15/16 Achievements and ambition for 16/17

Achievements in 15/16 Quality and Safety Finance Integrated care home quality monitoring Work continues to promote Mental Capacity Act and Deprivation Of Liberty Standards Primary care recording of incidents ‘re-launch’ Finance All business rules achieved Strong financial performance - delivered core1.0% surplus (improvement from 14/15) Plus an additional £1m surplus Smooth accounts close down

Achievements in 15/16 Transformation Implementation of urgent care hub Mental health Commissioning of a new mental health services across the life course Learning Disabilities pooled budget with local authority new community model with plan to implement

Achievements in 15/16 Partnership & integration Borough wide roll out Integrated teams Development of partnership with Canterbury Health System Initiation of HealthPathways & Alliancing NHS Right Care – deep dives & preparation New joint ways of working around packages of care eg Continuing Health Care NHS Right Care – tool to help identify the variation between similar CCGs and where to look to improve quality and outcomes and cost

Achievements in 15/16 Primary care Better outcomes scheme focus on prevention, health improvement and reducing health inequalities Co-Commissioning level 2 & ways of working with NHSE Winter weekend GP service “pilot” Think Pharmacy first- Minor ailment scheme

Achievements in 15/16 NHS Constitutional indicators Positive Negative Referral To Treatment Improving Access to Psychological Therapies Dementia Cancer standards Some challenges in year with 62 day standard at hospital level. Action plan in place A&E standard not met in 2015/16 However performance and level of escalation improved compared to 2014/15 Extensive actions to manage system and improve performance C Difficile

South Tyneside level – CCG Plan

South Tyneside level – Primary Care strategy DRAFT Vision Developing general practice into a resilient and thriving sector as part of the South Tyneside health and care system, to improve outcomes and the health and well being of our communities and people. The challenges & solutions What will change – for the patient What will change – for the professional What this means – for the system Links to ……. Improved access to Primary Care Access to the right professional, right care, right time Standards in place so that people are clear what to expect and when by for both urgent and routine care requirements Different means of consultations with variety of professionals People can access appropriate support with the right health or care professional which may not always be a GP Improvement in work/ life balance Increased opportunities to sustain the practice A different type of consultation with a potential variety of professionals Better management of patients in the Primary care setting Reduce resilience on Secondary care Recruitment and retention benefits Risk – unmet demand Need to agreed how we define and deliver 7 day service Workforce Working at scale Estates IT Integration with other health and social care Capacity to deliver services Consistent provision of good quality care which improves health outcomes Better health and well being Healthier communities and people Standardised health pathways Standard approaches and responses to risk stratification tools Standardisation makes the professionals job easier Increased levels of job satisfaction due to increase patient benefits People at risk of admission/ in poorer health are prioritised Improving quality and safety Improving outcomes Better well being Increasing life expectancy Reducing admissions and associated cost Risk – unmet demand HealthPathways NHS Rightcare Integrated teams and use of risk stratification Benchmarking/ use of business intel to improve primary care services Reducing variation People are in control of their health and daily life choices Healthier lifestyle Enjoying better health and wellbeing Over time, reduce demand for services Increased levels of job satisfaction due to increased patient benefits A healthier practice population More appropriate use of health and care resources Healthier people with lower morbidities Increased life expectancy Prevention Self care Shared decision making Care planning Risk stratification Empowered people

Challenges & risks Delivery of Quality Innovation Productivity and Preventions targets - £1.8m (NHS Right Care year 1) Continuing Health Care spend Complexity of plans for South Tyneside and neighbouring CCGs & associated capacity Non delivery of A&E standard & risks to cancer 62 day standard