1. Healthier Lancashire Richard Jones Area Director Lancashire Area Team 7 May 2014

2. Simon Steven’s First Speech “At a time when resources are tight, we’re going to have to find new ways of tapping into three incredible sources of ‘renewable energy’.” Richard Jones – 7 May 2014 | Third Sector Lancashire2

3. Simon Stevens - continued 1.Boosting the critical role that patients play in their own health and care. 2.Supporting the amazing commitment of carers and volunteers and communities to sustain their health and social care services. 3.Unleashing the passion and drive of the million plus frontline NHS staff who are devoting their professional lives to caring. He added, “I’m more and more convinced that these three energy sources are going to be central to our future.” Richard Jones – 7 May 2014 | Third Sector Lancashire3

4. The Case for Change The current health & social care system is not fit for purpose Why? Set up for 5 day working for patients with a single condition Responsibility taken away from people for their own care People are living longer (good) but their needs are greater More people with long term conditions and complex needs Fewer people have close family support – need a new model Poor outcomes and large health inequalities Financial pressure to deliver more for less Richard Jones – 7 May 2014 | Third Sector Lancashire4

5. Six characteristics of a new system Richard Jones – 7 May 2014 | Third Sector Lancashire5 Active Empowered Citizens Wider primary care at scale Modern model of integrated care High quality urgent and emergency care Increased productivity of elective care Specialised services – centres of excellence

6. Healthier Lancashire – an emerging plan A joint NHS, Local Authority, Third Sector initiative Started April 2014 – 2 year programme of work Aim “To get better outcomes for the people of Lancashire by improving the way in which health and social care services are provided, taking account of reduced resources, new technology and building on what works by listening to people and giving them greater control” Richard Jones – 7 May 2014 | Third Sector Lancashire6

7. Healthier Lancashire - Workstreams Sustainability Assessment Forecast Collaborative Leadership Listening to Lancashire Digital Health In Hospital Care Out of Hospital Care Neighbourhood Pilots Richard Jones – 7 May 2014 | Third Sector Lancashire7

8. Better Outcomes – Why we need action Increased life expectancy and better quality of life Fewer people admitted to hospital More people supported to live in their own homes More general care and support delivered locally Improved outcomes for people requiring specialist care More services designed around what people need Easier access to information held about you Less hospital beds – more community beds & support Richard Jones – 7 May 2014 | Third Sector Lancashire8

9. Opportunities for the Third Sector A major partner in the re-design of health & social care services across Lancashire Equal footing with statutory bodies Delivery of out of hospital services for the NHS Delivery of services in new neighbourhood teams Advocacy for vulnerable and older people Development of new models of care Piloting new approaches Obtaining long term support to build capacity & capability Richard Jones – 7 May 2014 | Third Sector Lancashire9