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IES Alliance Progress Report

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IES Alliance Progress Report DRAFT Ipswich and East Suffolk Alliance Delivery Plan 2020/21 and Forward View 2021/24 Our Alliance in Action Working Together with You Contents Contents Page Introduction 3 Plan on a Page 5 Our Communities 6 Challenges 8 Assets and Opportunities 9 Commitment to Actions 10 Our Governance 11 Summary of Highest Level Milestones 12 Risks 13 Connecting Actions 14 Service Transformation Actions 35 Enabling Actions 64 2 Working together with you Introduction - Our Mission, Vision, Outcomes and Values Our Alliance – is a partnership with common purpose. We are: Suffolk County Council; East Suffolk and North Essex Foundation Trust; Norfolk and Suffolk Foundation Trust; Suffolk GP Federation; and Ipswich and East Suffolk CCG working with our District and Borough Councils, community and voluntary sector partners. Our mission is ‘to work seamlessly together with you – individuals, families and communities’. Our plans have been built on discussions with the public and staff, together with partnership working between our organisations over many years. We have drawn on local evidence of need, understanding of national policy and the ambition of our wider Integrated Care System Partnership. Together we are bound by a vision of Ipswich and East Suffolk as a ‘place of strong communities in which everyone is able to stay well, take control over their mental and physical well-being and, when support is needed, receive joined up health and care’ Together we serve over 400,000 people. The outcomes we want to achieve are directly aligned to those of the Suffolk Health and Well-being Board, of which all we are all members. They are: 1. Every child has the best start in life 2. People of working age are supported to optimise their health and well-being 3. Older people in Suffolk have a good quality of life 4. People in Suffolk have good mental health and well-being The Suffolk Health and Well-being Board also identifies four principles or cross-cutting themes. These principles are very closely aligned to the ‘Connecting Actions’ which our Alliance described in its original strategy. For consistency, which enables focus and drive in planning, delivery and progress monitoring, our Alliance will now adopt the same language. The principles are listed first (with the original Alliance description in brackets): • Prioritising prevention (Enabling you to stay well) • Reducing health inequalities (Addressing inequalities) • Promoting resilient communities (Joining up in our communities) • Working well together (Creating One Team) 3 Working together with you Introduction This approach also enables a direct line of sight to the Integrated Care System’s (ICS) strategy and Higher Ambitions, in particular. The ICS’ Higher Ambitions are: • Reducing the health gap • Zero suicides • Preventing and treating obesity • Improved end of life care • Ageing and living well alone • No patient diagnosed with cancer through an unplanned admission The way we work together and with you, matters to us hugely. This is how we will ‘Work Well Together’ Together we have evolved six shared values - the six ‘Cs’: 1. Collaboration – Co-ordination 2. Compassion – kindness and care 3. Creativity; innovation 4. Community-focus 5. Creating One Team - Combined Clinical and Care Leadership 6. Cost effectiveness The Alliance’s programmes of work in this Delivery Plan are at various stages of development and delivery. As we progress, we will: • Use the Outcomes Based Accountability Framework to guide us • Use information already available to us through Place Based Needs Assessments • Adopt emerging Population Health Management Tools • Broaden and deepen co-production with patients, the public, people working across our health and well-being services This Delivery Plan focuses on 2020/21 but also includes milestones for the following four years. It is informed by our delivery to date which is described in our Progress Report, which can be found here: www.ipswichandeastsuffolkccg.nhs.uk/IpswichandEastSuffolkAlliance 4 Working together with you Our Plan on a Page – Note – further design work will be done to make this ‘easy read’ following approval of the Plan Our Vision: Ipswich and East Suffolk is a place of strong communities in which everyone is able to stay well, take control of their mental and physical health and wellbeing and, when support is needed, receive integrated health and care services. Our Mission: To work seamlessly together with you – individuals, families, communities. ICS Ambitions and Alliance Outcomes Programmes of Work ICS Higher Ambitions Alliance Outcomes Transforming Services Connecting Actions Enabling Actions • Reducing the 1. Every child has the • Joined up care • Enabling you to health gap best start in life • Planned care stay well • Governance • Zero suicides 2. People of working • Mental health • Joining up in and management • Preventing and age are supported and Learning communities treatingobesity to optimise their Disabilities • Creating One Team • Workforce