North East Lincolnshire Strategic Plan Update September 2019 Lisa - - PowerPoint PPT Presentation

North East Lincolnshire Strategic Plan Update September 2019

Lisa Hilder – Assistant Director Strategic Planning

What we are going to do in this session

We’re going to look at some of the outcomes we need to achieve. Some of these are set nationally and some are local outcomes we have been asked to focus on by organisations and communities in North East Lincolnshire . Some of these outcomes focus on care and treatment, others focus on preventing ill health. We need to get the balance right in where we direct our resources. That’s what we want to discuss with you today and get your thoughts.

The NELives Framework provides the context and background for the health and care outcomes we want to achieve as part of our approach to delivering the NHS Long Term Plan

Vitality and Health – our aims

We want people to be informed, capable of living independent lives, self-supporting and resilient in maintaining or improving their own health. We want safe, quality services that prevent ill health where possible, support, maintain and restore people back to the best of health for them or support them with dignity right through to the end of their lives

Things we have to do

• The NHS Long Term Plan sets out a vision for

the next ten years

• Alongside other organisations in the Yorkshire

and Humber Integrated Care System (Humber Coast and Vale STP), we will be contributing to the five year strategy

• This will need to be produced by October 19 and

will set out work to take us to the half way mark in delivering the Long Term Plan

5

Anticipated Financial Aims

• Financial balance across the system

(commissioners and providers)

• Integrated financial planning across the NEL

Health & Wellbeing system resulting in: (a) the optimum value for money (Best Use of the NEL pound) (b) clear understanding of the ”place” costs

National Outcomes – treatment

• Primary Care –offer accessible primary care which deals

with heath needs as swiftly and effectively as possible, including providing access to other services and types of care where needed.

• Cancer – reduce preventable deaths by increasing

screening uptake and early diagnosis

• Community urgent care – increase access to the right care

at the right time

• People are supported to return home promptly following a

hospital stay

• Planned Care – enable timely access to specialist care

such as planned operations in order to return to optimal health as soon as possible

National Outcomes - prevention

• Maternity/Women and Children – deliver the best possible

start in life for all children, starting with Better Births and undertaking targeted work around vulnerable children

• Prevention – reduce preventable periods of ill health by

promoting, encouraging and enabling health seeking behaviours for our population

• Medicines Optimisation – ensuring deployment of the most

cost-effective and clinically safe medicines for each condition

• Adult Social Care – enable the optimal length of

independent living for each individual and subsequently enable appropriate care when it is needed

• End of Life – increase the percentage of people dying in

their place of choice

Local Outcomes – treatment and prevention

• Focus on multi-disciplinary approach to frail patients
• Substance misuse – reduce dependency on alcohol

and drugs for specific identified cohorts of our population.

• Mental Health –reduce self-harm admissions to

hospital through improved crisis services.

• Reduce the 20 year gap in life expectancy due to

physical health issues experienced by people with mental health issues

Tabletop Discussion

In your groups, please look at the health and care outcomes we need to achieve for North East Lincolnshire then discuss:

• Do you think these are important outcomes for

people in North East Lincolnshire?

• Do you think we have the right balance

between prevention and treatment?

• Is there anything missing?

Please take 15 minutes to discuss

Feedback from tables

• 1. Yes
• 2. No, more needed on treatment
• 3. No, more needed on prevention

Voting

Have we got the right balance between treating illness and preventing illness?

13% 0% 87%

Projects that will help us deliver our aims

• Focussed work on screening and improving cancer

early diagnosis for lung and colorectal cancers

• Support at home– supporting people to stay at home or

return home promptly after episodes of ill health

• Reshape service provision for Long Term conditions

including Community Cardiology

• Special Educational Needs and Disability (SEND) -

Implement action plan

• Integrated Urgent Care - Work with PCNs to establish

an enhanced community urgent care response

• Baseline assessment of current End of Life provision to

identify gaps and areas for action

• Implement Advice and guidance with secondary care

Projects that will help us deliver our aims

• Outpatient Transformation including - Daycase to Outpatient

procedures, Digital solutions, Integrated specialist services

• Improve access to physical health checks for people with mental

health issues

• Out of Area specialist rehab reduction
• Harmonise medicines formularies between primary and

secondary care

• Reshaping Primary Care around PCNs to include community

multi-disciplinary teams

• Social Prescribing
• Self care through digital solutions (whilst maintaining options for

telephone and face to face)

• Focus on multi-disciplinary approach to frail patients with the aim

to reduce admissions from this cohort by 20%

Where we’re up to

• Analysed the aims set out in the NHS Long Term

Plan

• Drafted aims and projects which will help us

contribute to the national delivery of the Long Term Plan

• Working with the Humber Coast and Vale

Partnership (STP) to formulate the collaborative plan

• More detailed implementation is being worked up
• The timeline for preparation in 19/20 and

implementation in 20/21 is on track

Voting

• 1. Yes
• 2. No
• 3. There is something missing

Have we covered the main things you think we should be doing in North East Lincolnshire?

65% 6% 29%

Any questions?