Operational Plan 2017/18 and 2018/19 Toby Sanders Managing Director, West Leicestershire CCG

Rather than a 1 year plan it is a two year plan What is different Rather than a 1 year plan it is a two year plan 1 joint plan across all three clinical commissioning groups in Leicester, Leicestershire and Rutland rather than 3 separate plans Outlines how we are going to work with providers and local authorities to delivery the next two years of our Sustainability and Transformation Plan

Our gaps and challenges Performance – waiting time in A&E, ambulance response and handover times and cancer 62 day waiting Health and wellbeing - variation of the life expectancy of people living in Leicester, Leicestershire and Rutland Care and quality - improving independence of patients; ensure primary care is more resilient; improve outcomes of mental health; work with providers with CQC rating of ‘requires improvement’ Get the contracts with providers right Financial balance and efficiency – need saving of £50 million in 2017/18 and £42 million in 2018/19

West Leicestershire budget Budget for West Leicestershire CCG: In 2017/18 is £474 million In 2018/19 is £483 million The services we commission are: Planned hospital care Rehabilitative care Urgent and emergency care Most community health services Mental health and learning disability service Co-commissioning primary care (with NHS England)

The nine ‘must do’s’ Implement Sustainability and Transformation Plan achieving goals by 2020/21 We will change in the way we operate: CCGs working more collaboratively to create efficiencies All partners working together, prioritising resources, pulling in the same direction for patients to achieve maximum impact Balance the books and deliver savings Make general practice more sustainable and extend and improve access

The nine ‘must do’s’ Referral to treatment and elective care Urgent care services Improve ambulance response times and A&E waiting times Stream patients at Leicester Royal Infirmary ‘front door’ Ensure 24/7 integrated care service for physical and mental health services Reduce the amount of people calling 999 and being transported to A&E Improve mental health service for people in crisis Referral to treatment and elective care Ensure no more than 92% of patients on non-emergency pathway wait more than 18 weeks from referral to treatment Ensure patients have choice when referred for treatment Reduce the number of unnecessary follow-up appointments Improve access and outcomes for women and babies

The nine ‘must do’s’ Cancer - promote earlier diagnosis of cancer, increasing access to treatment, to improve survival rates and reduce cancer mortality Enhance Mental Health services including: More psychological therapies for people with anxiety and depression More high-quality mental health services for children and young people Increase access to individual placement support for people with severe mental illness in secondary care Commission community eating disorder teams to support children and young people Maintain dementia diagnosis rates Reduce suicide rates

The nine ‘must do’s’ Transform services for people with learning disabilities and autism Increase community support Ensure more people receive an annual health check in primary care Identify people at risk and intervene earlier Improve quality of care

Things you may wish to consider in your PPG Involvement in the engagement and consultation of Better Care Together Sustainability and Transformation Plan Spreading the word about accessing urgent care services Promoting prevention and self care so that people stay independence for longer

Thank you