Andrew Cratchley 28th January 2016 Vanguard Programme Andrew Cratchley 28th January 2016 NHS organisations and providers across the North East

The NUECN Vision To reduce unwarranted variation and improve the quality, safety and equity of urgent and emergency care provision by bringing together SRGs and stakeholders to radically transform the system at scale and pace which could not be delivered by a single SRG alone.

Key principles The needs of the patient are above those of individual organisations As a system we can provide a higher standard of care than as individual organisations Patients and staff will be involved in the development and delivery of our programme Costs will be reduced by co-ordinated care focused on improving health We will work together to develop and meet our shared vision for urgent and emergency care We will involve partners in social care

Main Working Groups ICT – Dr Mark Dornan Need a common system across NE Vanguard Leadership – Dr Stewart Findlay (South) Mark Adams (North) Clinical reference Group – Chairs Mr. Bas Sen, Dr Mathew Beattie New Payment Models – Peter Dawson, Graeme Niven Clinical Hub – Mr Bas Sen 111 Access to Primary Care – Steve Summers Self care - Pharmacy schemes – led by meds optimisation Communications and Engagement - NECS CCGs and FTs need to lead.

2015/16 Network awarded £1.543m for remainder of 2015/16 For 15/16 we all agreed what we would deliver as part of our original Vanguard Bid

Programme of Work 2015/16 Funding Allocated Delivered by SCR/ 111 Access / Data Sharing £900k Locally Clinical Hub £200k Regionally Mental Health £50k Self Care <5 App Self Care - COPD Regional Roll out of local scheme Flight Deck Regionally (NEAS and Acute) CRG – Standardisation DOS Regionally (NECS) Marketing and Communications £70k Regionally (NECS led)

2016/17 Draft Value Proposition submitted on 8th January Final Value Proposition due 8th February Current VP bid c £20m SRGs asked to complete analysis against route map Identify where they are allocating funding

Draft Five Year Investment Plan Planned Investment 2016/17 2017/18 2018/19 2019/20 2020/21 System Leadership £1,550,000 £1,600,000 ICT £728,707 £236,421 £237,523 Integrated Urgent Care £3,705,000 £1,930,000 £1,680,000 Primary and Community care £7,477,953 £9,034,776 £8,343,459 £7,941,502 £7,881,502 Mental Health £5,697,000 £5,647,000 Total £19,158,660 £18,448,197 £17,507,982 £17,106,025 £17,046,025

The Vanguard and Digital Care

The ICT work stream Two functions As an enabler As a delivery stream in it’s own right

ICT Team Dr Mark Dornan – Work Stream Lead Jane Powell – Work Stream Lead Diane Nielsen - Project Manager Janine Howorth - Project Manager Jude Cowey – Project Support

Vanguard 15/16 ICT Schemes System Leadership: Development of an ICT Leadership Forum Scoping to define the vision & priorities Information Sharing between services: Summary Care Record Additional Information / MIG Evaluation and stock take of current work GP Booking: Increase number of practices opening up appointment slots to NHS 111 Regional Information Governance Framework: Propose a region wide governance structure Telehealth: Florence pathways initiated Engagement to recruit more GP practices

Vanguard ICT 16/17 Schemes System Leadership/Information Governance: Continued from 15/16 Connectivity: Wi-Fi and network interoperability across organisations Open Data & Live performance Information: Sharing and acting on live performance data (Flight Desk/Strata) Open data – following the patient journey Enhanced Information: Mapping and scoping Anticipatory care planning – plan follows the patient & is available & up to date Access to basic information at point of care - Special Patient Notes/ SCR AI

Vanguard ICT 16/17 Schemes System Leadership/Information Governance: Continued from 15/16 Connectivity: Wi-Fi and network interoperability across organisations Open Data & Live performance Information: Sharing and acting on live performance data (Flight Desk/Strata) Open data – following the patient journey Enhanced Information: Mapping and scoping Anticipatory care planning – plan follows the patient & is available & up to date Access to basic information at point of care - Special Patient Notes/ SCR AI

“Matched funding” The national team are looking for evidence of matched funding Examples include Payment Reform Clinical Hub Project Development Reconfiguration Workforce changes and training Network Resource

Deliverables Tangible deliverables by 31/03/2016 Increase in direct GP booking from 111 Progress on information sharing Leadership IG framework Plan for the future