1. Dr Shane Gordon Clinical Chief Officer
Review of
Dr Shane Gordon
Clinical Chief Officer

2. Our first year Key challenges and achievements
Working with our local population, patients and carers
NE Essex Health Forum and practice groups
Our voluntary sector councils
The Big Care Debate
Healthwatch Essex
Quality improvements:
cancer services • diabetes care
stroke care • end of life care
psychological therapies (IAPT)
Crisis management
Service performance
Financial stability

3. NE Essex Health Forum

4. Voluntary sector partners

6. The Big Care Debate
We know the needs of our population are growing faster than the money available:
Essex County Council will have a gap of approximately £45m by 2016, NEE CCG a gap of £60-70m
We asked over 1,000 local people about their priorities for the health service in the next 5 years

7. Cancer services crisis at Colchester Hospital:
Real issues with patient care discovered, massive amount of work by Hospital colleagues, NHS England, ourselves and others to put these right quickly. Valuable lessons learned and enduring partnerships built.
Finance through quality improvement:
on target (£18.5m for 2014/15) to continue making required quality improvements and savings, but gets more difficult. Innovation is key: Rapid Assessment Service started; Urgent Care and Care Closer to Home plans to come.

8. Quality improvements Cancer Services in the community
More cancers diagnosed by GPs, now 53% of all cancers. This is a 22% improvement since 2010

9. Quality improvements Cancer Services in the community
Fewer cancers are diagnosed as emergencies. This is a 28% improvement since 2010

10. Quality improvements Cancer Services in the hospital
Major review of cancer services during 2013/14. Significant improvements made to:
Cancer pathways improved to best-practice standards in 6 specialties
Cancer nurse specialist numbers increased
A new computer system and improved administration to track patients’ care safely
Improved referral processes

11. Quality improvements
Diabetes services

12. Quality improvements Stroke services
Stroke services in Colchester hospital are consistently ranked the best in England on the national quality indicators

13. Quality improvements End of life services One number to call
Advice and support 24 hours a day
Hospice at home services
Online care register
68% of patients die in preferred place
Deaths in preferred place of care have more than doubled during

14. Quality improvements Psychology services (IAPT) New service provider
Focussed on recovery from depression and anxiety

15. Quality improvements Other services Community Phlebotomy Services
Tendring Rapid Assessment Service
Community Phlebotomy Services
Epilepsy nurse specialist

16. Service Performance

18. Performance NHS Constitution
Achieved Planned
A&E 4 hour standard % 95%
Referral to treatment (Admitted) 91.7% 90%
Referral to treatment (non-admit) 97.6% 95%
2 ww Cancer % 93%
62 day treatment cancer 83.8% 85%
31 day diagnosis cancer 96.3% 96%
Stroke – special stroke unit 85.1% 80%
TIA seen/treated 24 hours 60% 74%

19. Performance NHS Constitution
Achieved Planned
Ambulance Red 1 (EoE) 73.6% 75%
Ambulance Red 2 (EoE) 69.4% 75%
Ambulance Cat A (EoE) 92.9% 95%
Mental health IAPT(access) 10.4% 15%
Mental Health IAPT(recovery)50% 50.7%

20. Looking forward

21. Looking forward
Hospital pressures are whole system issues – Urgent Care strategy now approved by Board
CCGs investing in Ambulance Service
Short and long-term Essex-wide plans to improve shortage of GPs
Care Closer to Home transformative approach
Gap between finance and demand remains challenging