1. HEALTH DEVOLUTION: WHAT SHOULD PUBLIC AND PATIENT INVOLVEMENT LOOK LIKE DURING THIS ERA OF HEALTH AND SOCIAL CARE TRANSFORMATION
Presentation to the All Party Parliamentary Group for Patient and Public Involvement in Health and Social Care
Katherine Sheerin - Chief Officer
NHS Liverpool Clinical Commissioning Group
19th January 2017

2. Liverpool – A City of Contrasts
Health Outcomes
Provider Landscape
Commissioning Alignment
Major Health Commission
Healthy Liverpool

3. The Wider Context………. Liverpool City Region Healthy Liverpool
Cheshire and Merseyside Sustainability and Transformation Plan
North Mersey Local Delivery System

4. NORTH MERSEY LOCAL DELIVERY SYSTEM PLAN -£346.5m £6.8m
 One year
 Three years
 Five years
Impact (£mill)
1. Hospital Service
Reconfiguration
OBC for Royal Liverpool & Aintree merger, including proposals for single service reconfiguration Implement Orthopaedics & Upper GI single service and single Cancer MDTs Decision on configuration of women’s and neonatal services – June 17
Complete merger – April 18. Adult acute single service implementation to commence 18/19, Complete commissioner review of S&O services -March 18
Complete adult acute service reconfiguration
Implement LWH reconfiguration
Implement S&O reconfiguration
Multi-specialty Community teams embedded Primary care Quality scheme across NM 7-day primary care access - GP hubs & GP streaming in A&E Care homes and Home First implemented LCH transaction completed – March 17
Implementation of NM mental health transformation plan Frailty and end of Life services improved Pathway transformation delivered – CVD, respiratory, cancer
Primary care transformation at scale
3. Population Health
System MECC Plan implemented System strategy for prevention & joint campaigns
Workplace Wellbeing Programme commenced
Tobacco control prevention programme completed Blood pressure, alcohol and antimicrobial programmes embedded
Non-communicable disease programme completed
4. Digital First
Teleheath at scale procurement completed
Three-trust EPR procured
Digital diagnostics embedded
Full Interoperability across NM Digital No Wrong Door – digital interaction delivered Single hospital EPR (RLBUH, AUH and LWH) implemented Whole Systems Intelligence system
Digital maturity for all providers Standardised predictive analytics for better care
5. Act as One System
NM Single system governance NM system control total Joint commissioning & shared CCG resources across NM CCGs NM efficiency plan identified
North Mersey commissioning organisation
ACO/ACS established, enabling place based model of care
Accountable Care System embedded
£81.7 2.
Demand
Management
£48.9
TBC
In demand management
£159
Solutions - £ mill Assumption £63.6 STF allocation
£6.8m

5. Challenges and Risks Local Authority cuts Workforce Reform ‘Pace’
Goodwill
Resilience
Honesty

6. Patient and Public Engagement
Meaningful – What does that centrally mean?
Realism – What’s really possible?
Simple – Clarity and approach
Legitimate – Local statutory responsibilities