A Healthier Future Improving health and care in Hertfordshire and west Essex 2016-2021 - Summary
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A Healthier Future
Improving health and care
in Hertfordshire and west Essex
2016-2021
CARE HOME HEALTH HUB
MEMORY CAFÉ
A Healthier Future NEW.indd 1 07/12/2016 09:46Contents Foreword Towards a healthier future
Foreword from Tom Cahill 2 Local health and care services across Hertfordshire Background
and west Essex have been working to develop a
plan to provide a healthier future for residents. Across England, NHS and social care organisations
have been encouraged to work more closely to
Towards a healthier future 2 Improvements in living standards and deliver more effective, joined-up and affordable
healthcare mean that more people are living services.
on into their old age. Faced with increasing
demands on health and social care, we need to In Hertfordshire and west Essex, councils, health
A picture of our healthier future 3-4 and ambulance services, GPs, patient representative
make changes to some of the ways we work.
What will ‘A Healthier Future’ mean for me? 3 groups and the voluntary and community sector
There are already some excellent examples of have been asked by the NHS to produce an
What will ‘A Healthier Future’ mean for staff? 4 services in our area which have been improved, improvement plan for the next five years.
About our area 5-6 which you can read about in this plan. We are
committed to improving all of our vital NHS and These improvement plans are called ‘Sustainability
A picture of the challenges we face 7-8 social care services to help us live happier and and Transformation Plans’ (STPs). The STP for
Working with you 9-10 healthier lives. Hertfordshire and west Essex is called ‘A Healthier
Future’. This document is a summary of that plan and
We can’t do this without your help. Making real has been produced to encourage as much public
change relies on everyone taking responsibility debate and involvement in the development of our
Making our vision a reality 11 for their own health and wellbeing and we want STP as possible.
to work with you to make sure that happens.
‘A Healthier Future’ maps the improvement journey
Please take a little time to read this plan, which that health and care services need to take locally with
1. Living well and preventing ill-health 11-12 outlines the opportunities and challenges we our residents over the next five years to achieve our
2. Transforming primary and community services 13-14 face to deliver a healthier future for the residents ambition to improve the health of our population,
of Hertfordshire and west Essex and all those within the resources available.
3. Improving urgent and hospital services 15-16 who use our services over the next five years.
4. Providing health and care more efficiently and effectively 17 It draws on the commitments made in the national
Thank you, vision for the NHS, the Five Year Forward View,
which was published in October 2014. The drive is
Tom Cahill
to promote wellbeing, give patients equal access to
high-quality care, prevent ill-health and to ‘work
Chief Executive, Hertfordshire Partnership
hand-in-hand with patients, carers and citizens’.
University NHS Foundation Trust
If you would like to receive this information and
The Five Year Forward View also warned of a £30
billion annual gap by 2020/21 between NHS funding
in large print, easy read, audio or braille; Sustainability and Transformation Plan Leader,
Hertfordshire and west Essex
and the money that the NHS needs to provide services,
if we continue to work in the same way.
or want it to be translated into a different We spend about £3.1 billion a year on health
and social care in Hertfordshire and west Essex.
language, please call 01707 253916 or email Our funding gap is forecast to reach more than
£550 million a year by 2020/21 if we don’t
deliver services differently and improve the health
communications@enhertsccg.nhs.uk of our population.
1 A Healthier Future: Improving health and care in Hertfordshire and west Essex Towards a healthier future 2
A Healthier Future NEW.indd 2-3 07/12/2016 09:46With your help we will create a healthier future
for our population and local NHS services
“When I need to go hospital, I will see a “Online advice, information and
specialist with the expertise, equipment technology makes it quicker, easier and
and experience to treat my condition. more convenient for me to stay well
I won’t have to stay in hospital for longer and get the help I need.”
than I need to.”
“I know how “I can make
to look after my the most of life
family’s health and with my condition
how to find the right thanks to the help
help when I need it.” of my expert
local team.”
What will ‘A Healthier Future’ mean for me? What will ‘A Healthier Future’ mean for staff?
