World Class Commissioning

1. World Class Commissioning Partnerships Nicola Benge - Director Health Improvement

2. Population of 440,000 Diverse and vibrant communities 17 wards in Europe’s largest Local Authority 1,700+ staff 237 GPs 82 practices Budget circa £0.7b Lead commissioners for mental health, learning disabilities, sexual health Host of West Mids Specialised Commissioning team - £0.7b <10% 10 - 25% 25 - 50% >50% 7000 - 8000 6000 - 7000 5000 - 6000 4000 - 5000 3000 - 4000 2000 - 3000 1000 - 2000 1 - 1000 Good Hope Hospital Deprivation Proportion of ward population in the following deprivation sectors: Sutton Four Oaks Most deprived Least deprived Sutton Trinity Sutton Vesey Sutton Vesey Pop. 22879 (% refers to position in the national listing of most deprived areas). Kingstanding Sutton New Hall Erdington Stockland Green Tyburn Hodge Hill Heart of England NHS Foundation Trust Washwood Heath Shard End Bordesley Green Stechford and Yardley North South Yardley Sheldon Acocks Green

3. A Long Term Vision and Strategy • Goals • To be so responsive to the • population we serve that no one • waits for the health care they need • That the health and well being of the • population will have improved so • much that people will enjoy 10 more • years of quality life • Our communities will be the most • involved, informed and empowered • in the country • That people regard us as the first • choice organisation to work • with and for Purpose: Working in partnership to tackle inequalities and improve the health and well being of local people

4. Organisational Design for World Class Performance • PRIME • Workforce & OD • PIPE (Planning, Innovation, Process Excellence) • Provider arm development • KM & IT • Director of process Improvement • Knowledge management focus • Participative processes • Lean redesign • OD network OD Strategy • Faculty model • Attractive to high performers • Resilience& diversity in team • Skills & behaviours • Expert partners People Processes • Matrix teams • Enhanced director & commissioning • Capacity • Collaboration and integration • Review design criteria • PRIME • KM • Trajectories Metrics Structure

5. Tackle inequality: profile population, target activity, prioritise resources, understand preferences, new service designs, screening and outreach, signposting WCC in primary care: building capacity, improving performance, de-commissioning New models of care: Based on health inequalities and targeting. assertive outreach, telephone delivery, group interventions, integrated services Maximising digital technology: web-based communications, remote monitoring, mobile communications Learning to date: Innovation & Delivery

6. Local Leadership Collaboration with Clinicians 8 Promoted improvement and innovation Performance

7. Local Government and Health partnerships Translate into signed up LAA and WCC targets Support to PBC – population needs based Pathway engagement Collaborative working and clinical engagement

8. Clear and consistent strategy Focus on diversity and improvements in health Led from the top Make it easy to do the right thing Creative Stealing Courage Design for Scale An environment for improvement and innovation

9. Identification of improvement opportunities • Use of International evidence • Working together for Health • Use of LEAN methodologies • Patient selection for BoH

10. Collection of Quality and Outcome Information • Gateway • Evidence base • OSCAR Framework • Insight • Typologies

11. An NHS Birmingham East and North specific health segmentation is allowing us to gain granular insight into our population At an Output Area level we know the : Health status and utilisation by group Demographics MOSAIC™ type Index matrix based on age and ethnicity TGI media preferences We draw on local SUS data, cross-referenced with nationally available datasets such as ONS. The factors covered include health, ethnicity and socio-economic status NHS Birmingham East and North population segmentation

12. SOCIAL MARKETING ‘Fight Back’