NHS East of England Tel: 01223 597500 Victoria House Fax: 01223 597555 Capital Park, Fulbourn Email: [email protected] Cambridge CB21 5XB Web: www.eoe.nhs.uk Improving Lives; Saving Lives 12 week consultation 10 September – 30 November 2007 Introduction
The creation in 1948 of the National Health Service was one of Since the ink dried on the 1948 NHS Act, we have been the defining momentsIntro in our history. We decided, as a nation, delivering high-class healthcare day in and day out. As new that we would collectively provide healthcare for all our people techniques, treatments and drugs became available the as a right. The principles that drove those NHS pioneers nearly NHS shaped and reshaped itself to deliver an enhanced and sixty years ago hold true now. improved service. In essence we improve more lives – and save more lives – today than ever before, numbers beyond the Anybody who needed treatment would have access on the wildest dreams of those who created the NHS. basis of need anywhere across the whole system. Today, whether you are on holiday or working away from home, you The NHS is one of the largest employers in the world, with more can visit a GP or A&E and be treated by the NHS. Your local doctors and nurses than any other organisation on earth. We NHS is the local part of a national system that will welcome you treat 1m patients every 36 hours with an annual budget, all from wherever you need it. We all put in our share and have equal general taxation, exceeding £90bn. rights to equal access to healthcare. In the east of England, 40 NHS bodies and around 109,000 The system would be free at the point of need. Nobody would people employed directly by NHS Trusts and PCTs provide fear that they could not afford to seek treatment if they needed healthcare to 5.4m people. Our reputation is based on the it. This remains a fundamental and immovable building block of expertise, training and compassion of those who work as part the modern NHS. of the NHS service.
As the NHS approaches its sixtieth birthday next year we want to think about the future and ensure that the services we provide are those of which we can continue to be proud.
Improving Lives; Saving Lives is about now, and the future, but its genesis is what is best about the NHS. It is about the service we provide to the people who come to us and place their faith in us. Please help us shape this future.
KEITH S PEARSON JP NEIL MCKAY CB Chairman Chief Executive Contents
1.0 Improving Lives; Saving Lives
Intro 2.0 How the consultation process will work
3.0 The vision and the pledges
3.1 One overall Vision
3.2 One clear objective
3.3 A set of clear, measurable pledges
3.4 Pledge one
3.5 Pledge two
3.6 Pledge three
3.7 Pledge four
3.8 Pledge five
3.9 Pledge six
3.10 Pledge seven
3.11 Pledge eight
3.12 Pledge nine
3.13 Pledge ten
3.14 Pledge eleven
4.0 A pledge for staff
5.0 A two way street
6.0 Our wider responsibilities
7.0 Conclusion
Appendix: Maps of east of england nhs organisations 1.0 Improving Lives; Saving Lives
Improving Lives; Saving Lives
Improving Lives; Saving Lives is our offer, on behalf of the We understand the financial discipline that has been central to whole NHS in the east of England, to everyone in our region.1 the NHS over the last two years has sometimes been hard, but The challenges it sets are clear. What can we do more of, and it has delivered results. This discipline has been for a purpose, what can we do better? putting the NHS on a sound footing and releasing funds for innovation, planning and local priorities like never before. It is also a collective expression of our commitment to each other as people who work in the service. It places on record We applaud the move away from central targets for the NHS. our united desire to build on areas where the NHS is already They have served their purpose and we now look forward to an performing well, and seek to do better in areas where era where the solid base that targets have created can now be improvement is needed. It is about why we do what we do, and built on through local action and priorities. how we can ensure we continue to feel pride in our work and the impact we have. Alan Johnson’s commitment, the financial position we have worked towards and the discipline of targets have all provided We welcome the announcement by the new Secretary of us with a solid and stable platform from which to build for State for Health, Alan Johnson MP, that there will be no more the next three years. Our work will also be supported by the management reorganisations of the NHS for the foreseeable combination of Improving Lives; Saving Lives, Looking to the future. There have been too many in the past. Future and Lord Darzi’s Next Stage Review, which will improve and modernise the National Health Service.2
This short document sets out our thinking to date. It sets out the views of NHS East of England, the Strategic Health Authority, and it is where the Chairs and Chief Executives of our regional NHS think we should be heading. It has already been shared with a number of senior doctors and nurses from across the region as well as other staff. Already issues and changes have been raised, but now we want patients, the public, our stakeholders and every member of NHS staff in the region to have their say.