By 2021, we want residents of Hertfordshire and west health and wellbeing centres – bringing together the Health and care staff will benefit from:
Essex of all ages to live as healthily and independently expertise of health and care professionals to cater
as possible. for residents’ physical, social and mental health healthier working environments
needs. These teams will help people live well, more partnership working in the community: primary care, community
Making the most of local resources such as children’s especially those who have high levels of need and
centres, schools and leisure centres, we will help health, mental health and learning disability, ambulance and social care
long-term conditions, such as dementia or diabetes. services working together in integrated local teams, supported by hospital
people improve their health and wellbeing. Where there are health benefits for patients, more specialists
Projects to identify and support people at risk of services will remain open at the weekends.
preventable illnesses or ill-health, such as diabetes, more flexible working: treating patients in a variety of settings, either in
When people fall ill or are injured, a simplified urgent hospital, the community or at home, depending on the stage of their
heart attacks or strokes, will be extended across care system will help direct them to the best care for
our area. treatment
their needs.
If you have a long-term health condition, you will be more emphasis on promoting good health and helping patients to
Hospitals will focus on delivering specialist treatments manage their own conditions and plan their care
encouraged to look after your own health, helped for serious or complex conditions that require
by health professionals, community leaders and particular expertise or facilities which cannot be improved access to technology to support them in their work.
supported with healthcare technology. accessed closer to home, such as surgery and
We will work to deliver the right care at the right other inpatient care. After hospital treatment,
time and in the right place – often closer to people’s patients will be supported to recover at home or
homes and out of hospitals. We will create local as close to home as possible.
3 A Healthier Future: Improving health and care in Hertfordshire and west Essex Towards a healthier future 4
A Healthier Future NEW.indd 4-5 07/12/2016 09:46About our area
There are strong existing partnerships between There are some circumstances in which patients
the NHS and care services like homecare and need to travel outside Hertfordshire and west
residential care in Hertfordshire and west Essex. Essex for specialist services, or choose to do so.
Half of all the patients treated at Princess Specialist cancer services are provided at the
Ca
Bed
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Alexandra Hospital in Harlow, west Essex, live Mount Vernon Cancer Centre in Northwood,
rid
Saffron
ford
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in nearby areas of Hertfordshire. Emergency Middlesex, by East and North Hertfordshire NHS Walden
stroke services for some patients from the Trust and patients from neighbouring counties,
Harlow area of west Essex and the east and north such as Bedfordshire, also travel into our area for A1 (M)
of Hertfordshire are provided at the Lister treatment. However, most of our population’s Hitchin M11
Hospital in Stevenage. everyday health and care needs can be met A10
within Hertfordshire and west Essex. Stevenage
Luto
Bishop’s
Stortford
n
west Essex
M1
Hertford
Hertfordshire
Hemel Welwyn
Hempstead Garden City
St Albans
Our STP
Harlow
Cheshunt Epping
population is M25
1.5 million M25 Watford Da
rtf
Ed
ord
gw
ford
Slough
are
Strat
We have a total There are 301
of 166 GP pharmacies in
practices our STP area
CARE HOME LOCAL SURGERY
Fast Food House NURSERY
DRINK AND BE MERRY
5 A Healthier Future: Improving health and care in Hertfordshire and west Essex Towards a healthier future 6
A Healthier Future NEW.indd 6-7 07/12/2016 09:46The challenges we face
Health and care services use different information systems,
don’t always work together and are often unable to access
each other’s records. Patients are asked to repeat the same
Too many Hertfordshire and west Essex patients are
information and tests and procedures can be carried out
admitted to, or remain in, hospital who could have
unnecessarily, taking up patients’ time and wasting money.
been looked after better in other ways.
CARE HOME LOCAL SURGERY
Fast Food House NURSERY
DRINK AND BE MERRY
The health of our
population is generally Some of our residents
better than the national are dying from illnesses
average, but there are like circulatory diseases,
some more deprived areas cancer and respiratory
where health is poor. diseases at a younger age
Obesity, smoking, alcohol than we would expect.
consumption and not
enough exercise are all
causing health problems.
Hospitals in our STP area often struggle to meet the
We expect the number of
over-75s to increase by 37% in
the next 10 years. More older
34% of GPs are thinking of retiring in
the next five years (according to a
national British Medical Association survey).
requirements to treat, admit or transfer 95% of
patients attending A&E within four hours of arrival.
