1. CCG Review of Progress and Priorities
Helen Ruffell
Operations Manager

2. 360o Stakeholder Survey

3. Survey Response Rate

7. Working collaboratively across South Tyneside to improve health and commission excellent healthcare

8. Strategic Goals
We want people to be able to take greater responsibility for their own health
We want people to be able to stay well in their own homes and communities
We want people to receive timely and appropriate complex care
People take greater responsibility for their own health
The development of services that support people to stay well and take increased responsibility for their own health and wellbeing
People stay well in their own homes and communities
The development of primary care and community services to support people in a community-based setting and provide a point of ongoing continuity, which for most people will be general practice
People receive timely and appropriate complex care
The freeing-up of hospital based specialist resources to be responsive to episodic events and the provision of complex care and support and specialist advice to primary care.

9. Work Programme Strategic Goal Delivery Aims Work Programme
People are able to be able to take greater responsibility for their own health
 Development of services that support people to stay well and take responsibility for their own health and wellbeing
Prevention and self-care
Lifestyle strategies
Cancer
Frailty 
People are able to stay well in their own homes and communities
 Development of primary care and community services to support people in a community-based setting and provide a point of ongoing continuity, which for most people will be general practice
Out of hospital care
Primary care strategy
End of life care
Long Term Conditions
Integrated commissioning e.g. children, Learning disabilities, continuing healthcare, CAMHS
People receive timely and appropriate complex care
Freeing up of hospital based specialist resource to be responsive to episodic events and the provision of complex care and support and specialist advice to primary care
Path to Excellence
Urgent care system
Health Pathways

10. Timely and appropriate complex care

11. Elective Care

12. Cancer

13. A&E

14. Stroke

15. Work Programme Path to Excellence (Phase 1)
Urgent Care System
Urgent Care Hub
Pressure on A&E
Health Pathways
Standardised pathways and education
Rapid advice and guidance
Urgent care – people turn up in A&E, not emergency. Need to get better at making sure people get to the right place – stream them better. Work ongoing on Urgent Care Hub. Struggle to deal with big numbers, people need to stop going unless they really need to be there. Lead project for action on A&E (national approach).

16. Staying well in homes and communities

17. South Tyneside Residents Population Shift (2014 to 2039)
Change by Age Band
(people in brackets)
% down (500)
% down (1,300)
% down (13,300)
% up (14,000)
% up (10,100)
% up (3,900)
Deceased patients removed from this and further analysis
Approaching 50% of patients within scope of local or national frailty work
Moderately / severely frail under 65s a current gap
Housebound 43.0% up (1,440 people)
Care Home Residents up 40.7% (671 people)
Partners in improving local health

18. COPD Prevalence

20. Preventable Early Mortality

21. Delay & Reduce the Burden of Long Term Conditions
Access to the right care at the right time
Early & Accurate Diagnosis
Support to Self Care and Reduce Risk
How do we integrate across the system?
How do we reduce inequalities?
How can we be more proactive?
How do we make this easier for everyone?

22. POPULATION SEGMENTATION 7+ LTCs, EoL, care home, housebound
SEVERE
MODERATE
MILD
FIT
7+ LTCs, EoL, care home, housebound
4 – 6 long term conditions
2 – 3 long term conditions
0 – 1 long term conditions

23. Primary Care Strategy
Stakeholders working together to deliver primary care at scale
Reducing variation
Changing the focus of primary care
Improving Access to Primary Care
Workforce planning
These were the original slides that were used in mid 2016 to frame the strategy – they remain the same although over time we have considered the ‘Stakeholders working together to deliver primary care at scale’ to be more of an underpinning theme or approach rather than a workstream in its own right.

24. Extended Access Launched September 2017
3 hubs (rotating across 13 practice sites)
78 extra hours per week in 2017/18
117 extra hours per week in 2018/19
Over 10,000 additional appointments offered
Book through Practice or 111

25. Work Programme Out of hospital care Integrated commissioning
Community integrated teams
Children
Unplanned care
Learning disabilities
Primary care strategy
Continuing healthcare
End of life care
Mental health
CAMHS
Long term conditions

26. Taking greater responsibility for own health

29. Smoking in Pregnancy Rate

30. Smoking in Pregnancy

32. Work Programme Prevention and self-care Cancer Lifestyle strategies
Screening
Relaunch “A Better U”
Early diagnosis and treatment
Lifestyle strategies
Frailty
Alcohol
Proactive case identification
Diet
Smoking
Early diagnosis and support
Activity

33. “What matters to you?” rather than “What is the matter with you?”