1 NHS East of England is the legal name for the East of England Strategic Health Authority. The NHS in the east of England refers to all the NHS organisations in the region.
2 The Next Stage Review will focus on working with NHS staff to ensure we have a properly resourced NHS, which is clinically led, patient-centred and locally accountable. The Looking to the Future Review is considering the effects of modern clinical practice and medical developments on the way we structure the services that have traditionally been delivered in hospitals, and any changes that are needed to ensure patients receive the best treatment and outcomes. Improving Lives; Saving Lives is about agreeing a shared vision for the future of health and health services in the east of England and setting goals through which we can measure progress towards that vision. In doing so, the NHS in the east of England will aim to become the best NHS region in the country. 2.0 How the consultation process will work
How the consultation process will work
This document asks the questions we want you to answer This document, along with a technical analysis that sets out during the consultation period (10 September 2007 – 30 how we made our pledges and supporting information about November 2007). Whether you are a patient; a member of the how we intend to deliver them, will be placed on our website public; a member of NHS staff; an elected politician; or part of www.eoe.nhs.uk for you to download and print. an organisation that supports and works with the NHS, we want you all to let us know what you think. You can also request a copy of this document and other supporting information to be sent to you by writing to Improving This consultation document sets out one overall vision for Lives; Saving Lives, NHS East of England, FREEPOST, Victoria where we want the NHS in the east of England to be in three House, Capital Park, Fulbourn, Cambridge, CB21 5XB. years’ time. It will provide an objective against which we can judge our performance and a series of pledges by which we We will be visiting NHS facilities around the region and meeting will reach our goals. staff and other partners to discuss the consultation as well as working with a professional consultation company to engage It also addresses the role that patients and others can play in with patients and members of the public. their own lives and with the NHS to ensure we all, collectively, can deliver an east of England where more people’s lives are We will also be available to come and talk to as many saved and more people’s lives are improved. organisations and stakeholders as we can if you would like to contact us with a request. Finally it outlines some areas where the NHS in the east of England can play its part as a major employer and corporate All responses should be sent to the freepost address body in the region in delivering a better environment, regional below, or you can visit the website www.eoe.nhs.uk and fill prosperity and the best possible place for NHS staff to work in. in an online response form.
Improving Lives; Saving Lives NHS East of England FREEPOST Victoria House Capital Park Fulbourn LivesCambridgeshire CB21 5XB Have your say on the priorities for the NHS in the east of England for the next three years. Pledges 3.0 The vision and the pledges
The vision and the pledges
The NHS is funded through general taxation. This means that everyone resident in the UK has a personal stake in the NHS. The stakes are held for their families, their friends and for the treatment of people they don’t know and will never know. That is the nature of the NHS. That is why we, the NHS and the people who work in it, are happy to be held to account by those we Pledgestreat and serve. The priorities we agree are not discussed and decided upon in a vacuum. They are based on experience, clinical knowledge and hundreds of thousands of patient contacts every day. Our vision should deliver what matters to patients and the public, which should chime with why we all work in healthcare in the first place. The outcomes should benefit patients and the public and they should be measurable.
The NHS in the east of England will commit itself to a series of pledges. We will prioritise them. We will make resources available to deliver them, and we will be measured and judged by them. 3.1 Improving Lives; Saving Lives
We will be the best health service in England
It is the nature of the human condition that we judge ourselves against others. A measure of how well we are doing is not only Visionlogical and numerical but also emotional. That is why we have set ourselves one overall goal.
We will be the best health service in England.
This does not mean we want others to be worse, we just want to be the standard by which others judge themselves and seek improvement. This vision has the virtue of being measurable by numbers and formulas, but also has an emotional appeal to the desire to feel proud of your local service.
