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Stockport Health Plans . Consultation on Strategic and Operational Plans . What will be covered today . Why we are talking with you The vision for health services in Stockport The context and reason for change The priorities for change Mental Health Health Literacy and Prevention
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Stockport Health Plans Consultation on Strategic and Operational Plans
What will be covered today • Why we are talking with you • The vision for health services in Stockport • The context and reason for change • The priorities for change • Mental Health • Health Literacy and Prevention • Out of Hospital Care • Unscheduled Care • Elective Care • Healthier Together (Hospital Reconfiguration) • The next two years operational plans
Why are we talking with you today? • It is about your services • Our commitment to transparency • Your views and knowledge are important • Two year operational plans submitted 4th April • Influence on five-year plans for 20th June • Big consultation in July for Healthier Together
Health Services in Stockport Tomorrow • Support to live healthier lifestyle • A remodelled general practice– proactive and anticipatory with better access • Person centred integrated care service in the community • Locality based provision • Smaller higher quality hospital services • Better access to mental health services for children and adults
Health Services in Stockport Now • Health Outcomes are about average, but… • Cancer greatly improved • Flu among best in country • Big inequalities divide • Over Hospitalisation • High Admissions • Long length of stay • Poor Performance in A&E • Good Quality Primary Care • Stretched Community and Mental Health Services
Financial Context • Stockport CCG’s budget is £350m Very limited growth in health funding Pressure on social care £16m short of target • Growth • Ageing Population • Medical Advances • Inflation • Result - c£100m gap across health and social care
What the public have said already • Strong support for more integrated health & social care enabling people to stay at home including at end of life or with dementia • Desire for better access to primary care with more services available locally • A willingness to use technology and information to improve services and safety • A desire for better mental health services and improved mental wellbeing including support for carers and a better transition from children to adult services • Better compliance with NICE guidance – e.g. IVF, epilepsy
Priorities: Mental Health • National Context: • Parity of esteem, dementia and IAPT • Our response • Improved Access to Psychological Therapies • Children & Adolescent Mental Health 0-25 • Dementia – Mental Health Liaison & EOL • Attention Deficit Disorder & Autism • But, same expectation on efficiency as all
Priorities: Health Literacy and Prevention • National Policy • Health Outcomes, Reduce years of Life Lost unnecessarily • Our Response • Health & social care workforce better equipped • Early Identification • Hypertension • Atrial Fibrillation • COPD • Cancer
Priorities: Out of Hospital Care • National Context: • Integrated Care & Primary Care at Scale • Our Response • Adult Integrated Team (Health & Social Care) • People Powered Health • Remodelling General Practice • Better response to acute need • Greater focus on Long-Term Conditions • Proactive Care Home Support
Priorities: Unscheduled Care • National Policy • Reduce admissions, meet targets • Our response • See Previous section • Reformed Front-End • New role for ambulance services • Stronger rapid response type services in community
Priorities: Elective Care • National Policy • 30% more efficient • Our Response • Improve referral practice through peer review in both primary & secondary care • Tighten thresholds for some surgical procedures • Weight Loss and smoking cessation • Reduce follow-up procedures • Not introducing additional triage centres
Priorities: IM&T • Integration of records • Single record • Digital services to the population • Access to your own records • Apps • Supporting people remotely • Video consultation • Tele-medicine and Tele-care
Priorities: GM Acute Sector Reform • Addressing variation in quality & sustainability • Twenty clinical congresses involved • Single services to be shared across hospitals • Specialist and District General Hospital teams one and same • Plan specific detailed proposals for consultation in July.
Major Reforms Across Greater Manchester 10 local models of integrated health & social care Integrated Care Healthier Together Primary Care Association of Greater Manchester CCGs NHS England + local CCG work
Next steps • Operational plan submitted 4th April • On-going public conversation and work on vision and 5 year plan until end of May • Publication of 5 year health strategy 20th June • Questions and feedback • What sounds good? • What would you like more information on? • What do you think we have missed? • What causes anxiety or concern?
Questions • What sounds good? • What would you like more information or detail on? • What do you think we have missed? • What causes anxiety or concern?
Link to Detailed Plans http://stockportccg.org/how-you-can-get-involved/ Survey on our Plans https://www.citizenspace.com/stockport-haveyoursay/consultation-and-engagement/ccg-strategic-plans-2014