Presentation on theme: "‘Changing the balance’ A 2020 Vision of Health and Social Care in Sheffield #2020vision Primary Care Sheffield."— Presentation transcript:
1 ‘Changing the balance’ A 2020 Vision of Health and Social Care in Sheffield #2020vision Primary Care Sheffield
2 VisionWe want to change the balance between hospital and community care, with more care closer to your home and we want to reduce the difference in life expectancy across the city.
3 Changing how we workThe NHS and social care need to change how we work if we are to continue to meet people’s needs in Sheffield.Sheffield’s NHS organisations and Sheffield City Council are working together to talk to the public about why we think we need to change and what those changes should look like.
4 What we want to achieveWe want to develop a shared view of health and social care in the year 2020 that is agreed by organisational partners, the public and clinicians. We will then work together, with the Sheffield public, to implement the changes agreed.
6 Future pressures on health and social care Similar to across the country, Sheffield:Has an ageing populationIs seeing a rise in long-term conditions such as diabetes and arthritisHas less money, due to the expected continued reduction in funding for councils, and the increasing cost of providing careHas a year on year increase in hospital activity, and demand for long term careHas waiting time pressuresIt is important to make changes now to ensure we have a system fit for future demand.
7 Projected expenditure and funding Potential gapContribution of the ICP to bridging the predicted reduction in council incomeThe chart below illustrates that there may still be a funding gap even if the ICP delivers savings across all workstreams. In line with NHS England guidance, Sheffield CCG have assumed a 9% increase in funding over the next five years. Council income, however, is more uncertain with local government funding subject to political decisions. If we were to hypothetically assume further 10% cuts in 2015/16 and 16/17, followed by three years of 5% cuts, this would equate to a reduction of 28% over five years. The net situation in this scenario would be an overall decrease in funding of 9% over the same period and therefore the interventions we have modelled could realise just under half of the savings required.
8 Sheffield’s Aims for the next five years Priorities in the Joint Health and Wellbeing StrategySheffield is a healthy and successful cityHealth and Wellbeing is improvingHealth inequalities are reducingPeople get the help and support they needServices are affordable, innovative and deliver value for moneyNHS Sheffield CCG prospectus aimsTo improve patient experience and access to careTo improve the quality and equality of healthcare in SheffieldTo work with Sheffield City Council to continue to reduce health inequalities in SheffieldTo ensure there is a sustainable, affordable healthcare system in SheffieldSheffield City Council Corporate Priorities An in touch organisationStrong economyThriving neighbourhoods and communitiesBetter health and wellbeingTackling inequalities
9 What people have said so far Key messages:Support for integration of health and social care, to reduce handover from one worker to anotherSupport for care closer to homeInformation and advice about what’s on offer to support peopleSupport for information sharing – telling your story only onceHolistic support, e.g. mental health/emotional needs being considered when being treated for physical issueComments about staff attitude and approachGetting to see a GP when you want can be difficultNeed to engage people in design of services
10 Our aims for the next 5 years Reducing need for A&E attendance and emergency admissions (20% reduction target)More local specialist diagnosis and management of health problems, making best use of technology, reducing hospital outpatient attendancesSingle assessment for long term care and pooled health and social care budgets, helping people to stay at home where possible and reducing placements in care outside SheffieldDevelopment of specialist services in Sheffield to provide care to South Yorkshire and wider populationsReducing the gaps in life expectancy in SheffieldQuality of care and patient experience must continue to be improved
11 What difference will it make? Ensuring all children have the best possible start in lifeSupporting people to care for themselves, e.g. information and advice, use of pharmaciesMore emphasis on helping people to stay well, preventing problemsRisk identification and care planning for those most at risk of major problemsStronger primary and community services, including local Voluntary, community and Faith organisationsGP practices working together in local areas, offering more services, but sometimes in nearby practicesIntegrated health and social care services
12 What difference will it make? Better recognition of the connection between mental health and physical health issuesImproved responses to mental health crisesFewer outpatient attendances, replaced by more local services and use of technologyReview and possible changes to urgent care servicesFewer general hospital beds in the cityMore beds being used to provide specialist care to the wider populationSeven day working where that achieves better outcomes
13 Have your say Involve me! The CCG and partner organisations will have a number of city wide engagement events and opportunities for patients, the public and health and social care staff to have their say. Events will be listed on the NHS Sheffield CCG website – visit and search ‘2020 vision’.Involve me!To make sure you don’t miss out on any of our engagement opportunities sign up to the CCG 'involve me' network. Visit and search ‘involve me’.
14 2020 Vision engagement events 22 July 2015 2 - 4pm at The Circle, 33 Rockingham Lane, S1 4FW12 August am – 12 noon at The Circle4 September 2015 1 - 3pm at the Medical Education Centre, Northern General Hospital, Herries Road, S5 7AU16 September pm at The CircleBook your place here:
15 We want you to tell us…How can we improve the way we respond if you have an emergency?How can we better help you to stay well?What should health and social care services do to help reduce health inequalities?What other areas (in addition to those in the presentation) are important?What do you want to know more about in relation to our vision and the need for change, and how do you want to be involved?What should our priorities be in spending the money we have for health and social care in Sheffield?
16 How to feedback To answer these questions you can either: go online to and search ‘2020 vision’,or if you can’t get online you can call the NHS Sheffield CCG engagement team on
17 Timeline July - September Engagement events at all organisations Web based opportunities to commentDiscussion between organisationsThenReflection on what people have saidPublication of a short document setting out our plansAction to make changesAndEngagement and consultation on specific changes, to develop and test ideas