1. Dorset’s Health and Care Revolution
Dr Karen Kirkham

2. 13 localities in three clusters
Dorset CCG
One Governing Body
13 localities in three clusters
86 GP practices
Over 760,000 people
3 acutes
1 community
3 LA
1 ambulance
Reducing number of GP practices
Budget – £1.2 billion

3. Sustainability and Transformation Plan STP
STP came along - Our plan sets out how we will achieve our vision over the next five years.
Three programmes of work to enable us to realise our vision for health and care in Dorset:
Prevention at Scale: will help people to stay healthy and avoid getting unwell.
Integrated Community Services: will support individuals who are unwell, by providing high quality care at home and in community settings.
One Acute Network: will help those who need the most specialist health and care support, through a single acute care system across the whole county.
Prevention really pulled the LAs back in, we had become too clinically focussed, too acute focused

4. Tier 1- Prevention at scale
Start Well, Live Well, Age Well & Healthy Places
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The Prevention at Scale - the foundation that underpins all our work. Prevention work also runs through the upper tiers of the triangle – our Integrated Community Services and One Acute Network programmes.
We plan to significantly upscale our primary prevention to help people who are currently well to make changes in their lives to help them stay healthy for longer. This includes extending our LiveWell Dorset service to provide more people with help to:
quit smoking
cut down on alcohol
exercise more
lose weight and eat more healthily
We will also:
support people who have already developed a health problem such as high blood pressure or diabetes
ensure more timely support is given to people who have diabetes and heart disease
expand the My Health My Way initiative that provides personalised help to enable people to self-manage their long-term condition
develop a ‘patient portal’ within the Dorset Care Record to provide better information
Finally we will
continue to support the My Life, My Care service to help people to find the help they may need to live independently at home
continue to provide short-term intensive support to help people get back home after a hospital stay, as part of our integrated community services programme.
Our Dorset plan will be aligned with our two Health and Wellbeing Boards joint strategies by working on the wider, complex and interrelated determinants of health including:
job opportunities
access to affordable housing
revitalising communities
improving the quality of homes occupied by vulnerable people
encouraging active travel
ensuring children have the healthiest start

5. Tier 2 - Integrated community services
Transform primary and community health and care services in Dorset through:
Community hubs
Integrated community teams
Strengthen GP practices
Integrated community service vanguards
Acute mental health care pathway review
Transform urgent and emergency care .
Integrated Community Services will transform primary and community health and care services in Dorset, so that they are truly integrated and based on the needs of our local populations.
Our priorities include:
establishing a network of community hubs to provide a consistent range of health and care services
multidisciplinary teams of professionals, working together to meet the needs of people with short-term, long-term and specialist health needs. Some hubs will also have beds to help more people to receive care in their community.
Building a strengthened network of GP practices,

6. Tier 3 - one acute network of services
Poole Hospital - the major planned care hospital
Royal Bournemouth Hospital - the major emergency care hospital
Dorset County Hospital - a planned and emergency care hospital
This will allow us to:
Establish a dedicated specialist role for Poole Hospital as a major planned hospital and Royal Bournemouth Hospital as a major emergency hospital. There will be access to these services for people from the whole of Dorset to give better outcomes for patients and save more lives by creating centres of excellence
Continue to support Dorset County Hospital as a pivotal provider for planned and emergency services in west Dorset
Poole: major
planned hospital
Dorchester: planned and emergency hospital
Bournemouth: major emergency hospital

7. Dorset GP Forward View Delivery
Draft Dorset GPFV – Plan on a page
Dorset GP Forward View Delivery

8. Accountable care Improve care quality, continuity care Control costs
Groups of providers to meet the needs of a defined population, sustained partnerships
Within an agreed budget
Loose alliances , networks, community , acute bases to fully integrated systems
Population health
Think of systems of care , co-ordinated delivery
Systems built around primary care are associated with better health outcomes , and wider determinants health

9. What's the potential? Build local community capacity
Enhance and strengthen resources
Tackle the issues that matter to the local community
Make use of existing resources
Accessible
Team based and collaborative
Co-ordinated and integrated
High value
Workforce modelling and capacity is key

10. Opportunities Population health , analytics and Big Data
A new way of delivering care
Enhancing self care
Prevention agenda –its everybody's business
Workforce, new roles , development opportunities , career development
Research
Quantum leap in use of technology
Improve productivity
Health, care, industry and education partnership

11. The End
Thank you for listening Any questions? Dr Karen Kirkham Assistant Clinical Chair and Dorset ACS Clinical lead