sutton health and care plan...•outline the progress already made as a partnership through the...
TRANSCRIPT
SUTTON HEALTH AND CAREPLAN
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• Outline the progress already made as a partnership through the Sutton Plan (23 Partners involved)
• Articulate our challenges across health and care
• Build on the Sutton Plan to describe what our partnership will do to develop a more coherent system of health and care that is shaped around the needs of Sutton residents.
• Describe what our health and social care economy will do to contribute to wider Sutton Plan goals
• Involve residents and the wider community in the future development of the Sutton Health and Care System taking account resources that are available
The Sutton Health and Care Plan will..
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1. February – May 2018: joint CCG and London Borough Sutton review of public health, service performance and quality, and user feedback to identify long list of potential challenges and areas for focus
2. May – October 2018: further reviews and refinement of challenges and priority areas lead by Sutton CCG Governing Body and Sutton Local Transformation Board
3. November 2018: Deliberative stakeholder event with residents and wide range of key stakeholders to discuss challenges and priorities, and to identify key initiatives that will help address challenges
4. January - February 2019: Health and Care Plan Partnership Group formed to agree a high level Sutton Health and Care Plan discussion document that articulates the case for change, priorities, and key initiatives that will be implemented over the next 2 years
5. March 2019: Discussion document approved by Health and Wellbeing Board
6. April – May 2019: Discussion document circulated to partner organisations for consideration and comment, and for wider engagement with communities.
7. May - June 2019: Final Health and Care Plan agreed by Health and Care Plan Partnership Group
8. June 2019: Final Sutton Health and Care plan presented to the Health and Wellbeing Board for approval
9. July 2019: Publication of Sutton Health and Care Plan.
Sutton Health and Care Plan roadmap
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Start Well
challenges
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Improving young people’s mental health
It is estimated that 8.5% of young people in Sutton aged 5-16 years have a mental health condition
The rate of hospital admissions as a result of self-harm in Sutton is above the London average (but similar to England)
A recent survey of young people in Sutton found that most of the respondents spend 3-4 hours a day viewing an electronic screen
The same survey revealed that the most common stresses in their lives are: exams, sleep problems, issues of body image and bereavement
4.8% of 15 year olds in Sutton reported using cannabis in the last month (similar to London and England)
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Supporting parents of children and young people with Special Educational
Needs
Special educational needs include a range of learning difficulties or disabilities that make it harder for a child or young person to learn.
More than 2,500 primary school aged children in Sutton have special educational needs (SEN)
More than 1,700 secondary school aged children in Sutton have special educational needs (SEN). This number has increased over the last 3 years.
Parents and carers need easy access to advice and support and families whose children have more complex needs require a coordinated approach from education, health and social care.
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Live Well
challenges
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Supporting adults with learning disabilities
People living with learning disabilities are a diverse group and the support that they require will vary based on their particular needs
64.1% of adults with a learning disability have an annual GP health check in Sutton, which is higher than the national average
Supported working age adults in Sutton, who have a learning disability, are less likely to live in settled accommodation or be in paid employment than the national average
It is estimated that there will be a 19% increase in the number of people with a learning disability by 2030. The largest increase will be in people aged 85 years and over due to improved life expectancy
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Encouraging adults to make healthy lifestyle
choices
Although people are living for longer they spend more years in poor health and each year people die early from diseases that are considered preventable
• 12.8% of adults in Sutton smoke – similar to the national average
• 1.7% of adults in Sutton cycle for travel at least 3 days per week, which is lower than the national average
There are many benefits of adopting a healthy lifestyle and lots of easy ways to incorporate these changes into a daily routine
Lots of people are already taking advantage of the assets we have in Sutton e.g. each week 700 people take part in the Nonsuch Park run
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Age Well
challenges
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Combating loneliness and social isolation among
older people and supporting older people when they leave hospital
GPs see older people, many of whom are widowed, who have multiple health problems like diabetes, hypertension and depression, but often their main problem isn't medical, they're lonely.
