NHS Cumbria CCG Transforming Care Programme Learning Disabilities

Size: px
Start display at page:

Download "NHS Cumbria CCG Transforming Care Programme Learning Disabilities"

Transcription

1 NHS Cumbria CCG Governing Body Agenda Item 07 December NHS Cumbria CCG Transforming Care Programme Learning Disabilities Purpose of the Report To update the Governing Body on local progress with the national agenda and development of a new service model for people with learning disabilities and / or autism. Outcome Required: Approve Ratify For Discussion X For Information X Assurance Framework Reference: - Quality Assurance - Leadership assurance Recommendation(s): The Governing Body is asked to receive the report and discuss the content. Executive Summary: Key Issues: - The need to meet the national requirements in terms of bed closures and inpatient admissions. - The development of the local workforce to support new service models. - The progress in developing new service models. Key Risks: - Funding flows in relation to dowries ( Inpatient to Community settings) - Recruitment and development of the appropriate workforce - Meeting the required targets for CNTW & targets for inpatients in relation to Cumbria Financial Impact on the CCG: - The funding of dowries as patients transfer from inpatient settings to community settings is not clear (meant to follow patients).

2 Implications/Actions for Public and Patient Engagement: - Quality of health services commissioned and any concerns related to this are always of great importance to the public and our patients. Strategic Objective(s) supported by this paper: Support quality improvement within existing services including General Practice Commission a range of health services appropriate to Cumbria s Needs Develop our system leadership role and our effectiveness as a partner Improve our organisation and support our staff to excel Impact assessment: (Including Health, Equality, Diversity and Human Rights) Please select (X) X X X X Yes Lead Director Peter Rooney, Chief Operating Officer Presented By Helen King, Director of Nursing & Quality Contact Details Date Report Written November

3 Transforming Care Learning Disabilities 7 December 2016

4 Introduction Service model vision statement Children, young people and adults with a learning disability and/or autism who display behaviour that challenges, including those with a mental health condition* have the right to the same opportunities as anyone else to live satisfying and valued lives and, to be treated with the same dignity and respect. They should have a home within their community, be able to develop and maintain relationships and get the support they need to live a healthy, safe and fulfilling life. (-Supporting people with a learning disability and/or autism who display behaviour that challenges, including those with a mental health condition,oct 2015) This is the vision statement underpinning the Transforming Care Programme and the overarching purpose of the many reiterations of national strategy and policy since the 2001 Valuing People policy document. The principles of rights, independence, choice and inclusion run throughout, though unfortunately in the intervening years there have been some very high profile and unacceptable events in places like Winterbourne View and Southern Health. This report provides a summary report to provide oversight of the current situation and the local implications. Background In December 2012 the Department of Health published the Winterbourne Concordat a programme of action which outlines the commitment of organisations across health, social care, police and regulators to drive up standards of care and safeguard people with learning disabilities, autism or mental health conditions. Actions included: CCGs to maintain a register of all people with learning disabilities or autism who have mental health conditions or behaviour that challenges, and have been in NHS-funded care from 1 April 2013; All organisations to ensure people with challenging behaviour in inpatient assessment and treatment services are appropriately placed and safe, and if not make alternative arrangements for them as soon as possible; Review funding arrangements for these people and develop local action plans to deliver the best support to meet individuals needs; Review existing contracts to ensure they include an appropriate specification, clear individual outcomes and sufficient resource to meet the needs of the individual and appropriate information requirements to enable the commissioner to monitor the quality of care being provided; 2

5 Improve the general healthcare and physical health of people with learning disabilities for example, all individuals in these services should have a comprehensive health check within 6 months and a health action plan; Involve children, young people and adults with challenging behaviour and their families, carers and advocates in planning and commissioning services and seek and act on feedback about individual experience; Ensure that planning starts early with commissioners of children s services to achieve good local support and services for children and better transition planning for children with disabilities moving from children s to adult services; Ensure that health and care commissioners set out a joint strategic plan to commission the range of local health, housing and care support services to meet the needs of children, young people and adults with challenging behaviour in their area. Post Winterbourne Concordat, Norman Lamb (2013) identified five key actions for the following six months within the report, Winterbourne View: Transforming Care One Year On. They were: To meet the commitment to ensure that individuals have moved or are moving to settings closer to family by June 2014 where appropriate; To establish robust systems for service users, their supporters and clinicians to feed into and challenge the initiatives being taken forward; To drive a concerted effort to ensure that services are provided to a 21st century standard, including Positive Behaviour Support and guidance on minimising the use of restraint; To establish Key Performance Indicators using data from the Single Assessment Framework and the census; To disseminate the model service specification to both children s and adult s services so that it can be used to drive up quality. The 2014 report Winterbourne View - Time for Change; transforming the commissioning of services for people with learning disabilities and/or autism reaffirmed the direction of travel expected in relation to building community capacity. In the summer of 2015, NHS England required a number of fast track areas to develop service transformation plans. The areas were selected because they have significant NHS hospital services for learning disabilities, which are marked for closure, such as Calderstones Hospital, or for significant bed reductions. Cumbria and North East England were identified as a fast track area because of Northgate Hospital, provided by Northumberland, Tyne and Wear NHS Foundation Trust. The North East and Cumbria Regional Plan, which is now a public document, describe how localities will deliver the continued transformation, building on the recent Fast Track process. 3

6 As part of this plan Cumbria prepared its locality plan to identify how Cumbria will implement national policy in a local context and aligned to the North East and Cumbria Fast Track. This is to ensure that there are robust services being developed underpinned by the planned trajectories showing a reduction of 50% in inpatient learning disability beds across the North East and Cumbria. The North East & Cumbria Fast Track plan was submitted to NHS England on 7 September 2015 and the transformation programme aims include: Less reliance on in-patient admissions; Developing community support and alternatives to inpatient admission; Prevention, early identification and early intervention; Avoidance of crisis and better management of crisis when it happens; Better, more fulfilled lives. The plan was structured into 5 key components: mobilising the area, understanding the current state, developing the vision, defining the model of care and planning for success. In October 2015 NHSE published the National Plan to develop community services and close inpatient facilities for people with a learning disability and/or autism who display behaviour that challenges, including those with a mental health condition. Building the Right Support can be found at: This required all CCGs to form Transforming Care Partnerships (TCPs) with Local Authorities and other stakeholders to deliver the national plan. This position is reinforced by the February 2016 report by Sir Stephen Bubb, Time for Change, the Challenge Ahead which acknowledges that there has been a real step change but there is still more to do. The Main Aims Efforts are focusing on: a substantial reduction in the number of people placed in inpatient settings; reducing the length of stay for all people in inpatient settings; better quality of care for people who are in inpatient and community settings; better quality of life for people who are in inpatient and community settings. 4

