Welcome Mary Dowling Chair NHS Fylde and Wyre Clinical Commissioning Group

Review of the Year Wendy Swift Chief Executive (Interim) Blackpool Teaching Hospitals NHS Foundation Trust Dr Amanda Doyle OBE Chief Clinical Officer NHS Blackpool Clinical Commissioning Group

Thank You Thank You

Thank You

Circa 10,000 of us working in the NHS on the Fylde Coast

Partnerships

Patients

Public

Volunteers

NHS Fylde and Wyre

CCG

Lancashire County Council

Blackpool Teaching Hospitals NHS FT

NHS Blackpool

CCG

Blackpool Council

Fylde Borough Council

Wyre Borough Council

National Planning Guidance (2017-19)

‘’Partnership Behaviours Become the New Norm’’

Background

Our Health Challenge

Quality

Access Cost

Increasing Need

New Treatments

Our Health Challenge

Blackpool Fylde & Wyre

Our Achievements

New five year cancer

strategy

New models of care

across the Fylde Coast

New end of life care

provision

Working together to win Lottery funding e.g. Better Start

Head Start

Healthy new town

initiative

Test bed initiative

Think! Why A&E campaign

NHS Fylde and Wyre CCG • An ‘outstanding’ CCG

• One of 10 CCGs nationally to receive top rating in NHS England’s annual assurance assessment

• Wyre Health Hub

• New facility in Wyre Civic Centre bringing together healthcare and council services

• More than 1,000 people helped by new falls vehicle

NHS Blackpool CCG • Delegated authority to commission primary

care services across Blackpool

• Primary Care Quality Contract

– Addressing variation and patient access across Blackpool

• Meeting Cancer and diagnostics performance targets

• CQC inspections in primary care, out of 17 practices inspected: – 82% of practices were rated good (national average

based on 360 inspections is 78%)

– 18% of practices were rated outstanding (national average based on 360 inspections is 4%)

• New Models of Care have been accelerated in Blackpool and across the Fylde Coast, bringing co-ordinated care closer to patient’s homes

NHS Blackpool CCG • Dementia diagnosis rates

• 89% diagnosis rate (67% national ambition)

• Improving Access to Psychological Therapies (IAPT) Services

• Reduced waiting times from 12 months to six to 18 weeks

• Showed improvement in all Equality and Inclusion goal outcomes graded in 2015

• Better Start/Head Start – Significant involvement with this programme, aimed at improving children’s health and wellbeing from an early age

Blackpool Teaching Hospitals • Launched our new 2020 Strategy

‘Together we can’ designed by our clinicians

• National Patient Safety Award for our End of Life team

• Named in the HSJ Top 120 Places to Work in the NHS

• Launched our new quality strategy

• Achieved UNICEF “Baby Friendly Initiative’’ accreditation

Fylde Coast Strategy

• The partner organisations in the Fylde Coast health economy are committed to working together to improve health outcomes for our population.

• Our aim is to develop a model of integrated and coordinated health and social care so that care is delivered seamlessly, sharing data and communicating better with each other and those in need of our services, their carers and families.

Fylde Coast Work Programmes

Enhanced GP access

Urgent and emergency

care

Care model delivery

Technology

Mental health Effective use of resources

Planned care Cancer

Leadership Working in Partnership

Enhanced GP Access

Urgent and Emergency

Care

Care Model Delivery

Technology Mental Health

Effective Use of

Resources

Planned Care

Cancer

Senior Responsible Officer

Tony Naughton

David Bonson

Peter Tinson

Tim Bennett

Helen Lammond

-Smith

Andrew Harrison

Wendy Swift

Use of existing

Fylde Coast

Cancer Group Chair = Adam Janjua

Senior Responsible Clinician

Dr Marie Williams

Dr Russell Millner

Dr Andrew Weatherburn

Dr Cruz Augustine

Dr Marie

Thompson Dr Tom Johnson

Programme Lead

Suzanne Endersby

Sarah Camplin

Stewart Bond

Lesley Tiffin & Claire Grant

Pat Crawford

Nicola Walmsley

Thank You Thank You

Thank You

Circa 10,000 of us working in the NHS on the Fylde coast

Extensive Care Service Dr Andrew Weatherburn Service Clinical Lead Blackpool Teaching Hospitals NHS Foundation Trust

A new way of delivering care - why?

Progress To Date • Launched June 2015

• Lytham Primary Care Centre

• Moor Park Health and Leisure Centre

• Two further sites launched in April 2016 • South Shore Primary Care

Centre

• Wyre Civic Centre

• Ongoing roll-out to practices across Fylde Coast • All live from October 2016

1,162 Referrals at September 2016

Patient and Carer Experience

100% The Friends and Family Test

Recommend

Impact – Extensive Care Patients • 19% reduction in A&E

admissions

• 25% reduction in non-elective admissions

• 10% reduction in new out-patients attendances

• 17% reduction in follow-up out-patients attendances

• 37% reduction in elective activity

Highlights • Electronic record (shared) –

paperless

• Comprehensive holistic assessment

• ‘MyPlan’

• Single point of contact

• Multi-disciplinary Team – mental health / linked services input

• Generic skill development

• Named responsible team members

• Advanced care planning and ‘do not attempt’ CPR

• Co-ordination of care

• Medicines optimisation

• In reach to admitted patients

• Primary and community relationships

Feedback and Developments

Feedback

• Criteria and referrals • Emphasis on risk score removed

• Out of hours contact

• Pilot – Two or more physical, chronic and active long-term conditions

• Pilot – Community nurses, matrons and therapists

• Process • Accept immediately at initial

assessment

• Tailored transition process

Developments

• Multidisciplinary Team – mental health and palliative care

• Patient Activation Measures (PAM) licences

• Pathway process review and development

• Health and Wellbeing Care Plan

• Referrals from Clifton Hospital and Blackpool Assessment and Referral Centre (ARC)

• Enhanced Primary Care and acute frailty links

Going Forward

Forward View Dr Tony Naughton Clinical Chief Officer NHS Fylde and Wyre Clinical Commissioning Group

NHS Five Year Forward View

• New models of care

• More integration

• Break down barriers

• Local flexibility

• Vanguard

Delivering the FYFW

• Published December 2015

• Spending review

• National priorities

• Two separate but connected plans – CCG operational plan for

2016/17

– Five-year sustainability plan (STP) on a Lancashire and South Cumbria footprint

Fylde Coast Forward View

• Lancashire and South Cumbria footprint: – Strengthening the

out of hospital care model across Lancashire and South Cumbria

– Aims • Care and Quality,

• Health and Wellbeing

• Finance and Efficiency

• Fylde Coast footprint: – Urgent care

provision

– Community dermatology service

– Community diabetes services

– MSK triage and access service

• CCG footprint

– Pharmacy+ clinic

– Intermediate care services

– Primary care contracts

• Neighbourhood footprint

– Care home support team

– Healthier Fleetwood

– Community orientated primary care

Partnerships and Integration

• We cannot make these changes alone

• Forge strong partnerships between the local NHS, social care and the voluntary sector

• Breaking down barriers between health and social care

• Shared plans and objectives

Communication and engagement

• Over the coming weeks and months we will be talking with you on these plans to make sure they are fit for purpose

• Your input is essential to help us meet the challenges ahead

• Together we can achieve a health and care service built for tomorrow

Questions and Answers

Roy Fisher Chairman NHS Blackpool Clinical Commissioning Group

Close

Ian Johnson Chairman Blackpool Teaching Hospitals NHS Foundation Trust