Healthy Lives, Healthy Futures Programme Update

NLAG Trust Board 30th June 2015

Progress Update June 2015• Developing an integrated Quality and Outcomes Framework – work to link

programme key performance indicators to the framework has begun

• Developed a draft clinical Memorandum of Understanding that has been shared with lead clinicians/professionals with the aim of gaining organisational sign off

• Developed a draft “Local Operating Framework” which describes how an enhanced out of hospital model could work

• Agreed to develop local (NL/NEL) models for out of hospital care and run pilot/proof of concept sites from October 2015

• Committed to a workforce engagement programme starting in July

Where we are now

Years 0: 2013-15preparing the ground through

engagementHyper Acute Stroke services

Ear Nose and Throat Inpatient Surgery services

Years 1-2: 2015-17laying the foundations

Transform current servicesUse new technologies

Build new and improvedways of working

Years 3-5: 2017-20building for the

futureSustainable

integrated health and adult social care

services

Matched Indicators

Matched Indicators

Drawing on NationalQuality Outcome Indicators NHS Outcomes

Framework

Adult Social Care Outcomes Framework

Public Health Outcomes Framework

Matched Indicators

Common Indicators

• Estate and facilities•IM&T; •Workforce for the future

•Activity in the right setting

•Incentivised system•Value for money•Affordable care

•Safe and positive experience of services

•Engagement and involvement In all aspects of their care

• Choice of care setting• quality of life

•Supported self management

•Promoting and supporting independence

•Access to responsive, integrated care

•Service specificsImproving

Quality and Outcomes for

People

Improving User and

Carer Experience

Improving infrastructure

Securing financial

sustainability

Integrated Quality and Outcomes Framework

HLHF 2015/16 List of Schemes by lead organisation

North Lincs CCG

North East Lincs CCG

NLAG North Lincs Council

Navigo RDaSH

Care Home Liaison Service (NL)

Advanced Community Care (NEL)

Ambulatory Care Service (NL)

Frail and Elderly Assessment Unit - with Integrated Discharge (NL)

Respiratory - Phase 2

7 Day Hospital Social Work Team (NL)

Home from Home (Grimsby)

Older People's Mental Health Liaison (NL)

Carers Support (NL) End of Life Service Assisted Living

Centre (NEL)Goole HLHF - Campus Stroke - Phase 2 Well Being Hubs

(NL)

Chronic Wound (NL) Extra Care Housing Breast Service

ReviewGoole HLHF - Elective

Diabetes (Super 6) (NL)

Frequent Service Users

Cardiology CDCU (DPoW)

Goole HLHF - Medicine Inpt beds

Discharge to Assess (NL) GP Front Ending Cardiology Review -

Phase 2 Goole HLHF - MIU

Independent Living Service (NL)

Single Point of Access (H&SC) Children's Surgery

Haematology/Oncology Review - Phase 2

LTC Model (NL)Support into Nursing and residential Care Homes

Critical Care Strategy - Phase 1

Integrated Locality Teams (NL)

Out of hospital model Outpatients Model Dermatology (NEL &

NL)Max Fax Service Review

Older People's Mental Health Liaison (NL)

Out of hospital model Endoscopy Ophthalmology

Outpatients Model ENT CentralisationRATL (Rapid Assessment Time Limited)

Urgent

Care

Proactive

CareCore Providers

Primary, Community

Social and VSWell-b

eing

(promotion, prevention

& supporte

d self c

are)

Falls

PreventionMental Health

Health Promotion

Out of

Hours

End of

Life CarePodiatry

Continence

Carer

Support

Hospitals and

Care HomesRapid Response

Day

Supp

ort

Care

and

Reha

bilit

ation

Supp

ort f

or

Inde

pend

enc

e an

d Is

olati

on

Enab

lemen

t an

d Re-

ablem

ent

Assistive

Technology

FamilyCa

rer

Community

Drug and Alco

hol service

s

Single

Point

Access

Long Term Vision for Out of Hospital Integration (Hubs) as the first order of transformation

WHAT IS IN SCOPE

Teams of health and care professionals working together to meet all of the needs of their populations

Well-being, Planned, Unplanned care

Accountable for outcomes and funding across all settings in and outside the ‘Hub’

HOW MIGHT IT WORK

Doctors (family health and medical), Nurses, Social Care, AHPs and Pharmacists - orking closely with the voluntary sector

Working from health and care facilities integral to the patch

Actively liaising with specialist teams where onward referral for specialist support is needed

Next Steps

• Lead professionals to seek organisation support to MoU

• Local teams to develop models for out of hospital care – deliver pilots by Oct 2015

• Programme of workforce engagement to begin in July

• Work to define HLHF key performance indicators and link to Integrated Quality and Outcomes Framework to be completed by End July