7 Summary of Key Messages from Time for Change, the Challenge Ahead The key messages from the report reinforce that there has been a significant step change but the 50% reduction in inpatient learning disability beds must be met by The report also states: the need for a prevention revolution. This would see coherent and targeted early intervention preventing the need for future costly acute responses and resources. Deadline - by 2019, the Transforming Care Programme intends to reduce inpatient beds by 50% nationally. Community based services will be developed to prevent admission. Failure is not an option and cannot mean another broken promise. Success will only be recognised when the closure of hospitals is made possible by the development of community based services. Prevention has a key role to play Most forms of preventative work require up front spending key view of longer term savings. 15m made available to TCPs for capital projects. NHSE and DH to explain how this fund will be administered and how this will meet the rate of people being discharged over the next 3 years. A workforce that works - acknowledges that where commissioners drive down prices, it becomes harder to recruit good staff where there is already not enough staff in the system to provide right care in the right place. Anticipates increase needed of 10,000 staff (8% increases) both frontline and managerial across the country. This includes training and development. Initial investment is required to ensure transition can be in a safe and effective manner with savings realised in the future. Accreditation of Positive Behavioural Support (PBS). Recognition continues to gain momentum. A home not a hospital - availability of suitable housing is absolutely core. Ensure that there is a mixed availability to meet local need. Discussed use of Social Property Fund and DH s care and Support Specialised Housing Programme. Recommends the government reviews Transforming Care and a comprehensive evaluation is carried out regionally and nationally. Local Context and Current Position There is a local joint CCG and Cumbria County Council Transforming Care Partnership, which reports into the Cumbria Joint Commissioning Board. There is an Interim role across Health and Social care with key responsibilities and leadership on behalf of both health and social care. ( Anne Flanagan ) Our local Transforming Care Partnership has an ongoing extensive engagement process, implementing local strategy in Cumbria. 5

8 We are involved in a mortality audit with our local hospital providers to review deaths, which may have been avoidable, in hospital settings. We have a robust Care and Treatment (CTR) process in place and are meeting all of our trajectories, which are submitted to NHS England on a weekly basis. There is concern about the Cumbria Northumberland Tyne and Wear progress against expected trajectories (both for bed closures and numbers of inpatient admissions) and support from Cumbria is required. CTRs and pre admission CTRs are being conducted to ensure that challenge is placed into the process to check whether any other support arrangements can be considered to prevent an admission where appropriate. There are a number of challenges to overcome, workforce requirements (clinically and managerially), a lack of information and robust outcome measures, addressing health inequalities and how to develop the provider market to meet more challenging need/complexity. Inpatient population, current position and progress to date Prior to reporting in March 2014, most people from Cumbria, in inpatient settings, were placed at either Northgate Hospital, Northumberland or at Calderstones, Lancashire, and at other independent and NHS hospitals across the country. Since the commencement of reporting in March 2014, 21 people have been discharged, 18 within Cumbria and 3 placed out of county in specialist provision. Cumbria s Assessment and Treatment Unit, Edenwood is based in the Carlton Clinic, Carlisle provided by the Cumbria Partnership Foundation Trust and funded by the Cumbria Pooled Fund on a block contract.. CQC rated Edenwood inadequate in an inspection published on 23 rd March Work is progressing well to meet the requirements of the improvement action plan. Inpatient population at July 2016 Hospital Number of people Edenwood 5 Rowanwood (CPFT Mental Health 1 provision) Out of county 21 TOTAL 27 Of those who are placed out of county, 13 are in secure provision overseen by NHS England Specialised Commissioning as follows: High secure 8, Medium Secure 3 and Low secure 2. 6

9 Managing interdependencies with other transformation activities There are a number of strategic developments and transformation programmes that may overlap with the work underway within the Learning Disability Transformation Programme, which is Cumbria wide in its focus, for example: West, East and North Cumbria Success Regime Better Care Together across south Cumbria and Lancashire Cumbria County Council s Commissioning Strategy for care and support delivered by Adult Social Care ( ) this will have an emphasis on delivering support close to home and optimising the use of local community assets. Mental Health Transformation Programme Draft Cumbria Autism Strategy Formation of Transforming Care Partnerships CNTW CCG 5 Year Plans Common Characteristics Better Care Fund Mencap Death by Indifference Commissioning Continuing Healthcare NICE Guidelines i) Challenging behaviour and learning disabilities: prevention and interventions for people with learning disabilities whose behaviour challenges. ii) Challenging Behaviour and Learning Disabilities Overview (Pathway) ii) Challenging Behaviour and Learning Disabilities (October 2015) iii) Proposed - Mental Health in people who have a Learning Disability (September 2015) Priorities and Risks The North East and Cumbria Transformation Board continues to have oversight of the transformation programme and is now well established due to the North East and Cumbria being a Fast Track. The concern about progress on the wider footprint of CNTW is likely to create pressure on inpatient admission numbers in Cumbria. The transfer of finance (known as dowry payment) as a result of people transferring from inpatients to community living arrangements remains unclear and continues to be discussed. In financial terms, the main challenge and risks presented by the NE & C Fast Track Transformation Programme is the timing differences that arise between: The discharge of patients from hospital to a community setting, incurring immediate additional costs for commissioners; and The reduction of commissioners inpatient costs as providers are able to close hospital wards and beds. 7

