Healthy London Partnership

Transcription

1 Healthy London Partnership Working together to make London the healthiest city in the world Supported by and delivering for: London s NHS organisations include all of London s CCGs, NHS England and Health Education England

2 01 Introduction Transforming London s health and care together 2

3 Who are we? Healthy London Partnership Collaborative Aspirational Strategic Innovative Formed in May 2015 as a collaboration between London s 32 CCGs and NHS England (London Region) Funded annually by CCGs and NHS England (London Region) To deliver the Five Year Forward View and Better Health for London We work to deliver the things best done once for London We believe that collectively we can make London the healthiest global city in the world. 3

4 What do we do? We work to deliver the changes best done once for London to make the vision of the NHS Five Year Forward View and Better Health for London a reality. We also support the delivery of the sustainability and transformation plans in the five areas across London with strategic advice, resources and staff embedded in the areas. We: Work across London to deliver on national, London and local aspirations aiming to make London the healthiest city in the world Bring together political drive, academic research, clinical and managerial expertise, and delivery networks to make sure change is taken forward at every level Attract additional funding to London for transformation work in 2017/18 London will benefit from up to 18 million of extra funding Horizon scan, summarise and share best practice, data and policy to make sure London s health and care system has access to the most up to date information Bring together and facilitate London wide networks to build consistent guidelines and standards of care so all Londoners have access to the best possible health and care services Work on once for London projects where this is the most efficient and economic model for improving health and care for Londoners Facilitate evaluation and learning across the entire health and care system; benchmarking information and building capacity and capability for delivering change locally. 4

5 Why do we do it? Health challenges affecting Londoners One-year cancer survival rates vary significantly across London, Londoners don t know how to spot the signs and symptoms of cancer and screening uptake is low Children and young people in London have higher levels of mortality and serious illness and higher levels of childhood obesity than any other global city People with severe mental illness die 17 years earlier than the general population Only 14% of Londoners get the support they need in a mental health crisis London has the highest demand for child and adult mental health services in the country People who are homeless have a life expectancy of only years, are more afflicted with mental ill health and are very high users of hospital services Three quarters of Londoners with several long term conditions say each condition is treated separately rather than holistically More than half of adults in London are overweight or obese and 1.8 million adult Londoners report they do less than 30 minutes moderately intense physical activity each week Only 50 per cent of Londoners think it s easy to access GP services 500 lives could be saved if weekend care were the same as during the week Patients are still defaulting to A&E due to confusion in the current system NHS organisations in London can t share patient records across artificial geographical boundaries Many qualified professionals leave London for a number of reasons including the high cost of living 5

6 How we fit in - governance 6

7 Across programmes HLP operates under joint leadership Programme Clinical lead CCG lead (Joint SRO) NHSE lead (Joint SRO) Local Authority Lead Cancer Anthony Brzezecki Andrew Eyres Khadir Meer Dawn Sacker Liz Wise Care Closer to Home Children and Young People Tom Coffey / Simon Eccles / Marilyn Plant Programme leads (HLP) TBC Oliver Shanley Grainne Siggins Eileen Sutton Russell Viner Martin Wilkinson Ceri Jacobs TBC Tracy Parr Devolution Marc Rowland Andrew Eyres Anne Rainsberry Will Tuckley Nabihah Sachedina Digital Adrian McLachlan Terry Huff Jane Barnacle Elisa Hakan-Lector Mike Part Estates Marc Rowland Marc Rowland (CCG rep on LEB); Peter Kohn (Office of London CCGs) David Slegg (LEB Chair) Dick Sorabji (London Councils LEB member) Geoff Alltimes (LEB Independent Co-Chair) Homelessness Adrian McLachlan Tonia Michaelides Kenny Gibson Rosemary Westbrook Susan Harrison Mental Health Prevention/ Health and Wellbeing Phil Moore / Vincent Kircher Jane Milligan Oliver Shanley Simon Pearce George Howard Zoe Williams Jo Murfitt Matthew Bazeley Kath Gill, Clive Grimshaw, Sally Parkinson & Enise Radley (London Councils) Jemma Gilbert Primary Care Marc Rowland Andrew Bland David Slegg Grainne Siggins Liz Wise / Jane Lindo Proactive care Jay John Jane Barnacle Bernie Flaherty Specialised Commissioning Michael Marsh Sarah Blow Andrew Goodman (interim) TBC Stephen Waring Urgent & Emergency Care Tom Coffey / Simon Eccles Sarah Blow Dr Vin Diwakar Grainne Siggins Patrice Donnelly (UEC) / Eileen Sutton (111/IUC) Workforce Etheldreda Kong Angela Bhan (with Julie Screaton) Helen Bullers (with Julie Screaton) Tristan Brice & Matthew Kendall Nigel Burgess/ Lizzie Smith (HEE) 7

8 Us and STPs Since we were established STPs have emerged as local structures with a formal role in the delivery of transformation. In light of this, in June 2016 the London Transformation Group agreed an in-depth review of activity needed to transform the whole system so the partnership could develop in the right direction. During engagement with stakeholders there was broad acknowledgement that a transformation resource on a London level is beneficial and getting activity and the interface with STPs right was critical. Recommendation that three functions should be done on a London level: Horizon scanning function looking at new emerging priorities Products and support that are best done once for London Embedded resource in STPs that links back to London level work Healthy London Partnership to prioritise resources and activity to move from planning to delivery bespoke plans and evidence were developed for each STP footprint to support planning 8

