8th November 2007 NORTH EAST LINCOLNSHIRE Care Trust Plus MAKING A DIFFERENCE Jane Lewington, Chief...
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Transcript of 8th November 2007 NORTH EAST LINCOLNSHIRE Care Trust Plus MAKING A DIFFERENCE Jane Lewington, Chief...
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
8th November 2007
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