guy pilkington, chair, newcastle gateshead clinical commissioning group
TRANSCRIPT
Transforming lives together
Transforming lives together
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Transforming lives together
Introduction
• Five Year Forward View (NHS Planning) • Accountable Systems • New Care Models • Mental Health • Sustainability and Transformation Plans
(more NHS planning)
Transforming lives together
Closing the Three Gaps
• The Finance Gap – An annual shortfall of £30bn between demand
and supply • The Quality Gap
– Variation between organisations, areas and patient groups
• The health Gap – Difference between the burden of disease and
illnesses we could prevent
Transforming lives together
From the Five Year Forward View • At its best the NHS is
– ‘of the people, by the people, for the people’ – The NHS as a social movement
• Getting serious about prevention – A radical upgrade in prevention and public health
• Empowering patients – Information, choice, personal budgets
• Engaging communities – Carers, volunteering, partnerships with third
sector, NHS as an employer
Transforming lives together
Other Precipitants of Change
• Austerity – LA budget cuts – Personal finances, both in and out of work
• Ageing population • Social model of health
– Broader determinants of health – Ability to adapt and self-manage
• Inequalities
Transforming lives together
A Local System Response
• Collaborating on building shared accountability, shared planning and shared decision making
• Integrating around the needs of individuals and their communities
• An accountable care system?
Transforming lives together
New Care Models
• Proof of Concept, Newcastle • Place Based Systems of Care (King’s Fund) • Localities, built on collections of GP practices
exploring with workforce from all sectors – Who are the people we should be initially
focusing on within the specified localities? – What are the issues that affect these people? – How might we collectively better address their
issues?
Transforming lives together
Mental Health • Large programme of transformation including
– Deciding Together (consultation on specialist mental health services)
– Transformation plans for people with learning disabilities
– Expanding Minds, Improving Lives (Children+young people)
– Single system of urgent access to mental health support
– Dementia care (early days) • Parity of esteem • Overcoming artificial separation of mind-body
Transforming lives together
Sustainability and Transformation Plans • System plans • Large footprints
– with subsidiarity • Future transformation funds dependent on
it • ‘Compelling and credible’ • Prevention, the social model, holism will
feature large
Transforming lives together
Your Opportunities
• Build alliances – With each other – With statutory sector
• Add value – Improving accessibility – Maintaining strong relationships
• Personalisation – Consortium advantage