Health and Social Care in Sheffield in 2020

Tim FurnessDirector of Business Planning and Partnerships,

Sheffield CCGOn Behalf of Sheffield NHS Organisations and Sheffield City

CouncilPrimary Care Sheffield

This Afternoon

• Why the way we provide care needs to change• What people have said to us already• What the Council and NHS is currently

thinking• What you think

Part 1 - Does care provision need to change?

Part 1 - Does care provision need to change?

• Year on year increase in hospital activity, and demand for long term care

• Waiting time pressures – winter, 18 weeks, A&E – increasingly challenging

• Public expectation• Technically, we can do more and more to treat and

support people• Funding for NHS and Social Care

Projected expenditure and funding

QuestionDo you recognise these issues?

5%

0%

95% 1. Yes2. No3. Don’t know

QuestionTo what extent do you feel that health and social care services can’t just do

more of the same?

3%

2%

10%

31%

54% 1. Strongly agree2. Agree3. Neither agree or disagree4. Disagree5. Strongly disagree

Question

What more might you want to know to help you answer these questions?

This will be a topic in the open space sessions later.

Sheffield’s Aims for the next five yearsPriorities in the Joint Health and Wellbeing Strategy• Sheffield is a healthy and successful city• Health and Wellbeing is improving• Health inequalities are reducing• People get the help and support they need• Services are affordable, innovative and deliver value for money

CCG prospectus aims• To improve patient experience and access to care• To improve the quality and equality of healthcare in Sheffield• To work with Sheffield City Council to continue to reduce health inequalities in Sheffield• To ensure there is a sustainable, affordable healthcare system in Sheffield

SCC Corporate Priorities • An in touch organisation • Strong economy • Thriving neighbourhoods and communities • Better health and wellbeing • Tackling inequalities

Previous public viewsConsultation and engagement through:• Development of Joint Health and Wellbeing Strategy• Right First Time• Integrated Commissioning• City Council budget conversations• CCG commissioning intentions 2014• Musculoskeletal services - commissioning for outcomes• Patient Opinion• Healthwatch work, complaints analysis, specific consultations,

messages coming through routine involvement mechanisms

What people have said so farKey messages:• Support for integration of health and social care, to reduce

handover from one worker to another• Support for care closer to home• Information and advice about what’s on offer to support people• Support for information sharing – telling your story only once• Holistic support, e.g. mental health/emotional needs being

considered when being treated for physical issue• Comments about staff attitude and approach• Getting to see a GP when you want can be difficult• Need to engage people in design of services

Our thinking so far - aims 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 attendances

Single 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 Sheffield

Development of specialist services in Sheffield to provide care to South Yorkshire and wider populations

Reducing the gaps in life expectancy in Sheffield

Quality of care and patient experience must continue to be improved

What this would mean Ensuring all children have the best possible start in life Supporting people to care for themselves, e.g. information and advice, use

of pharmacies More emphasis on helping people to stay well, preventing problems Risk identification and care planning for those most at risk of major

problems

Stronger primary and community services, including local Voluntary, community and Faith organisations

GP practices working together in local areas, offering more services, but sometimes in nearby practices

Integrated health and social care services

What this would mean Better recognition of the connection between mental health and physical

health issues

Improved responses to mental health crises

Fewer outpatient attendances, replaced by more local services and use of technology

Review and possible changes to urgent care services

Fewer general hospital beds in the city

More beds being used to provide specialist care to the wider population

Seven day working where that achieves better outcomes

How far do you agree these ideas are really important for Sheffield?

3%

2%

10%

48%

38% 1. Strongly agree2. Agree3. Neither agree or disagree4. Disagree5. Strongly disagree

QuestionWould these ideas improve things for you and people you know?

25%

8%

66% 1. Yes2. No3. Don’t know

Discussion questions• 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?

Summary of DiscussionsHow can we improve the way we respond if you have an emergency?

• How do people know what is an emergency?• Health services must be joined up?• People taken to A&E when not necessarily needed – there needs to be more

assessment before an ambulance is called.• Non health emergency services closed out of hours and there’s no single point of

contact.

How can we better help you to stay well?• Professionals first need to understand what the problem is. They need to listen

and understand what’s been said. We are all part of the team!• Bring back expert patients and expert elders.• Improve information for people not on the internet.• We need more self help groups• Age Better Project - approach isolation and loneliness.

Summary of DiscussionsWhat other areas (in addition to those in the presentation) are important?

• Cultural change and better links between the CCG, the council and all stakeholders• Looking at the interest of the citizens more rather than organisations• Prevention – Public Health should invest to save and provide people with information

to support themselves.

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?

• How will we measure the outcomes and know if we’re achieving the objectives?• How will we communicate our successes or our need to further develop services to

the citizens of Sheffield?• We want to be involved from the start of the planning – not when you have already

developed a draft strategy or set of proposals – please support true coproduction and let us know how to get involved in all aspects of health and social care

Summary of DiscussionsWhat should health and social care services do to help reduce health inequalities?

• Tackle the root causes such as a poor diet, lack of exercise, alcohol dependency and social isolation

• We need to build people’s resilience.• Bring education and people in care together

What should our priorities be in spending the money we have for health and social care in Sheffield?

• Invest in better monitoring and measurement services• More preventative services, such as Activity Sheffield• Improving home equipment and adaptations to enable people to remain living

independently• Invest in vaccination programmes to prevent illnesses, particularly within vulnerable

groups

What Happens NextNext three months• Discussion this afternoon• More meetings like this, at all organisations• Web based opportunities to comment• Discussion between organisationsThen• Reflection on what people have said• Publication of a short document setting out our plans• Action to make changesAnd• Engagement and consultation on specific changes, to develop

and test ideas

Thank you