Jess Lievesley Commissioning Development Manager

3. The Case for Change There are still major inequalities in people’s health and wellbeing There are differences of over 10 years in life expectancy depending on which part of the region you were born in There are one million smokers in the east of England; smoking accounts for 50% of all health inequalities 60% of all deaths in the east of England are from stroke, heart disease and cancer Over 1.6 million people in the east of England have a long term condition The NHS lags behind other countries on treatment outcomes There is variation in the quality of treatment that patients receive Care needs to be more convenient and easier to access And it needs to meet the expectations of citizens Disease patterns are changing and the population is getting older New technology and treatments are changing the landscape More people could be treated in the community

5. The Principles for Progress

6. We also had more detailed discussions in September about people’s ability to access NHS services, on the quality of care they receive and on health and wellbeing. Many people had problems getting through to a GP, especially out of normal hours. There was support for the extension of opening hours to provide a more convenient service to patients. In terms of the quality of care people receive, cleanliness again came up as an important issue. People also felt that standards of care should not vary between hospitals. People also wanted the right information to make choices about their care. When health and wellbeing was discussed, people raised child obesity as something that needed to be tackled urgently. They felt the NHS should focus more on preventing people getting ill in the first place, but also that the responsibility for health fell on individuals and families as well as the NHS. We also had more detailed discussions in September about people’s ability to access NHS services, on the quality of care they receive and on health and wellbeing. Many people had problems getting through to a GP, especially out of normal hours. There was support for the extension of opening hours to provide a more convenient service to patients. In terms of the quality of care people receive, cleanliness again came up as an important issue. People also felt that standards of care should not vary between hospitals. People also wanted the right information to make choices about their care. When health and wellbeing was discussed, people raised child obesity as something that needed to be tackled urgently. They felt the NHS should focus more on preventing people getting ill in the first place, but also that the responsibility for health fell on individuals and families as well as the NHS.

22. Have a greater emphasis on prevention and wellbeing Are more personal, with greater choice Deliver more care locally, with some care centralised to deliver better outcomes Are more accessible and better integrated Are based on effective partnerships with patients, carers and others in the public and private sectors. Deliver better outcomes, better quality of life and better patient experiences AND Ensure all 17 Acute Trusts will continue to have Accident & Emergency departments and inpatient obstetric units

23. Will recast the Clinical Pathway Groups as Clinical Programme Boards to oversee and support implementation Have created the East of England NHS Management Board to monitor and drive implementation Have set up an East of England NHS Bank to support delivery Will recruit more staff where necessary Have allocated specific funds in a number of areas Will establish clinically led accreditation processes for stroke services, heart attack centres, major trauma centre, surgical services and neonatal care centres Will develop new clinical networks and strengthen existing ones Will develop PCT strategies that reflect this vision and set out how local services will be improved

25. Launch May 12 Consultation To August 4 SHA agree final version September 25 Implementation Plan October 2008 PCT Strategic Plans Oct – Dec 2008 PCT Operational Plans Jan – Mar 2009