Patient Reference Group Matt Brown Director of Operations

Of every 100 pregnant women, how many smoke (at time of delivery)?

Of every 100 pregnant women, how many smoke (at time of delivery)? England

Of every 100 pregnant women, how many smoke (at time of delivery)? South Tyneside

Why are we here?

What is our vision? We want people to be able to take greater responsibility for their own health We want people to be able to stay well in their own homes and communities We want people to receive timely and appropriate complex care

How do we get there? People take greater responsibility for their own health The development of services that support people to stay well and take increased responsibility for their own health and wellbeing People stay well in their own homes and communities The development of primary care and community services to support people in a community-based setting and provide a point of ongoing continuity, which for most people will be general practice People receive timely and appropriate complex care The freeing-up of hospital based specialist resources to be responsive to episodic events and the provision of complex care and support and specialist advice to primary care. Safegarding

What lies in store in 2018? Renewed focus on prevention & self-care Implementation of clear out-of-hospital vision Delivering the primary care strategy Sustainable services for the future – Path to Excellence Integrated services eg Continuing Healthcare Partnership working eg STFT, SCCG, CHS Maintaining performance

General Practice Strategy 5 Work Streams Stakeholders working together Reducing variation Changing the focus of primary care Workforce planning Improving Access to Primary Care

Winter is coming…

A&E Performance Oct 17 “A&E All Types 96.53% Jan 17 “A&E All types” 86.84%

A&E Performance

South Tyneside DTOC Position

LADB - highlights From Sept 2017, our GP practices are working together to offer 300 additional appointments via the extended access service Think Pharmacy First minor ailments scheme covers a range of minor conditions and being used by 1800 patients per month.

Cont….LADB - highlights In hours 111 can direct book into all GP practices in South Tyneside Rapid Elderly Assessment Care Team (REACT) System wide approach to increasing flu vaccination with frontline staff and key at risk groups

Winter schemes 7 day social worker input to hospital discharge process Increase in home care service capacity Additional bed capacity i.e. escalation beds 3rd sector service -Weekend Home from Hospital Increase in ambulatory emergency care capacity Additional staffing (medical, pharmacy, therapy, portering) to support flow through A&E to discharge