Aide-memoire a range of support for STP leaders to consider as they develop their plans. Guides to help local leaders work together in tackling the big system challenges.
Cancer Aide Memoire
The independent cancer taskforce report sets out how to achieve world-class cancer outcomes by 2020 across England. Sustainability and Transformation Plans (STPs) should set out how the taskforce’s core recommendations will be translated into local action. Due to cancer patient population flows, implementation of some recommendations may need to be done at footprints larger than STPs; Cancer Alliances, which will be formed across the country from September 2016 will spear head their delivery. The Cancer Aide Memoir contains further information.
Digital Aide Memoire
The Five Year Forward View encourages the NHS to ‘exploit the information revolution’ as has happened in other industries. Personalised Health and Care 2020 sets an ambition that ‘all patient and care records will be digital, interoperable and real-time by 2020’. Better use of data and digital technology has the power to support people to live healthier lives and use care services less. It is capable of transforming the cost and quality of services when they are needed. It can unlock insights for population health management at scale. Further information can be found in the Digital Aide Memoire.
Learning Disabilities Aide Memoire
Approximately 1.2 million children, young people and adults in England have a learning disability. There are around 2,615 people currently in inpatient units and around 24,000 at risk of admission to specialist settings; this is too high. In 2015, 48 Transforming Care Partnerships (TCPs) were established across England to tackle this overreliance (refer to Building the right support). Sustainability and Transformation Plan (STP) leads should support the work of each TCP in their STP area and make clear any interdependencies in their plans. Further information can be found in the Learning Disabilities Aide Memoire.
Mental Health and Dementia Aide Memoire
Sustainability and Transformation Plans (STPs) are an opportunity to improve mental health services across the country, reversing historic underinvestment and integrating them with physical health services to achieve parity of esteem. STPs provide areas with an opportunity to think more holistically across mental and physical health, rather than just in a mental health ‘section’. The Five Year Forward View for Mental Health (MH5YFV) and Dementia Implementation Plan give the NHS a blueprint for realising improvements by 2020. STPs are the mechanism for putting this into action, changing service delivery for people by the end of the decade. Further information can be found in the Mental Health and Dementia Aide Memoire.
New Care Models Aide Memoire
New care models are at the heart of the Forward View’s triple aim: to improve the health of populations; to improve care patients receive and their experience of it; while delivering the best value possible for taxpayers. The strongest Sustainability and Transformation Plans (STPs) will be a blueprint for how areas expect to develop and spread new care models, making the greatest possible use of technology and a reshaped workforce. Further information can be found in the New Care Models Aide Memoire.
Prevention Aide Memoire
The Five Year Forward View sets out that a ‘radical upgrade in prevention’ is needed to improve people’s lives and achieve financial sustainability of the health and care system. The NHS spends more than £15.5 billion per annum treating illness which directly results from alcohol and tobacco consumption, obesity, hypertension, falls, and unhealthy levels of physical activity. Most of this treatment is avoidable. Further information can be found in the Prevention Aide Memoire.
Primary Care Aide Memoire
Primary care services are the front door of the NHS, with 300+ million patient contacts every year. But general practice is under pressure after years of relative under investment. The General Practice Forward View (GPFV) sets out a national programme to invest £2.4bn by 2020/21, tackling workload, building the workforce and stimulating care redesign. Further information can be found in the Primary Care Aide Memoire.
Supporting people to manage their own Health Aide Memoire
People who manage their own health, wellbeing and care both have a better experience of care and a reduced demand for high-intensity acute services. However, 40% of people have low levels of knowledge, skills and confidence to manage their health and wellbeing and 44% say they would like to be more involved in making decisions about their care The health and care system can do much more to support people to make better informed choices and to be more active in managing their own health, wellbeing and care. Further information can be found in the Supporting people to manage their own Health Aide Memoire.
UEC and 7 Day hospital service Aide Memoire
A set of 10 clinical standards have been developed to improve the quality of care no matter when patients are admitted. Sustainability and Transformation Plans (STPs) should focus on a sub set of four priority standards to ensure patients admitted to hospital in an emergency receive the same quality of assessment, diagnosis, treatment and review throughout the week. Progress on the other six standards is also encouraged as these will be important in enabling delivery of the priority standards. Further information can be found in the UEC and 7 Day hospital service Aide Memoire.
Urgent & Emergency Care Consolidated Channel Shift Model User Guide
The Consolidated Channel Shift Model is vital in helping Sustainability and Transformation Boards (STBs) [within Sustainability and Transformation Plan (STP) footprints] work through options to understand what real financial savings can be released through channel shifts; the key elements being introducing thresholds at which staff savings can be made and working out, through the determination factor, the scale of likely savings. This will require people to think through both the scale at which even minimal savings can be made and the gulf between these, and what the activity change at tariff would be.
This model, if used appropriately by STBs will enable them to assess what changes in channel shifts, if any, make material savings and understand what they need to do to make them happen. It ought also to provoke questions about looking for savings in saved costs that seem to be unaffected by even large shifts in activity across channels.
The strategic clinical networks website has commissioning guidance that includes best practice from other areas, including for instance some of the approaches around End of Life care in Airedale.