1. The real news about change
For discussion
26 January 2016

2. In this presentation What is the actual plan? STP on a page
Why the system needs to change
Our untapped potential in the community
Our future hospital services
Business case for consultation
Current status

3. What is the actual plan? STP on a page

4. Why the system needs to change
Rising demands overstretching health and care services
81% GPs seeing patients with more complex conditions – diabetes, COPD, dementia
18% rise in 2016/17 in ambulances for serious emergencies
Rise in A&E attendances since 2012:
Traditional style workforce is unsustainable
Recruitment challenges for Essex in both health and care – currently over 2,000 vacancies in NHS
GPs and nurses reaching retiring age
Modern standards require hospital specialists 24/7
National average
Mid and South Essex
1.6%
4.6%

5. Why the system needs to change
Fragmented system, over-reliant on hospitals is unaffordable
Future deficit if we did nothing to change over next 5 yrs
2016/17
2020/21
Income
£454.7m
Deficit
£100.3m
Demand
£515.1m
Costs
£454.7m
Deficit
£406.7m

6. Our untapped potential in the community
Campaigns and information for self-care
New technology and support tools
Joined up patient information and access to care record
Partnership with vol sector and community services
New practitioners and ways of working – not always a GP
Joined up services linked to GP hubs – wider range of services “out of hospital”
Co-ordinated network of emergency care – 111, out of hours, rapid response teams
Early intervention with joined up care

7. Our future hospital services
No change for existing centres of excellence
Cancer and Radiotherapy at Southend
Cardiothoracic Centre, Basildon – life-saving heart and lung treatments
Plastic Surgery and Burns Centre at Broomfield in Chelmsford
Services that would be provided at each hospital
Walk-in A&E at all three sites and ambulances
Surgical assessment unit
Frailty assessment unit
Children’s assessment unit
Outpatient clinics
Day surgery
Midwife-led maternity unit and obstetrician cover
Step down beds for people recovering after surgery or specialist care

8. Our future hospital services
Specialist operations - planned treatments
Cancer and radiotherapy centre
Intensive care support
Planned specialist operations
Emergency inpatient services
Emergency surgery during daytime
Blue light ambulances during daytime
Full range of intensive care
All ambulances 24/7
Emergency surgery
Hyper-acute stroke unit
Elective centre
with A&E H
Emergency hospital
with elective H
Specialist emergency
hospital H

9. Business case for consultation
Nov 2016
Dec 2016
Jan 2017
Feb 2017
Mar 2017
Working groups continue developing evidence and data analysis
Complete draft business case
Prep with partners
STP published and wide distribution of STP summary
Discussion and feedback
Outcome and options appraisal
Consider feedback & approve case
Submit business case for national assurance

10. Current status STP summary and full documents published 23 Nov
Please visit
Further development within Success Regime workstreams – data gathering
Planning for options appraisal to identify preferred options for potential hospital reconfiguration
Planning for further engagement with local people
STP feedback questionnaire
Further engagement with community groups
Service Users Advisory Group
Planning for consultation – possibly starting in May