guy pilkington, chair, newcastle gateshead clinical commissioning group

Transforming lives together


Blue%Stone%Consor-um%Launch%Event%The%Commissioning%Landscape%and%

Opportuni-es%


Introduction

•  Five Year Forward View (NHS Planning) •  Accountable Systems •  New Care Models •  Mental Health •  Sustainability and Transformation Plans

(more NHS planning)


Closing the Three Gaps

•  The Finance Gap – An annual shortfall of £30bn between demand

and supply •  The Quality Gap

– Variation between organisations, areas and patient groups

•  The health Gap – Difference between the burden of disease and

illnesses we could prevent


From the Five Year Forward View •  At its best the NHS is

–  ‘of the people, by the people, for the people’ – The NHS as a social movement

•  Getting serious about prevention – A radical upgrade in prevention and public health

•  Empowering patients –  Information, choice, personal budgets

•  Engaging communities – Carers, volunteering, partnerships with third

sector, NHS as an employer


Other Precipitants of Change

•  Austerity – LA budget cuts – Personal finances, both in and out of work

•  Ageing population •  Social model of health

– Broader determinants of health – Ability to adapt and self-manage

•  Inequalities


A Local System Response

•  Collaborating on building shared accountability, shared planning and shared decision making

•  Integrating around the needs of individuals and their communities

•  An accountable care system?


New Care Models

•  Proof of Concept, Newcastle •  Place Based Systems of Care (King’s Fund) •  Localities, built on collections of GP practices

exploring with workforce from all sectors –  Who are the people we should be initially

focusing on within the specified localities? – What are the issues that affect these people? –  How might we collectively better address their

issues?


Mental Health •  Large programme of transformation including

–  Deciding Together (consultation on specialist mental health services)

–  Transformation plans for people with learning disabilities

–  Expanding Minds, Improving Lives (Children+young people)

–  Single system of urgent access to mental health support

–  Dementia care (early days) •  Parity of esteem •  Overcoming artificial separation of mind-body


Sustainability and Transformation Plans •  System plans •  Large footprints

– with subsidiarity •  Future transformation funds dependent on

it •  ‘Compelling and credible’ •  Prevention, the social model, holism will

feature large


Your Opportunities

•  Build alliances – With each other – With statutory sector

•  Add value –  Improving accessibility – Maintaining strong relationships

•  Personalisation – Consortium advantage


“It is increasingly understood that tackling the causes of ill-health, empowering patients, and engaging communities are all essential components of creating a sustainable NHS” Forward View into Action

guy pilkington, chair, newcastle gateshead clinical commissioning group

Government & Nonprofit