37%
people and people with
long-term conditions means
70%
higher care costs.
A number of our health
-£550m
and care buildings and
facilities are no longer fit
for purpose. We currently spend about £3.1 billion per year
High living costs mean that attracting and retaining health on health and social care in Hertfordshire and
and care workers with the right skills can be difficult. The west Essex. Our funding gap is forecast to reach
average monthly rent in St Albans is £1,150, compared with more than £550 million per year by 2020/21 if
nearby Bedford which is £675*. That’s 70% higher. we don’t improve the health of our population
* (source Esri UK) and deliver services differently.
7 A Healthier Future: Improving health and care in Hertfordshire and west Essex Towards a healthier future 8
A Healthier Future NEW.indd 8-9 07/12/2016 09:46Working with you
‘A Healthier Future’ builds on improvements to health and care services across
the area that have been underway for some time...
In west Hertfordshire In east and north Hertfordshire In Essex
A major change programme, Your Care, Your Future, The ‘Our Changing Hospitals’ project has brought Health and social care services in Essex are working Here are some of the
was launched at the end of 2014 by Herts Valleys
Clinical Commissioning Group, local NHS trusts,
together inpatient, heart treatment and Accident and
Emergency services from two hospital sites in east
together with residents with a view to creating a new,
single health and care organisation to deliver better,
things that you have
councils and voluntary organisations. Your Care, and north Hertfordshire onto one improved and more joined-up and affordable care. Called ‘My told us:
Your Future has involved patients and the public in redeveloped site, at the Lister Hospital in Stevenage. Health, My Future, My Say’, the Essex proposals
developing plans to deliver care closer to people’s The creation of a single emergency services site with include the area of west Essex which falls into “Professionals and care should be
homes that is more joined up, with high-quality better buildings and facilities at the Lister Hospital, our Sustainability and Transformation Plan area.
joined up.”
hospital services in improved facilities. Improved together with the opening of the New QEII Hospital For younger adults, the emphasis of ‘My Health,
cardiology and community respiratory services have in Welwyn Garden City, has brought about My Future, My Say’ is on maintaining health and “Quality and efficiency come from
already been launched and new treatment and care improvements for patients. wellbeing. An older or frail person would have a caring for people as people.”
programmes covering areas such as diabetes, stroke single care plan involving a range of professionals
Better community respiratory and elderly-care
and end-of-life care will begin in 2017. This will help
services are now helping GPs to access specialist
and services dedicated to keeping that person living “Put more focus on preventing ill-health
to bring about the improved, affordable services in independently for as long as possible. and addressing unhealthy lifestyles.”
the west of Hertfordshire that our wider ‘A Healthier hospital treatments for patients without the need for
Future’ plan is committed to achieving across a hospital stay. Hospital services in this area are now “Unnecessary journeys to hospital can
our area. more sustainable and affordable, although further
improvements are needed.
be reduced by providing care closer
west Essex
Ca
to home.”
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Your Care, Your Future has also included extensive
rid
Saffron
ge
engagement and discussions on future health services. Walden
east and north “Build on existing community services so
The preferred option is to redevelop Watford and
St Albans as the main hospitals with local services
Hertfordshire more people benefit from the care and
provided in Hemel Hempstead, South Oxhey, M11
support of voluntary organisations.”
Bed
Harpenden and Borehamwood.
ford
“People should take more responsibility
for their own health.”
A1 (M)
Hitchin
west A10
Luto
Hertfordshire Stevenage
n
Bishop’s
Stortford
M1 Harlow
Hertford Epping
Hemel
Hempstead Welwyn
St Albans
Garden City
Da
rtf
ord
Cheshunt Strat
ford
M25
M25 Watford
Ed
gw
Slough
are
9 A Healthier Future: Improving health and care in Hertfordshire and west Essex Towards a healthier future 10
A Healthier Future NEW.indd 10-11 07/12/2016 09:46Making our vision a reality 1
The growing health and Living well and preventing ill-health
social care needs of our
“People should take more responsibility for their
population can only be met own health, which means having the right
using the funding available information and ‘tools’.”
