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

2. 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

3. 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

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

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

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

7. Urgent Care Proactive Care Core Providers Primary, Community Social and VS Well-being (promotion, prevention & supported self care) Falls Prevention Mental Health Health Promotion Out of Hours End of Life Care Podiatry Continence Carer Support Hospitals and Care Homes Rapid Response Day Support Care and Rehabilitation Support for Independenc e and Isolation Enablement and Re- ablement Assistive Technology Family Carer Community Drug and Alcohol services Single Point Access Long Term Vision for Out of Hospital Integration (Hubs) as the first order of transformation WHAT IS IN SCOPE Teams of health and care professionals working together to meet all of the needs of their populations Well-being, Planned, Unplanned care Accountable for outcomes and funding across all settings in and outside the ‘Hub’ HOW MIGHT IT WORK 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

8. Next Steps Lead professionals to seek organisation support to MoU 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