The NHS belongs to everyone: A Call to Action
What is Call to Action? • A Call to Action is an opportunity for everyone to contribute to the debate about the future of health and care provision in England • The aim is to gather views, data and information that we can use to develop national and local three to five year strategies setting out our commitments to patients
The NHS today Every day the NHS saves lives and helps people stay well, but 65 years ago, many people faced choosing between poverty if they fell seriously ill or foregoing care altogether. Today: • The NHS treats 1,000,000 people every 36 hours • Between 1990 and 2010 life expectancy in England increased by 4.2 years • 88% of patients in the UK described the quality of care they received as excellent or very good
The NHS today T he NHS continues to be highly valued by the public… Source: Ipsos Mori 2013
Rise in Long Increasing An ageing How do we prioritise Term Conditions expectations our resources to population address these challenges? Diabetics up The number of Seven day • Limited financial over 80s will access 29%, by 2025 double by 2030 resources requested to reach 4 • If we do nothing million by 2020, the NHS could face a gap in funding of £30bn
The challenge of supply and demand…
What will stay the same? This is NOT about: • Privatising the NHS • Charging for services • Restricting access BUT Preserving the values that underpin a universal health service, free at the point of use, will mean fundamental changes to how we deliver and use health care services .
What does this mean for Fareham and Gosport?
The population in Fareham and Gosport • 197,867 local residents • Gosport has a higher proportion of people aged under 39 • Fareham has a higher proportion of people aged 50+ • Population will increase by 1,056 (0.56%) by 2018 • 43,861 (23%) of the population are part of the most deprived families in the country • 1 in 5 children in Gosport and 1 in 10 children in Fareham live in poverty • Cancer is the leading cause of death for adults • Life expectancy for both men and women in Fareham is higher than the England average but lower for women in Gosport
What are the local health challenges? • Higher rates of all types of cancer than England • Increasing numbers of people with one or more long term conditions • A significant rise in the number of people with dementia by 2020 • An increasing older population with older carers • High levels of inappropriate attendances at the Emergency Department • Low uptake of the MMR vaccination • Increasing spend on prescribing in primary care • A budget of about £1,040 per person
What is the financial challenge?
What are the local opportunities? • Redirecting resources to prevention and early diagnosis • Giving patients greater control over their health • Improving the diagnosis and management of long term conditions • Harnessing new technologies to deliver care differently • Closer working and integration for community services with social care, the voluntary sector and other partners • Rebalancing what we spend on treating different diseases • Continuing to improve productivity within existing services eg. treating more patients out of hospital and reducing emergency admissions
What are our priorities? 1. Helping all communities access high quality care 2. Improving the experience and outcomes for the frail elderly and people with long term conditions 3. Care that is planned is delivered in the best way at the best time in the best place 4. Improving maternity services and services for children to better meet changing needs 5. Enabling people with mental health conditions and learning disabilities to receive care closer to home 6. Managing change in the health and social care system while ensuring continuity and improving quality 7. Improving the quality of care and outcomes for patients
We need your help 1. What is most important to you and your family in terms of healthcare and why? 2. Do you think our priorities are right? 3. What do you think we could change or do differently? 4. What do you think we could do now that would help us make changes more quickly? 5. What do you think are the main difficulties and opportunities for the NHS over the next five years?
What happens next? • We will share your feedback with NHS England as part of the national debate • We will use your feedback to help us develop a five year strategy for the local area
Questions? http://www.england.nhs.uk/2013/07/11/call-to-action/
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