(Response to ‘My Health, My Future, My Say’
if the NHS and social care public engagement, West Essex CCG)
services work together with
you to achieve this. Prevention is better than cure. We want to support
people to live well, and stay well, for as long as they can.
We have identified four Healthcare and lifestyles have an important impact
key challenges: on our health, but other factors, such as our
communities, caring responsibilities, our environment There are many public and voluntary support These measures will reduce the number of people
and the activities we are involved with have a big services offering practical help and advice in our who go on to develop illnesses and conditions which
1 influence too. We will work closely with our local local communities. can seriously affect their quality of life and are
councils, communities and the voluntary sector to expensive to treat, such as diabetes, stroke, chronic
‘A Healthier Future’ will raise awareness of these lung disease and liver disease.
improve these wider environmental factors which
Living well and preventing are vital to good health. Housing conditions, such
services among residents and health professionals
and improve health, with the aim of: People with long-term health conditions have
ill-health as poor heating and ventilation, overcrowding and
better experiences of care and use expensive services
insufficient home insulation, can profoundly reducing the number of west Essex and less often if they have the skills and information they
affect residents’ physical and mental wellbeing. Hertfordshire residents who are at risk of need to manage their own health and wellbeing.
Together with district councils, we will work with developing diabetes by 10% by 2021
2
public and private landlords to ensure they provide We will support the 40% of the population who –
safe housing and good housing advice. reducing the number of smokers by 10% by 2021 according to national research – do not currently
Transforming primary and We have strong ties with the voluntary and enrolling 10% of obese patients in weight-loss have the knowledge or confidence to manage their
own health. Through education and providing the
community services community sector across Hertfordshire and west programmes by March 2020
tools and support they need, we will help them to
Essex. We will draw on these partnerships to help achieving a 10% reduction in the number of live well, with care plans that reflect their needs
vulnerable residents and carers overcome their social people drinking alcohol at levels which pose and wishes.
isolation and access benefits and other support that an increased risk to their health by 2021
3
can improve their health in ways that medication can’t. A good start is vital to good health. We will encourage
reducing the number of people who have women to improve their health before, during and
We will help communities and individuals to make
Improving urgent and hospital healthy lifestyle choices and take part in activities to
strokes, by reducing the blood pressure of after pregnancy. Starting a family is a good
patients at risk by 2021. opportunity to encourage healthier lifestyles for
services improve their health and wellbeing, prioritising
everyone concerned.
people at risk of developing preventable illnesses.
4 CASE STUDY
Providing health and care more Lavender team
efficiently and effectively West Herts Hospitals NHS Trust prides itself on the
way it cares for the mental health of pregnant and
postnatal women. The trust recently established
the Lavender team of highly trained midwives
who provide specialised care for mothers who
are teenagers, have mental health illnesses, are
suffering or at risk from domestic violence, have
complicated needs due to language difficulties,
are homeless or have substance misuse issues.
11 A Healthier Future: Improving health and care in Hertfordshire and west Essex Making our vision a reality 12
A Healthier Future NEW.indd 12-13 07/12/2016 09:46In west Essex, neighbourhood teams of health and
2 Transforming primary and community services care professionals are working together to care for
people at home, provide services in the community
“The physiotherapist came to my house and showed me exercises I can do and allow patients to be discharged from hospital with
at home, and the nurse visited to check my blood pressure and my pulse. support as soon as possible. Mental health services
This meant that my wife, Audrey, didn’t need to travel in and out of hospital are currently provided by two specialist mental health
to visit me.” trusts in this area. There are plans to merge these trusts
(Eric, 85, Cheshunt) and move more services into the community,
supporting lifelong mental health and emotional
patients and carers. This will save people’s time and wellbeing across Essex. This is in line with the greater
cut out unnecessary tests and appointments, so that Essex strategy and vision for mental health.
patients and carers only need to travel to hospital
when it is absolutely necessary. Specific planned mental health improvements Through the ‘Transforming Care’ pilot programme for
include: people with learning disabilities, NHS organisations
Some of the services that we want to offer in the in Hertfordshire are working closely with social care,
community are: providing better access to psychological or
service users and their families to design services
‘talking’ therapies
diabetes prevention and management which will support people seamlessly from early
improving access to mental health services childhood into old age, without a sudden change
stroke prevention and treatments for patients for children and young people as they reach adulthood. The aim is to ensure that
who have had strokes people of all ages can access help, support and
improving the care offered to those experiencing appropriate treatment in the community, living as
the prevention and treatment of chronic lung their first episode of psychosis independently as possible.
