World Class Commissioning Partnerships Nicola Benge - Director Health Improvement
Good Hope Hospital • Deprivation Sutton Four Oaks Sutton Vesey 22879 Pop. Proportion of ward population in the following deprivation sectors: <10% 10 - 25% 25 - 50% >50% Sutton Trinity Stockland Green Most deprived • Least deprived (% refers to position in the national listing of most deprived areas). Kingstanding Erdington Sutton New Hall Tyburn Hodge Hill Washwood Heath Bordesley Green South Yardley Acocks Green • Heart of England NHS Foundation Trust Shard End Stechford and Yardley North Sheldon 7000 - 8000 6000 - 7000 5000 - 6000 4000 - 5000 3000 - 4000 2000 - 3000 1000 - 2000 1 - 1000 • • • Population of 440, 000 Diverse and vibrant communities 17 wards in Europe’s largest Local Authority 1, 700+ staff 237 GPs 82 practices Budget circa £ 0. 7 b Lead commissioners for mental health, learning disabilities, sexual health Host of West Mids Specialised Commissioning team - £ 0. 7 b
A Long Term Vision and Strategy Goals • To be so responsive to the population we serve that no one waits for the health care they need • That the health and well being of the population will have improved so much that people will enjoy 10 more years of quality life • Our communities will be the most involved, informed and empowered Purpose: Working in partnership to tackle inequalities and improve the health and well being of local people in the country • That people regard us as the first choice organisation to work with and for
Organisational Design for World Class Performance • PRIME • Workforce & OD • PIPE (Planning, Innovation, Process Excellence) • Provider arm development • KM & IT • Faculty model • Attractive to high performers • Resilience& diversity in team • Skills & behaviours • Expert partners OD Strategy People Processes • PRIME • KM • Trajectories Metrics Structure • Director of process Improvement • Knowledge management focus • Participative processes • Lean redesign • OD network • Matrix teams • Enhanced director & commissioning • Capacity • Collaboration and integration • Review design criteria
• • Tackle inequality: profile population, target activity, prioritise resources, understand preferences, new service designs, screening and outreach, signposting WCC in primary care: building capacity, improving performance, de-commissioning New models of care: Based on health inequalities and targeting. assertive outreach, telephone delivery, group interventions, integrated services Maximising digital technology: web-based communications, remote monitoring, mobile communications Learning to date: Innovation & Delivery
Performance 1 Local Leadership 4 Collaboration with Clinicians 8 Promoted improvement and innovation
Collaborative working and clinical engagement • Local Government and Health partnerships • Translate into signed up LAA and WCC targets • Support to PBC – population needs based • Pathway engagement
An environment for improvement and innovation • Clear and consistent strategy • Focus on diversity and improvements in health • Led from the top • Make it easy to do the right thing • Creative Stealing • Courage • Design for Scale
Identification of improvement opportunities • Use of International evidence • Working together for Health • Use of LEAN methodologies • Patient selection for Bo. H
Collection of Quality and Outcome Information • Gateway • Evidence base • OSCAR Framework • Insight • Typologies
NHS Birmingham East and North population segmentation § An NHS Birmingham East and North specific health segmentation is allowing us to gain granular insight into our population § At an Output Area level we know the : § § § Health status and utilisation by group Demographics MOSAIC™ type Index matrix based on age and ethnicity TGI media preferences We draw on local SUS data, cross-referenced with nationally available datasets such as ONS. The factors covered include health, ethnicity and socio-economic status
SOCIAL MARKETING ‘Fight Back’
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