9 How do we engage and involve Londoners? 9

10 02 Highlights 2016/17 Transforming London s health and care together 10

11 Things we ve made happen in 2016/17 New technology we ve led the development on and implemented means Londoners calling NHS 111 with care plans and crisis information can now be directed to a clinician who can see their information in real time helping them make the right clinical decision and making sure callers are referred to the right service, first time. The technology has already won several awards including the prestigious UK IT Industry Award for best use of cloud services. Mayor of London, Sadiq Khan launched London s section 136 pathway and Health based Place of Safety specification, following extensive engagement across London s crisis care system. Engagement with over 300 service users, mental health and acute trusts, LAS, local authorities and London s three police forces. This resulted in formal endorsement from these agencies as well as the Royal College of Psychiatry and National Crisis Care Concordat. 11

12 Things we ve made happen in 2016/17 London has launched the first mental health dashboard in the world. This will help the health and care system improve mental health services for Londoners by having access to up to date information. The dashboard will help providers and commissioners benchmark performance and improve and transform services. 67% of children attending A&E could have been seen by a GP. London s young people helped us design and launch a mobile app called NHS Go downloaded by over 40,000 people already, giving them targeted health information plus health advice and signposting to services. More than 40 NHS organisations and around 100,000 NHS employees in London took part in Healthy Living Week. Over 250 events took place across London, we led this with NHS Trusts and the London NHS Charities Group. 12

13 Highlights 16/17 220,000 Londoners now survive cancer. We have developed the pathway and tools for treating cancer as a long term condition in GP practices covering psycho-social and physical needs, the needs of carers and support for patients to improve their health and their experience of the NHS. Our Early Intervention in Psychosis team supported the mental health system with the new psychosis target and developed a range of materials to support GPs if they suspect someone may be experiencing a first episode of psychosis. Three children in every classroom has asthma. NHS services in London are working towards the aim of no child dies from asthma by improving asthma care for all children and young people. The London Asthma Toolkit for GPs, pharmacists hospital clinicians, schools and parents officially launched at the British Thoracic Society s winter symposium in December Our evaluation of a GP led service in Croydon for men with prostate cancer, showed that it is better value for money and improves the patient s experience. Four areas in London (south east, south west, north central and north west) are now going to roll out this service which will benefit over 3,000 men. The Transforming Primary Care team have successfully negotiated with the national team on behalf of London s CCGs to secure agreement to spend the allocated 25.4m of GP Access Monies this year (and next) to spread the offer across London to serve a greater population (9m patients) as opposed to national allocation for pilot areas only. 13

14 Highlights 16/17 Homeless people are eight times more likely to go to A&E than other Londoners. 20,000 cards were sent out to homeless centres in London which along with the training we ve designed for frontline staff means that people who are homeless or sleeping rough can use GP services when they need them rather than waiting until they are so ill they go to A&E. Through our partnership working, all 32 CCGs, all 33 borough councils, the Mayor of London, NHS England and Public Health England signed a London Health and Care Collaboration Agreement and London Devolution Agreement in This paves the way for central government and national bodies to devolve powers and funding to London to support local, sub-regional and London-wide transformation. In 2017, central government announced their commitment to a further London health and care devolution agreement. In a trial with professional football clubs like Spurs, Brentford and Fulham FC, 77 men who started off overweight or inactive lost a combined weight of 244kg via the Fanactiv project which we are now extending, showing how working locally where Londoners are is how you can bring about the biggest changes. 14

15 03 What does once for London look like? Transforming London s health and care together 15

16 Case study: Mental health crisis care Bringing an entire system together to improve care for the most vulnerable Londoners Around 5,000 Londoners will be detained under section 136 and taken to one of London s 20 health based places of safety or A&E each year. However, the care people receive when they are detained and the standards of these places of safety vary across London. It makes sense to take a once for London approach to improving care and so far we have: Developed a pan-london pathway for section 136 Published a specification for health based place of safety sites We are now working with CCGs, trusts and other key partners to implement the new model of care. 2AubAk 16

17 Case study: Great Weight Debate Mobilising partners and investment to make change happen on a London level? Two out of five children starting secondary school are already overweight or obese. We worked with the London Obesity Leadership Group, Public Health England, London Councils and borough obesity leads to raise awareness of childhood obesity and seek ideas from Londoners on what would help young people in London lead healthier lives. qwj5ci The Great Weight Debate reached over half a million Londoners on social media, saw 3,900 people fill in our survey, nearly 2,000 people attend roadshows and culminated in 60 teenagers working through the issues at a Hackathon at City Hall, raising awareness of the issue of childhood obesity in London and creating a strategy for change in the London boroughs. 17

18 Case study: Improving health of homeless people Raising standards by pooling resources Hundreds of people are homeless in London every night. They represent a small portion of the population and often move around London, experiencing varied care and outcomes this is why we are taking a once for London approach to improving care. aeuuh0 After engaging with over 100 organisations and individuals, including every London CCG and more than 90 people with experience of homelessness: we have developed: Commissioning guide for CCGs Online training package for GP receptionists and practice managers My right to access health services card for people who are homeless 18

19 What next? Each STP has been assigned a lead from the partnership to work with, to provide support and ensure a clear route of communication and joined up working between the footprint area and London level. Joint membership across STP programme boards and partnership transformation delivery boards to also ensure clear communications and interface between London and boroughs. Embedded Healthy London Partnership staff working in STPs across a wide variety of programmes linking London level work with sector level work to support delivery. Supporting the Mayor of London's new citywide movement to improve mental health and wellbeing in the capital. Thrive LDN aims to encourage Londoners to step up to tackle mental health so that every person in London can live happier, healthier lives. Setting up the Urgent and Emergency Care Improvement Collaborative to work with staff and leaders across urgent and emergency care, and out of hospital care to define what the future support for improvement across London needs to address. Work is well underway on the London Health and Care Information Exchange which aims to join up NHS organisations across London. The exchange aims to give NHS clinicians secure access to real-time patient records and information. 19

20 05 Questions? 20