Dr Shane Gordon Clinical Chief Officer Review of 2013-14 Dr Shane Gordon Clinical Chief Officer

Our first year Key challenges and achievements   Working with our local population, patients and carers NE Essex Health Forum and practice groups Our voluntary sector councils The Big Care Debate Healthwatch Essex Quality improvements: cancer services • diabetes care stroke care • end of life care psychological therapies (IAPT) Crisis management Service performance Financial stability

NE Essex Health Forum

Voluntary sector partners

The Big Care Debate We know the needs of our population are growing faster than the money available: Essex County Council will have a gap of approximately £45m by 2016, NEE CCG a gap of £60-70m We asked over 1,000 local people about their priorities for the health service in the next 5 years

Cancer services crisis at Colchester Hospital: Real issues with patient care discovered, massive amount of work by Hospital colleagues, NHS England, ourselves and others to put these right quickly. Valuable lessons learned and enduring partnerships built. Finance through quality improvement: on target (£18.5m for 2014/15) to continue making required quality improvements and savings, but gets more difficult. Innovation is key: Rapid Assessment Service started; Urgent Care and Care Closer to Home plans to come.

Quality improvements Cancer Services in the community More cancers diagnosed by GPs, now 53% of all cancers. This is a 22% improvement since 2010

Quality improvements Cancer Services in the community Fewer cancers are diagnosed as emergencies. This is a 28% improvement since 2010

Quality improvements Cancer Services in the hospital Major review of cancer services during 2013/14. Significant improvements made to: Cancer pathways improved to best-practice standards in 6 specialties Cancer nurse specialist numbers increased A new computer system and improved administration to track patients’ care safely Improved referral processes

Quality improvements Diabetes services

Quality improvements Stroke services Stroke services in Colchester hospital are consistently ranked the best in England on the national quality indicators

Quality improvements End of life services One number to call Advice and support 24 hours a day Hospice at home services Online care register 68% of patients die in preferred place Deaths in preferred place of care have more than doubled during 2013-14

Quality improvements Psychology services (IAPT) New service provider Focussed on recovery from depression and anxiety

Quality improvements Other services Community Phlebotomy Services Tendring Rapid Assessment Service Community Phlebotomy Services Epilepsy nurse specialist

Service Performance

Performance NHS Constitution Achieved Planned A&E 4 hour standard 94.8% 95% Referral to treatment (Admitted) 91.7% 90% Referral to treatment (non-admit) 97.6% 95% 2 ww Cancer 96.2% 93% 62 day treatment cancer 83.8% 85% 31 day diagnosis cancer 96.3% 96% Stroke – special stroke unit 85.1% 80% TIA seen/treated 24 hours 60% 74%

Performance NHS Constitution Achieved Planned Ambulance Red 1 (EoE) 73.6% 75% Ambulance Red 2 (EoE) 69.4% 75% Ambulance Cat A (EoE) 92.9% 95% Mental health IAPT(access) 10.4% 15% Mental Health IAPT(recovery)50% 50.7%

Looking forward

Looking forward Hospital pressures are whole system issues – Urgent Care strategy now approved by Board CCGs investing in Ambulance Service Short and long-term Essex-wide plans to improve shortage of GPs Care Closer to Home transformative approach Gap between finance and demand remains challenging