2. A Healthy Future More prevention – earlier intervention East Lancashire Teaching PCT’s Strategic Commissioning Plan

3. Who is ELtPCT? Responsible for improving and maintaining health of local population Commissions (buys) health services in East Lancashire –Burnley, Hyndburn, Pendle, Ribble Valley, Rossendale Provides community services 2 nd largest PCT in Lancashire Budget: £600m, (£60M approx on Community Services)

4. The state of health in East Lancashire Some people don’t live as long in some areas of East Lancashire as in other areas Some people don’t live as long in East Lancashire as they do in other parts of the country There are many lifestyle problems, including –Overweight –Teenage pregnancy –Smokers –Excess alcohol –Sexually transmitted infections People have many health problems, including –Heart disease –Stroke –Cancer –Respiratory diseases such as asthma –Diabetes The quality of life for most people in East Lancashire is mixed with –Poor housing –People with fewer and lower qualifications –Low wage jobs

5. Commissions from a wide range of providers, including 196 GPs in 72 practices 90 Dentists 80 Pharmacists 52 Opticians 3 community health providers 1 main mental health provider Learning Disability Service providers 56 Hospitals – of which the main providers are: –East Lancashire Hospitals Trust, Airedale, Pennine Acute, Lancashire Teaching Hospitals Trust

6. Local Circumstances in East Lancashire Area (almost size of Greater Manchester) : 5 Boroughs 4/5 Boroughs in “worst” groups for deprivation Population of over 380,000 people Incredibly diverse area –geography, economy, ethnicity, urban & rural issues. Programme of health facility construction and modernisation Modernisation and development of local health services

7. Prevention and earlier intervention Reducing health inequalities Concentrating on greatest need Achieving equality and diversity to reflect our local communities Improved and consistent service quality and performance and achieving best value Enhanced engagement and involvement Increased joint working with our partners Principles

8. Context Required by the Department of Health Our main priorities and plans for health investment New stage in our planning Involves many organisations Will respond to local challenges Will build on existing investment and plans

9. The Vision To improve& maintain the health & well being of the population working closely with partners to reduce inequalities and raise aspirations To significantly increase life expectancy by saving one million years of life by 2011 whilst reducing health inequalities. To Improve the quality of life for those with longer term conditions by offering better access to responsive services To enhance the quality of services & patient experience to improve outcomes and levels of access

10. 5 Year Action Programme Focus on: Reducing Inequalities Concentrating on Greatest Needs Focus on Prevention & Earlier Intervention Achieving Equality & Diversity Consistent Quality & Performance & Best Value Effective Involvement & Engagement with Patients, Public & Clinicians Increased Joint Working with Partners

11. CVD & Stroke Maternity Services & Infant Mortality Lifestyle Cancer Diabetes COPD Mental Health Older People Children Palliative Care Improved Primary Care Service Redesign Focus on Reducing Inequalities Concentrating on Greatest Needs Focus on Prevention & Earlier Intervention Achieving Equality & Diversity Consistent Quality & performance & Best Value Effective Involvement & Engagement with Patients, Public & Clinicians Increased Joint Working with Partners Longer Lives Reduced Inequalities Improved Clinical Outcomes Available, Accessible & Acceptable Services Better Co- ordinated multi- agency & disciplinary Services StrategyPrioritiesOutcomes To Increase Life Expectancy To Improve the Quality of Life To enhance Service Quality & Patient Experience

12. Increase Life Expectancy Integrated Heart Disease Pathway Heart Disease -expansion of Services Integrated Stroke and Rehab. service Improved maternity care and service Lifestyle support programme Cancer Plan programme

13. Improve quality of life Diabetes: improvements in pathway Advanced Respiratory (Chronic Obstructive Pulmonary Disease) service Personality Disorder service Expanded Mental Health liaison service Establishment of Dementia care service Completion of Child and Adolescent Mental Health service Comprehensive service for children with complex needs Extended palliative care services

14. Enhance quality of services and patient experience Improved primary care facilities Service improvement Improving patient journey and experience

15. Key Implications include: More on prevention and early intervention Less hospital based treatment More emphasis on Palliative Care More Primary Care services More Mental Health services

16. Develop services to be efficient and effective Get smarter at engaging with the public Continue to raise clinical & service standards Ensure that PCT commissioning is more transparent Implications continued

17. Next Steps Final draft to PCT Board and Your views? Submitted to DoH: 10 th October 2008

18. Any questions?

19. Table top discussion What are your views on the priorities? How do these priorities relate to your area? Are any priorities missing? How will you know services are improving? How can we involve you better in planning services? What’s your ‘take home’ message for us?

21. Contact us: Colette.Crowther@eastlancspct.nhs.uk David.Rogers@eastlancspct.nhs.uk Sally.Davies2@eastlancscpt.nhs.uk