Upload
raul-hillier
View
224
Download
1
Tags:
Embed Size (px)
Citation preview
Northern LincolnshireHealthy Lives Healthy Futures Programme
North Lincolnshire CCG Governing Body Update
February 2014
Vision
Community based care
Self care &independent
livingLocal
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
Care in your home
As a result of patient and public feedback, and commissioners plans we have separated out self-care and independence from the home care element.
Operationalising the visionCo
mm
issi
onin
g In
tenti
ons
/ Vi
sion Major service
change
Minor / incremental
service change
Engage & Implement
1. Long Term Strategic Partnership Discussions (HEY, NLaG, York)
2. Medium Term Commissioners Vision / Big Picture• Shift to the left – more community & home based care• Centralisation of some services where there are quality
benefits (paediatric surgery, ENT surgery)• Agreement of final solution for Hyper-acute stroke
3. Implementation of enabling works• QIPP and CIP schemes• Keogh recommendations• Elderly care & dementia strategies• LTC initiatives (COPD, Diabetes, CVD)• 7 day working initiatives
Consult
Our Key Messages
Our Priorities Self Care • Enabling people to make positive lifestyle decisions, better access to
information and advice and promoting screening and preventative services
Care in your Home • Our aim is to deliver care in the home wherever safe, possible and
practicable. Where possible, we want to reduce the need for patients and carers to travel for their care
Care in your Community • Most health and care services do not need to be delivered in hospitals. We
believe a majority of care can be delivered out in the community, either in or close to people’s homes in a community setting.
Hospital Services • No decisions have been made yet about major service changes, however we know
that a small number of services are likely to require large scale change in order to make the quality and safety improvements that we want to achieve
Some examples of what we are engaging on
Promote the use of the local pharmacy as a first point of contact for minor ailments such as coughs and
colds
Introduction of information points or
“support hubs” or “health and wellbeing
centres” in public areas such as GP clinics
or health centres
Outpatient appointments - Many appointments do not
require specialist equipment or tests. These can be offered in the community to
avoid visits to hospitals
Use of technology such as tele-health systems
can be used to undertake simple
monitoring procedures such as blood
pressure, medicines usage or weight checks
Hyper-acute stroke services. These have
already been centralised on the Scunthorpe
General Hospital site as a temporary measure. Patients have already benefitted from this temporary solution
Children’s Surgery -We are considering
whether this service should be delivered
from one hospital site rather than at both
Access to Services - We have established
an integrated transport group to
understand what the current issues are, and what may need to be
done differently if services are moved
Ear, Nose and Throat services(ENT). Clinical teams have suggested
there will be some benefits to ENT patients if we have one site for inpatients and people requiring care out of
normal working hours
Delivering the message
Engagement Events
Updates with community and
voluntary groups
Roadshows
Engagement materials
(booklet, posters)Press releases
Organisational websites
(intranets)
1:1’s with Key Stakeholders
Engagement Documentation
Phase 1: Introducing the case for change & review criteria
Phase 2: Moving the conversation on
Adobe Acrobat Document
Adobe Acrobat Document
Engagement events in NL • A series of Road Shows have taken place in North Lincolnshire, including:
– Kirton Lindsey, Crowle, Winterton, Barrow, Goxhill, Brigg, Scunthorpe and one to take place on 13th February in South Killingholme.
– The number of contacts and engagement material distributed at the Roadshows in North Lincs can be seen below:
Location Direct Contact with public
Booklets handed out Leaflets handed out Comments card filled in
Kirton Lindsey 33 27 19 17
Crowle 14 11 8 8
Winterton 26 28 14 15
Barrow 17 16 8 6
Goxhill 5 4 3 2
Brigg 56 48 14 14
Scunthorpe High St 78 73 25 6
Total 229 207 91 68
Engagement Events in NL
• We are holding three formal engagement events in North Lincolnshire:
General programme activities so far
• Developed the case for change and criteria for reviewing services• Undertaken engagement activities on the case for change and review criteria,
including stakeholder 1:1s and engagement with OSC• Completion of EQIA and Risk Matrix, • Agreement of Evaluation Criteria for decision making• Commissioners worked through thinking around service provision • Providers worked through responses to vision and emerging thinking• Agreement of high level principles for bringing commissioner and provider work
together• Outline and articulation of jointly agreed possible service models (for public
engagement)• Launch of 2nd phase public engagement• Agreement of high level content for major service change and possible
consultation (if required)• Agreement of programme assurance mechanisms with the Area Team, Clinical
Senate and Gateway Team
Next stepsWe need to move the conversation on:
• To build on the feedback we received in the 1st engagement phase• To focus on a higher level of participation in the service model
development work and provide opportunities for more detailed discussion and consideration of themes and issues
This will be delivered through:• Stakeholder summit 13th February 2014• A series of roadshows across the area from the 3rd Feb – 14th March
2014• Open space events within the North and North East Lincs area• Online engagement • Use of social media and advertising• Public consultation to run from June 2014
We also need to complete the modelling work & financial assessments for the changes we are proposing, and prepare implementation plans
Timeline
Apr
Refine high level themes /
service models for public
engagement
Today
Sept Oct Nov Dec Jan Feb Mar
Zero-based commissioners
solution
Engagement Public consultation
Option refinement & assessment
Consultation preparationProvider-led solution
Stakeholder summit Stakeholder summit
May June
Engagement
Jul Aug-Oct
Work to assess/incorporate
outputs of consultation
Preparation for implementation
Implementation Oct 2014
20142013
Implementation of safety & quality imperatives, and those elements not requiring consultation
Communications & Engagement Activities, Key Stakeholder 1:1s,