Q1 Is this the right vision? Please use the separate feedback form enclosed to give us your comments Vision 3.2 Improving Lives; Saving Lives
We will add 5 million years of life to people in the east of England by 2011
One of the defining measurements of progress in any society is That is why we want to set our objective in a way that can the longevity of the people who make up that society. In short capture people’s imaginations and which covers public health, Objectivewe should live longer than our ancestors did. better care for long term diseases, preventative measures and the work of our partners as well as care delivered in hospitals This is not merely a result of better healthcare, and cannot and other acute services. all be laid at the door of the sixty year old NHS. We have a part to play, along with our partners in local government and Therefore, we as an NHS, pledge: elsewhere, in continuing this trend. Clear interventions can and do make a difference to the length of our lives. We will add 5 million years of life to people in the east of England by 2011. However, as a health service, we recognise that it is not just about length of life, it is also about the quality of those years, If the NHS continues, along with its partners, to improve especially as we get older. Improving the quality of people’s services in the way we have in recent years then average life lives is something in which the NHS can and should be expectancy in the east of England will rise by 3 months over playing a role. each of the next three years. We will also target and improve those parts of our society that have lower life expectancy.
If we can maintain progress and increase the fairness for the poorest 20% of our communities then we will succeed.
Q2 Is this the right objective? Please use the separate feedback form enclosed to give us your comments Objective Clear 3.3 Improving Lives; Saving Lives
A set of clear pledges
Our vision and our objective are clear. The challenge now is Those three areas are: to translate that vision and that objective into actions that will Clearanswer the question – what does this mean for me? • Delivering a better patient experience – the NHS exists for patients. Caring for patients, giving them our best, helping In this section we set out our views of what those actions them get better and have healthier lives is why we all chose to should be, what sections of our society will benefit from them do what we do. We aim to have the best clinicians delivering most, and how we will be measured against these actions. the highest clinical quality care. This section addresses the These are our pledges. patient experience.
We have divided our pledges into three clear areas of work, • Improving people’s health – new technology, techniques, designed to address the full range of what we as an NHS can treatments and drugs have made improvements to people’s do, but also to ensure we are reflecting the needs and desires health throughout the history of the NHS. We need to ally this of those we serve. progress with better prevention and a more engaged society taking better care of their own, and their family’s, health. This section asks whether we are really doing as well as we could; whether best practice is replicated across the service and whether we can fulfil promises that will help us all live longer and healthier lives.
• Reducing unfairness in health – the east of England is one of the most prosperous regions in the country, and therefore the world. Yet there is a 10 year difference in life expectancy between different parts of the region. Where you are born, where you live and your life circumstances should not govern how long you live. It is unfair, and this section seeks to enhance what we and our partners already do to put that right in our region.
Each of these areas is supported by specific pledges which are explained in the following pages. Q3 Are these the right three areas to be concentrating on? Please use the separate feedback form enclosed to give us your comments 3.4 Delivering a better patient experience
We will deliver year on year improvements in patient satisfaction
Every service relies on the trust and series of patient experience standards. support of those it serves. It is the Success will mean getting better returns Saisfactionsupport of patients and their families, the year on year. confidence they show in us and how they feel about the service they receive that We will do the same for the general define attitudes to the NHS. That is why public. The NHS touches all our lives, we will create an annual survey, either whether we are patients ourselves or through systems already in place at Trust not. It is a service we all have a stake and PCT level or a bespoke process, to in and rely on at some point in our lives measure our performance against a which is why we need to ensure we have confidence in the service.
Q4 Is this a correct mechanism for measuring our success? Please use the separate feedback form enclosed to give us your comments Saisfaction Services 3.5 Delivering a better patient experience
We will extend quicker access to our services
The days when patients routinely waited That is why the new target that the months, if not years, for treatment will whole patient journey from referral to Servicessoon be behind us. This is as it should treatment should be no more than 18 be: patients should be seen as quickly weeks is better.3 This target is easily as possible. National waiting time targets understandable, it removes different have prioritised one of the major, and targets along the pathway that helped us correct, criticisms of the NHS. But these measure progress but meant nothing to targets have been largely managerial the patient, and is instead directly linked and not easily understood or translated to outcomes for the patient. We welcome into patient experiences. it and we will deliver it.
