WORKING TOGETHER FOR A HEALTHIER CROYDON Trust Board and Governing Body meeting in common in public Tuesday 14 May 2019
Welcome • Today we publish plans to align the leadership and shared functions of Croydon Health Services and Croydon CCG in a new partnership • Aimed at improving health and wellbeing, outcomes for patients, opportunities for staff and strengthening the financial future of NHS services in the borough Mike Bell, Chairman, Croydon Health Services NHS Trust Dr Agnelo Fernandes, Clinical Chair, NHS Croydon Clinical Commissioning Group
Collaborating better together Unified approach We are good at collaboration in Croydon Aligning CHS and Croydon CCG • Our award winning partnerships in the to work better together will: One Croydon Alliance are joining up NHS • services with the local authority, voluntary remove duplication • sector and GPs in the borough to provide combine expertise • more seamless care deliver transformation at • Looking after people’s physical and mental scale • wellbeing to keep people healthier for retain greater control of decisions affecting our longer borough • maximise the resources we have to care for our community Mike Bell Chair CHS
Croydon is ahead of the curve • The NHS Long Term Plan calls on local health systems to work together to give people more joined-up care • This includes greater collaboration between hospitals, primary care, mental health services and local authorities Seamless care and • Working together to tackle some of the most support significant causes of ill health, such as smoking, drinking problems and Type 2 diabetes CHS and CCG Our ambitious plans are in the same alignment is the direction as these national foundation stone developments, putting Croydon supporting further forward as the vanguard in the journey we began four years ago integration of health and care in Croydon Dr Agnelo Fernandes Clinical Chair Croydon CCG
Croydon has a strong Why is Croydon so unique? sense of ‘place’ Croydon is one of London’s fastest growing • More people live in Croydon and most diverse boroughs in London than Nottingham, Newcastle But like most regions in the UK, the Croydon or Belfast • health and care system faces financial pressures Vibrant mix of cultures and and national workforce shortages and changing communities makes Croydon needs of the population different to the rest of South West London Unique health challenges • Croydon’s health economy is Compared to the average Londoner, also relatively self-contained people in Croydon have a higher rate of • CHS providing 80% of all diabetes and heart disease acute and community services in the borough • 1 in 4 older adults with a limiting long term illness • Life expectancy in the most deprived neighbourhoods is up to ten years lower than the least deprived • A wide range of health inequalities already exists and the borough is becoming increasingly diverse, changing health needs of local people
Statement of support • Partnership working is something that we are very proud of in the borough • Our One Croydon Alliance is changing lives, helping to keep people well and independent for longer • What this partnership demonstrates is that when we break down barriers between our different organisations we can have a much bigger impact than if we work alone Councillor Tony Newman Leader of Croydon Council
The strategic case for greater alignment between Croydon CCG and CHS • We believe we can best transform services by strengthening our One Croydon Alliance • Bringing the Trust and CCG closer together will help us work in unison across key areas - reducing duplication • Making sure we invest every pound spent in the most efficient way to improve the health of local people • Improved care and health outcomes for our patients and increased opportunities for our staff Andrew Eyres, Accountable Officer, NHS Croydon CCG Matthew Kershaw, Interim Chief Executive Officer, Croydon Health Services
Hello, my name is… Elaine Clancy, Joint Chief Nurse for The Governing Body and Trust Board have the NHS in Croydon - professional been working closely since July 2018 to bring lead for nurses, midwives and allied the two organisations together health professionals With our regulators at NHS England and NHS First shared executive post Improvement, we have been exploring the between CHS and CCG feasibility of aligning our management • Trained A&E nurse by background structures, governance and boards. • Leading nursing, midwifery & allied health professionals • Building on the success of having a Joint • Working to improve the consistency of Chief Pharmacist in the borough care and health outcomes for people in • Croydon Joining our safeguarding and quality teams • Started 1 May 2019 across the Trust and CCG • Agreeing a shared financial control total to fund healthcare and improvements to Chief Nurse: 30 years of services in the borough experience within the NHS
Engaging with our local community We have also been talking with our May 2019: joint public meeting and staff, patients, public and partners publication of strategic case for CHS and CCG alignment We have held a number of events: • Today, we start the next phase • November 2018: more than 100 health • Launching our proposals for all to and care frontline staff, local people, MPs review, with ongoing opportunities and representatives from community to feedback. organisations • March 2018: design workshop with stakeholders, including local councillors, GPs, mental health services and voluntary groups • April 2019: more than 90 people attended a patient engagement forum held at CHS • Ongoing: forums and discussions with staff to gather their views and suggestions for more joint working
More seamless support Integrated care networks Each week, the networks hold multi-disciplinary meetings called ‘huddles’ to discuss the care of people with complex and escalating health needs Including GPs, nurses, CCG pharmacists, social workers, and Personal Independence Co- ordinators with Age UK Croydon. Impact Robert, aged 77 • 15% drop in urgent and emergency admissions for all Robert’s life was turned around after his wife sadly adults in 2018/19 • passed away whilst he was Compared to a national increase being cared for in hospital in unplanned admissions overall
What does this really mean? Both CHS and CCG are committed to reducing health inequalities and supporting local people to live longer, healthier lives. For our patients and local residents, our plans will directly benefit you with: • More services delivered locally in settings closer to home • Reduced waiting times and shorter stays in hospital • Seamless pathways between primary, secondary and community care • People kept well and out of hospital wherever possible • Effective and accessible hospital care when required • Improved care and outcomes for those living with long term conditions • Equality of access and care standards across the borough Dr Nnenna Osuji Medical Director, CHS
What does this really mean? For our staff: Closer alignment will help to break silos and make it easier for teams to work together to provide more joined-up services • Teams will be enabled to work more across organisational boundaries as part of a multi-skilled workforce • All supporting the same local people • Combining expertise, we will also be able to cover workforce shortages across multiple professional groups This means: • Less complicated user experience for patients • Less fragmented working for staff • Reducing duplication • Redirecting the time and money saved into delivering care • Making Croydon an even better place to work
Case for change “Wrapping our services By partnering together more our two around the needs of organisations can deliver significant people in our community, improvements for local people and reinforce rather than the needs of the financial future for health care in Croydon individual organisations” • Our proposal is to develop a ‘place -based model of care’ • Croydon is already working ‘system - wide’ through the One Croydon Alliance • The next step will see CHS and the functions of the CCG effectively operating as a single organisation across many of our core responsibilities Andrew Eyres Accountable Officer, Croydon CCG
‘Committee in common’ Working together The committee in common The CCG Governing Body and the Trust Board will focus on shared priorities, will continue to be held accountable for their including decision making to individual, statutory duties deliver continuous quality • Regulated and monitored by NHS England & services which meet the Improvement specific health needs of our • Key decisions relating to strategy and planning, population and help deliver transformation and finance will be taken financially sustainable services together at a ‘committee in common’ for the future. • We will jointly hold ourselves accountable for delivery of our plans
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