health and well- • Improved end • Cancer • Addressing inequalities • Digital being of life care • Estates 3. Older people in • Children and • Ageing and living Suffolk have a good Young People • Communication well alone quality of life • Primary care and engagement • No patient 4. People in Suffolk • Maternity • Resources diagnosed with have good mental • End of Life cancer through health and well- • Eye and Oral Health an unplanned being admission Our Values: Collaboration – Compassion - Creativity - Community-focus - Creating One Team - Cost-effectiveness Our Members: East Suffolk and North Essex NHS Foundation Trust; Suffolk County Council; Norfolk and Suffolk NHS Foundation Trust; Suffolk GP Federation, working with Ipswich and East Suffolk CCG, our wider district and borough councils, voluntary and community partners 5 Working together with you Our Communities Our area is one of fast-paced change in our busy port, County Town and housing growth areas alongside gradual change in our villages and rural communities. Our area includes: • Ipswich, the County and University Town of Suffolk • Felixstowe, Britain’s largest container port next to Martlesham, a global centre for British Telecom • Stowmarket, home of the Museum of East Anglian Daily Life • Woodbridge and Wattisham Garrisons • Framlingham, Saxmundham, Aldeburgh, Leiston and our coastal communities • Eye, Mendlesham and rural mid-Suffolk • Hadleigh, Holbrook, Shotley and Constable Country of south Suffolk Our Alliance is one of three within our wider Suffolk and North East Essex Integrated Care System, which provides strong leadership and support for the delivery of local plans. Our Alliance includes eight localities in which we are working to join up health and care with wider voluntary and community partners to deliver our vision of strong communities. Ipswich and West Suffolk North East East Suffolk Alliance Essex Alliance Alliance Ipswich waterfront and University Aldeburgh 6 Working together with you The Health and Wellbeing of Our Communities Today By 2039, 1 in 3 55.7% of our 18.5% of people have Suffolk residents will be population has a Long a caring responsibility. aged 65 and that will mean Term Condition This is not just the ratio of people of (53.5% in England) parents working age and over 65 will be 1:1 The 3 biggest causes Ipswich has 12 of death for people areas in the top less than 75 are: 10% most deprived 32% of people are in semi- areas of England skilled or unskilled Cancer occupations in our area as (206.4 per 1000, 74.6 preventable) 21.6% of homes are compared with 25% in social rented in Ipswich Cardiovascular England as compared with 17.5% (102.2 per 1000, 40 in the rest of England preventable) 24.3% of people have no Respiratory qualifications compared 22% of children in (25.9 per 1000, 10.9 to 22.5% in England preventable) Ipswich live in poverty 7 Working together with you Challenges We have identified four major challenges: The care and quality gap - Demand for health and care services is growing. In the next 20 years, 1 in 3 people in our area will be aged over 65 and the ratio of non- working to working aged people will be 1:1. The number of individuals with Special Educational Needs and Disabilities is also rising. The health and wellbeing gap - There are inequalities. The 2019 Index of Multiple Deprivation, published since our initial strategy, shows that our area ranks 124 out of 191 in England, where 1 is the most deprived area. Our deprivation score was 17.4 in 2015 compared to 17.7 in 2019. 5% of small areas are in the 10% most deprived nationally – this is the same as in 2015. The most deprived area is Priory Heath; the least deprived is Martlesham. The drivers remain, as before: living environment; education, skills and training; and barriers to accessing housing and other services. There is inequality in access, experience, and outcomes. The finance gap - Our finances are stretched. Over the last eighteen months, we have learnt a great deal more about each organisation’s position through open-book accounting and a spirit of collaboration. Whilst our position remains exceptionally challenging, this understanding has helped us to manage our position. The workforce gap - Our workforce is shrinking. In the next five years many members of our current workforce may reach or be over the retirement age and recruitment may be unable to match demand. Our plans and delivery to close this gap have progressed significantly within individual professional groups and in creating “One Team – Ipswich and East Suffolk” but workforce remains a top priority for us. 8 Working together with you Assets and Opportunities These challenges are not insurmountable. Ipswich and East Suffolk has many assets and opportunities, which we have been building on: 1. The quality of our health and care services is generally good, in many areas outstanding, and there is a clear plan for services which need improvement. 2. Our towns and villages have many vibrant community and voluntary sector organisations who work actively with us and our local authority partners.
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