Our plan for Brent residents to live well and be well · Delivery Area 5: Ensuring we have safe, high quality sustainable acute services The area around Park Royal is changing with

Our plan for Brent residents

to live well and be wellBrent Sustainability and Transformation Plan

A joint event with Brent Council and NHS Brent CCG

Agenda

6.30pm Welcome Cllr Krupesh Hirani

6.40pm Why do we need to work together/why do things

differently?

Carolyn Downs

6.50pm Brent STP overview Phil Porter and

Rob Larkman

7.05pm Q&A The Panel

7.30pm Workshops

- Radically upgrading prevention and wellbeing

- Eliminating unwanted variation and improving LTC management

- Achieving better outcomes for older people

- Achieving better outcomes for children and adults with mental

health needs

- Ensuring we have safe, high quality sustainable acute services

Various

8.30pm Close and summary Dr Ethie Kong

Cllr Krupesh HiraniLead Member for Community Wellbeing, Brent Council

The NHS and councils across North West

London are working together to provide a

better health and care system for our two

million residents

We want your views on how we do this…

Carolyn Downs Chief Executive, Brent Council

Why do we need to work together?

We need to change to meet new challenges as:

• More people are living longer and, as a

result, have more complex health and care

needs

• Both NHS and social care budgets do not

meet demand

• Too many people are receiving care in the

wrong place at the wrong time which can

mean a poor and more expensive service

Mind the gaps

Main focus on how as a whole system we close the three main gaps together:

Health and wellbeing gap Care and quality gap Finance and efficiency

gap

Smoking, drinking, obesity,

equalities, self-care, personal

budgets, healthier staff……..

GPs – access and quality, out

of hours, out of hospital,

cancer waits, 7 day

services……

Efficiency improvements,

address demand growth,

unwarranted variation, reduce

agency staff……

The North West London approach

North West London

The North West London approach

• The Leadership team

Rob Larkman

Chief Officer, BHH

CCGs

Dr Tracey

BattenChief Executive,

Imperial College

Healthcare NHS

Trust

Mohini Parmar

Chair, Ealing CCG

and STP system

leader

Carolyn Downs

Chief Executive,

Brent Council

Clare Parker

Chief Officer,

CWHHE CCGs

The North West London approach• Keep people as healthy as possible, rather than

just reacting when they become ill

• Provide the services, information and support so our residents can stay as healthy as possible

• Regular users of health and social care should get as much support as possible in their own home, and the help and expert advice they need to avoid problems becoming a crisis

• Trips to hospital should be absolutely necessary and planned, returning home quickly and safely, with the right support and follow-up in place.

Five North West London delivery areas

Radically upgrading prevention and wellbeing

Eliminating unwanted variation and improving LTC management

Achieving better outcomes for older people

Achieving better outcomes for children and adults with mental health needs

Ensuring we have safe, high quality sustainable acute services

Governance

• NWL Strategic Planning Group (SPG)

• NWL Joint Transformation Board

• Brent Health and Wellbeing Board

• Brent STP Delivery Board

A good plan will attract transformation

funding from NHS England

Phil Porter Strategic Director Community Wellbeing, Brent Council

Rob Larkman Chief Operating Officer,

NHS Brent, Harrow, Hillingdon

Clinical Commissioning Group

Closing the gaps in Brent

– clarifying what it means for Brent?

• 5 NWL Delivery Areas

• Reviewing existing evidence and information

• Aligning a range of activities

• Creating a focus for transformation in 16/17 – ‘big

ticket items’

Closing the gaps

– what does it mean for Brent?Delivery Area 1: Radically upgrading prevention and wellbeing

• High rates of alcohol related admissions

• Falling numbers of quitters

• 1 in 5 people have a long term condition

Alcohol: screening & brief intervention in primary

& secondary care

Smoking: harm minimisation, and improved offer

of support in mental health settings

Self care: PAM (patient activation measure) and a

bid to DPP (diabetes prevention programme)

• Make Every Contact Count (MECC)

• Healthy workplaces

• Tackle social isolation (SIBI)

• Provide self-care through joined-up care

programmes

Closing the gaps

– what does it mean for Brent?Delivery Area 2: Eliminating unwanted variation and improving LTC

management

• Brent is in the worst quartile nationally in terms

of people with a long-term condition feeling

supported to manage their condition, and there

is a wide variation in GP performance

• Brent is in the worst quartile nationally for patient

experience of GP services.

New Models of Care -

Integrated long term condition

management

• Whole Systems Integrated Care

• A consistent offer and improved access from

primary care

Closing the gaps

– what does it mean for Brent?Delivery Area 3: Achieving better outcomes for older people

• 35% of all emergency admissions are for people

aged 65 and over; once admitted this group stays

in hospital longer, using 55% of all bed days.

• Brent has one of the highest percentages of deaths

taking place in hospital in the country.

Developing joined up frailty services.

• One borough responsible for all NWL hospital

discharges at NWP

• Integrated commissioning residential and nursing

care

• Integrated Rehabilitation and Reablement Services

Closing the gaps

– what does it mean for Brent?Delivery Area 4: Achieving better outcomes for children and adults with mental health needs

• People with serious and long term mental health

needs have a life expectancy 20 years less than

the average.

Implementing a recovery pathway (integrating

health, social care, housing and employment) from

secondary services so people can live independent

lives

Promoting, protecting & improving our children and

young people’s mental health and wellbeing

• Joining up primary care, employment and

housing for people with common mental

illnesses in the WLA employment trailblazer

• Make Brent a Dementia friendly borough

• CAMHS local transformation plan

Closing the gaps

– what does it mean for Brent?Delivery Area 5: Ensuring we have safe, high quality sustainable acute services

The area around Park Royal is changing with

growth in housing and extra care facilities which

is generating demand for health and care

services. The CMH site is under utilised and

could provide an ideal location.

Developing a health and well being centre around

a redeveloped CMH, and extra care and nursing

facilities to improve services and quality of life

whilst responding to the growing demand and

changing demography of the borough.One Public Estate bid

CCG strategic estates strategy – 3 community

hubs; Wembley, Willesden and CMH

Questions for the Panel?

Questions:

- Is there anything we’ve missed in our priorities?

- What would you prioritise to make care better?

- What three things need to change for this plan to be successful?

Workshops

Workshop areas:

• Radically upgrading prevention and wellbeing

• Eliminating unwanted variation and improving LTC

management

• Achieving better outcomes for older people

• Achieving better outcomes for children and adults with mental

health needs

• Ensuring we have safe, high quality sustainable acute services

Workshops

Dr Ethie Kong Chair,

NHS Brent Clinical Commissioning Group

Next steps

• STP will be submitted on 21 October, 2016

• You said - we did on the website

• Email feedback to attendees

• You can still give your views online -https://healthiernwlondon.commonplace.is/?utm_campaign=engagement

Summary and close

Many thanks for coming!