Healthy Lives Healthy Futures Programme Update NLAG Trust

Healthy Lives, Healthy Futures Programme Update NLAG Trust Board 30 th June 2015

Progress Update June 2015 • Developing an integrated Quality and Outcomes Framework – work to link programme key performance indicators to the framework has begun • Developed a draft clinical Memorandum of Understanding that has been shared with lead clinicians/professionals with the aim of gaining organisational sign off • Developed a draft “Local Operating Framework” which describes how an enhanced out of hospital model could work • Agreed to develop local (NL/NEL) models for out of hospital care and run pilot/proof of concept sites from October 2015 • Committed to a workforce engagement programme starting in July

Where we are now Years 0: 2013 -15 preparing the ground through engagement Hyper Acute Stroke services Ear Nose and Throat Inpatient Surgery services Years 1 -2: 2015 -17 laying the foundations Transform current services Use new technologies Build new and improved ways of working Years 3 -5: 2017 -20 building for the future Sustainable integrated health and adult social care services

Drawing on National Quality Outcome Indicators NHS Outcomes Framework Matched Indicators Common Indicators Public Health Outcomes Framework Matched Indicators Adult Social Care Outcomes Framework

Integrated Quality and Outcomes Framework • Supported self management • Promoting and supporting independence • Access to responsive, integrated care • Service specifics • Activity in the right setting • Incentivised system • Value for money • Affordable care Improving Quality and Outcomes for People Improving User and Carer Experience Securing financial sustainability Improving infrastructure • Safe and positive experience of services • Engagement and involvement In all aspects of their care • Choice of care setting • quality of life • Estate and facilities • IM&T; • Workforce for the future

HLHF 2015/16 List of Schemes by lead organisation North Lincs CCG North East Lincs CCG Advanced Care Home Liaison Community Care Service (NL) (NEL) Carers Support (NL) Chronic Wound (NL) Diabetes (Super 6) (NL) Discharge to Assess (NL) NLAG Ambulatory Care Service (NL) Frail and Elderly Assessment Unit - Respiratory with Integrated Phase 2 Discharge (NL) Goole HLHF Stroke - Phase 2 Campus Goole HLHF Elective Goole HLHF Medicine Inpt beds Assisted Living Centre (NEL) Breast Service Extra Care Housing Review Frequent Service Cardiology CDCU Users (DPo. W) Cardiology Review GP Front Ending Goole HLHF - MIU Phase 2 Single Point of Haematology/Onco Independent Living Access (H&SC) Children's Surgery logy Review Service (NL) Phase 2 Support into Nursing Critical Care Strategy Integrated Locality LTC Model (NL) and residential Care - Phase 1 Teams (NL) Homes Out of hospital Dermatology (NEL & Max Fax Service model Outpatients Model NL) Review Older People's Mental Health Liaison (NL) Outpatients Model End of Life Service Out of hospital model Endoscopy Ophthalmology ENT Centralisation RATL (Rapid Assessment Time Limited) North Lincs Council Navigo RDa. SH 7 Day Hospital Older People's Home from Home Social Work Team Mental Health (Grimsby) (NL) Liaison (NL) Well Being Hubs (NL)

Long Term Vision for Out of Hospital Integration (Hubs) as the first order of transformation Co ce en nti n als and Hospit mes o Care H r re Ca Rap Resp id onse Dr u Al g a se coh nd r vic ol es ab an lem ab d R en lem e- t en t En y Da ort pp Su try Podia Access Pr r im e Community g tion ) ar Pr n So y, o ei even care b cia Co vi ll , pr self l a mm de e nd u rs W otion rted VS nit y m o ro upp p ( s & int and Care ation i b lit Reha f Life End o Care Supp o Indep rt for ende e and nc Isola tion f to Ou urs Ho ly mi Co Po Accountable for outcomes and funding across all settings in and outside the ‘Hub’ Single HOW MIGHT IT WORK Fa Well-being, Planned, Unplanned care nt e g Ur are C ve cti oa e Pr Car Teams of health and care professionals working together to meet all of the needs of their populations H Pro ealt mo h tio n rer Ca port p Su WHAT IS IN SCOPE ve isti logy s s A no ch Te Menta l Health Falls tion Preven Doctors (family health and medical), Nurses, Social Care, AHPs and Pharmacists - orking closely with the voluntary sector Working from health and care facilities integral to the patch Actively liaising with specialist teams where onward referral for specialist support is needed

Next Steps • Lead professionals to seek organisation support to Mo. U • Local teams to develop models for out of hospital care – deliver pilots by Oct 2015 • Programme of workforce engagement to begin in July • Work to define HLHF key performance indicators and link to Integrated Quality and Outcomes Framework to be completed by End July