But we want to go further. The NHS is a system of different journeys by different patients through different clinical specialties to different outcomes. All of those different journeys should have the same promise of speed between diagnosis and treatment. That is why we are pledging to extend the quicker access guarantee further to services like mental health and therapies.
3 The Department of Health’s Tackling hospital waiting: the 18 week patient pathway - An implementation framework, published May 2006, set out how achieving a maximum wait of 18 weeks from GP referral to the start of hospital treatment would be achieved by the NHS by December 2008. Q5 Are we right to extend this guarantee and to which services should we extend it to? Please use the separate feedback form enclosed to give us your comments 3.6 Delivering a better patient experience
We will make it easier to see a GP at a more convenient time
ConvenientThe GP is the first port of call for most As our lives change, we work further from patient journeys within the NHS. Outside our homes and we work longer hours, of exceptional circumstances that require we need to have greater flexibility in the an ambulance or A&E the vast majority services we use. That is why we will work of patients see a GP first. That is why with GPs and others in primary care to GPs and their staff, including specialist make out of hours care more responsive; nurses, are so important to the NHS and make it easier to book GP appointments to the people they serve. urgently and in advance; and extend the core hours surgeries are open for Whilst having great faith in the services general and routine appointments. provided by GPs too many people have difficulty in getting an appointment at a time that suits their lives and needs. We need to ensure that this is made easier.
Q6 Do you agree with this pledge? Please use the separate feedback form enclosed to give us your comments Convenient Avaiable 3.7 Delivering a better patient experience
We will ensure NHS dentistry is available to all who want it
Too many people cannot easily see a We will align resources with need to dentist through the NHS. Dentistry is an ensure that NHS dentistry has the same Avaiableimportant part of both the NHS and the standing as registering with a GP; calling healthcare needs of people in the east an ambulance when you need one; and of England. For some people to not be getting surgery from an NHS provider able to see an NHS dentist and therefore when your doctor says you require it. suffer poor dental health, or have to pay We propose that we should be able to for services, is wrong and fails against all improve access to dentistry in each part the basic principles of the NHS. of the east of England.
Q7 Is this a key priority for our NHS? Please use the separate feedback form enclosed to give us your comments 3.8 Improving people’s health
We will ensure fewer people suffer from, or die from, heartFewer disease, stroke and cancer
This pledge is core to the NHS. These place to prevent these diseases and save three conditions kill more people in the UK more of the people who have them. This every year than any other. That is why we will become the front line of our collective are going to prioritise them. That is why battle to save lives, and improve the we are going to ensure resources are in quality of the years of life we add.
Q8 Are these the right conditions to prioritise? Please use the separate feedback form enclosed to give us your comments Fewer Safest 3.9 Improving people’s health
We will aim to make our healthcare system the safest in England
Patient safety is a vital priority for the Hospitals are our first battle line in NHS. People entrust themselves to reducing unnecessary and avoidable Safestus when they are ill and at their most deaths because we know what causes vulnerable. It is our duty to care for them many of them, we know how to stop and to keep them safe. most of them and we can measure our progress. But we will also create Nobody should suffer from a healthcare mechanisms for applying this pledge associated infection like MRSA or across the healthcare system. clostridium difficile. We have already made significant progress in tackling healthcare associated infections. Some of our hospitals have almost eliminated MRSA which proves it can be done; now it must be done across every hospital and primary care facility in our region. We will spread best practice and prioritise investment to beat these infections and show real year on year decreases.
