality mental health
services for the Vale of
York
Transforming mental
health