Our Vision / A look forward

Mr Mark Webb

Dr Peter Melton

Strategy drivers/influencersHealth• 5 year forward view:

– Sets out planning requirements

– New models of care– Financial context– Focus on prevention

• Quality of care• Workforce shortages

Adult Social care• Care Act

– Focus on wellbeing– Information & advise to

promote independence– Prevention

• Financial context• Quality of care &

market management

Underpinning Principles

• Quality and Safety• Promoting physical, mental and emotional

wellbeing of individuals• Prevention and self care / independent living

rather than a reliance on state services• Care delivered in the right place, at the right time,• Improving outcomes – purchasing from those

providers with the specialist skills • Breaking down organisational barriers to reduce

fragmented care

CCG strategy (reflected in HLHF)

Community based

care

Self care & independent

living Local

servicesCentralised care

Comprehensive

Affordable

Healthcare providers should provide a comprehensive service, from supporting prevention and self-care, through community provision, to specialist and tertiary care.

Providers of these services should take an integrated approach, so that local people have access to a seamless service

The result will be higher-quality care, with more lives saved and more people returned to full health

A further result will be a service that is affordable in the years to come

Integrated

Higher quality

Homecare

New model of care

Enhanced out of hospital model which enables health and social care professionals to provide more joined up services closer to people’s homes and communities should form the basis of any system wide model of care

Enhanced Out of Hospital Urgent and Crisis Care

Model

PlusEnhanced Out of Hospital Planned

Care Modelmeans Revised In

Hospital Provision

Proactive LTC management

New model of urgent care

Elective Care at scale

New midwife-led maternity

solutions

Primary Care at Scale

1. Making the “Left Shift” a reality• Increased self-care and independence• Proactive management of our most common

users of the service• Reduction in attendances and admissions to

hospital

2. New models of urgent care• Integrated approach to urgent care

management • Less reliance on the traditional “bed

base” models of care• Focus on keeping people home

3. Shaping hospital services differently• Focus on specialist

care

Transforming healthcare

Transformation priorities • Urgent and emergency care system (out of hospital)

– 1 hour & same day response (24/7)

• Proactive care models– Complex/multiple /specialist LTCs– Nursing / Residential care home support

• Access & diversion– SPA– 7 day services– Extra Care housing

• Prevention and early intervention– Prevention strategy (joint with Council)– Social prescribing

Proactive care

Core MDT Team

GP

Secondary Care Input

Therapies

Care Planning

Community Nursing

Social care

Specialist Supporte.g palliative care etc

Out of Hospital Care

In Hospital Care

MDTs based around practice

collaboration

Pro active, Preventative, and Outcome Focussed Services

IT solutions that support integration of

care

Secondary care

consultants providing education

and support /advice

Communication co-ordinated by MDT lead -most

appropriate person for that

individual patient

People are only treated in hospital when appropriate and are discharged

promptly to a supportive integrated

community service

CharitiesVoluntary

Organisation

Patients empowered to

access care when they need

it

Patient empowered and

supported to self manage, set their

own priorities

Best practice adopted early. Opportunities grasped for

prevention, patient education

Extra Care Housing & Supported living• A property people can call their own, an address and

front door whilst having easy access to the care and support they will need to stay healthy and keep living independently longer

• Extra care can reduce the levels of care needed and delay or eliminate the need for admission to residential care

• Supported living for people with complex needs who have a disability or mental health problem supports a move towards independence and reduces residential care

• Plan is to deliver 300 extra care housing units across 5 sites by 2018, 1st unit now open and people are moving in