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Black Country Cluster Board Development Session The System Plan

Black Country Cluster Board Development Session The System Plan. The System Plan Content Rob Bacon. Vision. Improve the health of our populations, reducing health inequalities Improve quality – safety, outcomes, access Increase value for money

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Black Country Cluster Board Development Session The System Plan

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  1. Black Country Cluster Board Development SessionThe System Plan The System Plan Content Rob Bacon Strategy and System Planning Black Country Cluster

  2. Vision Improve the health of our populations, reducing health inequalities Improve quality – safety, outcomes, access Increase value for money Transform commissioning and public health Strategy and System Planning Black Country Cluster

  3. Cluster Achievements and Priorities 2011/12 2012/13 Transition : Clinical leadership through Senate CCG development Single Cluster Board Health and Well Being Boards Community services staff transfers Transition: All 4 CCGs authorised Robust CSS in place Public Health services working in shadow Commissioning Board arrangements in shadow Quality: Deliver quality strategy, including Mortality rates reducing No ‘never’ events Infection rate targets achieved Five SHA target areas Delayed transfers of care (with local authorities) Primary care – agreed standards for quality, audit, demand and referral Quality : Low waiting times Diabetic retinopathy Stroke service improved Cancer waits improved Reducing unplanned admissions for long term patients Grip on activity Quality strategy agreed RTT waits 4 to 5 weeks lower than target (95thcentile) LTC admissions 5.1% lower than target Service Development: Vascular surgery and AAA screening Trauma units Maternity capacity Financial position and QIPP Right Care Right Here Service Development: Quality of stroke services Pathology reconfiguration Quality and Sustainability Review Mental Health and Learning Disabilities Review QIPP delivery and planning for 2013/14 and 2014/15 110,000 outpatient attendances 100,000 urgent care attendances 39,000 community bed days 13,000 avoided admissions Strategy and System Planning Black Country Cluster

  4. Dudley Sandwell and West Birmingham Strategy and System Planning Black Country Cluster

  5. Walsall Wolverhampton Strategy and System Planning Black Country Cluster

  6. QIPP From allocative/technical efficiency to service reconfiguration £349m requirement 2011/12-14/15 Strategy and System Planning Black Country Cluster

  7. Quality and Sustainability Review History of failed strategic change for acute care in Black Country Preparedness to change: Vascular surgery, AAA screening, Trauma Different approach agreed objectives – clinically and financially sustainable services sustainable providers pursuing profitability not growth effective demand management by primary care coherent planning and provision with local authorities ‘edgy’ partnership approach as in Right Care Right Here agreement from Clinical Senate, Chief Executives, Cluster Board clinical leadership and care pathway approaches critical Strategy and System Planning Black Country Cluster

  8. Scale of change • reducing from 5 to 4 hospitals (as planned in RCRH) • modelling based on upper quartile indicates beds could reduce • in range of 537 (top down) to 608 beds (bottom up) • Clinical interdependencies • important to establish core ‘dgh’ offer in each locality • Consider clinical networks • from reduced inpatient bases for more specialised services eg • vascular, stroke • Areas to work on, prioritised by Senate • stroke, urgent care, long term conditions • frail elderly, fractured neck of femur, paediatrics • Similar approach with Mental Health and Learning • Disabilities Review Quality and Sustainability Review Strategy and System Planning Black Country Cluster

  9. Quality and Sustainability Review Strategy and System Planning Black Country Cluster

  10. Mental Health and Learning Disabilities Review Strategy and System Planning Black Country Cluster

  11. Leadership increasingly taken by CCGs From allocative efficiency to result of transformation How it works Risk sharing and new forms of contract Quality and Sustainability Review Mental Health/Learning Disabilities Review Strategy and System Planning Black Country Cluster

  12. Critical Milestones for 2012/13 - QIPP Strategy and System Planning Black Country Cluster

  13. Critical Milestones for 2012/13 - Reform Strategy and System Planning Black Country Cluster

  14. Next Steps Strategy and System Planning Black Country Cluster

  15. Alignment of System Plan to Operating Framework 2012/13 Strategy and System Planning Black Country Cluster

  16. Questions? Strategy and System Planning Black Country Cluster

  17. Strategy and System Planning Black Country Cluster

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