More Than Medicine How health and care needs to adapt to meet the needs of our communities Chris Easton, Head of Strategy, Tameside and Glossop Integrated Care FT

The challenges facing the health and care system By 2020/21, if we do nothing there will be a 22bn gap between the cost of the health system and the budget available to pay for it; People are living longer, acquiring more long term conditions and requiring more significant levels of care; The NHS is a victim of its own success with more advanced treatments and technology coming at greater cost; People’s expectations of the health and care system continue to increase; The health and care system is large and complex;

Adapting to changing populations This slide shows how things need to change with the times – this bridge used to cover the river. An earthquake changed the course of the river an the bridge became redundant overnight. A similar thing has happened in the NHS – it was established in 1948 and met needs at the time. However, the population has changed radically since then and expectations from healthcare, life expectancy etc. have increased and yet many of the systems haven’t changed. We therefore need to work differently to meet current and future need and we think the VCSE are a key part of this.

8,756hrs

Policy sometimes doesn’t keep pace

Changing the way we think about people

Thinking differently about what really impacts on health

The changing face of commissioning

Recognising our strengths and our limitations

Thinking differently about change Savings in the system can only really be delivered in four ways: Creating efficiencies in delivery and commissioning People living healthier lives and therefore using less resource People choosing to transact differently People with ongoing care and support needs managing conditions better

Thinking differently about change

A changed role for our leaders?

The future of health and care Person Centred Coordinated Care and Support

So what can we do to change? Move away from medical model health and care with patients as passive recipients; Recognise the limitations and expertise of the system; Critically, recognise the assets that exist within people, their families and their communities; Build new partnerships and new models of working, especially with organisations outside of health and care; View health and care through the lens of people’s lives, not through the lens of the system; Remove some of the barriers that make person centred approaches difficult; New approaches to commissioning, focusing on prevention, wider determinants of health and investment in the voluntary and community sector; Think about success differently both at an individual and system wide level; Showing the move from an NHS that is based very much in structures, hospitals etc. to people having choice, personalised care and being treated closer to home in a less medicalised model

Any questions? Contact Details: Chris.easton@tgh.nhs.uk @chris_easton1