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Better Lives, Stronger Communities Our Strategy 2016 to 2021 Introduction

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Better Lives, Stronger Communities Our Strategy 2016 to 2021 Introduction Better Lives, Stronger Communities Our strategy 2016 to 2021 Introduction This strategy describes our ambitions for care in Our ambitions our area. It describes what our challenges are 1 In five years, services based in the community 3 In five years, services based in the community and the changes we will make to solve them over will work as one team for each local area, will be commissioned by local clinical leadership the next five years and beyond. based around local communities, rather than teams in the most appropriate way for their This document is different to strategies that we have around individual organisations. local populations and based on local need. published in the past. This is because we cannot 2 In five years, hospital services that could be 4 In five years, working with people in west continue to work in the same way that we have better provided in the community will be Leeds, we will have established a culture of done before. We know that people are currently not delivered as part of the local teams. Our shared responsibility for improved personal getting the best possible deal from health and care investment into acute (hospital) services will health and wellbeing. services. There is also a lot of waste in the way we decrease and investment into 5 Over the next five years, with our partners and work now and we could work differently to get more the community will increase. from our resources. for our population we will continue to work towards reducing health inequalities. We have some big changes to make to increase the quality and ensure the sustainability of our services. But we also want to support a different culture in our communities and for our local people. The NHS has traditionally not done as well as it could to support people to take responsibility for their own health and wellbeing, typically taking the view that: ‘I know what’s good for you.’ We want to change this and make sure that the NHS of the future works with people to put them in charge of their health and care so that they are supported appropriately to make changes that make a difference and the best decisions for them: ‘I know what’s best for me.’ We believe that by shifting responsibility for health, care and lifestyle to people they will not only be healthier, they will be happier, as they will be informed and in control of their lifestyles and futures. Illustration from public event, held in March 2016 2 Leeds North 1 Leeds West Leeds South and East 2 3 6 4 5 9 10 8 Council wards Guiseley and Rawdon 7 Horsforth 11 Weetwood Calverley and Farsley Bramley and Stanningley 12 Kirkstall Pudsey Armley Headingley 13 Hyde Park and Woodhouse 14 Farnley and Wortley Morley North Who we represent... Morley South Ardsley and Robin Hood 3 Our population Population change Ethnicity By 2020, overall this population is set to 37,000+ increase by 2%... people now live in an area of west Leeds ranking in the 10% most deprived of the country. Overall our area has a less diverse population than the Leeds average, This has increased from 7% to 11%. though wards such as Armley, Calverley and Farsley, Headingley, Hyde Park and Woodhouse 0-19 and Weetwood are more ethnically diverse. years 81,000 people White Mixed/multiple ethnicity Asian/Asian British ...with the population Black/African/ Caribbean/Black British of over 65s set to Other ethnicity increase by 5% 372,000 20-64 people registered with years Education, Skills a Leeds West GP 240,000 people and Training including approx 50,000 students There is a wide range of educational attainment in the schools in west Leeds: On average... 65+ As the number and years proportion of older 51,000 people people increases, Our area is home to a so does need and large proportion of Leeds’ 51%of children in Leeds achieve five A* - C GCSEs 65k student population service use. including Maths and English. In our area this 4 ranges from 22% to 75%. Avoidable deaths (PYLL*) There is a Common causes of ill-health Health and lifestyle strong link * Potential years of life lost per 100,000 people between years Rates of hypertension and COPD (name given due to avoidable causes of life lost and to a range of respiratory conditions) vary deprivation in west Leeds. However, average rates are Life Expectancy Rates of PYLL in west Leeds are in line with the average citywide rates. similar to the citywide average and On average, women in west Leeds live 3.4 years show a similar reduction: 20 19% Citywide average more than men. The overall difference between the Leeds average 6000 West Leeds average most affluent and most deprived areas is 6 years. 15 10 Most affluent 5000 6% 2009 -11 2010-12 2011-13 2012-14 5 3.6% 0.8% 0 PYLL rates, 2012-2014 Lowest Highest Lowest Highest 10000 83.2 Hypertension COPD 83.2 years PYLL rates 79.8 years 8000 are around 60% years higher in our most 6000 deprived areas. People with more than 4000 However, overall one long-term condition 76.8years rates and the gap 2000 have reduced. 0 Most deprived West Leeds Citywide 25% most deprived average Over 1/4 of adults in west Leeds have Mortality Lifestyle indicators 1 or more long term Cancer, Cardiovascular Disease and Respiratory conditions Disease (RD) are the leading causes of premature and 1 in 5 are obese avoidable mortality. This is lower than the city average Cases of these are almost double for men: Children Female rates 200 Male rates 1 in 5 people smoke 150 This is lower than the 16% city average West Leeds 100 average for childhood 50 Admissions to hospital due to asthma alcohol are 4% lower in our area 0 (under 16s) Cancer CVD RD than the city average 5 Local services and providers Commissioning is planning and buying health Services commissioned services that local people and communities need by Leeds City Council Contracting both NHS and non-NHS organisations to provide the services local Children’s Adult people and communities need social care social care Which health services for children and adults do we commission? Safeguarding Residential Planned Urgent care: (children and care (children Continuing secondary care: A&E, GP out adults) and adults) care outpatients, of hours and surgery etc ambulance Maternity Some Public health Community and infertility and healthy equipment newborn services lifestyles services Community health services: Learning Mental health Some health District nurses, Environmental disability services protection health visitors health services etc We also co-commission primary care (GP) services with NHS England Illustration from public event, held in March 2016 6 Our challenges Health inequalities We know that there are significant health inequalities in our area. The life expectancy gap between our most affluent and most deprived areas is 6 years. Those living in our most deprived areas are much more likely to develop cancer and cardiovascular diseases and suffer from mental illness. Our challenge locally is to close these gaps. Quality of care Peoples’ health and wellbeing needs are changing and so the way health and care services are delivered needs to change to meet them. People are living for longer and with more long-term conditions, meaning people need a wider range of care from different sources over a longer period of time. The traditional divide between primary care, community services and hospitals needs to be removed so that people can more easily access services that care for all their needs. We also need to focus on prevention and early intervention. Financial Our system-wide challenge is that our health services are not affordable in their current form in the longer term. We need to work together with our residents and patients, our local health and social care providers and commissioning colleagues. This will help us transform local services so that we can maintain and improve the quality of services, changing them to meet the developing needs of our population. Illustration from public event, held in March 2016 7 What do local people say? ‘What matters to me most is that services are efficient and I can easily The engagement we have carried out with local People had differing views and expectations of a people over the past few years has confirmed new place-based model - some very positive, some get access to the service that people value their NHS services highly very negative. In direct contrast to the strategic me and my family needs.’ and generally have a very positive experience. direction of travel in Leeds, people requested that The things that matter most to people about resources be allocated so that the model treats services are efficient and convenient access to all people fairly, regardless of where they live. high quality local and specialist services and There were concerns about whether the levels of being treated with dignity and respect. resource and skills would be sufficient to bring Frustrations arise when access is difficult, when about the new model and people wanted to people feel as though they have been forgotten or make sure their valued hospital services would not ‘It’s important that I can information or referrals get lost, and when services be de-stabilised as a result of a greater focus on are confusing and information has to be given community-based care. get to see my GP easily. more than once. People are also worried about Support for the new model depended on the I can’t always wait a week future sustainability of the NHS and in particular appropriate use of reliable technology, together greatly value the hospital and the specialist services for a new prescription.’ with continued sensitivity and responsiveness to available there.
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