1. ONE HACKNEY THE CCG’S £1.8M CHALLENGE FUND 2014/15

2. OUR VISION ONE SET OF OUTCOMES PROVIDERS WORKING TOGETHER IMPROVED PATIENT SERVICES

3. BETTER CARE FUND April 2014 £20m of existing CCG and LBH/COL money in a pooled budget Being spent on services to deliver specific outcomes Outcomes Reduced emergency admissions to acute hospitals Reduced delayed transfers of care Patient satisfaction Effectiveness of reablement services Admissions to residential and care homes

4. 12 MONTHS PREPARATION Relationships Encouraging all providers to work together Clinical and managerial Contracts Individually Patient views, service quality, process and outcome indicators Collectively For delivery of outcomes

5. 4 STEPS TO EARN £1.8M Step 1 £100k for start -up Step 2 £500k for new services Step 3 £600k for delivery of metrics Step 4 £600k for achievement

6. STEP 1 – START UP £100K Co-authored & agreed plan Development support

7. STEP 2 – NEW SERVICES £500K Co-authored & agreed plan What extra services could make a difference

8. STEP 3 – STRETCH TARGETS SET YOUR OWN TARGETS PAID IN SEPTEMBER 2014 AND MARCH 2015 IF ACHIEVED CO-AUTHORED PLAN ON HOW TO USE THE MONEY

9. £100K Reduce delayed transfers of care £100k Reduce number of bed days for emergency admissions £100k Reduce excess bed day costs £100k Reduce readmissions within 30 days of discharge £100k Increase number of older people still at home after discharge £100k Place of death

10. STEP 4 - OUTCOMES OVER 75s EMERGENCY ADMISSION RATE IS DECREASING OVERALL EMERGENCY ADMISSION RATE STAYS BELOW LONDON AVERAGE £300K - END SEPT 2014 £300K - END MARCH 2015 CO-AUTHORED AND AGREED PLAN ON HOW TO SPEND THE MONEY

11. PLANS TO SPEND THE MONEY 1 Must be agreed by everyone 2 Consistent with our vision and clinical model 3 Improve services and outcomes for patients Help make further progress on the metrics 4 Who you want to be commissioned to deliver what

12. WHO IS EVERYONE? HOMERTONELFTCHUHSECHUSE+ LBH PROVIDER TAVISTOCK & PORTMAN VOLUNTARY SECTOR

13. WHO DECIDES CCG Chair CEO Lay member Hackney Healthwatch CHUHSECHUSE+ Homerton CEO or Medical Director ELFT CEO or Medical Director Tavistock CEO or Medical Director LBH Director of Adult Services Director of Public Health Representatives of voluntary sector on AHWG

14. NEXT? CCG website http://www.cityandhackneyccg.nhs.uk/about- us/onehackneyccgchallenge.htm http://www.cityandhackneyccg.nhs.uk/about- us/onehackneyccgchallenge.htm all the background information, data sets and proformas to use Send your pro-forma to: markscott3@nhs.net