10 There is still uncertainty around how secure services currently funded by NHS England when beds are closed, how the funding will follow the patient. This includes a potential shortfall and potential step delay in funding transfer which would need to be met.these timing differences are still being understood and the detail emerging. There are other relevant financial pressures which need to be better understood and is currently being modelled to support decision making in Cumbria for example where: The cost of community provision is greater than the equivalent hospital setting a patient is leaving; and Investment in ancillary and enabling services is required to manage patients transition and avoid readmission to hospital. Cumbria County Council and the CCG have reviewed and are considering the learning disability pooled budget arrangements, which are governed by a Section 75 legal agreement, through the joint Commissioning Board. The transforming care agenda is raising concern amongst commissioners and Local Authorities across the country, primarily because of the financial impact of transferring responsibility for commissioning complex packages for people with a learning disability from NHS England Specialist Commissioning to local commissioners. The Quality Assurance is through the Contract Review Groups and the Quality Review Groups and time is limited on otherwise busy agendas. Preparation We (Health & Social Care) need to ensure that the services we have in the community are robust enough, and in the right place at the right time to support patients and provide additional support when needed to prevent future hospital admissions where possible. This will require some initial investment and frontloading of costs in development and future proofing of services. Regulation of new provision will remain the responsibility of the CQC. Resources and Capacity A "workforce that works" the February 2016 report by Sir Stephen Bubb acknowledges there may be difficulties in recruiting and retaining good staff due to the significant financial pressures on health and social care and acknowledges that there is not enough staff in the system currently. The report anticipates an increase of 10,000 staff both managerial and frontline across England by 2020 to meet the up and coming demand in the community. This includes training and development - equipping the workforce for the task and the new way of supporting people in new settings. 8

11 The health commissioning and assurance resource for this agenda in Cumbria needs to be carefully monitored and particularly as the leadership position across health and social care is on an interim basis only. 9

12 Written initially by Janice Horrocks Deputy Director of Mental Health Revised and approved by Helen King For more information contact: Helen King, Director of Nursing & Quality NHS Cumbria Clinical Commissioning Group Lonsdale Unit, Penrith Hospital Bridge Lane, Penrith CA11 8HX Tel: (reception desk)

The state of health care and adult social care in England 2015/16 Care Quality Commission 13 October 2016

The state of health care and adult social care in England 2015/16 Care Quality Commission 13 October 2016 The state of health care and adult social care in England 2015/16 Care Quality Commission 13 October 2016 The annual State of Care report, out today (Thursday 13 October) reports excellent examples of

More information

Data Provision Notice

Data Provision Notice Data Provision Notice Transformation Indicator Return (TIR) Information Asset Owner: Stephen Smith Version: 1.0 Published: 10 January 2018 The Health and Social Care Information Centre is a non-departmental

More information

Northumberland, Tyne and Wear NHS Foundation Trust. Board of Directors Meeting

Northumberland, Tyne and Wear NHS Foundation Trust. Board of Directors Meeting Agenda item 8 iv) Northumberland, Tyne and Wear NHS Foundation Trust Meeting Date: 23 November 2016 Board of Directors Meeting Title and Author of Paper: Delivering the Learning Disability and/or Autism

More information

Northumberland, Tyne and Wear NHS Foundation Trust. Board of Directors Meeting

Northumberland, Tyne and Wear NHS Foundation Trust. Board of Directors Meeting Agenda item 7 iv) Northumberland, Tyne and Wear NHS Foundation Trust Meeting Date: 22 February 2017 Board of Directors Meeting Title and Author of Paper: Safer Staffing Quarter 3 Report (October December,

More information

Our next phase of regulation A more targeted, responsive and collaborative approach

Our next phase of regulation A more targeted, responsive and collaborative approach Consultation Our next phase of regulation A more targeted, responsive and collaborative approach Cross-sector and NHS trusts December 2016 Contents Foreword...3 Introduction...4 1. Regulating new models

More information

Northumberland, Tyne and Wear Sustainability and Transformation Plan (NTW STP)

Northumberland, Tyne and Wear Sustainability and Transformation Plan (NTW STP) Northumberland, Tyne and Wear Sustainability and Transformation Plan (NTW STP) The Northumberland Tyne and Wear STP footprint is a new collaboration covering a total population of 1.5 million residents

More information

Northumberland, Tyne and Wear, and North Durham Draft Sustainability and Transformation Plan A summary

Northumberland, Tyne and Wear, and North Durham Draft Sustainability and Transformation Plan A summary Northumberland, Tyne and Wear, and North Durham Draft Sustainability and Transformation Plan A summary This summary has been prepared to aid understanding of the draft STP technical submission. Copies

More information

Overarching Section 75 Agreement Adults Integrated Health and Social Care Services. Subject. Cabinet Member

Overarching Section 75 Agreement Adults Integrated Health and Social Care Services. Subject. Cabinet Member ACTION TAKEN BY CABINET MEMBER (EXECUTIVE FUNCTION) Subject Cabinet Member Overarching Section 75 Agreement Adults Integrated Health and Social Care Services Cabinet Member for Adults Cabinet Member for

More information

Quality Strategy. CCG Executive, Quality Safety and Risk Committee Approved by Date Issued July Head of Clinical Quality & Patient Safety

Quality Strategy. CCG Executive, Quality Safety and Risk Committee Approved by Date Issued July Head of Clinical Quality & Patient Safety Quality Strategy Document Document Status Equality Impact Assessment Draft None Document Ratified/ CCG Executive, Quality Safety and Risk Committee Approved by Date Issued July 2016 Review Date September

More information

Sussex Transforming Care Partnership Programme Recovery Plan: October 17 th 2017

Sussex Transforming Care Partnership Programme Recovery Plan: October 17 th 2017 Sussex Transforming Care Partnership Programme Recovery Plan: October 17 th 2017 Introduction Sussex Transforming Care Partnership [TCP] was asked to submit a Recovery Plan due to concern that the projected

More information

Methods: Commissioning through Evaluation

Methods: Commissioning through Evaluation Methods: Commissioning through Evaluation NHS England INFORMATION READER BOX Directorate Medical Operations and Information Specialised Commissioning Nursing Trans. & Corp. Ops. Commissioning Strategy

More information

Integrated Performance Committee Assurance Reports, January 2016 and December 2015 Crishni Waring, Chair, IPC Committee

Integrated Performance Committee Assurance Reports, January 2016 and December 2015 Crishni Waring, Chair, IPC Committee EPB53/825 Title of Report: Prepared By: Sponsor: Action Required: Integrated Performance Committee Assurance Reports, January 2016 and December 2015 Crishni Waring, Chair, IPC Committee Gale Hart, Director

More information

BOARD PAPER - NHS ENGLAND

BOARD PAPER - NHS ENGLAND Paper NHSE130904 BOARD PAPER - NHS ENGLAND Title: Implementing the Recommendations of the Government s Response to the Francis Report and its Winterbourne Review Report Clearance: Bill McCarthy, National

