1. Forward View 30th April Jayne Mellor

2. Patients are Co-Producers of Health

3. CCG 5 Year Strategy – Key messages Out of Hospital Redesign for Community Resilience Integration (services & vision) System Sustainability Quality & Safety Access CCG 5 Year Strategy – Key messages Out of Hospital Redesign for Community Resilience Integration (services & vision) System Sustainability Quality & Safety Access

4. 5 Year plan – Models of Care Multispecialty Community Providers (MCPs) Primary and Acute Care Systems (PACS) Urgent and emergency care networks Viable smaller hospitals Specialised care Enhanced health in care homes Multispecialty Community Providers (MCPs) Primary care of the future will build on the traditional strengths of experts, targeting services at registered patients with a variety of on-going needs such as the frail elderly or those with chronic conditions, and working much more intensively with these patients. Future models will expand the leadership of primary care (community services) to include nurses, therapists and other community based professionals, offering care in fundamentally different ways, making fuller use of digital technologies, new skills and roles, and offering greater convenience for patients. Multispecialty Community Providers (MCPs) Primary care of the future will build on the traditional strengths of experts, targeting services at registered patients with a variety of on-going needs such as the frail elderly or those with chronic conditions, and working much more intensively with these patients. Future models will expand the leadership of primary care (community services) to include nurses, therapists and other community based professionals, offering care in fundamentally different ways, making fuller use of digital technologies, new skills and roles, and offering greater convenience for patients. St Helens five Year Strategy and our local population would support the Multispecialty Community Providers (MCPs) approach… St Helens five Year Strategy and our local population would support the Multispecialty Community Providers (MCPs) approach…

5. Integrated Neighbourhood Care Teams South NorthNewton and Haydock Specialist services clustered and provided according to prevalence and population needs Specialist services clustered and provided according to prevalence and population needs Models of care will be the same. Capacity/volume – reflective of needs of St Helens patients, carers and families

6. Smoking Hypertension Obesity Depression Asthma Diabetes Coronary Heart Disease Chronic Kidney Disease Hypothyroidism Chronic Obstructive Pulmonary Disease Cancer Stroke and Transient Ischaemic Attacks Atrial Fibrillation Heart Failure Mental Health Peripheral Aterial Disease Epilepsy Dementia Learning Disabilities Osteoporosis Haydock/ Newton 27.2015.9313.787.867.477.114.674.733.483.022.461.791.771.221.020.870.970.660.490.32 North28.8618.3010.538.046.856.624.384.283.372.862.291.801.811.000.900.730.850.620.480.27 South28.5316.5011.379.027.237.044.594.453.533.242.131.971.721.101.200.991.020.610.560.33 Prevalence by Integrated Neighbourhood Care Teams

7. Referrers/Services Therapy Reablement Intermediate Care Hospital physio Day Care Outpatients

8. Acute Setting Nursing Home Care Home Home Appropriate services in place to support individuals to stay at home/in their local community Coordinated by IASH

9. h Primary Care Community Services GPsComm Matrons DNs Reablement Community Beds Therapy Vol sector Community clinics Crisis response Dom night service IASH coordinates Acute Know what we have Design what we want together!

10. Fundamentally this is why we have to change: http://www.youtube.com/watch?v=vGE9PowdlC M&sns=em

11. Table discussion - What can make local services: What is better for patients to improve quality of care and impact on people’s health – some ideas; How would you like us to communicate our plans with you? Does the model of care make sense? What do you think of more care in your neighbourhoods, and through your GP? What would work well? Be improved? So an example may be…. “I hope you will….I’d be glad to see….could you consider….I really felt you did/didn’t….could you consider doing…glad to see you have thought of…”