Looking ahead

The system has agreed a number of top priorities:

  • Complete a review of five services – maternity, acutely unwell children, stroke, urgent and emergency care, and gastroenterology and endoscopy – across the region’s hospitals to ensure local people continue to receive safe, sustainable, high quality care
  • Invest in primary care services and develop the people working in them
  • Focus on developing more talking therapies and crisis support for people with mental health needs
  • Help people with tobacco dependency across every part of the health service
  • Develop one workforce, attracting the best candidates and recruiting and developing staff together
  • Develop and strengthen collaborative partnership work to address the ‘wider determinants of health’ such as housing, employment, education, homelessness, transport and population health initiatives (smoke prevention and alcohol reduction programmes) that improve overall physical and mental health whilst enhancing life expectancy.

Performance targets include:

  • 25 per cent reduction in hospital admissions, GP visits and prescriptions related to coronary heart disease and stroke for 15-64 year olds;
  • 15 per cent reduction in all other hospital admissions, GP visits and prescriptions for 15-64 year olds;
  • Reduction in statin use of over £1 billion through smoking reduction;
  • A universal approach to supporting the estimated 15,000 children and young people who will go on to develop a clinically diagnosable mental health disorder;
  • Reduction in the under-18 conception rate from 31.9 conceptions per 1,000 females in 2014 to 12 per 1,000 females by 2020 (reported in 2022)
  • Reduce the percentage of adults in SYB who smoke to below 10% by March 24, with a reduction in the gap between the proportion of the general population who smoke and people with routine and manual occupations and severe mental illness
  • Increase referrals to the national diabetes prevention programme following our selection as a pilot site for enhanced weight management support for people with a BMI of 30+ with Type 2 diabetes or hypertension and low calorie diets for diabetics.
  • Increase the percentage of people with cancer who are diagnosed at stage 1 and 2 to 58% by March 2024.
  • Reduce the life expectancy gap between people with severe mental illness and learning disabilities and the general population.

In addition to its use of technology in the frailty pathway, the system is also looking to trial new devices which monitor the general wellbeing of dementia patients. The integrated care system will use its new intelligence centre and predictive analytics to combine the data from such devices with data from health and social care organisations to build a risk profile for patients. This will help to identify which patients are likely to become unwell or to have a hospital admission/readmission, so that healthcare professionals can work to reduce the risk for those individuals.