2. Central Norfolk Health & Social Care Central Norfolk Health and Social Care Better Care for Norfolk Key Partners: Norfolk & Norwich University Hospital NHS Trust Norfolk & Norwich University Hospital NHS Trust Norfolk & Waveney Mental Health Partnership NHS Trust Norfolk & Waveney Mental Health Partnership NHS Trust Norfolk County Council Social Services Norfolk County Council Social Services Four Central Norfolk Primary Care Trusts – Broadland, North Norfolk, Norwich and Southern Norfolk Four Central Norfolk Primary Care Trusts – Broadland, North Norfolk, Norwich and Southern Norfolk Supported by the East Anglian Ambulance NHS Trust and Norfolk Suffolk & Cambridgeshire Strategic Health Authority Supported by the East Anglian Ambulance NHS Trust and Norfolk Suffolk & Cambridgeshire Strategic Health Authority

3. Central Norfolk Health & Social Care Background to Better Care for Norfolk Where we were.. A system in trouble… Where we were.. A system in trouble…  Missing Performance Targets  Financial Imbalance  Limited Partnership working  Confidence low

4. Central Norfolk Health & Social Care Background to Better Care for Norfolk Aim of Performance Improvement and Transformation Strategy: Aim of Performance Improvement and Transformation Strategy:  Joint Vision  New Model of Care  Improve Performance  Enhance Communications & Involvement  New Culture and Organisational Devt.

5. Central Norfolk Health & Social Care The public can have confidence that care will be delivered at the right time, in the right place by the right person with the right information and the right skills. And that care will be delivered with warmth, humanity and dignity. The public can have confidence that care will be delivered at the right time, in the right place by the right person with the right information and the right skills. And that care will be delivered with warmth, humanity and dignity. Better Care for Norfolk – The Vision for Central Norfolk is a service where…

6. Central Norfolk Health & Social Care Better Care for Norfolk … New Model of Care Aims of new model of care: Aims of new model of care:  Reduce unnecessary emergency admissions  Improve care and independence for people with chronic disease  Improve access to elective services  Move care closer to home

7. Central Norfolk Health & Social Care Better Care for Norfolk - Changes… Improved emergency services Improved emergency services Fewer delays on leaving hospital and care at home Fewer delays on leaving hospital and care at home Improved diabetes, COPD care Improved diabetes, COPD care Fewer complications & improved prevention Fewer complications & improved prevention Local diagnostics & improved support services Local diagnostics & improved support services Improved palliative care Improved palliative care Better care for children Better care for children Better access to specialist mental health services Better access to specialist mental health services Better use of facilities Better use of facilities New coaching service for patients New coaching service for patients

8. Central Norfolk Health & Social Care Better Care for Norfolk - Involving Users and the Public OSC working group OSC working group Patient Surveys and focus groups Patient Surveys and focus groups Linkages with the Voluntary Sector and patient groups to collect people’s views Linkages with the Voluntary Sector and patient groups to collect people’s views Seeking views from patient panels and other groups linked to PCTs and PPI For a Seeking views from patient panels and other groups linked to PCTs and PPI For a Media collaboration Media collaboration Public Events Public Events Formal consultation Formal consultation

9. Central Norfolk Health & Social Care Better Care for Norfolk – Involving Users and the Public, Eg.. Children’sParents actively involved in the stream work. ElectiveViews gathered through stakeholder workshop and patient involved in design of Referral Management Service. ComplicationsPatient and carer involved in stream work for tracheotomy care. EmergencyViews gathered through stakeholder workshop and from patients using next day clinics Health Improvement Survey of 200 older people with Age Concern Norwich and patient surveys of those using the new outreach services. Very positive feedback re the Harnser Outreach service – 95% of patients surveyed said their overall impression of the service was excellent or very good and 97% would be happy to use the service again. Mental Health On-going programme of public involvement run by N&WMHP including service user groups. Non ClinicalProposals will be part of the consultation on the local transport plan run by the Planning and Transport Unit, after County Council Cabinet approves proposals. Palliative Care Plans for carers to be part of workstream as new model of care is developed. TherapiesBefore embarking on the development of any plans, therapists will be actively involving current patients to obtain their views on preferred location of treatment, transport difficulties, availability of appointments, waiting times.

10. Central Norfolk Health & Social Care Better Care for Norfolk – Formal Consultation Broadland PCT – Health at Home Team Broadland PCT – Health at Home Team Norwich PCT – Home Care Team for Older Patients; Expansion of Harnser Outreach; Step Down Beds; Bed changes Norwich PCT – Home Care Team for Older Patients; Expansion of Harnser Outreach; Step Down Beds; Bed changes Southern Norfolk PCT – Rapid Response Team; less private nursing home beds; closure of Ashill Unit and more use of Dereham Hospital. Southern Norfolk PCT – Rapid Response Team; less private nursing home beds; closure of Ashill Unit and more use of Dereham Hospital. Model of Care Model of Care

11. Central Norfolk Health & Social Care Better Care for Norfolk Communications Timetable April – Nov. 2004 April – Nov. 2004  Briefings for key organisations  Sharing ideas, raising awareness of draft emerging plans  Gathering more views – surveys and focus groups Nov. 15 2004 – Feb. 15 2005 Nov. 15 2004 – Feb. 15 2005  Formal consultation –on proposed plans for health and social care  Publicising proposals, seeking views End Feb. – April 2005 End Feb. – April 2005  Feedback results of consultation  Agree the way forward with OSC and key stakeholders.

12. Central Norfolk Health & Social Care Sustainable Transformation …. …. Better Care for Norfolk