Welcome. Mary Dowling Chair NHS Fylde and Wyre Clinical Commissioning Group

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1 Welcome Mary Dowling Chair NHS Fylde and Wyre Clinical Commissioning Group

2 Review of the Year Wendy Swift Chief Executive (Interim) Blackpool Teaching Hospitals NHS Foundation Trust Dr Amanda Doyle OBE Chief Clinical Officer NHS Blackpool Clinical Commissioning Group

3 Thank You Thank You Thank You Circa 10,000 of us working in the NHS on the Fylde Coast

4 NHS Fylde and Wyre CCG Blackpool Teaching Hospitals NHS FT NHS Blackpool CCG Lancashire County Council Partnerships Patients Blackpool Council Wyre Borough Council Public Volunteers Fylde Borough Council National Planning Guidance ( ) Partnership Behaviours Become the New Norm

5 Background

6 Our Health Challenge Increasing Need Quality New Treatments Cost Access

7 Our Health Challenge Blackpool Fylde & Wyre

8 Our Achievements New five year cancer strategy New models of care across the Fylde Coast New end of life care provision Think! Why A&E campaign Working together to win Lottery funding e.g. Better Start Head Start Healthy new town initiative Test bed initiative

9 NHS Fylde and Wyre CCG An outstanding CCG One of 10 CCGs nationally to receive top rating in NHS England s annual assurance assessment Wyre Health Hub New facility in Wyre Civic Centre bringing together healthcare and council services More than 1,000 people helped by new falls vehicle

10 NHS Blackpool CCG Delegated authority to commission primary care services across Blackpool Primary Care Quality Contract Addressing variation and patient access across Blackpool Meeting Cancer and diagnostics performance targets CQC inspections in primary care, out of 17 practices inspected: 82% of practices were rated good (national average based on 360 inspections is 78%) 18% of practices were rated outstanding (national average based on 360 inspections is 4%) New Models of Care have been accelerated in Blackpool and across the Fylde Coast, bringing co-ordinated care closer to patient s homes

11 NHS Blackpool CCG Dementia diagnosis rates 89% diagnosis rate (67% national ambition) Improving Access to Psychological Therapies (IAPT) Services Reduced waiting times from 12 months to six to 18 weeks Showed improvement in all Equality and Inclusion goal outcomes graded in 2015 Better Start/Head Start Significant involvement with this programme, aimed at improving children s health and wellbeing from an early age

12 Blackpool Teaching Hospitals Launched our new 2020 Strategy Together we can designed by our clinicians National Patient Safety Award for our End of Life team Named in the HSJ Top 120 Places to Work in the NHS Launched our new quality strategy Achieved UNICEF Baby Friendly Initiative accreditation

13 Fylde Coast Strategy The partner organisations in the Fylde Coast health economy are committed to working together to improve health outcomes for our population. Our aim is to develop a model of integrated and coordinated health and social care so that care is delivered seamlessly, sharing data and communicating better with each other and those in need of our services, their carers and families.

14 Fylde Coast Work Programmes Enhanced GP access Urgent and emergency care Care model delivery Technology Mental health Effective use of resources Planned care Cancer

15 Leadership Working in Partnership Enhanced GP Access Urgent and Emergency Care Care Model Delivery Technology Mental Health Effective Use of Resources Planned Care Cancer Senior Responsible Officer Senior Responsible Clinician Programme Lead Tony Naughton Dr Marie Williams David Bonson Dr Russell Millner Suzanne Endersby Peter Tinson Dr Andrew Weatherburn Sarah Camplin Tim Bennett Dr Cruz Augustine Stewart Bond Helen Lammond -Smith Lesley Tiffin & Claire Grant Andrew Harrison Dr Marie Thompson Pat Crawford Wendy Swift Dr Tom Johnson Nicola Walmsley Use of existing Fylde Coast Cancer Group Chair = Adam Janjua

16 Thank You Thank You Thank You Circa 10,000 of us working in the NHS on the Fylde coast

17 Extensive Care Service Dr Andrew Weatherburn Service Clinical Lead Blackpool Teaching Hospitals NHS Foundation Trust

18 A new way of delivering care - why?

19 Progress To Date Launched June 2015 Lytham Primary Care Centre Moor Park Health and Leisure Centre Two further sites launched in April 2016 South Shore Primary Care Centre Wyre Civic Centre Ongoing roll-out to practices across Fylde Coast All live from October ,162 Referrals at September 2016

20

21 Patient and Carer Experience 100% The Friends and Family Test Recommend

22 Impact Extensive Care Patients 19% reduction in A&E admissions 25% reduction in nonelective admissions 10% reduction in new outpatients attendances 17% reduction in follow-up out-patients attendances 37% reduction in elective activity

23 Highlights Electronic record (shared) paperless Comprehensive holistic assessment MyPlan Single point of contact Multi-disciplinary Team mental health / linked services input Generic skill development Named responsible team members Advanced care planning and do not attempt CPR Co-ordination of care Medicines optimisation In reach to admitted patients Primary and community relationships

24 Feedback and Developments Feedback Criteria and referrals Emphasis on risk score removed Out of hours contact Pilot Two or more physical, chronic and active long-term conditions Pilot Community nurses, matrons and therapists Process Accept immediately at initial assessment Tailored transition process Developments Multidisciplinary Team mental health and palliative care Patient Activation Measures (PAM) licences Pathway process review and development Health and Wellbeing Care Plan Referrals from Clifton Hospital and Blackpool Assessment and Referral Centre (ARC) Enhanced Primary Care and acute frailty links

25 Going Forward

26

27 Forward View Dr Tony Naughton Clinical Chief Officer NHS Fylde and Wyre Clinical Commissioning Group

28 NHS Five Year Forward View New models of care More integration Break down barriers Local flexibility Vanguard

29 Delivering the FYFW Published December 2015 Spending review National priorities Two separate but connected plans CCG operational plan for 2016/17 Five-year sustainability plan (STP) on a Lancashire and South Cumbria footprint

30 Fylde Coast Forward View

31 Lancashire and South Cumbria footprint: Strengthening the out of hospital care model across Lancashire and South Cumbria Aims Care and Quality, Health and Wellbeing Finance and Efficiency

32 Fylde Coast footprint: Urgent care provision Community dermatology service Community diabetes services MSK triage and access service

33 CCG footprint Pharmacy+ clinic Intermediate care services Primary care contracts

34 Neighbourhood footprint Care home support team Healthier Fleetwood Community orientated primary care

35 Partnerships and Integration We cannot make these changes alone Forge strong partnerships between the local NHS, social care and the voluntary sector Breaking down barriers between health and social care Shared plans and objectives

36 Communication and engagement Over the coming weeks and months we will be talking with you on these plans to make sure they are fit for purpose Your input is essential to help us meet the challenges ahead Together we can achieve a health and care service built for tomorrow

37 Questions and Answers Roy Fisher Chairman NHS Blackpool Clinical Commissioning Group

38 Close Ian Johnson Chairman Blackpool Teaching Hospitals NHS Foundation Trust

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