disease (COPD) and other severe breathing
problems increasing support for those who need it when The number of people with dementia is increasing
they are in hospital as we live longer and become better at diagnosing
improved mental health and learning disability it. Across our area, in health and social care, we are
Most people want to stay independent and visits services. extending local eating disorder services for
young people working to ensure that people with dementia and
to hospital can be time-consuming, expensive and It is widely recognised that people with mental health their carers are able to live well.
inconvenient for patients and their carers. To improve problems and learning disabilities do not always have actions to reduce suicide rates by 10%
quality of life and reduce demands on hospitals, we We will: promote health and wellbeing to reduce
equal access to health services. This can mean that continuing support for patients in crisis in our the number of people developing dementia; identify
plan to provide more health and care support in they don’t get the treatment they need and may have
people’s homes or local areas. communities, to avoid them being detained and diagnose dementia at an earlier stage; develop
shorter life expectancy. By bringing together mental under the Mental Health Act, through mobile dementia-friendly communities and services; support
We plan to develop joined-up community health and and physical health services in local centres, teams of paramedics, mental health practitioners carers and prevent and respond to crises – avoiding
care services – based around GP practices, health and we can help our residents to stay well and avoid and police officers. hospital admission.
wellbeing centres or children’s centres – to make it mental health crises.
easier for professionals to work together to support
CASE STUDY CASE STUDY
A ‘Health Hub’ for Bishop’s Stortford Community Navigators
In the ‘Stort Valley’ area of Hertfordshire, which includes Bishop’s In west Hertfordshire, ‘Community Navigators’ link health and social
Stortford and the surrounding villages, GPs are developing plans to care staff and the voluntary sector to help people stay independent.
bring health and social care services together in a ‘Health Hub’ at the
CASE STUDY
Herts and Essex Hospital. The existing team based at Bishop’s Stortford, Referrals to Community Navigators are coordinated by the Herts Help
which delivers nursing, therapy and matron support to the local community, advice service. Navigators spend time understanding each person’s needs,
will be joined by mental health and social care staff. sorting out their non-medical problems and linking them to voluntary
organisations for ongoing contact, care and attention.
CASE STUDIES
In future, GPs who are concerned about a particular patient will be able to refer them to the integrated
team, which will act promptly to ensure that each person gets the support they require. Each person’s care Jean was helped by the scheme when a stroke meant she had to move to sheltered accommodation in an
will be coordinated by the most appropriate professional, working with their colleagues to address all of their area of Hemel Hempstead she didn’t know. Jean used to live independently and was very active, enjoying
patients’ needs. walking and gardening. She wanted to go out, but found it difficult to find her way home and felt isolated.
The Community Navigators introduced Jean to a number of support services: Hertfordshire Health Walks,
The existing ‘Rapid Response’ service in the area, which guarantees medical help and social care at home to help her stay active and meet new people; Hertfordshire Society for the Blind; and ‘Green Aiders’,
to some patients within an hour, will be strengthened by the addition of a dedicated GP. who do voluntary gardening.
13 A Healthier Future: Improving health and care in Hertfordshire and west Essex Making our vision a reality 14
A Healthier Future NEW.indd 14-15 07/12/2016 09:46Hospitals are forging closer ties in the interest of Proposals are being developed for services
3 Improving urgent and hospital services better patient care: on the existing hospital sites – in Watford and
St Albans – with a likely mixture of new and
“I very nearly took my five-year-old son straight to A&E, but thought to East and North Hertfordshire NHS Trust and redeveloped buildings. Emergency services and
phone NHS 111 first. They were very efficient and when I was put through Princess Alexandra Hospital NHS Trust are maternity will remain in Watford. St Albans City
to a nurse and a doctor they were very thorough and reassuring. They gave working more closely together to improve the Hospital will be further developed as a planned
me plenty of advice and I could not fault the service at all. Thank you.” effectiveness and efficiency of a range of care centre and a range of urgent care,
(Patient feedback form, NHS 111) clinical and other services. Around 40% of outpatient and diagnostic services will be
Princess Alexandra Hospital’s patients come provided at a health facility in Hemel
There are three big hospitals in west Essex and We want to secure the future of our hospital from Hertfordshire. The hospital provides vital Hempstead.
