Delivering the Forward View: NHS planning guidance 2016/17 2020/21 December 2015
Delivery Five Year Forward View Focus on:- Restoring financial balance Delivering core access and quality Closing three identified gaps Health and wellbeing gap Care and quality gap Finance and efficiency gap.
NHS organisations to produce:- Organisation Plan for 2016/17 Sustainability and Transformation Plan (STP) covering October 2016 March 2021
Operational Plans for 2016/17 Year one of five year STP Progress on 7 day services (mandate) Reducing excess deaths increase consultant cover and diagnostic services Improved access to Out of Hours by better integration Improving access to primary care
Operational Plans 2016/17 Nine must do s for 2016/17:- 1. Develop the STP 2. Return the system to aggregate financial balance 3. Develop and implement a local plan to address the sustainability and quality of general practice, including workforce and workload issues 4. Meet access standards for A&E and ambulance waits 5. Meet 18 week referral to treatment target 6. Meet cancer standards on waits and improve one year survival rates 7. Meet two new mental health access standards: more than 50% of people experiencing a first episode of psychosis to commence treatment with a NICE approved care package within two weeks of referral; 75% of people with common mental health conditions referred to the Improved Access to Psychological Therapies (IAPT) programme to be treated within six weeks of referral, with 95% treated within 18 weeks. Continue to meet dementia diagnosis target 8. Deliver local plans for better care for people with learning disabilities 9. Develop and implement affordable plans to improve quality.
Timescales
Proposed new CCG Assessment Framework for 2016-2017 A CCG will receive a headline annual assessment of 4 key areas: Better Health smoking; child obesity; diabetes; falls; personalisation and choice; health inequalities Better Care care ratings; cancer; mental health; learning disabilities; maternity; dementia; urgent and emergency care; primary medical care; elective access; 7-day services Sustainability CCG in financial balance; allocative efficiency; continuing health care; new models of care; paper-free digital services; estates strategy Leadership sustainability and transformational plan; probity and corporate governance including managing conflicts of interest; workforce engagement across the whole system; CCG s local relationships; quality of CCG leadership
The Headline Assessment Will be one of four ratings: 1. Outstanding 2. Good 3. Requires improvement 4. Inadequate (will be based on various sources of information, including performance data, outcome indicator sets, Commissioning for Value packs, 360 degree stakeholder survey, etc)
Individual Assessment In addition, a CCG will have an annual individual assessment in each of 6 clinical priority areas: 1. Mental health 2. Dementia 3. Learning disabilities 4. Cancer 5. Diabetes 6. Maternity
Sustainability and Transformation Plan
Sustainability and Transformation Plan Covers all CCG and NHS England commissioned activity and better integration with local authorities System wide financial sustainability plan Plan assessed on:- - Quality (including scale of ambition and track record) - Reach and quality of local engagement - System leadership - NHS England s confidence in arrangements
Sustainability and Transformation Plan (2) Planning for individual organisations to become subsidiary to place for local populations (STPs) Financial levers STPs signed off to receive transformational funding (CCGs and providers) STP footprints agreed by 29 January 2016
Lancashire and South Cumbria The Lancashire and South Cumbria NHS community has determined to deliver a Sustainability and Transformation Plan (STP) on a Lancashire and South Cumbria footprint. This will be constructed from five Local Health and Care Economy plans, to be known as local delivery plans (LDP) which are being formed by the constituent bodies within those economies. West Lancashire will be associates in the Merseyside STP footprint. The Healthier Lancashire Programme will facilitate the amalgamation of these health economy plans and the overarching principles and process for the Lancashire and South Cumbria-wide work incorporating the appropriate local authority based inputs. For reference these are the CCGs that form a core part of this proposal: Blackburn with Darwen Blackpool Chorley& South Ribble East Lancashire Fylde & Wyre Greater Preston Lancashire North South Cumbria West Lancashire System partners in the STP Blackpool Teaching Hospitals NHS Trust East Lancashire NHS Trust Lancashire Teaching Hospitals NHS Trust Lancashire Care NHS Trust Morecambe Bay NHS Trust Blackburn with Darwen Council Blackpool Council Cumbria County Council Lancashire County Council Third Sector Forum NWAS
NHS England requirements:- Before Easter Developing local leadership and collaboration Agreed Governance arrangements to produce agreed STP - Nomination of named person responsible for overseeing, coordinating process - Genuine engagement Agreed Scale of the challenge for each of 3 gaps - Health and Wellbeing - Care and Quality - Finance and Efficiency Method and data published week commencing 29 February 2016. Agreed Key priorities to address each gap
After Easter Developing the STP Plans will include:- -Cross partner prevention focus on national priorities of obesity and diabetes and locally agreed priorities -Increase investment in out of hospital sector -Ambitions for 7-day services (i) integrating 111, minor injuries, urgent care and out of hours services (ii) Improved access to primary care at weekends and evenings (iii) Four priority clinical standards for hospital services 7 days per week
- Delivery of new models of care (Vanguards) - Quality improvement action - Collective action on national priorities, eg, cancer, mental health, learning disabilities and maternity services - Return to financial balance - Engagement at all levels.
Sustainability and Transformation Funding - 2.139 billion Sustainability and Transformation Fund in 2016/17-1.8 allocated to NHS Providers (released on quarterly basis on delivery against trajectories) - CCG allocation growth from 2017/18 contingent on STP sign off - STP fund rises to 3.4 billion 2020/21 with increasing share for transformation
Key Dates What Who When Further engagement and support on gap analysis and STP development National bodies Week commencing 29 February 2016 Gap analysis/data developed with each footprint National bodies/regional Directors/footprints Throughout March 2016 Short return, including priorities, gap analysis and governance arrangements Each footprint 11 April 2016 Outline STPs presented Each footprintarea to develop plans and build support with their boards and partners Footprintsto attend regional events to discuss emerging plans with peers and national bodies Asset out in local governance arrangements W/c22 April 2016 During April/May/early June 2016 Ongoing engagement and support from national policy experts and teams to support priority development National policy teams and experts During April and May 2016 Each footprintto submit their STP Series of regional conversations between national teams and footprints To Regional Directors and then the 5YFV Board of national body Chief Executives The NHS national body Chief Executives, National Directors, partners and footprints 30 June 2016 Throughout July 2016