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Equity and Excellence: Liberating the NHS What does it mean for North Somerset?. Chris Born Chief Executive. No decision about me, without me Best outcomes not targets Empower clinicians New Health P artnership Patients empowered through transparent information.

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equity and excellence liberating the nhs what does it mean for north somerset

Equity and Excellence: Liberating the NHSWhat does it mean for North Somerset?

Chris Born

Chief Executive

slide2

No decision about me, without me

  • Best outcomes not targets
  • Empower clinicians
  • New Health Partnership
  • Patients empowered through transparent information
slide3

Local authority leads the Health & Wellbeing Board from 2012

  • New Healthwatch to replace the Local Involvement Network (LINk) - 2012
  • Public health department moves to the Council - 2013
gp commissioners gpc
GP Commissioners (GPC)
  • North Somerset GPC Consortium - 2012
  • Shared commissioning of hospitals (and mental health?) across wider area
  • National Commissioning Board for some services - 2012
slide5

All existing PCT community services

  • New social enterprise from April 2011
  • Focus on integrating care with social services and hospitals
  • www.northsomerset.nhs.uk
  • Comments by 23 February
slide6

PCTs abolished 2013

  • NHS South West (SHA) abolished 2012
  • PCTs will work as a cluster as management reductions occur
  • Stronger external regulation of the system as now
operating framework 2011 12
Operating Framework 2011/12
  • Mental Health Strategy due out 2011
    • Public health
    • Better service outcomes
    • Early intervention and prevention (e.g. offenders)
    • Drug services
    • IAPT expansion to young, old, severe mi, long term conditions
    • Victims of violence
operating framework 2011 128
Operating Framework 2011/12
  • Greater choice of treatment and provider
  • Improve services for veterans
  • Support for carers
  • Fines for mixed sex accommodation (including day areas)
  • Key measures (e.g. early intervention, crisis/home treatment, CPA, IAPT) remain for 2011/12
slide9

New outcomes for 2012/13 (e.g. preventing premature death in people with severe mi, employment, experience of service)

finance
Finance
  • Service providers: 4% efficiency per year
  • Commissioners: similar amount via service redesign
  • Total: £20bn savings over 4 years (e.g. £12m for NS in 2011/12)
  • North Somerset: 4.1% growth (vs. average of 2.2), but 7.2% below target (£22m)
  • Management reductions
  • Pay freeze if earning > £21k
  • Mandatory use of mental health clusters
slide11

WORKING AGE ADULTS AND OLDER PEOPLE WITH

MENTAL HEALTH PROBLEMS

Non-psychotic

Psychosis

Organic

Mild/

moderate/severe

Verysevere and complex

Substancemisuse

Firstepisode

Severeongoing

Acuteemergency

Verysevereengagement

Cognitiveimpairment

1

2

3

4

5

6

7

8

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10

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three key benefits from pbr
THREEKEY BENEFITS FROM PBR :
  • BECAUSE CURRENCIES ARE NEEDS BASED THEY SHOULD GIVE COMMISSIONERS A CLEAR IDEA OF THE BALANCE OF NEED AMONGST THOSE ACCESSING SECONDARY SERVICES AND HELP SERVICE PLANNING/PRIORITISATION
  • PBR SHOULD ENSURE A REGULAR AND TIMELY FLOW OF INFORMATION TO THE COMMISSIONER ON WHAT IS HAPPENING TO THEIR USERS AND ON INDIVIDUAL USER OUTCOMES
  • BY THE USE OF STANDARDISED CURRENCIES AND POTENTIALLY TARIFFS, VFM CAN BE BETTER EVALUATED, COMPARED WITH BENCHMARKS AND IMPROVED