What do you about our ambitions for what our health and wellbeing services should look like by 2021? Is there anything missing or more we should aim for? Health services are cut – how can we deliver care in future? Accessibility – educate – what is available? How can we access? Is it different across different CCG areas? For instance; have specialised services in the areas where there is highest demand Communicate via GPs? E.g. pulmonary rehab works but GPs not referring in (less than 15%) – patients don’t know about it No standardisation across CCGs in terms of services and patients don’t know what they should expect and what is available BLF thinks a patient with COPD should get a wallet card saying what is available Limited re services Need to address poverty and deprivation Weaknesses of the plan – objectives high level Time – length of time to train a GP? Where is the workforce? 1/3 expected to retire in the next 5 years Removal of bursaries for nurses is bad Need plans to tackle alcohol/sugar etc. Funding issue needs addressing Communication between organisations – work more cleverly together and use each other’s experiences and skills Investment in prevention – invest to save Deciding together – missing the point; aiming at Mental Health for complex chronic conditions – early intervention needed so condition does not escalate Stigma associated with using phrase ‘mental health’ Annual action and delivery plan needed at key stages Key line of enquiry – feed into governing body – monitor delivery 5 year plan – areas in CCG have grown – each CCG has its own plan and agenda which results in fragmented working – how can that be eliminated? It was felt that any preventative work would have to be long-term, over a generation (for example it has taken a generation to make drink-driving socially unacceptable) and therefore the effects of investment in this area would simply not be felt by 2021. Moreover, major preventative programmes such as reducing smoking or sugar intake have only been effective because Central Government has imposed bans or taxes, which is not something that the STP partners could do. Funding any preventative work will also be very difficult because there are huge funding pressures on local authorities who now have
Social care – if LA spent all budget on social care – still a deficit by 2021 Educate the kids about all the different organisations Key messages; national default (of £5b?) over 5 is represented by 1p on income tax Comms between organisations is key to working together If we want public to invest in us we need to make sure they are informed Savings to be made in 5 Discussion suggests is no timeline for this plan – so why mention 5 years? There needs to be a date/deadline Some aspects of plan will be delivered before the 5 years, but training etc. may take longer Plan to be refreshed annually Health action zones – provided freedoms – do we have freedoms under STP? LTCs – how will the services work around these people? These people will end up using hospital/health services more if not supported the right way – need a holistic approach How do we manage people with complex needs to make the service more efficient? Integration is key for those with complex conditions Repeating the health history over and over again One example provided of one procedure carried out twice because health professionals don’t trust one another Transferring patients unnecessarily – waste and cost Consultant to consultant referrals stopped, referred back to GP as usually being managed by GP who may action a review What do you think about the scale of the challenge facing us in making significant improvements to health and wellbeing, services and efficiencies? Are there any other actions we could take to make these changes or speed up the rate of improvement? Gateshead Vanguard work – hospital beds are being taken by the elderly without a care plan who are unable to remain in the community so being kept in hospital. Hospitals to work with nursing/residential homes to take their empty beds to reduce pressures of A&E Care Home Vanguard – 90% of residential homes to pull out of programme – funding Issues: some nurses required in some, not all Identify elderly person’s needs – carer/nurse/bed – place appropriately to get the care they need We will only achieve these ambitions for our area by engaging local populations, the people who use our service, and the staff that provide