Transcript Document
Monday 17 September (Materials presented to the Mayoral Team on 28 August 2012) Intended outcomes of today’s session: • Provide an overview of the Healthier Together work programme to members of the Salford Mayoral Team The Task • To develop a clinically and professionally-led strategy that puts forward options for new ways of providing health care services in Greater Manchester in a number of priority areas The Legacy • Lack of a cohesive GM wide strategy for the development of services • Significant variation in services and outcomes across Greater Manchester • Changing demography • Stroke, Making it Better & Healthy Futures Healthier Together Outcomes Improve the health and wellbeing of people in Greater Manchester - safe services based on best practice, clinical standards and better specialist care in our hospitals Reduce inequalities of access to high quality care - improved, timely access to appropriate staff, facilities and equipment across the whole of Greater Manchester Improve people’s experience of healthcare service - integrated care provided in the most appropriate setting to provide better outcomes and experience for patients Make better use of healthcare resources - care provided by sustainable organisations that allow best possible use of the total resource available to the health and social care system in Greater Manchester Partnership Healthier Together Public Health Voluntary Sector Local Authority Why change is needed Our vision ....... ‘For Greater Manchester to provide the best health and care in the country’ Why now? - Demand is rising Changing needs Need to make best use of resources? Financial Challenge 2011-12 to 2014-15 6300.0 6100.0 5900.0 5700.0 £m 5500.0 5300.0 5100.0 4900.0 4700.0 4500.0 2010-11 2011-12 2012-13 2013-14 Revenue Resource Limit Year Expenditure "Do Nothing" Financial 2014-15 Challenge to improve quality & outcomes against a context of significant financial challenge Need whole system change to do things differently to improve quality and improve outcomes Some good progress • Greater Manchester-wide centralisation of services seen massive improvements in outcomes • Centralisation of stroke services across GM has resulted in 250 lives saved. However further improvements needed as inequities still evident and further centralisation and improvements to the whole pathway of care will save more lives and reduce disability. • Opportunities to proactively plan impact of changes on NHS and social care services But more change is needed Variation in practice & outcomes • 550 lives a year in Greater Manchester (& Cheshire) could be saved if the UK meets the European average survival rates – about 1 per practice - late presentation a key factor • Emergency general surgery is carried out in 10 acute hospitals in Greater Manchester, but not always with consultant staff present and not always with routine admission to a critical care bed after surgery, even for high risk cases - leads to inconsistent quality of care and poorer patient outcomes • The number of emergency medical readmissions within two days of discharge has gradually increased over the last two years Variation in practice & outcomes • The rate of Greater Manchester residents with diabetes receiving all 9 care processes known to improve outcomes varies from 20% - 70% • Most District Acute Stroke centres failing to deliver key performance indicators • Patients admitted to cardiology wards have a 20% lower mortality rates compared to those admitted to general wards Current Progress • Ongoing communication and engagement with key partners to codesign the framework and amend the proposed programme activities • Development of 8 Cases for Change including detailed data analysis and intelligence • - Appointment of leadership team for each workstream: CCG Chair Clinical Champion Local Authority Director Public Health Director NHS Associate Director Anticipated Timeline Spring – Summer 2012 – case for change development Summer-Autumn 2012 – public engagement on principles for change Autumn 2012 – Spring 2013 - development of model of care, options for service configuration & ongoing engagement Spring 2013 – readiness for public consultation Public Information & Discussion • Period of public discussion scheduled from August 2012 • Discussion period is prior to development of options for formal consultation post April 2013 • Aim to fit with local engagement mechanisms & activity, eg Health & Wellbeing, CCG authorisation • External Reference Group being established Stakeholder briefing A conversation about .... Why changeOur is commitment to needed our GM residents We can’t achieve this What does best care without you look like? We all need to take Creating a shared vision responsibility to create better services Everyone needs to take an What changes may active contribution to be needed to health achieve the best? Thank You An opportunity for discussion and questions ….