8th November 2007

NORTH EAST LINCOLNSHIRE Care Trust Plus

MAKING A DIFFERENCE

Jane Lewington, Chief Executive

8th November 2007

Presentation to Directors of Informatics

Integration and Improvement - a shared ambition

8th November 2007

OVERVIEW OF NORTH EAST LINCOLNSHIRE

N E Lincs England

Unemployment Rate 5.2% 2.8%

Average weekly earnings (male) £485 £520

% of private household deemed unfit for habitation

18% 7.0%

Household burglary rate per 10,000 households

399 215

% of children in low income households 42% 27%

Number of pupils gaining 5 or more GCSEs 46% 50%

8th November 2007

25% of local population amongst the most deprived 10% in England

Nearly ¾ of the local population live in wards that are amongst the 30% most deprived in England

OVERVIEW OF NORTH EAST LINCOLNSHIRE

8th November 2007

WHAT DOES THIS MEAN FOR HEALTH INEQUALITIES?

Although deaths from cancer are reducing the inequalities gap has increased by 42%

Deaths from CHD and Stroke have reduced overall but death rates from CHD in NRF areas show a different picture

Life Expectancy– Inequality in male life expectancy has increased (4.2 years)– Male life expectancy in West and East Marsh Wards has gone down– Gap between female and male life expectancy has increased

Two wards have the worst teenage pregnancy rates in Western Europe

8th November 2007

OVERVIEW OF NORTH EAST LINCOLNSHIRE CTP

Established – 1 Sept 07 Population – 168,000 89 GPs – 34 General

Practices 32 General Practices

hold PMS Contracts 1500 Directly

Employed Staff 4 Commissioning

Groups

2007/08 budget – NHS £229 million, Adult Social Care £56 million

37 contracts for provision of health care

130 Providers of Social Care, challenge of individual budgets

8th November 2007

ELEMENTS TO THE CARE TRUST PLUS

1. Integrated approach to commissioning and delivering health and social care (adults)

2. Local Authority formally delegated delivery of its social care responsibilities to the Care Trust Plus

3. The Care Trust Plus has formally delegated delivery of its health improvement responsibilities to the Local Authority

4. Children’s Trust – joint commissioning and joint delivery of children’s services and hosted by the Local Authority

8th November 2007

SCOPE OF THE CARE TRUST PLUS

Community service provision, for example, District Nursing, specialist nursing

Wider primary care management Psychological therapies/psychology Commissioning of health and adult

social care Learning disability services

(including specialist) Substance misuse services and

community safety GP out of hours service Mental Health services Palliative care

Corporate and HQ support functions eg Finance, HR, Informatics, IT services etc

Care management and Community Matrons

Adult care management Adult community services (home

care, day centres, meals on wheels, transport)

Intermediate care services Occupational therapy Physical and sensory disability

services Hospital social work and District

Nursing Liaison Team

8th November 2007

Delivering the Change

Meeting the Challenges

8th November 2007

KEY PRIORITIES OF THE CARE TRUST PLUS

Greater personalisation and better access Pathfinder approach to Commissioning

Group development Learning Disability Mental Health Development Programme Tackling health inequalities Better outcomes for children and young

people

8th November 2007

Greater Personalisation and Better Access - Challenges

18 week care pathways Introduction of individual budgets New service delivery models and new types

of contract eg home care

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Pathfinder Approach to Commissioning Group Development - Challenges

Introducing new forms of commissioning Integration, population and individual Integrated provision Integrated systems and processes

8th November 2007

Learning Disability - Challenges

Moving to commissioning of personalised services

Addressing health inequalities Community membership

8th November 2007

Mental Health Development Programme - Challenges

Integration of primary and secondary care Community –based personal services Developing the Social Enterprise model Demonstrating service performance

8th November 2007

Tackling Health Inequalities - Challenges

Identifying the target audience; targeted services

Co-design and co-production Taking a health improvement approach to

Local Authority functions

8th November 2007

Better Outcomes for Children and Young People - Challenges

New integrated service models and co-location

Integrated assessment Demonstrating improved outcomes Wide range of players involved

8th November 2007

NPfIT

Our Expectation

8th November 2007

What do we expect of NPfIT?

Fit for purpose systems and services A programme that reflects our commissioning role Commitment to delivery on-time and to specification Effective service management model including all

components of the service (Local Service Providers and National Service Providers)

Service engagement

8th November 2007

What do we expect of NPfIT?

Empowerment of local communities Specifying standards, but effective

consultation Value added Reflecting the diversity of provision Flexibility and realism

8th November 2007

What do we expect of Informatics

To lead a service fit for the 21st century To contribute effectively to service

modernisation and redesign To deliver a ‘core’ service to the organisation

which is resilient, reliable and fit for purpose

To offer value added

8th November 2007

Are you up to the Challenge?

Questions