More information

Indicators for the Delivery of Safe, Effective and Compassionate Person Centred Service

Indicators for the Delivery of Safe, Effective and Compassionate Person Centred Service Inspections of Mental Health Hospitals and Mental Health Hospitals for People with a Learning Disability Indicators for the Delivery of Safe, Effective and Compassionate Person Centred Service 1 Our Vision,

More information

Strategic Risk Report 12 September 2016

Strategic Risk Report 12 September 2016 Strategic Report September 20 Haringey CCG Register Introduction The Strategic Report (historically known as the Board Assurance Framework) evidences Haringey Clinical Commissioning Group s control over

More information

MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY

MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY Date of Meeting: 25 th January 2018 Agenda No: 7.2 Attachment: 7 Title of Document: Acute Sustainability at Epsom & St Helier University Hospitals NHS

More information

Shaping the best mental health care in Manchester

Shaping the best mental health care in Manchester Clinical Transformation Plans Manchester Shaping the best mental health care in Manchester Meeting the needs of our communities Improving Lives OUR SHARED WAY AHEAD... Clinical Service Transformation in

More information

Surrey Downs Clinical Commissioning Group Governing Body Part 1 Paper Acute Sustainability at Epsom & St Helier University Hospitals NHS Trust

Surrey Downs Clinical Commissioning Group Governing Body Part 1 Paper Acute Sustainability at Epsom & St Helier University Hospitals NHS Trust Surrey Downs Clinical Commissioning Group Governing Body Part 1 Paper Acute Sustainability at Epsom & St Helier University Hospitals NHS Trust 1. Strategic Context 1.1. It has long been recognised that

More information

Knowledge for healthcare: A briefing on the development framework

Knowledge for healthcare: A briefing on the development framework Developing people for health and healthcare Knowledge for healthcare: A briefing on the development framework for NHS library and knowledge services in England 2015-2020 Library and Knowledge Services

More information

CLINICAL AND CARE GOVERNANCE STRATEGY

CLINICAL AND CARE GOVERNANCE STRATEGY CLINICAL AND CARE GOVERNANCE STRATEGY Clinical and Care Governance is the corporate responsibility for the quality of care Date: April 2016 2020 Next Formal Review: April 2020 Draft version: April 2016

More information

Health Board Report SOCIAL SERVICES AND WELL-BEING ACT (WALES) 2014: REVISED REGIONAL IMPLEMENTATION PLAN

Health Board Report SOCIAL SERVICES AND WELL-BEING ACT (WALES) 2014: REVISED REGIONAL IMPLEMENTATION PLAN Agenda Item 3.3 27 JANUARY 2016 Health Board Report SOCIAL SERVICES AND WELL-BEING ACT (WALES) 2014: REVISED REGIONAL IMPLEMENTATION PLAN Executive Lead: Director of Planning & Performance Author: Assistant

More information

CLINICAL STRATEGY IMPLEMENTATION - HEALTH IN YOUR HANDS

CLINICAL STRATEGY IMPLEMENTATION - HEALTH IN YOUR HANDS CLINICAL STRATEGY IMPLEMENTATION - HEALTH IN YOUR HANDS Background People across the UK are living longer and life expectancy in the Borders is the longest in Scotland. The fact of having an increasing

More information

Mental Health Crisis Care: The Five Year Forward View. Steven Reid Consultant Psychiatrist, Psychological Medicine CNWL NHS Foundation Trust

Mental Health Crisis Care: The Five Year Forward View. Steven Reid Consultant Psychiatrist, Psychological Medicine CNWL NHS Foundation Trust Mental Health Crisis Care: The Five Year Forward View Steven Reid Consultant Psychiatrist, Psychological Medicine CNWL NHS Foundation Trust Overview Parity of esteem What are the challenges for people

More information

North School of Pharmacy and Medicines Optimisation Strategic Plan

North School of Pharmacy and Medicines Optimisation Strategic Plan North School of Pharmacy and Medicines Optimisation Strategic Plan 2018-2021 Published 9 February 2018 Professor Christopher Cutts Pharmacy Dean christopher.cutts@hee.nhs.uk HEE North School of Pharmacy

More information

What Next: Action Planning with the CB-NSG and the LD Professional Senate

What Next: Action Planning with the CB-NSG and the LD Professional Senate What Next: Action with the CB-NSG and the LD Professional Senate In this final session of the day, Cally Ward ( Foundation) alongside Crispin Hebron and Sandy Bering (LD Professional Senate) led What Next:

More information

Clinical Commissioning Group Governing Body Paper Summary Sheet For: PUBLIC session PRIVATE session

Clinical Commissioning Group Governing Body Paper Summary Sheet For: PUBLIC session PRIVATE session Clinical Commissioning Group Governing Body Paper Summary Sheet For: PUBLIC session PRIVATE session Date of Meeting: Tuesday 23 September 2014 For: Decision Discussion Noting Agenda Item and title: Author:

More information

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST EXECUTIVE REPORT - CURRENT ISSUES

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST EXECUTIVE REPORT - CURRENT ISSUES THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST EXECUTIVE REPORT - CURRENT ISSUES Agenda item A4(i) 1. Executive Team Particular attention is drawn to: i) Executive arrangements during the period

More information

Plymouth. Local system review report. Background and scope of the local system review. The review team. Health and Wellbeing Board

Plymouth. Local system review report. Background and scope of the local system review. The review team. Health and Wellbeing Board Plymouth Local system review report Health and Wellbeing Board Date of review: 4-8 December 2017 Background and scope of the local system review This review has been carried out following a request from

More information

Quality Accounts: Corroborative Statements from Commissioning Groups. Nottingham NHS Treatment Centre - Corroborative Statement

Quality Accounts: Corroborative Statements from Commissioning Groups. Nottingham NHS Treatment Centre - Corroborative Statement Quality Accounts: Corroborative Statements from Commissioning Groups Quality Accounts are annual reports to the public from providers of NHS healthcare about the quality of services they deliver. The primary

More information

Sponsoring director: Purpose: Decision Assurance For information Disclosable X Non-disclosable

