What do you about our ambitions for what our health and wellbeing services should look like by 2021? Is there anything missing or more we should aim for? Health services are cut how can we deliver care in future? – Accessibility educate what is available? How can we access? Is it – – different across different CCG areas? For instance; have specialised services in the areas where there is highest demand Communicate via GPs? E.g. pulmonary rehab works but GPs not referring in (less than 15%) patients don’t know about it – No standardisation across CCGs in terms of services and patients don’t know what they should expect and what is available BLF thinks a patient with COPD should get a wallet card saying what is available Limited re services Need to address poverty and deprivation Weaknesses of the plan objectives high level – Time length of time to train a GP? Where is the workforce? 1/3 – expected to retire in the next 5 years Removal of bursaries for nurses is bad Need plans to tackle alcohol/sugar etc. Funding issue needs addressing Communication between organisations work more cleverly together – and use each other’s experiences and skills Investment in prevention invest to save – Deciding together missing the point; aiming at Mental Health for – complex chronic conditions early intervention needed so condition – does not escalate Stigma associated with using phrase health’ ‘mental Annual action and delivery plan needed at key stages Key line of enquiry feed into governing body monitor delivery – – 5 year plan areas in CCG have grown each CCG has its own plan – – and agenda which results in fragmented working how can that be – eliminated? It was felt that any preventative work would have to be long-term, over a generation (for example it has taken a generation to make drink-driving socially unacceptable) and therefore the effects of investment in this area would simply not be felt by 2021. Moreover, major preventative programmes such as reducing smoking or sugar intake have only been effective because Central Government has imposed bans or taxes, which is not something that the STP partners could do. Funding any preventative work will also be very difficult because there are huge funding pressures on local authorities who now have
What do you about our ambitions for what our health and wellbeing services should look like by 2021? Is there anything missing or more we should aim for? Health services are cut – how can we deliver care in future? Accessibility – educate – what is available? How can we access? Is it different across different CCG areas? For instance; have specialised services in the areas where there is highest demand Communicate via GPs? E.g. pulmonary rehab works but GPs not referring in (less than 15%) – patients don’t know about it No standardisation across CCGs in terms of services and patients don’t know what they should expect and what is available BLF thinks a patient with COPD should get a wallet card saying what is available Limited re services Need to address poverty and deprivation Weaknesses of the plan – objectives high level Time – length of time to train a GP? Where is the workforce? 1/3 expected to retire in the next 5 years Removal of bursaries for nurses is bad Need plans to tackle alcohol/sugar etc. Funding issue needs addressing Communication between organisations – work more cleverly together and use each other’s experiences and skills Investment in prevention – invest to save Deciding together – missing the point; aiming at Mental Health for complex chronic conditions – early intervention needed so condition does not escalate Stigma associated with using phrase ‘mental health’ Annual action and delivery plan needed at key stages Key line of enquiry – feed into governing body – monitor delivery 5 year plan – areas in CCG have grown – each CCG has its own plan and agenda which results in fragmented working – how can that be eliminated? It was felt that any preventative work would have to be long-term, over a generation (for example it has taken a generation to make drink-driving socially unacceptable) and therefore the effects of investment in this area would simply not be felt by 2021. Moreover, major preventative programmes such as reducing smoking or sugar intake have only been effective because Central Government has imposed bans or taxes, which is not something that the STP partners could do. Funding any preventative work will also be very difficult because there are huge funding pressures on local authorities who now have
Appendix-2a.docx