Healthier Together: Health & Social Care Reforms in Greater Manchester December 2013

Healthier Together: Health & Social Care Reforms in Greater Manchester

December 2013

Programme Outline

www.nw.hee.nhs.uktwitter.com/HENorthWest

About Healthier Together

Healthier Together is a review of health and social care, which aims to improve and save the lives of people who access their local GP, hospital, social care and community health services.

It aims to improve outcomes and reduce the current variation between different parts of the population so all residents across Greater Manchester can access and receive excellent health care


Vision

For Greater Manchester to have the best health and

care in the country


Aim

To create a single service where you get health and care services at the right time, in the right place, for the right treatment

NHS needs to change

• Francis Report• Keogh Report• Sir David Nicholson – specialise hospitals, improved community care


GM Fast Facts

• Variation in health outcomes — up to 14 years life expectancy difference for men depending on where you live

• Between April 2012 – March 2013 A&E visits increased by 43,7000

• GM has among the worst rates of early deaths from cancer, heart attack, lung disease, stroke and liver disease

• ¼ of all ambulance journeys are for older people who had a fall – community services would be more appropriate


GM Fast Facts

• 125 patients admitted to hospital beds every day but spend less than 24 hours there – many could have been treated out of hospital

• None of our hospitals meet all the recognised national standards for safety and quality

• According to Dr Foster around 30% of people in hospital don’t need to be there


Outcomes

• Improve the health and wellbeing of people in Greater ManchesterSafe services based on best practice, clinical standards and better specialist care in our hospitals.

• Improve equality of access to high quality care Improved, timely access to appropriate staff, facilities and equipment across the whole of Greater Manchester.


Outcomes

• Improve people’s experience of healthcare serviceIntegrated care provided in the most appropriate setting to provide better outcomes and experience for patients.

• Make better use of healthcare resourcesCare provided by sustainable organisations that allow best possible use of the total resource available to the health and social care system in Greater Manchester.


Case for change• 550 lives a year in Greater Manchester could be saved if the UK meets

the European average survival rate for cancer. (Best = 1000).

• Heart Failure patients admitted to cardiology wards have a 20% lower mortality rates compared to those admitted to general wards.

• 1 million attendances at Greater Manchester A&E Departments in 2011. Over a quarter of these were for minor injuries and could have been treated at another suitable location (e.g. Primary Care, Pharmacy).

• Mortality figures are affected by day and time of admission.


Health & Social Care Reform

Integrated Care

Primary Care

Secondary Care

Healthier Together & our Modernisation/Planning Network


Health & Social Care Reform


Integrated CareExample of some work streams:• Local level agreements on the common assessment framework

• Agreeing on a core skill set for self-care in-patients

• Possibility of commissioning self-care common frameworks at FEIs/HEIs

• Incorporating mandatory training in self-care for Bands 1-4 NHS Staff

• Offering CPD for volunteers in areas that require establishment of networks e.g. modules in dealing with dementia


Secondary Care• System cannot sustain the level of demand placed on secondary

services

• Services are unaffordable in terms of workforce, technology and other running costs

• Ageing population means increasingly complex patient needs for the GM population

• Prevention & Self-care – looking after patients proactively and enhance patient quality


Secondary Care

So Far…• Modelling undertaken to project what future services may look like• A number of scenarios will be modelled that relate to Workforce, Finance

& Estates

• 5 keys areas of interest

Acute Medicine

Emergency Medicine

General Surgery

Paediatrics

Obstetrics & Gynae


Secondary Care

• Clinical Reference Group have agreed a set of clinical standards across Greater Manchester

• Each quality indicator is measured for the implication for workforce e.g. A&E Waiting Times

• Programme of work launched 18 months ago• Driven by 12 CCGs of GM• Clinically led initial engagement with public• Pre consultation business case will be produced by March-14• Workforce element of the business case will be prepared by Kirstie Baxter and

will be consulted on by patients, public and staff


Primary Care

• GM Area Team produced a Primary Care Strategy which looks at innovation and managing 24/7 access

• GM has 6 demonstrator sites across primary care which are funded by a national budget

• Demonstrator sites need to be up and running, ready for evaluation by March-14

• Further reading on the demonstrator sites:• https://healthiertogethergm.nhs.uk/sites/default/files/Briefing%20Note%20-%201

%20October.pdf

https://healthiertogethergm.nhs.uk/sites/default/files/Briefing%20Note%20-%201%20October.pdf

https://healthiertogethergm.nhs.uk/sites/default/files/Briefing%20Note%20-%201%20October.pdf


Understanding the existing workforce

• Primary care workforce• Community workforce• Secondary Care• Volunteers and 3rd Sector providers

Various sources of data including online collection, ESR Data Warehouse, validation of ESR data, GMCVO and Health watch


Role of the LETB

• Health Education North West are partners in this programme of work, providing the workforce expertise

• How will this programme of work impact on the planning, training and education of the workforce?

• Preliminary analysis and data collection for workforce information

• Health Education North West lead: Kirstie Baxter – Assistant Director of Education Management with support from the Workforce Strategy team.


National and Regional Work

Similar programmes of work taking place across the North West and nationally.

• Manchester and London have made the most progress to date• Liverpool – Healthy Liverpool• Cheshire – Care Together• Lancashire – Out of Hospital Strategy

Saba RazaqSenior Workforce Analyst

Workforce Strategy

[email protected]

0161 625 7774

www.ewin.nhs.uk @ewin_portalResources. Intelligence. Innovation.

Any comments or questions?

mailto:[email protected]

Documents

Healthier Together: Health & Social Care Reforms in Greater Manchester December 2013