Hertfordshire; Watford General Hospital, the Lister services by: Accident and Emergency, maternity and surgery
Hospital in Stevenage and Princess Alexandra services to a growing population, but has some West Hertfordshire Hospitals NHS Trust is also
Hospital in Harlow. All of these hospitals have replacing some hospital-based care with significant problems with both its buildings and exploring the potential benefits of joining
agreed to share their expertise with local health treatments in local settings its ability to provide sustainable healthcare. the Royal Free London NHS Foundation Trust
services, so that patients can be treated without improving our patients’ urgent and emergency group membership model. The aim is to
Discussions are ongoing about the Princess promote stronger clinical partnership working
going to hospital whenever that’s right for them. care experience Alexandra Hospital buildings, both in the short between hospitals, reducing variation in patient
To help patients get the urgent help they need encouraging our hospitals to work more and long term. care across organisations.
without going to A&E, a new ‘Integrated Urgent Care’ closely together in areas such as cancer, The Your Care, Your Future programme in west Partnership working should help hospitals to improve
service is due to begin in summer 2017. The free vascular, stroke, paediatric and maternity Hertfordshire involved the public and health the quality of their services. They could use their staff
24-hour NHS 111 telephone service will direct services to reduce variations in quality, bring professionals, looking at options for future more flexibly and reduce the costs of their support
people to the best source of help and provide down costs and improve specialist services acute hospital services. Hospital buildings need services.
medical advice for patients and NHS staff. It will
making the best use of all of our hospital significant investment and it is important that
connect callers with experts, including GPs,
buildings. money is spent where it can bring the most The Mount Vernon Cancer Centre, a specialist centre
pharmacists and specialists in areas like mental
benefit for patients. in Northwood, Middlesex, is operated by East and
health, dental care and pain relief.
North Hertfordshire NHS Trust. Securing agreement
that Mount Vernon can be redeveloped around its
new buildings, replacing some of its oldest facilities,
is an important part of delivering a healthier future
for residents of Hertfordshire and west Essex.
CASE STUDY CASE STUDY
Improving stroke care ‘Our Changing Hospitals’
In early 2016, Princess Alexandra Hospital in East and North Hertfordshire NHS Trust’s ‘Our Changing Hospitals’
Harlow was unable to recruit consultants for its stroke unit, as not programme, completed in 2015, centralised all the Trust’s
enough patients with strokes were being treated at the hospital to hospital inpatient care, emergency care and surgery on the
sustain a specialist stroke centre. Lister Hospital site in Stevenage. At the same time, the
CASE STUDY
former QEII district general hospital in Welwyn Garden City
To improve stroke care, a specialist stroke centre has been developed was closed and the award-winning New QEII Hospital for
at the Lister Hospital in Stevenage, staffed by a stable, expert workforce, outpatients, diagnostics, urgent care and other services was
operating 24 hours a day, seven days a week.
CASE STUDIES
opened, serving Welwyn Garden City, Hatfield and the surrounding area.
By moving emergency stroke services to the Lister and offering improved community stroke recovery Over the next five years, the Trust will work with GPs and community services to provide high-quality care,
services to people in their own homes or at local community hospitals, the quality of care and recovery supporting patients who don’t need to be in hospital to be looked after in the community. Elderly-care
prospects for stroke patients has improved significantly. Queen’s Hospital in Romford and other neighbouring specialists and experts in respiratory conditions will support the area’s frail, elderly people, including care
stroke units also now provide high standards of specialist care for patients previously seen at Princess home residents, to live as healthily as possible.
Alexandra Hospital.
15 A Healthier Future: Improving health and care in Hertfordshire and west Essex Making our vision a reality 16
A Healthier Future NEW.indd 16-17 07/12/2016 09:464 Providing health and care more efficiently and effectively
These four key areas for
“The use of high-tech telecare, internet communication, email for all priority action, together
outpatient attendances and text reminders for all appointments would be useful.