• In Sutton 59% of people who use social care services reported that they do not get as much social contact as they would like
• In Sutton 71.8% of adult carers reported that they do not get as much social contact as they would like
Older people's health and care needs often become more complex as they age. Managing these challenges requires an integrated, holistic approach from the organisations involved in their care. This is particularly important when people leave hospital
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Start Well• Educate children and young people from early age at school about Mental health.• There needs to be more peer support workers, they are the best way to actually connect with young people• Better support is needed to help Minority ethnic groups recognise and treat mental health problems
Live Well• More support groups are needed for parents of disabled children with multiple needs – both physical and learning disabilities• People wanted to see technology being introduced to book a GP appointment – such as a text messaging service or email booking system• Shared experiences of being referred to therapies that were not right for them and wanted more person centred care and choice
Age Well• More information was needed around which services can be provided in the community . It was felt that there is a lack of information out there of
who provides what service. • Lack of information sharing between hospitals is a big issue for the elderly and frail .• There was strong support for funding more activities in the community to help people stay active and reduce social isolation. Many people saw
the ‘in the mix’ group as a lifeline and felt more should be done to fund comparable activities.
What residents in Sutton previously told us…P
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What residents told us at the deliberative
event
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Sutton Health and Care Plan Priorities
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OUR STRATEGIC PRIORITY IS TO DEVELOPA COHERENT SYSTEM OF HEALTH AND CARE THAT IS SHAPED AROUND THE NEEDS OF SUTTON’S RESIDENTS
Will be delivered through the following Sutton Health and Care Plan Priorities
Start Well• improve young people’s mental health• improve the support provided to parents of children with Special Educational Needs and Disability• develop the universal offer to make sure all children are ready for school regardless of their socioeconomic status
Live Well• improve the specialist care support provided for adults with learning disabilities• improve how we encourage adults to make healthy lifestyle choices• improve the support for people with both a long term physical and mental health condition
Age Well• improve how we combat loneliness and social isolation among older people• improve how we support older people to stay out of hospital
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Sutton Health and Care Plan Strategic Approach
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A COMMITMENT TO ESTABLISHING AN INTEGRATED CARE PLACE THROUGH:
• Joint system leadership through the Local Transformation Board reporting to the Health and Wellbeing Board• Expansion of the Sutton Health and Care Alliance for provision of children and adult community services• Commitment to aligned commissioning between London Borough Sutton and Sutton CCG • Implementation of Primary Care at Scale within Sutton• Further integration between health and social care through locality working• Undertaking Outcome Based Commissioning Reviews• Improving digital connectivity through our South West London Connecting Your Care programme • Expansion of the compassionate communities approach within Sutton• Engagement as partners in Improving Healthcare Together 2020-30
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Sutton Health and Care Plan Initiatives
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Start Well – we will• implement the trailblazer enhanced mental health support pilot for children and young people in schools• continue the perinatal and infant mental health network with new projects on infant mental health, patient and public engagement,
and fathers and partners• undertake a joint health and local authority review of our children’s services to improve outcomes around:
o children with Special Educational Needs and Disability (SEND)o school readinesso mental wellbeing to build resilience
• redesign the information and support offer for parents of children with SEND Live Well – we will
• undertake a joint health and local authority review of how we commission Learning Disabilities• redesign the information and support offer for people with Learning Disabilities• use population health intelligence to more effectively identify and target interventions and services for people living with a long term
condition• expand the prevention intervention offer for people with long term conditions including the use of digital technology• create a local network of community groups, organisations and schools to promote healthy lifestyles• use our Outcome Based Commissioning Review to link Primary Care with community assets to further support self-care• implement our agreed joint Mental Health strategy priorities
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Sutton Health and Care Plan Initiatives
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Age Well – we will• work with local communities, faith and voluntary sector groups, and local businesses to create a network to:
o tackle social isolation through for example developing community connectorso assess and develop inter-generational support systems through for example buddies/mentorship schemes
• extend the provision of social prescribing through voluntary sector organisations within Sutton• extend the development of our Sutton Health and Care Programme through implementation of proactive locality multi-disciplinary
teams and preventative model of care• continue to work on integrating pathways between the Sutton at Home reactive service and services within the community• redesign and improve our falls prevention strategy• expand delivery the Sutton End of Life Care model
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Further work to be undertaken
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• For inclusion in discussion document for 4th March 2019 meeting:• agreement of proposed benefits for identified initiatives
• For inclusion in final Sutton Health and Care Plan for 17th June meeting:• financial modelling impact for Sutton health and care system • high level roadmap for delivery
• For inclusion in the over-arching South West London Health and Care Partnership (SWLHCP) Health and Care Plan:• SWLHCP chapter on the system wide transformational programmes that are being developed across SWL due to economies of scale
and need for system-wide changes e.g. acute clinical pathway redesign, acute sustainability, cancer, mental health, estates, workforce
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Sutton Health and Care Plan – our ask from the Health and Wellbeing Board
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1. Do you agree with the challenges, priorities and initiatives we have highlighted?
2. Are there any specific issues we have not addressed that should be included?
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