NHS Long Term Plan and Hertfordshire’s response...Hertfordshire and West Essex Sustainability and...
Transcript of NHS Long Term Plan and Hertfordshire’s response...Hertfordshire and West Essex Sustainability and...
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Hertfordshire and West Essex
Sustainability and Transformation Plan
NHS Long Term Plan
and Hertfordshire’s
response
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Hertfordshire and West Essex
Sustainability and Transformation Plan
• Huge changes in health and society since NHS started in 1948
• NHS under increasing pressure in a number of areas
• Funding has slowed while demand for services – and the cost of
delivering those services – has grown rapidly
• Struggling performance eg. missed waiting time targets
• Budgetary pressures – especially for providers
• Workforce shortages
• June 2018 Government announced new five year funding settlement for
NHS and asked for new ten year plan
• Plan builds on five year forward view and subsidiary strategies
• Developed by NHSE in consultation with frontline health and care staff,
patient groups and other experts
• Plan published on 7 January 2019
NHS Long Term Plan and its context
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Hertfordshire and West Essex
Sustainability and Transformation Plan
Ambitions in the NHS Long Term Plan
Making sure
everyone gets
the best start
in life
• Reducing still births and mother and child deaths during birth by 50%
• Support during and after pregnancy including perinatal mental health
• Child and young people’s health – tackling obesity, support for children
with cancer, increased funding for mental health
• Right care for children with LD, reducing waits for autism assessments
• preventing 150,000 heart attacks, strokes and dementia cases
• education and exercise programmes for patients with heart problems
• diagnosing more cancers early
• spotting and treating lung conditions early
• More ental health care
• increased funding for primary and community care incl rapid community
response teams to avoid admissions and speed up discharges
• bringing together different professionals to coordinate care better
• helping people to live independently at home for longer, support for carers
• further progress on dementia care
• giving people more say about their care, especially towards end of lives
World-class
care for major
health
problems
Supporting
people to age
well
• preventing 150,000 heart attacks, strokes and dementia cases
• education and exercise programmes for patients with heart problems
• diagnosing more cancers early
• spotting and treating lung conditions early
• More investment in mental health care
• increased funding for primary and community care incl rapid community
response teams to avoid admissions and speed up discharges
• bringing together different professionals to coordinate care better
• helping people to live independently at home for longer, support for carers
• further progress on dementia care
• giving people more say about their care, especially towards end of lives
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Hertfordshire and West Essex
Sustainability and Transformation Plan
• Universal Personalised Care
• people will get more control over their own health and receive
personalised care when they need it
• Local organisations will increasingly focus on population health
• moving to Integrated Care Systems
• Deliver more services within the community
• Digitally-enabled Care will go mainstream
• Comprehensive new workforce implementation plan
NHS Long Term Plan Summary
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Hertfordshire and West Essex
Sustainability and Transformation Plan
NHS Long Term Plan Summary
• Increase in access to urgent care services
• Integrated Urgent Treatment Centres/Access
• Primary Care Extended Access
• Primary care Networks
• Supporting people to age well
• Taxpayers Investment will be used to maximum effect
• Return to financial balance
• Achieve cash-releasing productivity growth of at least 1.1% pa
• Reduce grown in demand for care through better integration
and prevention
• Reduce unjustified variation in performance
• Make better use of capital investment and accounting
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Hertfordshire and West Essex
Sustainability and Transformation Plan
Total Population
1,525,147
Mostly Well
(68%)
People with Long Term
Conditions
(21%)
People with complex
needs
(11%) - 43% of total
spend
Age 70+
198,269 (13%) population
(24%) (42%) (34%)
Adults 16-69
1,006,597 (66%)
Population
(69%) (22%) (9%)
Children & Young People
0-15
320,280 (21%) population
(94%) (5%) (1%)
HWE STP Population Health Management
Population Health Profile – The Challenge
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Hertfordshire and West Essex
Sustainability and Transformation Plan
Challenges this presents for us locally
• Reducing health inequalities – targeting the most deprived
• Challenges in workforce across all professionals and sectors
• Demand management and ‘being clear’ so the public know what
they can expect from the NHS
• Developing community based services and sustainable primary care
• Investing and testing in new services to improve early diagnosis
such as straight to test in cancer
• Investing in prevention and making prevention everybody business
• Progress of NHS digitalisation through the use of ERS, virtual
consultations
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Hertfordshire and West Essex
Sustainability and Transformation Plan
ICA/CCG
(500k)
Locality (100-150k)
Primary Care Networks
(PCNs) 30,000-50,000
population
Sustainable hospital services
Specialist care (including Mental Health)
Standardised pathways
New models of care
Local delivery/implementation
3x core DGH services
Specialist complex/frail
Urgent Treatment Centres
Extended Access
Planned care in the community
Multi Practice Integrated
MDTs/Workforce
Social prescribing and support/PPGs
CHC/Care Homes
Delivering
Integrated Care
Opportunities for working together
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Hertfordshire and West Essex
Sustainability and Transformation Plan
Musculoskeletal,
pain and
rheumatology
Gynaecology
Diabetes
Frailty
Respiratory
Ophthalmology
New models of care already being delivered
Opportunities for working together
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Hertfordshire and West Essex
Sustainability and Transformation Plan
Opportunities for working together
• Integration around community services – joint teams working in
localities
• System wide focus on expanding personalisation, choice and control
through integrated personal budgets and better person-centred
planning
• System wide working with local community assets – a ‘Connected Lives’
approach to how frontline staff operates across health and social care
• Pioneering an assistive technology approach – complementing and
improving quality of care and quality of life through the appropriate use
of tech.
• Renewed focus on prevention and intervention – how do we intervene
and support at an earlier stage
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Hertfordshire and West Essex
Sustainability and Transformation Plan
Thank you
&
Questions