I think that patients would like to be part of the digital revolution that the rest of with investment from the
the world is experiencing.”
( Justin, patient representative) national ‘Sustainability and
Putting the improvements working closely with the voluntary sector to
Transformation Fund’, should
in this plan in place will ensure that those most in need of additional help to make our health and
result in a healthier support, including carers, those with long-term
population, with conditions and people with mental health needs, social care system affordable
residents that do
not need as many
get the help they need
by 2020/21.
expensive, making the best use of our staff and reducing
reliance on expensive agency workers
inconvenient or The challenge now is for
invasive health using digital record keeping and, with patients’
treatments. consent, viewing their medical information, all of us – residents, staff,
Reducing demand in order to improve care and reduce the number
of duplicate tests and procedures
patients, carers and
will reduce costs, but this
alone will not generate the saving money on ‘back office’ support systems
stakeholders – to take
savings required to bring our health and care costs
down by more than £550 million by 2020/21.
and running costs control of our personal
Across Hertfordshire and west Essex, health and care
ensuring that all tests, procedures and treatments
are necessary and justifiable
health and wellbeing and
organisations are also committed to:
making the best and most efficient use of
work together to create
exploring the benefits of using medical
technology, such as online consultations and
public-sector buildings. sustainable services, so that
electronic health monitoring devices to support Some of the hospital buildings in Hertfordshire and Hertfordshire and west
frail people and those with long-term health west Essex need a lot of investment to be able to
conditions to live independently, avoiding the function well. We have asked for additional capital Essex can look forward to
funding so that we can make improvements, increase
need for residential care
the capacity of some services and provide the right a healthier future.
environment to deliver high-quality healthcare.
To find out more and
have your say, visit
www.healthierfuture.org.uk
CASE STUDY
Follow us on socialmedia
My Care Record @HWEfutureSTP
Patients in west Essex and the east and north of Hertfordshire will
soon be able to benefit from improved care, thanks to a new information
technology project developed in west Essex called ‘My Care Record’.
With a patient’s permission, ‘My Care Record’ will enable doctors and nurses
to instantly view their GP records. This means they will have up-to-date
information about their patients’ prescription medication and test results.
Patients’ care can be much more co-ordinated, cutting out unnecessary tests
and making the best use of everyone’s time and NHS resources. There are plans
CARE HOME HEALTH HUB
to extend this approach across the whole of Hertfordshire. MEMORY CAFÉ NURSERY
17 A Healthier Future: Improving health and care in Hertfordshire and west Essex Making our vision a reality 18
A Healthier Future NEW.indd 18-19 07/12/2016 09:46The following organisations will work with you to create
‘A Healthier Future’...
Two county councils: Hertfordshire Our ambulance trust: The East of England
County Council and Essex County Council Ambulance Service NHS Trust
Three hospital trusts: West Hertfordshire 166 GP practices
NHS Hospitals Trust, East and North
Two Health and Wellbeing Boards
Hertfordshire NHS Trust and Princess
for Hertfordshire and Essex: the
Alexandra Hospital NHS Trust
organisations which bring together
Four community and mental health representatives of the NHS, adult social
trusts: Hertfordshire Partnership care, children’s services, public health,
University NHS Foundation Trust, local politicians and Healthwatch, to plan
North Essex Partnership University NHS how best to meet the needs of the
Foundation Trust, South Essex Partnership populations of Hertfordshire and Essex,
University NHS Foundation Trust and tackling local health inequalities
Hertfordshire Community NHS Trust
Thirteen district and borough councils
Three Clinical Commissioning Groups
Two branches of Healthwatch: the
(CCGs): East and North Hertfordshire CCG,
independent patient voice for health
Herts Valleys CCG and West Essex CCG
and social care
– the organisations led by GPs that plan,
design and buy health services for the 1.5 Hundreds of health and social care
million people in our area and monitor partners, including voluntary and
the quality and effectiveness of those community organisations
services
healthierfuture.org.uk
published December 2016
CARE HOME HEALTH HUB
MEMORY CAFÉ NURSERY
Layout & post-layout editing: Naomi Marley (lighthousecommunications.co.uk) Infographics & illustrations: WOW Creative (wowcreative.co.uk)
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