What is the Sustainability and Transformation Plan (STP)? STPs - PowerPoint PPT Presentation

What is the Sustainability and Transformation Plan (STP)? • STPs were introduced by NHS England to support delivery of their Five Year Forward View strategy • The STP is an opportunity to radically transform the way we provide health and social care • 44 STP areas (footprints) across England • Main focus on how as a system we close the three main gaps identified in the Five Year Forward View: o Health and wellbeing – preventing people from getting ill and supporting people to stay as healthy as possible o Care and quality - consistent high quality services, wherever and whenever they are needed o Finances and efficiency - making sure we run and structure our services as effectively as possible 34

2 Health and social care in North West London is not sustainable  Adults are not making healthy choices  Increased social isolation Health & Wellbeing  Poor children’s health and wellbeing  Unwarranted variation in clinical practise and outcomes Care &  Reduced life expectancy for those with mental health issues Quality  Lack of end of life care available at home  Deficits in most NHS providers  Increasing financial gap across health and large social Finance & Efficiency care funding cuts  Inefficiencies and duplication driven by organisational not patient focus.  20% of people have a long term condition  50% of people over 65 live alone  10 – 28% of children live in households with no adults in employment  1 in 5 children aged 4-5 are overweight  Over 30% of patients in acute hospitals do not need to be in an acute setting and should be cared for in more appropriate places  People with serious and long term mental health needs have a life expectancy 20 years less than the average  Over 80% of patients indicated a preference to die at home but only 22% actually did 35

3 Health and social care in North West London is not sustainable Current Population Future Population (2030) % Increase 36

4 The North West London Vision – helping people to be well and live well Our vision of how the system will change and how patients will experience care by 2020/21 38

5 How we will close the gaps – 5 delivery areas Delivery areas (DA) Plans Triple Aim • Enabling and supporting healthier living DA 1 • Wider determinants of health interventions Radically upgrading prevention and • Helping children to get the best start in life wellbeing Improving • Address social isolation health & wellbeing • Improve cancer screening DA 2 • Better outcomes and support for people with common mental Eliminating unwarranted variation and health needs, improving LTC management • Reducing variation • Improve self-management and ‘patient activation’ Improving • Whole systems approach to commissioning • Implement accountable care partnerships care & DA 3 • Implement new models of integrated care services Achieving better outcomes and quality • Upgraded rapid response and intermediate care services experiences for older people • Single discharge approach • Improve care in the last phase of life • New model of care for people with serious and long needs DA 4 • Address wider determinants of health Improving outcomes for children &adults • Crisis support services Improving with mental health needs • Implementing ‘Future in Mind’ to improve children’s mental productivity health and wellbeing & closing the financial • Specialised commissioning to improve pathways from primary DA 5 care & support consolidation of specialised services gap Ensuring we have safe, high quality • Deliver the 7 day services standards sustainable acute services • Reconfiguring acute services • NW London Productivity Programme 39