Sponsoring director: Purpose: Decision Assurance For information Disclosable X Non-disclosable TRUST BOARD (Public session) 23 MAY 2018 AGENDA ITEM 10 Report title: Thematic Review of Serious Incidents Report author(s): T Nicholls Acting Director of Clinical Quality & Improvement Sponsoring director:

More information

Mental Health Crisis Care: Barnsley Summary Report

Mental Health Crisis Care: Barnsley Summary Report Mental Health Crisis Care: Barnsley Summary Report Date of local area inspection: 17 & 18 February 2015 Date of publication: June 2015 This inspection was carried out under section 48 of the Health and

More information

Meeting the Needs of a 21st Century Society. Care England Manifesto for the Independent Care Sector (ICS)

Meeting the Needs of a 21st Century Society. Care England Manifesto for the Independent Care Sector (ICS) Meeting the Needs of a 21st Century Society Manifesto for the Independent Care Sector (ICS) Introduction Expectations from citizens have risen. They experience social and health care as a continuum and

More information

FIVE TESTS FOR THE NHS LONG-TERM PLAN

FIVE TESTS FOR THE NHS LONG-TERM PLAN Briefing 10 September 2018 FIVE TESTS FOR THE NHS LONG-TERM PLAN The new NHS long-term plan is a significant opportunity for the health service. It can set out a clear and achievable path for sustaining

More information

Strategic Risk Report 4 July 2016

Strategic Risk Report 4 July 2016 Strategic Report 4 July 20 Haringey CCG Register Introduction The Strategic Report (historically known as the Board Assurance Framework) evidences Haringey Clinical Group s control over the delivery of

More information

GOVERNING BODY MEETING in Public 29 November 2017 Agenda Item 5.4

GOVERNING BODY MEETING in Public 29 November 2017 Agenda Item 5.4 GOVERNING BODY MEETING in Public 29 November 2017 Paper Title Paper Author Jacki Wilkes Associate Director of Commissioning Redesign of adult and older peoples specialist mental health services pre-consultation

More information

PATIENT SAFETY AND QUALITY COMMITTEE TERMS OF REFERENCE

PATIENT SAFETY AND QUALITY COMMITTEE TERMS OF REFERENCE PATIENT SAFETY AND QUALITY COMMITTEE TERMS OF REFERENCE Page 1 DOCUMENT CONTROL SHEET Name of Document: Patient Safety and Quality Committee Terms of Reference Version: 5 File Location / Document Name:

More information

Meeting in Common of the Boards of NHS England and NHS Improvement. 1. This paper updates the NHS England and NHS Improvement Boards on:

Meeting in Common of the Boards of NHS England and NHS Improvement. 1. This paper updates the NHS England and NHS Improvement Boards on: NHS Improvement and NHS England Meeting in Common of the Boards of NHS England and NHS Improvement Meeting Date: Thursday 24 May 2018 Agenda item: 03 Report by: Matthew Swindells, National Director: Operations

More information

NHS and independent ambulance services

NHS and independent ambulance services How CQC regulates: NHS and independent ambulance services Provider handbook March 2015 The Care Quality Commission is the independent regulator of health and adult social care in England. Our purpose We

More information

Norfolk and Suffolk NHS Foundation Trust mental health services in Norfolk

Norfolk and Suffolk NHS Foundation Trust mental health services in Norfolk Norfolk Health Overview and Scrutiny Committee 7 December 2017 Item no 6 Norfolk and Suffolk NHS Foundation Trust mental health services in Norfolk Suggested approach by Maureen Orr, Democratic Support

More information

Mental health and crisis care. Background

Mental health and crisis care. Background briefing February 2014 Issue 270 Mental health and crisis care Key points The Concordat is a joint statement, written and agreed by its signatories, that describes what people experiencing a mental health

More information

Inpatient and Community Mental Health Patient Surveys Report written by:

Inpatient and Community Mental Health Patient Surveys Report written by: 2.2 Report to: Board of Directors Date of Meeting: 30 September 2014 Section: Patient Experience and Quality Report title: Inpatient and Community Mental Health Patient Surveys Report written by: Jane

More information

Collaboration & Prevention Exploring new models of care in tertiary mental health. Colin Martin Chief Executive

Collaboration & Prevention Exploring new models of care in tertiary mental health. Colin Martin Chief Executive Collaboration & Prevention Exploring new models of care in tertiary mental health Colin Martin Chief Executive Scope of Presentation New Care Model Pilot Accountable Care Partnership Director of Finance

More information

NHS Bradford Districts CCG Commissioning Intentions 2016/17

NHS Bradford Districts CCG Commissioning Intentions 2016/17 NHS Bradford Districts CCG Commissioning Intentions 2016/17 Introduction This document sets out the high level commissioning intentions of NHS Bradford Districts Clinical Commissioning Group (BDCCG) for

More information

Monitoring the Mental Health Act

Monitoring the Mental Health Act SUMMARY Monitoring the Mental Health Act in 2014/15 There are 57 mental health NHS trusts and 86 independent mental health hospitals registered with CQC. Throughout the year we visit these services to

More information

JOB DESCRIPTION. Joint Commissioning Manager for Older People s Residential Care and Nursing Homes

JOB DESCRIPTION. Joint Commissioning Manager for Older People s Residential Care and Nursing Homes JOB DESCRIPTION Job Title: Grade: Team: Accountable to: Joint Commissioning Manager for Older People s Residential Care and Nursing Homes HAY 14 / AfC 8b (indicative) Partnership Commissioning Team Head

More information

4 CM/02/18/04. Chief Executive s report to the Board David Behan, Chief Executive Kate Eisenstein, Special Policy Advisor to the Chief Executive

4 CM/02/18/04. Chief Executive s report to the Board David Behan, Chief Executive Kate Eisenstein, Special Policy Advisor to the Chief Executive Meeting PUBLIC BOARD MEETING Date 21 February 2018 Agenda item Paper Number 4 CM/02/18/04 Item title Sponsor Author Chief Executive s report to the Board David Behan, Chief Executive Kate Eisenstein, Special

More information

Time to listen In care homes. Dignity and nutrition inspection programme 2012 Summary

Time to listen In care homes. Dignity and nutrition inspection programme 2012 Summary Time to listen In care homes Dignity and nutrition inspection programme 2012 Summary March 2013 Where our inspectors found problems, there were some common failings. Many of these issues arise from cultures

