South West London Health and Care Partnership Karen

South West London Health and Care Partnership Karen Broughton Director of Strategy and Programmes Louise Fleming Director of Quality and Governance RCN meeting - 24 November 2017

We want to use our time with you today to: • Explain what an STP is • Share how and why we are refreshing the STP for South West London • Share our emerging priorities for South West London • Clinical leadership and the nursing voice • The patient voice • One focus for prevention Start well, live well, age well 2

What’s an STP then? • It’s a partnership: care is better when it is centred around a person, not an organisation. • Bring together all NHS organisations with local authorities and other partners, to work together to provide joined-up care for local people • Delivering the NHS Five Year Forward View- 44 STPs in England areas were originally identified as the geographical “footprints” on which the plans were based. They were plans not partnerships. • 5 STPs were created in London • South West London • South East London • North Central London • North East London • North West London Start well, live well, age well 3

Our SW London STP … from plan to partnership • A plan was published in November 2016 - the perception of the plan was: o Closure of hospitals o Hospital bed reduction o Stakeholders were not signed up to the financial analysis o Some Local Authorities did not feel fully involved • Our refreshed approach is emphasising collaboration not competition: o Prevention and early intervention - tackling the social determinants of health o Local partnerships strengthening focus on locality teams made up of community, primary and social care o The actions that we will take to deliver improvements for local people o Key deliverables and will be turned into KPIs and expected outcomes so we can track our progress by LTB o The progress we have made at local level for patients in our first year Start well, live well, age well 4

Refresh and a local approach • After talking to 5, 000 local people and communities, we believe a local approach, rather than a SW London-wide approach, works best. We have set up four local health and care partnerships (LTB) in – Croydon – Sutton – Merton + Wandsworth – and Kingston + Richmond Fusion multicultural group – Merton Start well, live well, age well

Involving local people Keeping touch with local communities • There have been local events with Healthwatch this year for people to discuss the STP with clinicians, managers and local authorities in our six boroughs • We have written to over 1, 000 local voluntary and community organisations at every key stage of STP development, setting out our emerging ideas, inviting feedback and offering to attend local meetings to discuss the issues raised. Grass roots engagement • Working with local Healthwatch organisations, we have run an extensive grassroots engagement programme, which was shortlisted for a national award. Patient and Public Engagement Steering Group • Our Patient and Public Engagement Steering Group advises us on all communications and engagement Start well, live well, age well Tamil first aid course – Richmond 6

So what we’ll be saying in the refreshed STP is…. • A local approach works best for planning health and care • Strengthen the focus on prevention and keeping people well – the greatest influences on our health and wellbeing are factors such as education, employment, housing, healthy habits in our communities and social connections • The best bed is your own bed – lets keep people well and out of hospital • Care is better when it is centred around a person, not an organisation. Clinicians and care workers tell us this. • Likely to mean changes to services locally - we are not proposing to close any hospitals, evolution not revolution • Involving people at local level will remain critical. • We are not closing any hospitals. We will continue to need all our hospitals though we do not think every hospital has to provide every service. Start well, live well, age well

SW London improvement priorities • Overall, the South West London Health and Care Partnership are committed to delivering joined-up services for local people and through this improving their health and care. Specifically over the next two years we will focus our joint efforts on the following: • Urgent and Emergency Care • Primary Care • Mental health • Children and young people • Learning Disabilities • Maternity • Cancer Start well, live well, age well 8

One focus for prevention • This year the Health and Care Partnership agreed to work on one health promotion and prevention priority as a system. We have therefore worked with the Directors of Public Health to identify what that priority should be for the next 1 -2 years. • Nationally, we know that 50% of all Mental Health problems are established by the age of 14, rising to 75% by age 24. One in ten children aged 5 -16 has a diagnosable mental health condition, such as conduct disorder, anxiety disorder, attention deficient hyperactivity disorder (ADHD) or depression. We also know that we need to improve care for young people with eating disorders. • Across South West London we know that, for example the prevalence of severe mental illness in Croydon is significantly higher than the national average, but similar to London. Admissions for mental health conditions for under 18 s is higher than London and national averages. • The Health and Care Partnership have therefore agreed to collectively support children to have the best start in life and set children and young people’s mental health as our Partnership’s Health Promotion and Prevention priority. • Our refreshed plan is expected to be published in November 2017. Start well, live well, age well 9

Clinicians at the heart of the STP • Role of Clinical Senate: Guide the STP with expert clinical opinion and provide oversight of the Five Year Forward View national priority work programmes (urgent & emergency care, cancer, primary care, mental health, learning disabilities and maternity) • There around 50 clinicians on the senate from across all NHS organisations in SW London • They RCN have a two seats: Trish Davis and Robert Dart • The Senate meets once per quarter; Additional working groups /sub groups (as and when required) • We want to make the clinical and nursing voice stronger in the STP and local health and care partnerships: • January review with the Clinical Senate how we take forward clinical leadership and engagement – your views through the Senate about how we do this is vital Start well, live well, age well

Thank you & Any Questions Karen Broughton Director of Strategy and Programmes Karen. Broughton@swlondon. nhs. uk Louise Fleming Director of Quality and Governance Louise. Fleming@swlondon. nhs. uk Start well, live well, age well 11