Comment

Representation ID: 20091

Received: 21/03/2018

Respondent: Community Health Partnerships (NHS)

Health and care services and the way they are organised both from a commissioner and provider perspective will change over the lifespan of this plan. It is therefore practical at this stage to describe the additional demand that the population growth will require into the different traditional sectors that we currently have and recognise . To include such as GP services, hospitals, community healthcare providers and social care . However, a range of constraints means that this current model cannot be sustained and will transition over the lifespan of this IDP.

Comment

Representation ID: 20092

Received: 21/03/2018

Respondent: Community Health Partnerships (NHS)

The complexity and level of demand will mean that for health and care services to meet those needs ,a much more integrated approach will need to be taken with blurring of the lines between different sectors within health and those across health and social care, and between physical and mental health. This will include those agencies who manage the wider determinants of health including housing, employment and environment. New models of care for our communities over the lifespan of the IDP, combined with technological advances will lead to more effectively integrated and technologically advanced models of care for local population.

Comment

Representation ID: 20093

Received: 21/03/2018

Respondent: Community Health Partnerships (NHS)

The mentioned integrated approach will have an impact on not only estate, infrastructure and digital planning but the way the system will need to plan its workforce requirements in the future. In future public-sector planning will need to continue to move to considering demand as a system rather than an individual organisations and plan for the delivery of these services accordingly, making the most of the advances that are available to maximise the provision of care to our changing population.

Comment

Representation ID: 20094

Received: 21/03/2018

Respondent: Community Health Partnerships (NHS)

For the purposes of the IDP, health and social wellbeing services consists of the following: General Practitioner (GP) services; Hospitals; Ambulance Services; Social care; Public health; Community Healthcare providers. This analysis does not take into account specific wider primary care service needs such as dentists, pharmacies, opticians, which will be impacted by demand from growth. The Health and Social Care Act 2012 has radically changed the way in which health care services are planned and organised. These are primarily provided by the Clinical Commissioning Groups (CCGs) The CCG is responsible for planning and buying ('commissioning') local health care services.

Comment

Representation ID: 20095

Received: 21/03/2018

Respondent: Community Health Partnerships (NHS)

The Health and Social Care Act 2012 has radically changed the way in which health care services are planned and organised. These are primarily provided by the Clinical Commissioning Groups (CCGs) The CCG is responsible for planning and buying ('commissioning') local health care services. Sustainability and Transformation Plans (STPs) are being prepared for wider areas that incorporate several CCG areas. Draft STP's were, published in October 2016, summarising the work to date and outlining how system-wide plans can be delivered across organisations. This is an iterative document and will be reviewed periodically.

Comment

Representation ID: 20096

Received: 21/03/2018

Respondent: Community Health Partnerships (NHS)

Priorities for Public Health within spatial planning include supporting access to quality open and green/blue space, healthy diets including improving access to local and fresh food, improving community cohesion and reducing social isolation, supporting air quality, increasing active living through movement and play across all ages and supporting good quality housing design across the life course. Reducing health inequalities underpins our work. Assessment of Public Health and Wellbeing need will be supported by the Health Impact Assessment processes, local evidence base and current Public Health Policy.

Comment

Representation ID: 20097

Received: 21/03/2018

Respondent: Community Health Partnerships (NHS)

A particular focus of the Sustainability and Transformation Plans is bringing simple diagnostics into communities. The CCG is also looking at more prevention-based and integrated service provision with social care. This growing focus on bringing care provision into the community may see the creation of health care 'hubs'/networks. To facilitate these strategies there will be a requirement to invest in infrastructure which may include the need to deliver new facilities.

Comment

Representation ID: 20098

Received: 21/03/2018

Respondent: Community Health Partnerships (NHS)

There are also STP priorities related to increased use of technology for example:
-Enabling patients and citizens to receive the care and support they need to live healthier, happier lives outside of a care setting
-Provide the information and tools to allow population to take responsibility for their own health and wellbeing
-Our respective organisations have the technology solutions to operate in an efficient and cost-effective way which supports continued high performance and future sustainability
This will provide alternative methods for patients and the wider community to receive and contribute to care using technologies that most appropriately meet their needs.

Comment

Representation ID: 20099

Received: 21/03/2018

Respondent: Community Health Partnerships (NHS)

The STPs envisage that, hospital services will be reconfigured and transformed, with new models of care meaning more care will be provided within the community. In particular, Basildon, Southend and Broomfield Hospitals will build on their partnership work. This will include a range of significant clinical reconfiguration projects, centralisation of services and programmes to improve quality, safety and patient experience. It is likely that there will be changes to where some services are delivered.

Comment

Representation ID: 20100

Received: 21/03/2018

Respondent: Community Health Partnerships (NHS)

Ambulance Services: East of England Ambulance Service NHS Trust (EEAST) Estates & Development plans includes some allowance for growth in demographics of population changes and therefore any increase in requirements to meet these changes will require modelling to account for the required increased workforce. EEAST are currently participating in an independent service review commissioned by healthcare regulators to better understand what resources are needed to meet patient demand.