1. Healthy Lives, Healthy Futures Programme Update to NELCCG Partnership Board – May, 2015 Attachment 13 b

2. Oct Programme Timeline MarAprMayJunJulyAugSep General Election Nov Dec Jan Full Public and stakeholder Engagement on emerging options 2016 2015 Implementation of key enabling work, and those elements not requiring consultation (Workforce Estates, IT, Contracting) Today Refine the Enhanced out of Hospital Model Feb Mar Refine high level options for acute care, ready for public and stakeholder engagement Formal Public Consultation Robust programme of clinical and public engagement

3. Below is a breakdown of the schemes for 2015/16 by lead organisation Assisted Living Centre (Grimsby) End of Life / Palliative Care Extensivist Team (Advanced Community Care - ACC) Extra Care Housing Frequent Service Users GP Front ending A&E - extension include ambulance arrivals Home from Home (Grimsby) Mobile GPs - pilot Single Point of Access (Grimsby) Support to Care homes (including GP alignment & MDT options) Ambulatory Care Service (Scunthorpe) Carer Support Chronic Wound Diabetes Discharge to Assess Gastroenterology Hospital Social Work Team LTC Model MSK Older people's mental Health Liaison Well being hubs Cardiology CDCU (Scunthorpe) Cardiology Strategy Childrens Surgery Dermatology Critical Care Strategy CT/MRI DPoW Special procedures room DPoW Theatre Refurb Endoscopy inc. EBUS/EUS ENT Centralisation Goole HLHF - Campus Goole HLHF - Elective Goole HLHF - Medicine Inpt beds Goole HLHF - MIU Haematology/Oncology Review Integrated Locality Team & Community Equipment Service (BCF) Frail and Elderly Assessment Unit (Grimsby) Neurology Frail and Elderly Assessment Unit (Scunthorpe) Rapid Assessment, Time Limited Ophthalmology Outpatients Pharmacy Aseptics Respiratory Stroke Theatres WebV into NEL SPA WebV view access into NEL Primary Care - Pilot WebV view access into NEL Primary Care - Roll out NEL CCG Led Schemes NL CCG Led Schemes NLAG Led Schemes

4. The table below describes the work that is happening in 2015-16 by CCG locality and also what is being done on a Northern Lincolnshire footprint. For some schemes that are currently only listed by CCG locality, it also indicates if there may be potential for a Northern Lincolnshire solution.

5. Key Elements of the next phase Continue the clinical engagement and redesign work across the health and social care system to further define our vision throughout April – July 2015. Specifically define the enhanced out of hospital care model and consider implementation of work that does not require consultation Confirm that our current plans are on track to deliver their aims and objectives using the HLHF activity and finance model Continue work to redefine local approaches to financial planning and contract management underpinned by a comprehensive Memorandum of Understanding Run a period of public engagement on our emerging options July – September 2015 Run formal public consultation on full system wide options October – January 2016 CCG’s to make decision on system options – February/March 2016 Facilitate conversations around potential for “bigger” Lincolnshire vision