Q9 Is this pledge reasonable and attainable? Please use the separate feedback form enclosed to give us your comments 3.10 Improving people’s health
We will improve the lives of those with long term illnesses
Chronic long term conditions are the condition is managed and stopped devastating for patients and their families. where possible. An example is blindness Conditions such as diabetes and heart as a consequence of diabetes, which disease can wreck lives and sometimes reduces the quality of life for the patient end them. Medical scienceImprove has yet to find and their loved ones. a cure for these diseases but can do a lot to prolong life to allow people to enjoy We will also seek to ensure people are their lives and families. treated as close to their own homes as possible, and in them whenever However, it is not just about extending appropriate. We will concentrate on lives in all circumstances by all means areas such as mental illness, respiratory necessary, it is about quality of life: disease, diabetes and heart disease. ensuring that avoidable deterioration of
Q10 Is the quality of life suggested in this pledge an important priority for our NHS? Please use the separate feedback form enclosed to give us your comments Improve Life 3.11 Reducing unfairness in health
We will halve the difference in life expectancy between the poorest 20% of our communities and the rest of the east of England
The driving force behind the creation of expectancy can be two and a half years the NHS was to make access to better lower than your neighbours’ (the other healthcare fair for all, no longer a domain 80% of the population). Some parts of Life of the rich or a by-product of charity and communities, including people with long philanthropy. The NHS has done that: term mental illness, people with learning everyone, regardless of status or means disabilities, travellers and those who can access free healthcare at the point suffer from rural poverty amongst others, of need. are also prone to lower life expectancies.
What we have not done is to extend this We want to play our part in doing ethos to general health. If you live in one something about preventable and of the poorest 20% of communities in the avoidable differences in life expectancy. east of England, on average, your life We will target resources, primary care and public health, to those areas and specific sections of our communities, where it will make the most difference.
Q11 Should we be specifically targeting resources at these sections of society? Please use the separate feedback form enclosed to give us your comments 3.12 Reducing unfairness in health
We will ensure healthcare is as available to marginalised groups and “looked after children” as it is to the rest of us
The NHS is a service for all who live The groups we will target include some in, work in or visit the United Kingdom. ethnic minorities; the mentally ill; migrant Whoever you are, you will not be turned workers; the homeless; travellers and Availableaway from an NHS service if you are in prisoners. We will also ensure that “looked need. That is the basis of the system that after children” by local authorities, those we hold dear. who are already without parents, get the healthcare, both treatment and prevention Some members of our society sometimes measures, they need and deserve. get lost in the system or get sidelined when we are too busy or have to make decisions about resources. There are many complex reasons why people can become marginalised. Whatever the reason, we should be developing programmes and procedures to tackle this problem.
Q12 Should groups most in need get appropriate healthcare aligned to those needs? Please use the separate feedback form enclosed to give us your comments Available
3.13 Reducing unfairness in health
We will cut the number of smokers by 140,000
Smoking is not an equal opportunities Therefore, smoking is not only one of the killer. More people from our poorest most dangerous and efficient killers in communities smoke than from more the country, it is also an organ of social Cutprosperous ones. Smoking is for many inequality. That is why we are going to a product of their environment and their target smoking through the whole NHS life experiences. That is why smoking is machinery and reduce the numbers of responsible for 50% of the unfairness in people in our region who smoke and will health outcomes in the UK. therefore die from the habit. When we succeed in this, we will have directly and measurably saved over 70,000 people who would have died early by working with partners like employers; schools; local councils and others.
Q13 Is this a pledge you can sign up to? Please use the separate feedback form enclosed to give us your comments 3.14 Reducing unfairness in health
We will halt the rise in obese children and then seek to reduce it
If we, as a health service and as part of health problems, placing unnecessary of broader society, do not act now our burdens on their own bodies but also on Reducechildren could be the first generation in the NHS and other public services. modern history to have a shorter life than their parents. Obesity leads to health We will work with our partners in schools, problems that could lead to an early campaign groups and local councils to death. In children it is an even more create a step change in the numbers of serious problem as they will face a lifetime obese children across our region.