More information

Northumberland, Tyne and Wear NHS Foundation Trust. Board of Directors Meeting. Meeting Date: 25 October Executive Lead: Rajesh Nadkarni

Northumberland, Tyne and Wear NHS Foundation Trust. Board of Directors Meeting. Meeting Date: 25 October Executive Lead: Rajesh Nadkarni Agenda item 9 ii) Northumberland, Tyne and Wear NHS Foundation Trust Board of Directors Meeting Meeting Date: 25 October 2017 Title and Author of Paper: Clinical Effectiveness (CE) Strategy update Simon

More information

South Yorkshire and Bassetlaw Accountable Care System Chief Executives

South Yorkshire and Bassetlaw Accountable Care System Chief Executives South Yorkshire and Bassetlaw Accountable Care System PMO Office: 722 Prince of Wales Road Sheffield S9 4EU 0114 305 4487 23 June 2017 Letter to: South Yorkshire and Bassetlaw Accountable Care System Chief

More information

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST. Board Paper - Cover Sheet

THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST. Board Paper - Cover Sheet THE NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST Board Paper - Cover Sheet Date 19 th December 2017 Lead Director Report Title Nursing & Midwifery Staffing Three- Monthly Summary Nursing & Patient

More information

Integrating Health & Social Care in Kirklees

Integrating Health & Social Care in Kirklees Integrating Health & Social Care in Kirklees The case for change DRAFT v3.1 June 2017 Integrated Commissioning - Building on Existing Approaches Some example Children s services Mental health Hospital

More information

Learning from Deaths Policy. This policy applies Trust wide

Learning from Deaths Policy. This policy applies Trust wide Learning from Deaths Policy This policy applies Trust wide Document control page Name of policy Learning from Deaths Policy Names of linked Learning from Deaths Procedure procedures Accountable Medical

More information

NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING CASE FOR CHANGE - CLINICAL SERVICES REVIEW

NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING CASE FOR CHANGE - CLINICAL SERVICES REVIEW NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING CASE FOR CHANGE - CLINICAL SERVICES REVIEW Date of the meeting 19/03/2014 Author Sponsoring Board Member Purpose of Report Recommendation

More information

North Bristol NHS Trust

North Bristol NHS Trust North Bristol NHS Trust Child and adolescentent mental health wards Quality Report Riverside Unit, Blackberry Hill Hospital, Manor Road, Fishponds, Bristol, BS16 2EW Tel: 0117 970 1212 Date of inspection

More information

Quality Framework Supplemental

Quality Framework Supplemental Quality Framework 2013-2018 Supplemental Staffordshire and Stoke on Trent Partnership Trust Quality Framework 2013-2018 Supplemental Robin Sasaru, Quality Team Manager Simon Kent, Quality Team Manager

More information

A new mindset: the Five Year Forward View for mental health

A new mindset: the Five Year Forward View for mental health A new mindset: the Five Year Forward View for mental health Paul Farmer Chief Executive mind.org.uk Five Year Forward View for Mental Health Simon Stevens: Putting mental and physical health on an equal

More information

Buckinghamshire, Oxfordshire and Berkshire West Sustainability and Transformation Plan (BOB STP)

Buckinghamshire, Oxfordshire and Berkshire West Sustainability and Transformation Plan (BOB STP) Buckinghamshire, Oxfordshire and Berkshire West Sustainability and Transformation Plan (BOB STP) Q. What is a Sustainability and Transformation Plan? A. The NHS and local authorities across Buckinghamshire,

More information

DRAFT CONTINUING HEALTHCARE (CHC) CHOICE & EQUITY POLICY. Version 2

DRAFT CONTINUING HEALTHCARE (CHC) CHOICE & EQUITY POLICY. Version 2 DRAFT CONTINUING HEALTHCARE (CHC) CHOICE & EQUITY POLICY Version 2 1 Subject and version number of document: Continuing Healthcare (CHC) and Funded Nursing Care (FNC) Choice and Equity Policy Serial number:

More information

Aintree University Hospital NHS Foundation Trust Corporate Strategy

Aintree University Hospital NHS Foundation Trust Corporate Strategy Aintree University Hospital NHS Foundation Trust Corporate Strategy 2015 2020 Aintree University Hospital NHS Foundation Trust 1 SECTION ONE: BACKGROUND AND CONTEXT 1 Introduction Aintree University Hospital

More information

PARTNERSHIP AGREEMENTS FOR THE COMMISSIONING OF HEALTH, WELLBEING AND SOCIAL CARE SERVICES

PARTNERSHIP AGREEMENTS FOR THE COMMISSIONING OF HEALTH, WELLBEING AND SOCIAL CARE SERVICES PARTNERSHIP AGREEMENTS FOR THE COMMISSIONING OF HEALTH, WELLBEING AND SOCIAL CARE SERVICES 1. EXECUTIVE SUMMARY Commissioning is the process used by local authorities and NHS bodies to arrange services

More information

Quality Strategy and Improvement Plan

Quality Strategy and Improvement Plan Quality Strategy and Improvement Plan 2015-2018 STRATEGY DOCUMENT DETAILS Status: FINAL Originating Date: October 2015 Date Ratified: Next Review Date: April 2018 Accountable Director: Strategy Authors:

More information

Five Reconfiguration Tests Self-assessment (Path to Excellence Phase 1a)

Five Reconfiguration Tests Self-assessment (Path to Excellence Phase 1a) Appendix 5.2: Five Reconfiguration Tests Self-assessment (Path to Excellence Phase 1a) Version 1.0 March, 2017 Draft to be updated post-consultation to inform final decision Five tests self-assessment

More information

QUALITY STRATEGY

QUALITY STRATEGY NHS Nene and NHS Corby Clinical Commissioning Groups QUALITY STRATEGY 2017-2021 Approved: By the Joint Quality Committee on 11 April 2017 Ratified: By the NHS Corby Clinical Commissioning Group on 25 April

More information

Healthy London Partnership. Transforming London s health and care together

Healthy London Partnership. Transforming London s health and care together Healthy London Partnership Transforming London s health and care together London-wide transformation In 2014, two publications set out London s transformation priorities NHS Five Year Forward View Better

More information

Dave and Paul. NEMHDU contact details. Happy New Year and welcome to our first Newsletter of 2013.

