1. 15/16 Achievements and ambition for 16/17

2. Achievements in 15/16 Quality and Safety Finance
Integrated care home quality monitoring
Work continues to promote Mental Capacity Act and Deprivation Of Liberty Standards
Primary care recording of incidents ‘re-launch’
Finance
All business rules achieved
Strong financial performance - delivered core1.0% surplus (improvement from 14/15)
Plus an additional £1m surplus
Smooth accounts close down

3. Achievements in 15/16 Transformation Implementation of urgent care hub
Mental health
Commissioning of a new mental health services across the life course
Learning Disabilities
pooled budget with local authority
new community model with plan to implement

4. Achievements in 15/16 Partnership & integration
Borough wide roll out Integrated teams
Development of partnership with Canterbury Health System
Initiation of HealthPathways & Alliancing
NHS Right Care – deep dives & preparation
New joint ways of working around packages of care eg Continuing Health Care
NHS Right Care – tool to help identify the variation between similar CCGs and where to look to improve quality and outcomes and cost

5. Achievements in 15/16 Primary care
Better outcomes scheme focus on prevention, health improvement and reducing health inequalities
Co-Commissioning level 2 & ways of working with NHSE
Winter weekend GP service “pilot”
Think Pharmacy first- Minor ailment scheme

6. Achievements in 15/16 NHS Constitutional indicators Positive Negative
Referral To Treatment
Improving Access to Psychological Therapies
Dementia
Cancer standards
Some challenges in year with 62 day standard at hospital level. Action plan in place
A&E standard not met in 2015/16
However performance and level of escalation improved compared to 2014/15
Extensive actions to manage system and improve performance
C Difficile

7. South Tyneside level – CCG Plan

8. South Tyneside level – Primary Care strategy
DRAFT
Vision
Developing general practice into a resilient and thriving sector as part of the South Tyneside health and care system, to improve outcomes and the health and well being of our communities and people.
The challenges & solutions
What will change – for the patient
What will change – for the professional
What this means – for the system
Links to …….
Improved access to Primary Care
Access to the right professional, right care, right time
Standards in place so that people are clear what to expect and when by for both urgent and routine care requirements
Different means of consultations with variety of professionals
People can access appropriate support with the right health or care professional which may not always be a GP
Improvement in work/ life balance
Increased opportunities to sustain the practice
A different type of consultation with a potential variety of professionals
Better management of patients in the Primary care setting
Reduce resilience on Secondary care
Recruitment and retention benefits
Risk – unmet demand
Need to agreed how we define and deliver 7 day service
Workforce
Working at scale
Estates IT
Integration with other health and social care
Capacity to deliver services
Consistent provision of good quality care which improves health outcomes
Better health and well being
Healthier communities and people
Standardised health pathways
Standard approaches and responses to risk stratification tools
Standardisation makes the professionals job easier
Increased levels of job satisfaction due to increase patient benefits
People at risk of admission/ in poorer health are prioritised
Improving quality and safety
Improving outcomes
Better well being
Increasing life expectancy
Reducing admissions and associated cost
Risk – unmet demand
HealthPathways
NHS Rightcare
Integrated teams and use of risk stratification
Benchmarking/ use of business intel to improve primary care services
Reducing
variation
People are in control of their health and daily life choices
Healthier lifestyle
Enjoying better health and wellbeing
Over time, reduce demand for services
Increased levels of job satisfaction due to increased patient benefits
A healthier practice population
More appropriate use of health and care resources
Healthier people with lower morbidities
Increased life expectancy
Prevention
Self care
Shared decision making
Care planning
Risk stratification
Empowered
people

9. Challenges & risks
Delivery of Quality Innovation Productivity and Preventions targets - £1.8m (NHS Right Care year 1)
Continuing Health Care spend
Complexity of plans for South Tyneside and neighbouring CCGs & associated capacity
Non delivery of A&E standard & risks to cancer 62 day standard