1. Caring for you...closer to home Hertfordshire Community NHS Trust Health Scrutiny Committee Update 13 December 2011 Derek Smith – Interim Chief Executive

2. Caring for you...closer to home Overview About HCT Our achievements Our vision for Community Services Key enablers Policy impact on HCT Future Focus

3. Caring for you...closer to home About HCT NHS Trust 1 November 2010 Largest provider NHS Community Services –1 million patient contacts per annum –3,000 staff –Income £125m Comprehensive range of services –Adult & Children’s (universal & specialist) –80 CQC registered sites –10 community hospitals

4. Caring for you...closer to home Our Achievements Improved Clinical Quality –Reduced infection rates & falls –>90% inpatients rate care good/excellent –Delivering all access & performance targets ‘Green’ rated by Strategic Health Authority –Governance & contractual –Good financial health National Awards for innovation & quality –Prison Nursing service & Step 2 New community services –Diabetes & Integrated Teams

5. Caring for you...closer to home A Future Vision - Enhanced Community Care Locality focus –Meeting local needs & expectations –Delivering preventative care –Rapid Response (prevent escalation to hospital) Coordination of care –Single Point of Access –Core/Specialist integration –Virtual ward (MDT approach to care in the community) Complex Care provision –Supporting patients to remain in the community –Avoid hospital admissions –Encourage self management

6. Caring for you...closer to home Key enablers Our workforce – developing new skills Implement the latest technology –Telehealth/care/medicine –Self management and care at home Modern fit for purpose estate –Release/renovate old estate –Better use of existing buildings Innovative service models –Working with CCGs, social care & acute providers

7. Caring for you...closer to home National & local policy impact QIPP –Reduced financial envelope 6-8% p.a. –Shift of activity to the community –Prevention agenda –Meeting increased demand (e.g. elderly) NHS Structure –Becoming a Foundation Trust –Relationships with CCGs/Clusters –Patient choice – competition and AQP Health & Wellbeing Board

8. Caring for you...closer to home The next 2 years…… Driving Quality & Productivity –Delivering the vision for community services –Developing new models of care –Streamlining services Maintain Trajectory to Foundation Trust –Public consultation completed –Active drive for public members (1,500 to 10,000 by June 2012 –Authorisation 2013