Public Summary November 2016 Contents
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West Yorkshire and Harrogate Draft Sustainability and Transformation Plan (STP) Public Summary November 2016 Contents // List of organisations involved .................................................................................................................................................. 3 Foreword ....................................................................................................................................................................................................................................................... 4 Our vision ................................................................................................................................................................................................................................................ 5 Our approach ............................................................................................................................................................................................................................... 6 What this draft plan means for you and your family..................................... 8 West Yorkshire and Harrogate local plans ................................................................................. 14 West Yorkshire and Harrogate shared work ....................................................................... 22 Supporting change ................................................................................................................................................................................................. 33 Our workforce .................................................................................................................................................................................................................... 36 Having your say ............................................................................................................................................................................................................... 37 This is a public summary of the draft Sustainability and Transformation Plan. The draft plan submitted to NHS England on the 21 October, 2016, along with a number of other documents is available from http://bit.ly/WestYorkshireSTP You can leave a comment here too. Simply click on a section title in the contents to go direct to the area of your choice. To return to this menu - click the page number at the foot of the page 2 West Yorkshire and Harrogate STP // Organisations involved include: Clinical commissioning groups (CCG) Care providers • NHS Airedale, Wharfedale and Craven CCG • Airedale NHS Foundation Trust • NHS Bradford City CCG • Bradford District Care NHS Foundation Trust • NHS Bradford Districts CCG • Bradford Teaching Hospitals NHS Foundation Trust • NHS Calderdale CCG • Calderdale and Huddersfield NHS • NHS Greater Huddersfield CCG Foundation Trust • NHS Harrogate and Rural District CCG • Harrogate and District NHS Foundation Trust • NHS Leeds North CCG • Leeds Community Healthcare NHS Trust • NHS Leeds South and East CCG • Leeds and York Partnership NHS • NHS Leeds West CCG Foundation Trust • NHS North Kirklees CCG • Leeds Teaching Hospitals NHS Trust • NHS Wakefield CCG • Locala Community Partnerships • The Mid-Yorkshire Hospitals NHS Trust Local authorities • South West Yorkshire Partnership NHS Foundation Trust • Bradford Metropolitan District Council • Tees Esk and Wear Valleys NHS • Calderdale Council Foundation Trust • Craven District Council • Yorkshire Ambulance Service NHS Trust • Harrogate Borough Council • Kirklees Council Other organisations involved • Leeds City Council • NHS England • North Yorkshire County Council • Public Health England • Wakefield Council • Health Education England • Healthwatch Thanks also to the police, fire and rescue service, housing, independent, voluntary and charitable sector organisations involved in local plans and cross cutting programmes of work. 3 Foreword // We can be proud of how our health and care teams have made The NHS and local councils major improvements to services over the past decade. The NHS is in West Yorkshire and treating more people than ever before, providing services faster, Harrogate commission more safely and in better environments. care and treatment for Research and innovation is delivering world leading new 2.6 million people. treatments at the forefront of technology. Our integration ‘pioneers’ are joining up health and care. We are leading the Every day a network of way in developing new models of care that better meet people’s providers work across the needs in care homes, hospitals and local communities. whole social spectrum, This history of improvement and innovation in public services is engaging people from supported by a thriving third sector, excellent universities and birth to death, head to engaged businesses. toe, inside and out. Increasingly, we have been working together to ensure we can Our 113,000 staff are make the biggest changes we can to the lives of local people. We entrusted with a budget have done this with a keen eye on local variation in populations, people’s needs and service delivery. of £4.3 billion. In 2016, we face the most significant challenges for a generation. We know that we must keep innovating and improving if we are to meet the needs of our population in a tough financial climate. Demand for services is growing faster than resources. Services in some places are not designed to meet modern standards, and local people want things to be better, more joined up, and more aligned to their needs. This is clear from the continuous engagement we have with local people, as well as the changing world we live in. Over the past six months, the leadership and staff of West Yorkshire and Harrogate health and care organisations have been working together on how we respond to these challenges. We have been linking with existing plans and seeing how we deliver ambitious improvements for people in Bradford District and Craven, Calderdale, Harrogate and Rural District, Kirklees, Leeds and Wakefield. This summary is an overview of our draft plan which sets out our high level proposals. These proposals are built on the ongoing work that has taken place locally through Health and Wellbeing Boards and local partnerships. Over the next six months we will continue to work together to Rob Webster | CEO, South engage with Health and Wellbeing Boards, staff and the public, West Yorkshire Partnership to further develop our draft plans and build on engagement NHS Foundation Trust activities to date, ensuring the involvement of everyone in future On behalf of the leadership of conversations around proposals for change. West Yorkshire and Harrogate. 4 Our vision // Our vision for West Yorkshire and Harrogate is for everyone to have the best possible outcomes for their health and wellbeing. At the heart of this are the following ambitions: Healthy places • We will improve the way services are provided with a greater focus on preventing illness, or identifying and managing this at an early stage wherever possible. • We will support people to manage their own care, where safe to do so, with peer support and technology provided in their communities to help with self-care. • Care will be person centred, simpler and easier to navigate. • There will be joined-up community services across physical and mental health as well as much closer working with social care. High quality and efficient services • Hospitals will work more closely together, providing physical and mental healthcare to a consistently high standard by organisations sharing knowledge, skills, expertise and care records, where appropriate. • The way that services are designed and paid for will change. We will move to a single commissioning arrangement between Clinical Commissioning Groups (CCG) and local councils. This will ensure a stronger focus on local places and engagement. There will also be a stronger West Yorkshire and Harrogate commissioning function for some services. • We will share our staff and buildings where it makes sense to do so; to make the best use of the resources we have between us and to help further service investment. A health and care service that works for everyone, including our staff • West Yorkshire and Harrogate will be a great place to work. • We will always work with people in how we design, plan and provide care and support. • West Yorkshire and Harrogate will be an international destination for health innovation. 5 Our approach // In these tough times, we want to deliver the best outcomes we can for everyone. This will mean more emphasis on the places people live and on closer working between organisations. There will be less of a focus on competition as a means of driving change. Closer partnership working is at the very core of our STP. Over the past six months the leadership and staff of the West Yorkshire and Harrogate health and care organisations have been working hard on how we respond to the challenges we face, whilst delivering quality care and working towards achieving our vision. Our STP area covers eleven Clinical Commissioning Groups (which design, specify and buy care for local people), six local council boundaries, as well as services provided by a number of health and social care organisations, GP practices, mental health trusts, community therapy, care and nursing providers, and our hospitals. Over time these organisational differences will become less important. We want to put people and communities above individual