Dave and Paul. NEMHDU contact details. Happy New Year and welcome to our first Newsletter of 2013. Happy New Year and welcome to our first Newsletter of 2013. Since setting up the Social Enterprise in December 2011, our first year has seen us involved in a wealth of projects with a wide range of stakeholders.

More information

Sustainability and transformation plan (STP)

Sustainability and transformation plan (STP) Sustainability and transformation plan (STP) David Bowen-Cassie, Harrow CCG Alex Dewsnap, London Borough of Harrow Sanjay Dighe, Lay Member, Harrow CCG About Harrow A population of more than 239,000 people

More information

Specialised Commissioning Oversight Group. Terms of Reference

Specialised Commissioning Oversight Group. Terms of Reference Specialised Commissioning Oversight Group Terms of Reference Specialised commissioning oversight group terms of reference 1 1.1 Purpose NHS England is responsible for commissioning specialised services

More information

by the NHS, for the NHS

by the NHS, for the NHS n Photo: Shutterstock.com Interim Management and Support by the NHS, for the NHS About us went above and beyond The pool member fulfilled the scope and it. They did a fantastic job. It was a difficult

More information

South Yorkshire & Bassetlaw Health and Care Working Together Partnership

South Yorkshire & Bassetlaw Health and Care Working Together Partnership South Yorkshire & Bassetlaw Health and Care Working Together Partnership Memorandum of Understanding Agreement Final Draft June 2017 1 Title Drafting coordinator Target Audience Version V 0.3 Memorandum

More information

Associate Director of Patient Safety and Quality on behalf of the Director of Nursing and Clinical Governance

Associate Director of Patient Safety and Quality on behalf of the Director of Nursing and Clinical Governance APPENDIX 5 BOARD OF DIRECTORS 18 JUNE 2014 Report to: Report from: Subject: Board of Directors Associate Director of Patient Safety and Quality on behalf of the Director of Nursing and Clinical Governance

More information

Mid and South Essex Success Regime Overview and next steps. Andy Vowles, Programme Director. 18 April 2016

Mid and South Essex Success Regime Overview and next steps. Andy Vowles, Programme Director. 18 April 2016 Mid and South Essex Success Regime Overview and next steps Andy Vowles, Programme Director 18 April 2016 What s in this briefing Part 1 overview Background to the Success Regime Action to date The challenge

More information

2. This year the LDP has three elements, which are underpinned by finance and workforce planning.

2. This year the LDP has three elements, which are underpinned by finance and workforce planning. Directorate for Health Performance and Delivery NHSScotland Chief Operating Officer John Connaghan T: 0131-244 3480 E: john.connaghan@scotland.gsi.gov.uk John Burns Chief Executive NHS Ayrshire and Arran

More information

DRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8

DRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8 DRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8 West London Clinical Commissioning Group This document sets out a clear set of plans and priorities for 2017/18 reflecting West London CCGs ambition

More information

Agreement between: Care Quality Commission and NHS Commissioning Board

Agreement between: Care Quality Commission and NHS Commissioning Board Agreement between: Care Quality Commission and NHS Commissioning Board January 2013 1 Joint Statement This agreement sets out the strategic intent and commitment for the Care Quality Commission (CQC) and

More information

Bristol CCG North Somerset CGG South Gloucestershire CCG. Draft Commissioning Intentions for 2017/2018 and 2018/2019

Bristol CCG North Somerset CGG South Gloucestershire CCG. Draft Commissioning Intentions for 2017/2018 and 2018/2019 Bristol CCG North Somerset CGG South Gloucestershire CCG Draft Commissioning Intentions for 2017/2018 and 2018/2019 Programme Area Key intention Primary and community care Sustainable primary care Implement

More information

CCG authorisation: the role of medicines management

CCG authorisation: the role of medicines management May 2012 The NHS medicines bill for 2010 was 12.9 billion, of which secondary care costs accounted for 32%. Prescribing inflation in 2010 ran at 4.8% and it is estimated that around 14% of total CCG budgets

More information

Early Intervention in Psychosis Preparedness in the North of England

Early Intervention in Psychosis Preparedness in the North of England Early Intervention in Psychosis Preparedness in the North of England Moggie McGowan Early Intervention in Psychosis Clinical Lead (Yorkshire & The Humber) NHS England (North) stephen.mcgowan@swyt.nhs.uk

More information

Personalised Health and Care 2020: Next steps

Personalised Health and Care 2020: Next steps Personalised Health and Care 2020: Next steps Paul Rice PhD Head of Technology Strategy NHS England www.england.nhs.uk Better use of data and technology has the power to improve health, transforming

More information

Manchester Health and Care Commissioning Board. A partnership between Manchester. City Council and NHS Manchester Clinical Commissioning Group

Manchester Health and Care Commissioning Board. A partnership between Manchester. City Council and NHS Manchester Clinical Commissioning Group Manchester Health and Care Commissioning Board A partnership between Manchester City Council and NHS Manchester Clinical Commissioning Group Agenda Item: Report Title: Date: Strategic Commissioning Prepared

More information

You said We did. Care Closer to home Acute and Community Care services. Commissioning Intentions Engagement for 2017/18

You said We did. Care Closer to home Acute and Community Care services. Commissioning Intentions Engagement for 2017/18 Commissioning Intentions Engagement for 2017/18 You said We did Care Closer to home Acute and Community Care services Top three priorities were: Shifting hospital services into the community Community

More information

21 March NHS Providers ON THE DAY BRIEFING Page 1

21 March NHS Providers ON THE DAY BRIEFING Page 1 21 March 2018 NHS Providers ON THE DAY BRIEFING Page 1 2016-17 (Revised) 2017-18 (Revised) 2018-19 2019-20 (Indicative budget) 2020-21 (Indicative budget) Total revenue budget ( m) 106,528 110,002 114,269

More information

DUDLEY CLINICAL COMMISSIONING GROUP BOARD

DUDLEY CLINICAL COMMISSIONING GROUP BOARD DUDLEY CLINICAL COMMISSIONING GROUP BOARD Date of Board: 14 July 2016 Report: Sustainability and Transformation Plan (STP) Agenda item No: 7.3 TITLE OF REPORT: PURPOSE OF REPORT: AUTHOR OF REPORT: MANAGEMENT

More information

Care and Treatment Review: Policy and Guidance

Care and Treatment Review: Policy and Guidance Care and Treatment Review: Policy and Guidance With policy and guidance on Care, Education and Treatment Reviews for children and young people Easy Read Version 2017 1 Contents Foreword from Gavin Harding...

