RIGHT CARE RIGHT TIME RIGHT PLACE New Health Deal Post Implementation Update Gina Lawrence, Chief Operating Officer Julie Crossley, Associate Director of Commissioning December 2013

Headlines Implementation of NHD commenced 8 th November 2013 Urgent Care Centre opened 8am 28 th November weeks data too early to be definitive, however; Trafford CCG patient flows and activity broadly in line with NHD activity modelling Initial 12 days data shows overall Trafford patient A&E attends and admissions match projections Attendances at A&Es in line with expectations; however, currently a fluctuation in admissions Ambulance journeys initially low to TGH – now picking up

Trafford CCG A&E Attendances

Attendances; Expected vs Actual UHSM

Admissions; Expected vs Actual UHSM

Admissions; Expected vs Actual CMFT

Trafford CCG Emergency Admissions

NWAS attendances into local A&Es

Partnership working Following the approval to progress, Trafford CCG has continued to work collaboratively with all partners. This has been through the following: 1.Operations group: weekly meetings to ensure the delivery of model Establish monitoring Established communication across all providers

Partnership working 2.Information group: Established to track Trafford patients by acute Track other data including: Intermediate care; Ambulances; and Length of stay. 2.Communication group: Ensure consistent messages to the public Ensure consistent messages to GPs

Winter pressures Agreed winter pressure plans for each acute provider All include Escalation procedures, including if appropriate, when to cancel non urgent elective operations Decision taken when in the best interests of emergency patients Winter pressure DH future Allocation to Lead CCG for acute providers South Manchester CCG allocated £1.5M to help pressure within local system and UHSM Central Manchester CCG allocated £3.5 to help pressure within local system Trafford CCG schemes to be included in both south and Central plans to use these financial resources

In conclusion Too early to make assumptions However, broadly in line within expectations but need to ensure continued monitoring Additional mitigation schemes if appropriate Usual system wide monitoring and escalation processes Additional Trafford CCG and stakeholder weekly monitoring operational meeting Winter pressures funds about to be disseminated to support Trafford Urgent Care Centre is open – and an important part of the local health and social care economy Excellent collaborative working