Q14 Should this be a priority for our NHS? Please use the separate feedback form enclosed to give us your comments Reduce Staff 4.0 Improving Lives; Saving Lives
A pledge for staff
It is the trained and dedicated staff of the This set of pledges is patient and public NHS that makes us the premier health focused. It is about what the staff, the Staffservice in the world. Nurses, doctors and resources and the organisations of the other health experts are among the most NHS will do for those we serve. What is trusted professionals in the UK. People missing is what will make it easier for us at their most vulnerable place their faith to deliver, what do staff need that the in the skills of our staff every day, and it NHS in the east of England can commit is belief in the values of the NHS and the itself to which will show commitment, innate compassion of our people that support and gratitude to the 109,000 makes NHS staff do what they do. NHS staff in our region?
That is pledge Twelve. We are asking you to write this pledge, give us your views as to what our unique offer to staff in the east of England NHS should be.
Q15 What should our pledge to staff be? Please use the separate feedback form enclosed to give us your comments 5.0 Improving Lives; Saving Lives TwoA two way street way
The National Health Service is what it not taking advantage of more efficient We agree that there should be certain says on the tin, a service for all wherever prevention services and sometimes responsibilities on individuals as part you live or work in England, which will abusing NHS services. If we can make of the continuing development of NHS provide high-class healthcare. We will a measurable difference in these three services: provide highly trained, compassionate areas it will release money and resources and motivated staff. We will provide to help us improve and save more lives. • Parents should seek to ensure their facilities, equipment, systems and drugs. children have a healthy diet and We will be responsive to need and use Sir Derek Wanless produced a report exercise regularly; our resources as effectively as possible. (Securing Our Future Health: Taking a • Smokers should seek support from That is the NHS, and our pledges are our Long-Term View, April 2002) which led to NHS stop smoking services; specific priorities for the east of England. increased resources for the NHS and a second report (Securing Good Health • Individuals should eat healthily and However, good health starts at home. The For The Whole Population, February 2004) exercise regularly; NHS budget has tripled in the last decade which said that people needed to take yet still we cannot do all that we would like more care of their own health if the NHS •Individuals should think about the NHS to do. This is partly because people are is to continue to be affordable for all in service they need, be it GP, pharmacist not looking after their own health, the future. or A&E before dialling 999;
•NHS staff should be able to work free from the fear of physical or verbal attack;
•If you make an appointment for an NHS service you should use it, or cancel with enough time for others to be offered your slot;
•Those prescribed medicines should follow the complete course. Q16 Is it reasonable for the NHS to seek these pledges from the people we serve? Please use the separate feedback form enclosed to give us your comments Two way Responsibilities 6.0 Improving Lives; Saving Lives
Our wider responsibilities
The NHS in the east of England is the own staff is a priority; treat our staff and largest single employer in the region. their families fairly; and that we seek to It has a budget of over £7bn which maximise the benefits we can bring to Responsibilitiesequates to about 7.5% of the entire the regional economy. regional economy. It is responsible for about 5% of all carbon emissions from Therefore, we propose to: transport in the region; it is one of the • Be leaders in the NHS nationally by largest consumers of local services with promoting sustainability and fighting over £1.7bn spent locally per annum. climate change; These figures make the NHS a significant regional entity which must recognise the • Seek to ensure that we source food and social and environmental responsibilities other services as locally as possible; it holds in the region. • Work with staff and their representatives That is why we are committed to ensuring to prioritise their health as part of our that we contribute to the sustainability commitment to the general health of the of the region; ensure the health of our east of England.
