1. OUTLINE VISION FOR OUR FUTURE STRATEGIC DIRECTION

2. Why this, why now? Reform of PCTs in 2006 Strengthened commissioning role Significant change for PCT over last year Changes in key personnel NHS review by Professor Sir Ara Darzi Improving Lives; Saving Lives Joint Strategic Needs Assessment

3. What next? Engage with partners: These are our thoughts at the moment but what do you think? Analysis of IL;SL and Darzi review Produce a strategy in Spring 2008 that we will consult on

4. What we know about life and health in South East Essex Aging population – greater demand for services Low levels ethnic minorities for UK but higher in Southend than other parts of S.E. Essex Life expectancy increased but 8 years difference between worst & best

5. Smoking is single most preventable cause of illness and early death (400 local people per year die) Obesity can reduce life expectancy up to 9 years (estimate 1 in 5 local adults obese) Children living in poverty – leads to poor health Some groups of people may not access services they need to stay healthy

6. Our ambition Better health Health gap will reduce Easier to stay healthy Health services: – safe – high quality –suitable and convenient time and place –clean pleasant and modern facilities –staff well trained and helpful long-term conditions supported to: –stay well –prevent or delay deterioration of health.

7. Does this sound like the right ambition for the PCT? What do you think?

8. Commitments We want to set an ambitious agenda with public health priorities Improving Lives;Saving Lives sets out a number of “pledges” We are suggesting a number of commitments to make to our population that we will regularly report our progress on

9. Better health and well-being Increase life expectancy Reduce early deaths from stroke and heart disease by 40% and from cancer by 20% (from 1999) by 2010 Reduce the health gap improve the health and healthcare delivered to marginalised groups

10. Better Care Buy services that offer people choices are safe and treat people with dignity & respect Improve patient satisfaction Improve lives of people with long term illness Ensure top quality community based provision Commission high quality evidence based treatment, particularly improving : –mental health and dementia care –End of life care

11. Better Value Make primary care provision more accessible and focused on needs Make it easier for people that need urgent care to access closest most suitable & timely care for their needs Put an end to waiting lists as we know them by by 2009 and make sure you can get care close to home Deliver or surpass national targets

12. Keep local people at the centre and work in partnership to best meet needs Welcome views and use them as valuable information to assess what needs to change Be accountable: tell you honestly & regularly how we are performing Commission needs led, evidence based clinically effective services to maximise health gain At the heart of it:

13. Do these commitments sound like they are the right things? Have we missed anything important?

14. We have talked about….. Challenges and opportunities The way we need to work to deliver our commitments: –Using practice based commissioning –Jointly commissioning through partnerships –Ethical framework –Engaging with patients & the public –Within our financial envelope What we will do – some of our early ideas Being more accountable Working & partnership Being a strong commissioner

15. These are some of our ideas….. What are yours?

16. Now Please help us To create a local strategy for the PCT that belongs to all of us To join in our enthusiasm for improving health & well-being E-mail or written comments Liesel.park@see-pct.nhs.uk Information@see-pct.nhs.uk