1. Operational Plan 2017/18 and 2018/19
Toby Sanders
Managing Director, West Leicestershire CCG

2. Rather than a 1 year plan it is a two year plan
What is different
Rather than a 1 year plan it is a two year plan
1 joint plan across all three clinical commissioning groups in Leicester, Leicestershire and Rutland rather than 3 separate plans
Outlines how we are going to work with providers and local authorities to delivery the next two years of our Sustainability and Transformation Plan

3. Our gaps and challenges
Performance – waiting time in A&E, ambulance response and handover times and cancer 62 day waiting
Health and wellbeing - variation of the life expectancy of people living in Leicester, Leicestershire and Rutland
Care and quality - improving independence of patients; ensure primary care is more resilient; improve outcomes of mental health; work with providers with CQC rating of ‘requires improvement’
Get the contracts with providers right
Financial balance and efficiency – need saving of £50 million in 2017/18 and £42 million in 2018/19

4. West Leicestershire budget
Budget for West Leicestershire CCG:
In 2017/18 is £474 million
In 2018/19 is £483 million
The services we commission are:
Planned hospital care
Rehabilitative care
Urgent and emergency care
Most community health services
Mental health and learning disability service
Co-commissioning primary care (with NHS England)

5. The nine ‘must do’s’
Implement Sustainability and Transformation Plan achieving goals by 2020/21
We will change in the way we operate:
CCGs working more collaboratively to create efficiencies
All partners working together, prioritising resources, pulling in the same direction for patients to achieve maximum impact
Balance the books and deliver savings
Make general practice more sustainable and extend and improve access

6. The nine ‘must do’s’ Referral to treatment and elective care
Urgent care services
Improve ambulance response times and A&E waiting times
Stream patients at Leicester Royal Infirmary ‘front door’
Ensure 24/7 integrated care service for physical and mental health services
Reduce the amount of people calling 999 and being transported to A&E
Improve mental health service for people in crisis
Referral to treatment and elective care
Ensure no more than 92% of patients on non-emergency pathway wait more than 18 weeks from referral to treatment
Ensure patients have choice when referred for treatment
Reduce the number of unnecessary follow-up appointments
Improve access and outcomes for women and babies

7. The nine ‘must do’s’
Cancer - promote earlier diagnosis of cancer, increasing access to treatment, to improve survival rates and reduce cancer mortality
Enhance Mental Health services including:
More psychological therapies for people with anxiety and depression
More high-quality mental health services for children and young people
Increase access to individual placement support for people with severe mental illness in secondary care
Commission community eating disorder teams to support children and young people
Maintain dementia diagnosis rates
Reduce suicide rates

8. The nine ‘must do’s’
Transform services for people with learning disabilities and autism
Increase community support
Ensure more people receive an annual health check in primary care
Identify people at risk and intervene earlier
Improve quality of care

9. Things you may wish to consider in your PPG
Involvement in the engagement and consultation of Better Care Together Sustainability and Transformation Plan
Spreading the word about accessing urgent care services
Promoting prevention and self care so that people stay independence for longer

10. Thank you