1. 5 Year Health and Care Strategy for LLR

2. ScenarioAssumptions about NHS real terms growth fundingGap #14.0% p.a. (historical NHS levels)Nil #22.4% p.a. (Office for Budget Responsibility assumptions)£12bn #30.0% p.a. (Flat cash scenario)£28bn £12bn £28bn £nil #2 #3 #1

3. Leicestershire demographic changes

4. Leicester City – population growth

5. NHS local financial challenge 2017/18 NHS providers - £190 million West Leicestershire CCG - £51 million East Leicestershire and Rutland CCG - £46 million Leicester City CCG - £41 million Source: McKinsey (adjusted for transfers from CCG baseline into Better Care Fund)

6. Assumptions about Social Care c/f Nil growthGap #1Current patterns of care remain constant: Cost =£21bn by 2021/22£7bn #2Increasing age/ gender related chronic conditions: Cost =£23bn by 2021/22£9bn #1 #2 £9bn £7bn

7. Social care local financial challenge 2017/18 Leicestershire County Council £51m Leicester City Council £16.5m Rutland County Council £2m

8. Framing everything we do - enablers 1.Empowering people 2.Expanding the role and scale of general practice 3.Developing a more flexible and integrated workforce 4.Making the best use of our estates 5.Having an IT/digital platform that makes it easy for information to be shared across the appropriate health and social care organisations 6.Adopting evidence-based best practice, using research opportunities to find out what works best and ensuring that there is a learning culture in organisations which makes staff want to work there 7.Single, common and shared approach to finance activity and capacity planning