Luton Health and Wellbeing Board

Report from Luton Transformation Board

19 September 2019

We are Luton

Appendix A

Medics Network (Dr Manraj Barhey)

Barton Hills Medical Group (7,710) Bell House Medical Group (10,241) Gardenia & Marsh Farm (12,379)

The Medici Medical Centre (14,486) Woodland Avenue Practice (12,070)

Medina Medical Centre (5,630) 62,516 registered pts Phoenix Sunrisers Network

(Dr Anitha Bolanthur)

Blenheim Medical Centre (14,415) Conway Medical Centre (8,101)

Neville Road Surgery (3,300) Malzeard Rd Medical Practice (3,579)

Pastures Way Surgery (3,814) Kingsway Health Centre (9,225)

Bramingham Park Medical Centre (5,991) 48,425 registered pts

Oasis Network (Dr Abbas Zaidi)

Castle Medical Group (17,928) Stopsley Village Practice (9,715)

The Town Centre Practice (11,441) Wenlock Surgery (3,354)

42,438 registered pts

Hatters Health Network (Dr Haydn Williams)

Bute House Surgery (8,378) Dr Mirza Sukhani & Partners (5,710)

Leagrave Surgery (8,437) Lister House Surgery (6,727)

Oakley Surgery (5,731) Sundon Medical Centre (7,446)

Sundon Park Health Centre (3,256)

45,685 registered pts

Eden Network (Dr Hetal Talati)

Ashcroft Practice (5,308) Leavale Medical Group (24,947) Larkside Medical Centre (7,802)

38,057 registered pts Luton Primary

Care Networks

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Improving Primary Care Access in Luton

Steps to improve access (especially same day access) to Primary Care for our Luton residents include:

• GP Extended Access

• Direct Bookings into GP services

• Luton Urgent Treatment Centre

• Direct Bookings into Children’s Rapid Response Clinics

• ‘Standardised Access’ Comms and engagement- helping our

population to understand our services.

• Urgent GP Clinic

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Direct Bookings into GP Services

Those practices highlighted in blue are live with Direct Bookings meaning if a patient rings 111 and is assessed as requiring an urgent face to face appointment they may be directly booked into their own practice. Across Luton over 100 face to face appointment slots* per day are made available to 111. We are rolling out enhanced direct bookings across Luton providing an opportunity to increase capacity in General Practice. * Normally a ten minute appointment at the patient’s own GP practice

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Luton Strategic Priorities

Best Start

Adult Wellbeing

Ageing Well

Place

Our ambition: Luton is a place where people are enabled to thrive, where everyone will have the opportunity to live a life in which we are mentally, socially and physically

health’ and all potential is maximised and inequalities reduced.

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Developing the Luton Plan

Alignment with the BLMK Long Term Plan (LTP)

We are Luton

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What we know about health in BLMK

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We could be doing better on circulatory and respiratory diseases. This is especially relevant to Luton and we can benefit in terms of efficiency and impact by working in partnership with colleagues beyond Luton. We need to address considerable health inequalities and there are some common issues within BLMK. Issues such as employment, housing and diet determine 60% or more of health outcomes

Babies born in the most affluent parts of BLMK will live longer than those born in the most deprived areas. The biggest gap for men is in Bedford Borough (10 years) and the smallest is for women in Luton (6 years).

Hospital admissions for asthma in <19 year olds are high in MK and Luton; admissions for COPD are high everywhere except Luton.

Coronary heart disease admission rates are higher than nationally in all three CCGs.

Source: Vicky Head Presentation on Health in BLMK

Where are we?

• Luton System leaders via the Transformation Board have been developing the Luton Plan in support and alignment of a BLMK response to NHS LTP. This work takes into account the history of working together, what we know from Joint Strategic Needs Assessments and existing Health and Wellbeing Strategies

• Endeavouring to engage all partners especially the local people and voluntary sector.

• Our ambition is to deliver a system that balances resources and delivers the best possible health outcomes

• Luton place-based plan is the bedrock – Key issues include on-going integrated working to overcome organisational barriers, improved outcomes through prevention, community resilience and self care and addressing the wider determinants of health to address health inequalities in Luton.

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BLMK Plan

Bedford Borough

plan

Central Bedfordshire Plan

Luton Plan

Milton Keynes

Plan

What is in the plan?

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Sections on

Population health (including health inequalities)

Primary Care Networks and Community Health Services

Improvements to urgent and emergency care

Personalisation

Online and video consultations for outpatients and primary care

Cancer

Mental Health

Shorter waits for planned care.

Sections on

Children and Young People

Learning Disability and Autism

CVD, Stroke, respiratory, diabetes

Workforce

Finance

Estates

Digital

Growth Agenda

Content is wide-ranging with an overarching theme of focusing on holistic needs of individuals and trying to be as proactive in their care as possible, with hospital a last resort.

Content builds on all the good work that has happened to date in areas such integrated health and social care multi disciplinary Teams (MDTs for Home First), integrated total wellbeing service including social prescribing and improved access to psychological therapies (IAPT)

Engagement Approach

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We have drawn on learnings from previous engagement, including that done by Healthwatch earlier in the year.

This has been supplemented by going to the places where people are including: • Shopping Centres (Inc. The Mall 1-3 August) • Libraries • Sports Centres • Buses • Group meetings/ events

Thoughts have been gathered on what would help people stay well and what they expect of a future NHS as well as a more detailed survey.

This has given us a great base to build on, continuing our conversations with local people to co-design future services.

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Engagement – emerging themes

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• Accessibility to a range of services • GP services and waiting times to see a doctor • Reliable information and support for

healthier lifestyles to combat obesity and preventable conditions

• More support and services for children and young people’s mental health

• Making greater use of technology for consultation, information and sign posting

• Joined up services and care support by shared records

• Protecting NHS services and investment • More clinicians and support for those already

working in the NHS #BLMKfutureNHS

Next steps September

w/c 2 Sept Draft to clinicians in all organisations mid Sept Agreement of key priorities /alignment of plan narrative with finance and workforce data 27 Sept - Draft plan to NHSE/I *

October 9 October Initial feedback from NHS England/ Improvement.

November 5 November HWBB discussion on final version of longer term plan 15 November submission of final plan Plan published before end of November

1. That the Health and Wellbeing Board support the process for developing the BLMK response to the NHS LTP.

Recommendation

*We will ensure you receive a copy

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