Annual General Meeting 2016-17

Emma Latimer Chief Officer

£397 million 295,374 clinically-led We plan and design made up of 41 local GP practices We plan and design care services to meet the needs of local people Our budget is £397 million for 2016-17 We serve a population of 295,374 Examples of the services we buy include; urgent care (A&E), routine hospital treatment, mental health services, and community health care

Key programmes of work People, communities and place – our plan for Hull My city, my health, my care – the future of GP services in Hull Delivering the Five Year Forward View – commissioning services for Hull Better care in Hull - through integration with the local authority Delivering safe, high quality services Taking action on health inequalities

Our Partnerships City of Culture

Is it working? Taken part have taken part in a cultural event

Is it working? say it has had a positive impact on the city

Volunteer hours 120,000 Shifts 30,000 Volunteers 2,500

Plans and Partnerships Our Partnerships Plans and Partnerships

40% 27% Why change? 51% 25%-50% £50 million to stay the same of people seen by GPs could have had their issue resolved another way. People in Hull die earlier than they should Smoking, alcohol abuse and obesity rates are higher than the national average 40% of A&E Patients don’t need treatment People in Hull wait more than four weeks to access some mental health services 51% of patients couldn’t have an appointment at their GP on the day they wanted to 25%-50% of hospital beds are used by people who don’t need to be there If we don’t change, we will need to find an extra £50 million to stay the same People in Hull are more likely to develop, lung, breast or bowel cancer Why change?

Sustainability & Transformation Partnerships 5 Year Forward View Sustainability & Transformation Partnerships Plans for change City Plan Hull CCG’s plan

Humber Coast and Vale STP

Priorities Economic growth Inclusive growth Making money go further UK Energy City Destination Hull Prevention and early intervention Safeguarding the most vulnerable

Integrated commissioning Education & employment Humber Coast and Vale STP Priorities + Public sector reform Integrated commissioning & delivery Business & growth Education & employment – Complex systems Duplication = A Healthier Hull

National A&E target 95% should be seen within 4 hours Communities Urgent Care Improved 93.3% June 2017 85.9% June 2016 National A&E target 95% should be seen within 4 hours

in people using the NEW urgent care centre at Bransholme Communities Urgent Care Improved 44% increase in people using the NEW urgent care centre at Bransholme since April last year

new groups of GP practices formed, working together to improve care Communities Primary Care Improved 6 new groups of GP practices formed, working together to improve care since April last year

in the number of GP practices with a list size bigger than 10,000 Communities Primary Care Improved 19% increase in the number of GP practices with a list size bigger than 10,000 since April last year

8 Communities Mental Health Average week wait for CAMHS Improved Average 8 week wait for CAMHS national target 18 weeks

dementia diagnosis rate (age 65+) Communities Mental Health Improved 84.3% March 2017 dementia diagnosis rate (age 65+) national target 67.6%

national target 92% should be seen within 18 weeks Communities Referral to Treatment Requires Improvement 82.5% June 2017 88% Sep 2016 national target 92% should be seen within 18 weeks

What are the potential lives saved per year? Areas for improvement What are the potential lives saved per year?

Life expectancy at birth Health services have a very small impact on life expectancy; the social determinants of health have a much larger impact Life expectancy for men has steadily got better but has flattened since 2011-13 Overall the difference between Hull and England for men since 1996 has got worse Life expectancy for women had got better from 1991-93 through to 2011-13 but then has got worse Overall the difference between Hull and England for women since 1996 has got worse

Sequels and Prequels

World Health Organisation definition of health a state of complete physical, mental, and social wellbeing and not merely the absence of disease or infirmity.

Sequels and Prequels Social Prescribing, rather than pills and potions Listening to communities, rather than policies and plans Catching people early, prevention rather than cure

2016-17 Highlights

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Annual General Meeting 2016-17