Sustainability and Transformation Plans in Healthcare Hello Sustainability and Transformation Plans in Healthcare North East Annual CIPFA Conference 2016 SUSTAINABILITY AND TRANSFORMATION PLANNING

Who am I? Director of Finance, South Tees Hospitals NHS Foundation Trust Chief Finance Officer, Durham, Darlington, Teeside, Hambleton, Richmondshire and Whitby STP Maxime Hewitt-Smith North East Annual CIPFA Conference 2016 SUSTAINABILITY AND TRANSFORMATION PLANNING

Why am I doing this? Lets talk about Tracy … North East Annual CIPFA Conference 2016 SUSTAINABILITY AND TRANSFORMATION PLANNING

Who are you? Accountant? Finance Director or Senior Manager? Trainee? Newly Qualified? Worked or Works in the NHS? Patient? North East Annual CIPFA Conference 2016 SUSTAINABILITY AND TRANSFORMATION PLANNING

Todays Presentation Background to STP’s Oscar, Ethel, Jim and Alice Change and Challenges Our Role Personal Thoughts Questions North East Annual CIPFA Conference 2016 SUSTAINABILITY AND TRANSFORMATION PLANNING

STP Background National context North East Annual CIPFA Conference 2016 SUSTAINABILITY AND TRANSFORMATION PLANNING

STP Background 1.1 million people £2.1billion healthcare budget 5 CCG’s 3 Acute Providers 1 Mental Health Provider 2 Ambulance Providers 7 Councils North East Annual CIPFA Conference 2016 SUSTAINABILITY AND TRANSFORMATION PLANNING

STP Background How we actually modelled it North East Annual CIPFA Conference 2016 SUSTAINABILITY AND TRANSFORMATION PLANNING

Maternity and Paediatrics Lets talk about Oscar … Pregnancy and Child Birth Paediatric Services North East Annual CIPFA Conference 2016 SUSTAINABILITY AND TRANSFORMATION PLANNING

Community Care Lets talk about Ethel … Locality based Medicine Health and Social Care integration North East Annual CIPFA Conference 2016 SUSTAINABILITY AND TRANSFORMATION PLANNING

Urgent & Emergency Care Lets talk about Frank … Hyper Acute Emergency Care Acute Emergency Care Accidents, Minor Injuries and Ambulatory Care North East Annual CIPFA Conference 2016 SUSTAINABILITY AND TRANSFORMATION PLANNING

Elective Care Lets talk about Alice … Outpatients Minor Procedures and Day Cases Routine Elective Operations Complex Elective Operations North East Annual CIPFA Conference 2016 SUSTAINABILITY AND TRANSFORMATION PLANNING

Change and Challenges Politics Public Opinion Communication Cash and Capital Timescales North East Annual CIPFA Conference 2016 SUSTAINABILITY AND TRANSFORMATION PLANNING

Our Role Facts Evidence Base Professionalism Impartiality North East Annual CIPFA Conference 2016 SUSTAINABILITY AND TRANSFORMATION PLANNING

Closing Personal Thoughts North East Annual CIPFA Conference 2016 SUSTAINABILITY AND TRANSFORMATION PLANNING

Questions? North East Annual CIPFA Conference 2016 SUSTAINABILITY AND TRANSFORMATION PLANNING