Urgent and

Emergency Care

VanguardChris Dowse, Chief Officer

North Kirklees CCG

Chair – West Yorkshire Urgent and Emergency Care Network

Dr Philip Foster, Associate Medical Director

Yorkshire Ambulance Service

Healthy Futures: WY UEC

Network

Implementing Keogh recommendations: Building on work done so far

• Phase 2 stocktake underway

• Specialist emergency services: 6 acutes

• Enhanced general practice developments: impact on OOH contract

• Regional support for network

Healthy Futures: WY UEC

Network Ambition

• Health and social care in the right place, first time, every time

• Further and faster through the vanguard

West Yorkshire & Harrogate CCGs

Airedale, Wharfedale & Craven CCGBradford City CCG

Bradford Districts CCGCalderdale CCG

Harrogate & Rural Districts CCGGreater Huddersfield CCG

Leeds North CCGLeeds West CCG

Leeds South & East CCGNorth Kirklees CCG

Wakefield CCG

KEY

Total population of the areas covered: Approximately 3 Million

West Yorkshire Urgent and

Emergency Care Vanguard

West Yorkshire Urgent and Emergency

Care Vanguard Strategic Partners

Local Themes

Systems Leadership Hear, See and Treat

Mental Health

Acute Reconfiguration

Health Care Record

Engagement and Consultation

Academic Health Science Network

Enablers Workstreams

New Payment Models

New Payment Models

Primary Care Workforce

System Leadership (1)• Build on and strengthen system wide leadership

already in place to enable us to bring about change at pace and scale. We need to develop ways of making decisions together quickly. We will design governance and accountability arrangements around the Network and SRGs.

• Join up the separate elements of the urgent and emergency care system. We will be supported to use a ‘systems thinking approach’ by Yorkshire and Humber Academic Health Science Network.

Enablers

System Leadership (2)• Accelerate change by learning from our Prime

Minister’s Challenge Fund and Vanguard sites, particularly in primary care and care homes, as well as scaling up local innovation.

• Test out how we can use our existing workforce in a more creative and agile way across organisations and services within our system, recognising workforce and skills shift as one of the biggest challenges.

Enablers

Engagement & Consultation

With HealthWatch - Programme of work to understand the self-

care behaviours and choices made by people in the differing populations across West Yorkshire, recognising the potential system wide impact of developing new ways to offer urgent care closer to home. E.g. using pharmacists differently; engaging specifically with young people to understand their view and use of urgent and emergency care services.

Enablers

Academic Health Science

Network• Managing our information and intelligence

• Creating real time, regional dashboard

• Providing support and advice on health economics and modelling

• Securing and overseeing local evaluation

• Support to SRGs

Enablers

Workforce

• Workstreams to consider workforce challenges and develop sustainable workforce solutions for urgent and emergency care services.

• Network to consider options and agree approaches across system.

Enablers

Workstream: Hear, See &

TreatLead - Yorkshire Ambulance Service

Accelerate the pace at which Yorkshire Ambulance Service - as the single provider of 999 and NHS 111 services in West Yorkshire – is recognised by patients as a mobile treatment service rather than conveyance to hospital. Yorkshire Ambulance Service has a vital role to play in leading the delivery of a number of the high impact actions that will transform the way urgent and emergency care is delivered.

Workstream

Workstream: Mental Health

Lead - Bradford District Care NHS FTBuild on an existing programme of work through the Mental Health Crisis Concordat to understand in detail the flow of patients with urgent / emergency mental health need recognising this cohort of patients touch all points of our urgent and emergency care system including social services and police.

Develop a comprehensive approach to managing mental health crisis responses in a way that reduces demand on Police, ambulance and acute sector and provides timely and local interventions that reduce serious incidents and harm

Workstream

Workstream: Acute Service

Reconfiguration Hospital Chains: Improve quality of specialised emergency services across West Yorkshire adopting a networked/ hospital chains approach.

SRGs: Emergency Departments – prompt, senior decision making; 7 day working for interdependent services; service reconfigurations to adopt Royal Colleges’ guidelines and make best use of scarce, specialist workforce. Maximise potential of the role of Paramedics and Allied Health Professionals.

Workstream

Workstream: Intelligence &

Technology

Lead – Leeds North CCGBring together patient information / clinical systems and our data collection systems so we have real intelligence about what is happening to individual patients and at a service level across the whole system. We want patients to know that vital information about their medical history and health needs can be shared easily to support their care. We will develop and implement a real time dashboard and the West Yorkshire Care Record.

Workstream

Workstream: New Payment

Models

The Vanguard will be examining a three-part payment approach for urgent and emergency care – taking in fixed core, outcome and performance linked and volume-based payments.

Workstream

Challenges

• Relationships

• Maintaining momentum

• Early successes

• Regional v local ambitions

• Network: today/ ‘winter’ v tomorrow/ Vanguard

Chris Dowse

Chief Officer

Urgent and Emergency Care Network Chair