1. World Class Commissioning Partnerships Nicola Benge - Director Health Improvement

2. 7000 - 8000 6000 - 7000 5000 - 6000 4000 - 5000 3000 - 4000 2000 - 3000 1000 - 2000 1 - 1000 Sutton Vesey Pop. 22879 Sutton Vesey Pop. 22879 Sutton Four Oaks Sutton Trinity Sutton New Hall Sutton Vesey Erdington Kingstanding Stockland Green Tyburn Hodge Hill Washwood Heath Stechford and Yardley North Shard End Bordesley Green South Yardley Acocks Green Sheldon Good Hope Hospital Heart of England NHS Foundation Trust Deprivation Proportion of ward population in the following deprivation sectors: <10% 10 - 25% 25 - 50% >50% (% refers to position in the national listing of most deprived areas). Most deprived Least deprived Population of 440,000 Diverse and vibrant communities 17 wards in Europe’s largest Local Authority 1,700+ staff 237 GPs 82 practices Budget circa £0.7b Lead commissioners for mental health, learning disabilities, sexual health Host of West Mids Specialised Commissioning team - £0.7b

3. A Long Term Vision and Strategy Purpose: Working in partnership to tackle inequalities and improve the health and well being of local people Goals To be so responsive to the population we serve that no one waits for the health care they need That the health and well being of the population will have improved so much that people will enjoy 10 more years of quality life Our communities will be the most involved, informed and empowered in the country That people regard us as the first choice organisation to work with and for

4. Organisational Design for World Class Performance PRIME Workforce & OD PIPE (Planning, Innovation, Process Excellence) Provider arm development KM & IT Director of process Improvement Knowledge management focus Participative processes Lean redesign OD network Faculty model Attractive to high performers Resilience& diversity in team Skills & behaviours Expert partners PRIME KM Trajectories Matrix teams Enhanced director & commissioning Capacity Collaboration and integration Review design criteria OD Strategy Processes Structure Metrics People

5. Learning to date: Innovation & Delivery Tackle inequality: profile population, target activity, prioritise resources, understand preferences, new service designs, screening and outreach, signposting WCC in primary care: building capacity, improving performance, de-commissioning New models of care: Based on health inequalities and targeting. assertive outreach, telephone delivery, group interventions, integrated services Maximising digital technology: web-based communications, remote monitoring, mobile communications

6. Performance 1Local Leadership 4Collaboration with Clinicians 8Promoted improvement and innovation

7. Collaborative working and clinical engagement Local Government and Health partnerships Translate into signed up LAA and WCC targets Support to PBC – population needs based Pathway engagement

8. An environment for improvement and innovation Clear and consistent strategy Focus on diversity and improvements in health Led from the top Make it easy to do the right thing Creative Stealing Courage Design for Scale

9. Identification of improvement opportunities Use of International evidence Working together for Health Use of LEAN methodologies Patient selection for BoH

10. Collection of Quality and Outcome Information Gateway Evidence base OSCAR Framework Insight Typologies

11. NHS Birmingham East and North population segmentation  An NHS Birmingham East and North specific health segmentation is allowing us to gain granular insight into our population  At an Output Area level we know the :  Health status and utilisation by group  Demographics  MOSAIC™ type  Index matrix based on age and ethnicity  TGI media preferences  We draw on local SUS data, cross-referenced with nationally available datasets such as ONS. The factors covered include health, ethnicity and socio-economic status

12. ‘Fight Back’ SOCIAL MARKETING