1. Public Engagement Events
November 2016

2. Welcome and introduction
We want to listen to you, to work with you, to design health and care services that are fit for the future
We will explain why services need to change
This event is the first in a number of conversations, the start of a new relationships between our communities our services and statutory agencies

3. What is this event about?
To listen and learn about what is important to you
To gather people together to share information and explain how people can get involved
To gather your views on local services

4. This is a collaborative programme…
380,000 people

5. Our Health Our Care As a programme, our purpose is to:
Design a new model of health and care to ensure that we can meet your needs, no and in the future
Our services are clinically and financially viable for the future
We will do this together through an ongoing relationship

6. We are also part of a wider patch
By working with our neighbours, we can share good ideas and work through common challenges together
Contributing to
Local change programme

7. Why is Change needed?
We need change to ensure that people can stay healthier and happier for longer. Animation on the Case for Change

8. Why is Change needed?
We now want to look in more detail at some of the key facts in the case for change, at how some of our demographics are changing, and what this means for our communities and demands on services

9. Why is Change needed?
Our local population is growing and living longer
3.6%
2016
Local Population Growth
Dementia is forecast to increase by 18% over the next three years

10. Increasing Long-term conditions
Why is Change needed?
Chronic conditions
Increasing Long-term conditions
2018 1m
3+ long term conditions
Across all central Lancashire, rates are higher than the England average

11. Why is Change needed? Preventable Illnesses are increasing
Greater Preston has a significantly higher prevalence of smoking and rates of admissions to our hospitals for attributed diseases is significantly higher than England
Leading to an increase in largely preventable conditions like type 2
diabetes, heart and liver disease
Over 18s alcohol related hospital admissions have increased significantly over the last 10 years in Greater Preston and South Ribble

12. Variation in health and wellbeing
Why is Change needed?
Variation in health and wellbeing
There is variation between locations and services which we need to change
Deprivation .
1 in 3 people in Greater Preston live in deprivation
1 in 8 people in Chorley & South Ribble live in deprivation
7 years
10.7 years

13. Meeting increasing demand
Why is Change needed?
Meeting increasing demand
Our acute hospitals have seen 11,245 more outpatients provided 10,374 more operations and admitted 1,087 more patients …than in 2014/15
Lancashire’s mental health teams handle 2.7 times the national average number of referrals (the highest in England) and caseloads that are twice the national average
Our mental health hospitals are operating above 100% occupancy
Adult community services in Lancashire have experienced a 30% increase each year in referrals for community based nursing, allied health professional services etc.
In terms of social care, there are 26% fewer people over the county who since 2010 get help

14. Why is Change needed?
Our buildings

15. Our budgets and financial challenges
Why is Change needed?
Our budgets and financial challenges
The financial challenge for the health and care economy in our local area is estimated at around £221 million over the next five years.
£150m gap

16. Why is Change needed? Our workforce
Workforce challenges have affected a range of services. There is a shortage of doctors, nurses and therapists. Doctors in training and specialists have an impact on vacancy rates, turnover and temporary workers
30% of GPs reaching retirement age in the next ten years
63% primary care nursing workforce reaching retirement age in the next ten years
Social Care workforce at county level is under established

17. A patient’s perspective…
Meet Bernard, he is 86 and has several conditions, emphysema, type 2 diabetes and arthritis.

18. In conclusion … why is Change needed?
If we do nothing:

19. However, if we do something … c How could Bernard's story be different?
If our services were more joined up, he might have a single contact with overall responsibility for his care

20. So, together we are planning for the future...
We have clinicians, staff and stakeholders coming together to start to think about how we can all work differently.
These conversations will continue to make sure that ideas on how things could be done differently are gathered.

21. So, together we are planning for the future...

22. This is the purpose of the Our Health Our Care programme …
We will develop a new model of health and care for central lancashire that will ensure we are financially and clinically sustainable for the future
We will ensure the process is clinically led and we coproduce the model with the public and patients
We will use the process to design, validate and evaluate options for transformational change and a new model of care for the Central Lancashire Health and Care system

23. We will undertake this work over the next six months …
Sept – Mar 17
Spring/Summer 2017
Solution Design
Consultation
Implementation
During the Solutions Design Process, we will;
Develop Evaluation Criteria, Benefits Framework, Quality Standards
Develop new models of care and ways of working across the health and care economy
Develop options to deliver new models of care
All of this will be in conjunction with our communities through events such as this, and any major changes will be subject to a formal public consultation process

24. In conclusion … The case for change is compelling
To do nothing is not an option. Change is inevitable and some difficult decisions will need to be taken.
The Our Health Our Care Programme is the opportunity to harness the energy of our clinicians and communities and transform our health and care system to meet your needs
To make real change we need to think radical and differently and to do it together

25. So - its over to you …

26. Table Discussions – 1 hour
What is important to you about your health and care services?
How should we communicate with you?
What is your understanding of the challenges faced by the health and care sector?

27. Your Feedback Table Discussions

28. What happens to your input?
All the feedback gathered at the events will be summarised and presented to our clinicians at their next event on 17 November
By knowing what is important to you, clinicians will be able to tailor their discussions of change to what matters most to you

29. What next? What is important to you? What changes could we make?
How do we achieve this together?
9 November Chorley Town Hall 2pm–4pm and 6pm-8pm
10 November Gujarat Centre 2pm–4pm and 6pm-8pm
14 November Leyland Civic Centre 2pm–4pm and 6pm-8pm
14 December Chorley Town Hall 2pm–4pm and 6pm-8pm
19 December Leyland Civic Centre 2pm–4pm and 6pm-8pm
15 December Gujarat Centre 2pm–4pm and 6pm-8pm
9 March Chorley Town Hall 2pm–4pm and 6pm-8pm
13 March Leyland Civic Centre 2pm–4pm and 6pm-8pm
8 March TBC 2pm–4pm and 6pm-8pm

30. Chorley House, Centurion Way, Leyland
Contact us
Tweet us
@_OHOC
Like
Chorley House, Centurion Way, Leyland
Lancashire, PR26 6TT