More information

Independent Investigation Action Plan for Mr L STEIS Ref No: 2014/7319. Report published: NHE to complete

Independent Investigation Action Plan for Mr L STEIS Ref No: 2014/7319. Report published: NHE to complete Independent Investigation Action Plan for Mr L STEIS Ref No: 2014/7319 Statement from Oxleas NHS Foundation Trust The Trust would like to offer sincere condolenses to the family and friends of Mr Parsons.

More information

Emergency admissions to hospital: managing the demand

Emergency admissions to hospital: managing the demand Report by the Comptroller and Auditor General Department of Health Emergency admissions to hospital: managing the demand HC 739 SESSION 2013-14 31 OCTOBER 2013 4 Key facts Emergency admissions to hospital:

More information

Transforming health and social care in South Nottinghamshire. Jane Laughton Transformation Associate South Nottinghamshire Transformation Programme

Transforming health and social care in South Nottinghamshire. Jane Laughton Transformation Associate South Nottinghamshire Transformation Programme Transforming health and social care in South Nottinghamshire Jane Laughton Transformation Associate South Nottinghamshire Transformation Programme National case for change 1 July 2013 - A Call to Action:

More information

Improving Mental Health Services in Bath & North East Somerset

Improving Mental Health Services in Bath & North East Somerset Improving Mental Health Services in Bath & North East Somerset Andy Sylvester Executive Director of Operations Welcome & Introductions Housekeeping Format of the day Presentations Questions and answers

More information

Cambridgeshire and Peterborough Sustainability and Transformation Plan / Fit for the Future Programme. Frequently Asked Questions Second Edition

Cambridgeshire and Peterborough Sustainability and Transformation Plan / Fit for the Future Programme. Frequently Asked Questions Second Edition Cambridgeshire and Peterborough Sustainability and Transformation Plan / Fit for the Future Programme Frequently Asked Questions Second Edition Contents Introduction to the Sustainability and Transformation

More information

Clinical Commissioning Group (CCG) Governing Body Meeting

Clinical Commissioning Group (CCG) Governing Body Meeting Clinical Commissioning Group (CCG) Governing Body Meeting Date of Meeting: Agenda Item: Subject: Reporting Officer: Friday 21st September Paper 18(ii) Quality in the new health system - Maintaining and

More information

Health and Social Care Select Committee report Integrated care: organisations, partnerships and systems

Health and Social Care Select Committee report Integrated care: organisations, partnerships and systems 11 June 2018 Health and Social Care Select Committee report Integrated care: organisations, partnerships and systems The Health and Social Care Select Committee (the Committee) has published the report

More information

Summary two year operating plan 2017/18

Summary two year operating plan 2017/18 One Trust - serving our local communities Summary two year operating plan 2017/18 & 2018/19 www.lewishamandgreenwich.nhs.uk Summary two year operating plan: 2017/18 and 2018/19 1. Introduction This summary

More information

Governance and Quality Committee Review. Wendy Pugh Director of Operations and Nursing. Innovation Tom Jinks - Governance Manager.

Governance and Quality Committee Review. Wendy Pugh Director of Operations and Nursing. Innovation Tom Jinks - Governance Manager. Board meeting date: 29 th May 2013 Agenda Item number:10.1 Enclosure:5 Title and Quality Committee Review Accountable Director: Author (name & title): Wendy Pugh Director of Operations and Nursing Rosie

More information

Sussex and East Surrey STP narrative

Sussex and East Surrey STP narrative Sussex and East Surrey STP narrative What is the STP? The Sussex and East Surrey Sustainability and Transformation Partnership (STP) outlines how the NHS and social care will work together to improve and

More information

Mental Health Crisis Care

Mental Health Crisis Care Mental Health Crisis Care Programme Overview for 2015/16 Bobby Pratap, Project Manager, Mental Health Crisis Care, NHS England Mental Health Clinical Policy & Strategy Purpose, aims and context The Government

More information

Mental Health Crisis Pathway Analysis

Mental Health Crisis Pathway Analysis Mental Health Crisis Pathway Analysis Contents Data sources Executive summary Mental health benchmarking project (Provider) Access Referrals Caseload Activity Workforce Finance Quality Urgent care benchmarking

More information

Joint Committee of Clinical Commissioning Groups. Meeting held 21 February 2017, 9:30 11:30 am, Barnsley CCG Decision Summary for CCG Boards

Joint Committee of Clinical Commissioning Groups. Meeting held 21 February 2017, 9:30 11:30 am, Barnsley CCG Decision Summary for CCG Boards Paper A Joint Committee of Clinical Commissioning Groups Meeting held 21 February 2017, 9:30 11:30 am, Barnsley CCG Decision Summary for CCG Boards 1 Minutes of the Joint Committee of Clinical Commissioning

More information

High level guidance to support a shared view of quality in general practice

High level guidance to support a shared view of quality in general practice Regulation of General Practice Programme Board High level guidance to support a shared view of quality in general practice March 2018 Publications Gateway Reference: 07811 This document was produced with

More information

The Local Health Economy : Understanding Finance in the NHS

The Local Health Economy : Understanding Finance in the NHS The Local Health Economy : Understanding Finance in the NHS Connaught Hall, Attleborough 20 May 2015 Ann Donkin, Accountable Officer Introduction to NHS Finance Complex to describe, both internally and

More information

CONTINUING HEALTHCARE (CHC) CHOICE & EQUITY POLICY

CONTINUING HEALTHCARE (CHC) CHOICE & EQUITY POLICY CONTINUING HEALTHCARE (CHC) CHOICE & EQUITY POLICY Ref: Version: Supersedes: Author (inc Job Title): Ratified by: (Name of responsible Committee) Date ratified: To be completed by Corporate Team To be

More information

Welcome to. Northern England and the Five Year Forward View for Mental Health. Thursday 2 February 2017 at the Radisson Blu, Durham

Welcome to. Northern England and the Five Year Forward View for Mental Health. Thursday 2 February 2017 at the Radisson Blu, Durham Welcome to. Northern England and the Five Year Forward View for Mental Health Thursday 2 February 2017 at the Radisson Blu, Durham Introductions Chairs: Catherine Haigh, Chair of North East together and

More information