World Class Commissioning

Partnerships

Nicola Benge - Director Health Improvement

7000 - 80006000 - 70005000 - 60004000 - 50003000 - 40002000 - 30001000 - 2000 1 - 1000

Sutton VeseyPop. 22879

Sutton Four Oaks

SuttonTrinity

Sutton New Hall

SuttonVesey

Erdington

Kingstanding

StocklandGreen Tyburn

HodgeHill

WashwoodHeath

Stechford andYardley North

ShardEndBordesley

Green

SouthYardley

AcocksGreen

Sheldon

Good Hope Hospital

Heart of England NHS Foundation Trust

DeprivationProportion of ward population in the following deprivation sectors:

<10%10 - 25%25 - 50%>50%

(% refers to position in the national listing of most deprived areas).

Most deprived

Least deprived

• Population of 440,000

• Diverse and vibrant communities

• 17 wards in Europe’s largest Local Authority

• 1,700+ staff• 237 GPs• 82 practices• Budget circa £0.7b • Lead

commissioners for mental health, learning disabilities, sexual health

• Host of West Mids Specialised Commissioning team - £0.7b

A Long Term Vision and Strategy

Purpose:Working in partnership to tackle inequalities and improve the health and well being of local people

Goals • To be so responsive to the population we serve that no one waits for the health care they need• That the health and well being of the population will have improved so much that people will enjoy 10 more years of quality life• Our communities will be the most involved, informed and empowered in the country• That people regard us as the first choice organisation to work with and for

Organisational Design for World Class Performance

•PRIME•Workforce & OD

•PIPE (Planning, Innovation, Process Excellence)

•Provider arm development•KM & IT •Director of process

Improvement•Knowledge

management focus•Participative

processes•Lean redesign•OD network

•Faculty model•Attractive to high

performers•Resilience&

diversity in team•Skills & behaviours•Expert partners

•PRIME•KM

•Trajectories

•Matrix teams•Enhanced director & commissioning

•Capacity•Collaboration and

integration•Review design

criteria

OD Strategy

Processes

StructureMetrics

People

Learning to date: Innovation &

Delivery

• Tackle inequality: profile population, target activity, prioritise resources, understand preferences, new service designs, screening and outreach, signposting

• WCC in primary care: building capacity, improving performance, de-commissioning

• New models of care: Based on health inequalities and targeting. assertive outreach, telephone delivery, group interventions, integrated services

• Maximising digital technology: web-based communications, remote monitoring, mobile communications

Performance

1 Local Leadership

4 Collaboration with Clinicians

8 Promoted improvement and innovation

Collaborative working and clinical engagement

• Local Government and Health partnerships

• Translate into signed up LAA and WCC targets

• Support to PBC – population needs based• Pathway engagement

An environment for improvement and innovation

• Clear and consistent strategy• Focus on diversity and improvements in

health• Led from the top• Make it easy to do the right thing• Creative Stealing• Courage• Design for Scale

Identification of improvement opportunities

•Use of International evidence

•Working together for Health

•Use of LEAN methodologies

•Patient selection for BoH

Collection of Quality and Outcome Information

•Gateway

•Evidence base

•OSCAR Framework

•Insight

•Typologies

NHS Birmingham East and North population segmentationNHS Birmingham East and North population segmentation An NHS Birmingham East and

North specific health segmentation is allowing us to gain granular insight into our population

At an Output Area level we know the :

Health status and utilisation by group

Demographics MOSAIC™ type Index matrix based on age and

ethnicity TGI media preferences

We draw on local SUS data, cross-referenced with nationally available datasets such as ONS. The factors covered include health, ethnicity and socio-economic status

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