Q17 Is it right that the NHS plays a role in these areas and what specific proposals would you make for supporting our work here? Please use the separate feedback form enclosed to give us your comments 7.0 Improving Lives; Saving Lives
Conclusion and how to have your say
This document represents a contract that the NHS in the We hope you agree with us and take part in this consultation east of England wishes to make with the people we serve, to help us ensure we have the right pledges about the right and the people who work in our service. It recognises where issues. This is your chance to have your say and set the the NHS is high-class and seeks to build on those areas. It strategic direction of the NHS across the whole of the east identifies where there is room for improvement and seeks to of England. put those areas right and it outlines how we intend to take our wider responsibilities forward. It seeks to ensure that where Please use the enclosed response form to send us your individuals can make a difference to the quality of their lives comments, by 30 November 2007. and their families’ lives, as well as to the efficient and safe All responses should be sent to the freepost address operation of the NHS, they do so. below, or you can visit the website www.eoe.nhs.uk and fill We believe that this is a programme of patient centred pledges in an online response form. which we are happy to be accountable to. We believe it sets a Improving Lives; Saving Lives clear and transparent direction for our NHS. NHS East of England FREEPOST Victoria House Capital Park Fulbourn Cambridgeshire CB21 5XB 7.0 Improving Lives; Saving Lives
We will add 5 million years of life to people in the east of England by 2011. NHS organisations in the east of England 5 Norfolk PCT A 6 7 Peterborough PCT 1
Acute Trusts Great Peterborough and Stamford Hospitals NHS Foundation Trust 1. Yarmouth and Waveney PCT 2. Hinchingbrooke Healthcare NHS Trust Cambridgeshire PCT
3. Papworth Hospital NHS Foundation Trust G 2 4. Cambridge University Hospitals NHS Foundation Trust
5. Queen Elizabeth Hospital King’s Lynn NHS Trust 3 8 6. Norfolk and Norwich University Hospital NHS Trust Suffolk PCT 4 7. James Paget University Hospitals NHS Foundation Trust 18
8. West Suffolk Hospital NHS Trust Bedfordshire PCT 9 B 9. Ipswich Hospital NHS Trust
10. Essex Rivers Healthcare NHS Trust West 11. Mid Essex Hospital Services NHS Trust Luton 15 Essex 10 Teaching PCT 17 F North East Essex PCT 12. Southend University Hospital NHS Foundation Trust PCT East & North Hertfordshire PCT 13. Basildon and Thurrock University Hospitals NHS Foundation Trust 11 14 E C Princess Alexandra Hospitals NHS Trust 16 14. West 15. East and North Hertfordshire NHS Trust Hertfordshire Mid Essex PCT PCT 16. West Hertfordshire Hospitals NHS Trust South East Essex South D PCT 17. Luton & Dunstable Hospital NHS Foundation Trust West 13 12 Essex PCT 18. Bedford Hospitals NHS Trust
The East of England Ambulance Service NHS Trust also covers the eastern region. 5 Norfolk PCT A 6 7 Peterborough PCT 1
Great Yarmouth and Waveney PCT Cambridgeshire PCT
G 2
3 8 Suffolk PCT 4 18
Bedfordshire PCT 9 B
West Luton 15 Essex 10 Teaching PCT 17 F North East Essex PCT PCT East & North Hertfordshire PCT
11 14 Mental Health Partnership Trusts E C 16 West A. Norfolk and Waveney Mental Health Hertfordshire Mid Essex PCT Partnership NHS Trust PCT B. Suffolk Mental Health Partnership NHS Trust South East Essex South D PCT C. North Essex Mental Health Partnership NHS Trust West 13 12 Essex PCT D. South Essex Partnership NHS Foundation Trust
E. Hertfordshire Partnership NHS Foundation Trust
F. Bedfordshire and Luton Mental Health and Social Care Partnership NHS Trust
G. Cambridgeshire and Peterborough Mental Health Partnership NHS Trust The pledges
1. We will deliver year on year improvements in patient satisfaction Pledges2. We will extend quicker access to our services 3. We will make it easier to see a GP at a more convenient time
4. We will ensure NHS dentistry is available to all who want it
5. We will ensure fewer people suffer from, or die from, heart disease, stroke and cancer
6. We will aim to make our healthcare system the safest in England
7. We will improve the lives of those with long term illnesses
8. We will halve the difference in life expectancy between the poorest 20% of our communities and the rest of the east of England
9. We will ensure healthcare is as available to marginalised groups and “looked after children” as it is to the rest of us
10. We will cut the number of smokers by 140,000
11. We will halt the rise in obese children and then seek to reduce it We believe these pledges set a clear and transparent direction Pledgesfor our NHS