1. Our Long Term Plan
Emily Beardshall – Deputy ICS Programme Director
Roger McDermott – Senior ICS Programme Manager
16th August

2. Agenda
Welcome to 2025 (10 minutes)
Discussion and feedback (40 minutes)

3. Discussion (to be held after presentation) Each round: 10 mins at table, 10 mins as group [Each table to write notes we can collect]
Round 1: Gloucestershire ICS
What would a great ICS look like in 2025?
What will be the impacts - on public, patients, communities, organisation(s), governance, leadership, PPG, ways of working, policies, staff, technology, estates?
Round 2: PPGs
What will the PPGs be concerned about in 2025?
What will the relationship be between the PPGs and the PCNs?
How will the PPG Network influence the ICS?
What do PPGs need to do now to be ready for 2025?
What one thing from this discussion will you take back to your practice?

4. Long Term Plan & Approaches To Care
Themes
Approaches
Sickness to promoting health
health behaviours
targeted screening
Social inequalities
Integrated & person centred care
Primary Care Network community care/ social prescribing
Personalised care planning
Parity of esteem for mental health
Genetic testing
Self managed & community based care
Enhanced/digital support for:
Building capabilities
Providing information
Diagnostics & treatment support
Remote consultations

5. Long Term Plan & Technology Trends
Themes
Approaches
NHS App + Apps library
Access to medical records
Connected devices/disease based apps
Empowering people/ patients & care delivery
Clinical diagnostics and Decision support
AI supported diagnostics
Enhanced decision support
Supporting Health Care Practitioners
Shared medical records
Integrated systems
Right information, right time, right place

6. How might 2025 be different
If it was 2040 we might assume self-driving cars, sophisticated Artificial Intelligence, a single NHS app that acted as a portal to other programmes and evidence-based, genomics prevention advice. But for 2025 we have made the following positive assumptions …
Prevention:
There is an objective to empower people to take responsibility for their own health rather than depend on the NHS. There are incentives to encourage this.
ICS does more to support lifestyle behaviours and the wider determinants of health
There is more and targeted marketing to encourage healthy lifestyles and to signpost people to NHS webpages and the NHS App that will help diagnose symptoms (rather than finding information from bloggers and calling 111)

7. How might 2025 be different Workforce:
There may be a shortage of GPs and nurses but an aim to reduce demand on the workforce
Resources have shifted more to locality and primary care
Care can be delivered by specialist, generalist and less skilled staff and closer to home
Appointments can be delivered via web chat
Lower skilled staff use remote technology to reduce GP visits
There are Social Prescribing Link Workers and Community Support Volunteers

8. How might 2025 be different Model of care:
ICS and strategic partners work together well, providing joined-up care
Care Plans are built around individuals, families, communities and their networks
Person-centred care, for example, if have multiple morbidities attend a “solution clinic / one stop shop”
Personalised care has seen the public empowered to manage their care in partnership with professionals
Care can be delivered remotely via phone, internet
Equity of health care service across Gloucestershire

9. How might 2025 be different Technology:
Most (but not all) of the population are digitally savvy and many want a digital-first approach
Home monitoring and sensing equipment is more common
The Apps prescribed by the NHS are evidence-based and specific, e.g. a Diabetes App, but there is not one master App
Artificial Intelligence has proven to be better and faster than clinicians for imaging, prediction and diagnosis
So far, genomics has delivered most benefit and saved money in tailoring medicine to individuals rather than in the development of “wellbeing and prevention plans”

11. Discussion Each round: 10 mins at table, 10 mins as group [Each table to write notes we can collect]
Round 1: Gloucestershire ICS
What would a great ICS look like in 2025?
What will be the impacts - on public, patients, communities, organisation(s), governance, leadership, PPG, ways of working, policies, staff, technology, estates?
Round 2: PPGs
What will the PPGs be concerned about in 2025?
What will the relationship be between the PPGs and the PCNs?
How will the PPG Network influence the ICS?
What do PPGs need to do now to be ready for 2025?
What one thing from this discussion will you take back to your practice?