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Strategic Plan 2012-17. Dr Vicky Pleydell Shadow Clinical Accountable Officer. Vision and strategic aims. “To commission first class healthcare which improves the health and well-being of everyone living in Hambleton, Richmondshire and Whitby”
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Strategic Plan 2012-17 Dr Vicky Pleydell Shadow Clinical Accountable Officer
Vision and strategic aims • “To commission first class healthcare which improves the health and well-being of everyone living in Hambleton, Richmondshire and Whitby” • We will involve people in their care and as part of that we will encourage self-care • We will buy quality services • We will change services for the better and in doing so we will provide care as close to home as possible that is easily accessible • We will use the money we have in the best possible way, including using the services we pay for well
Reflects local needs • Incorporates JSNA priorities • Rising numbers of elderly people • Rise in numbers of long term conditions • Largest expected growth in patients with dementia in NY • Health inequalities • Lifestyle issues • Health and Wellbeing Strategy priorities • Engages public and stakeholders
Builds local partnerships • Minority partner in all contracts • Commissioning partnerships crucial • Joint Health and Wellbeing Board • North Yorkshire County Council • Other CCGs (Tees, Darlington, North Yorkshire) • North Yorkshire and Humber CSU • Provider relationships very important
Brings financial stability • Difficult financial environment nationally and locally • Financially credible plan • North Yorkshire Review • Need to deliver or situation will deteriorate
Initiative 1: Transforming the community system • Vision is to create stronger, integrated community services that care for people closer to home • Addresses financial challenge • Helps deliver JHWS “Enable older people to be safe, independent and well” • Engaging public and stakeholders (autumn 2012) • Implementing reablement projects • Creating integrated MDTs • Develop more detailed proposals • Next year – formal consultation on proposals
Initiative 2: Mental health and dementia care • Currently PCT-led • North Yorkshire Dementia Strategy • Establishing contracting arrangements for mental health • Supports JHWS “Improve emotional health and wellbeing” • Next year – review of pathways and contracts
Initiative 3: Clinically appropriate planned care • Least over-lap with JHWS • Focus on clinically appropriate pathways and referrals • Bringing care closer to home through primary care • Dermatology, paediatrics, gastroenterology pathways • Improvements in conservative treatment for orthopaedics • Transactional efficiencies • Provider efficiencies
Initiative 4: Children’s Health • Supports JHWS: “Ensure every child has the best start in life” • Consultation on paediatrics and maternity at FHN • QOF work on emergency admissions and outpatient referrals • Future years – develop support available in community for complex needs
Initiative 5: Patients with long term conditions • Growing issue based on aging population • Supports JHWS: “Strengthen the role and impact of ill health prevention and encourage healthy lifestyles and behaviours” • Piloting ACG predictive risk software • Screening for atrial fibrillation to prevent stroke • Improving Type 2 diabetes education • Future years – developing patient care plans
Initiative 6: Preventing ill-health • To be delivered in partnership with JHWB • Supports JHWS: “Strengthen the role and impact of ill health prevention and encourage healthy lifestyles and behaviours” • Promote initiatives to GPs • Bring health expertise to partnership • Support aspirations
Conclusion • Huge agenda • Developing organisation • Early stages • Commitment and intent • Questions?