1. Our Vision / A look forward
Mr Mark Webb
Chair North East Lincolnshire CCG

2. NEL CCG strategy Comprehensive Integrated Higher quality Affordable
Community
based
care
Self care &
independent
living
Local
services
Centralised
Home
care
Comprehensive
Integrated
Higher quality
Affordable

3. Underpinning Principles
Quality and Safety – both proactive and reactive
Promoting physical, mental and emotional wellbeing of individuals
Prevention and self care / independent living rather than a reliance on state services
Care delivered in the right place, at the right time,
Improving outcomes – purchasing from those providers with the specialist skills
Breaking down organisational barriers to reduce fragmented care

4. What are we already doing
Programme of service redesign including
Long Term Conditions
Enhanced community support for COPD
Community cardiology pilot
Prevention initiatives
Diabetes
Working with third sector partners
Social prescribing
Care home support teams

5. What will influence the future
1. Sustainability and Transformational Plan (STP)
Addressing quality, service and financial gaps
Supporting new models of care
Collaborative approach across Humber, Coast & Vale (HCV)
Focus on 5 priorities: Prevention, acute & specialised care, out of hospital care, mental health, strategic commissioning

6. - Collaborative approach across ‘Greater Lincolnshire’
2. Devolution
- Collaborative approach across ‘Greater Lincolnshire’
Ambition for improvement across many areas
Specific strategic influences for CCG:
- ambition to integrate health & social care
- opportunity to improve the wider determinants of health & wellbeing
- ensuring alignment between HCV STP and Lincolnshire STP

7. 3. Accountable care system
NE Lincolnshire focus (similar arrangements emerging in other areas)
Integrating physical, mental & social care
Enabling different service design, with a focus on maximising self care and independence
Long term solution, not ‘quick fix’, with long term contracts and funding agreements
Partnership board already in place to oversee Accountable Care partnership development

8. Mental health
Public and preventative health
Social Care
Primary care
Community Care
Third sector and community
Other e.g. housing services
“An Accountable Care System is a group of organisations who collectively agree to take accountability for all care and care outcomes for a given population, under a single long term contractual arrangement with a commissioner.”
Number references relate to Case Studies

9. 4. Market Management and provider sustainability
Challenges in both Adult Social Care and NHS sectors from financial climate
Some key risks in quality and standards of care within some current services, and in meeting future requirements
Wide workforce recruitment issues, many reflecting national shortages
Some physical capacity constraints, but opportunities in Primary Care Centres