Planning Update – HealthNet Aaron Tucker Head of Commissioning - Planning and Resilience

Sustainability and Transformation plan (STP) The sustainability and transformation plan (STP)  for Northumberland, Tyne, Wear and Northern Durham (NTWND) was submitted to NHS England on Friday 21 October 2016 and is due to be published mid-November following discussions about the submission with NHS England.  The STP submission is a technical document, written for NHS England and NHS Improvement, so it is not a very public friendly. We are working on public facing versions as well as engagement mechanisms which will allow people to easily feedback their views on the content. The intention is to publish the full STP on 24th November, and at the same time make available the public versions to aid the understanding of the content. The feedback received will inform the next version of the STP in the New Year, which will then be formally consulted upon as a strategic plan for the NTWND area. Any potential reconfiguration of services would require its own consultation process in line with legislation, NHS policy and case law.

Planning Guidance NHS Operational Planning and Contracting for 2017/18 – 2018/19 “Implement the Five Year Forward View to drive improvements in health and care; restore and maintain financial balance; and deliver core access and quality standards”

9 Must Do’s Finance Primary Care Sustainability & Transformation Plan Implement it Finance Deliver balance Primary Care Implement GPFV Urgent and Emergency Referral to Treatment times and elective care Cancer Implement Cancer Taskforce Report Mental Health Delivery of Mental Health Forward View People with Learning Disabilities Delivery of Transforming Care Improving quality in organisations STP Finance PC Investment meets or exceeds minimum levels Tackle workforce/workload issues Interim milestones that contribute toward increasing the number of doctors working in general practice by 5,000 by 2020, Co-funding extra 1,500 pharmacists to work in general practice by 2020 Expansion of IAPT with 3,000 more therapists working into primary care Investment in practice staff training Extended access by not later than March 2019 Support general practice at scale by expansion of MCPs or PACS and implementing framework for improving health in care homes. UEC 4 hour A&E standard and ambulance standards By Nov 2017, 7 day hospital services for urgent network specialist services 24/7 integrated care for physical and mental health by March 2020 in each STP footprint A clinical hub supporting NHS 111/999/out of hours calls Reduction in 999 calls/ reductions in conveyances Prepare to meet waiting time standards for urgent care/ mental health crisis RTT Cancer Mental Health - IAPT, CYP IAPT, psychosis, SMI, eating disorders, suicide rates LD Quality – organisations should implement plans to improve quality of care, measure and improve efficient use of staff resources to ensure safe, sustainable and productive services Participate in the annual publication of findings from reviews of deaths

NHS Right Care Compares CCG to similar CCGs elsewhere in the country, to see where we are different on outcomes and spend. Areas for focus continue to be: Cancer, CVD and Respiratory. Additional opportunities that need investigating: Gastrointestinal, Musculoskeletal, Genito-Urinary Pathways

Work in progress Trajectories/baselines – performance, activity Finance plans Key schemes for delivery Working through the links with STP 24 November submission of 1st full draft operational plans Contracts - signed by 23 Dec Preparedness for level 3 primary care