Welcome@NWReadingCCG #calltoaction @SReadingCCG

Introductions

• Christopher Mott, South Reading CCG , Lay member, Patient & Public Engagement

• Wendy Bower, N & W Reading CCG, Lay member, Patient & Public Engagement

• Dr Elizabeth Johnston , Chair South Reading CCG

• Dr Rod Smith, Chair N & W Reading CCG

Housekeeping

• Please switch mobile phones to ‘silent’ • No fire alarms expected• Please let the photographer know if you do not want

your photo to be taken• There is no break scheduled this evening, but please do

help yourself to refreshments or leave the room if you need to

Update

• In November, you gave us excellent feedback about how you want local health services to be shaped

• We have listened to your ideas and views, and used these to help develop our two and five-year plans

• We will share those plans with you today

Agenda

1. Summary of the challenges

2. “You Said- We listened”

3. How can we adapt to meet those challenges- 2 year plans- 5 year strategy

4. Panel Question Time

We recognise there are challenges

30% of people born outside of UK

14% of emergency admissions are due to respiratory conditions

21% of adults drink above recommended limits

30% of people in Reading live with Long Term Conditions such as heart , respiratory disease and osteoporosis

Rising cost finite resources

Ethnically diverse population

Increased deaths due to alcoholic liver disease

Higher than average

This number will rise

You said-We Listened

Hospital at Home

“Better management for long-term conditions” Working with GPs

“Need to tackle ‘wasteful prescribing’”

“More joined up services to avoid unnecessary admissions to hospital”

Monitoring patients at home

Improve support for unpaid carers

Increased training and support for Care Homes

Improved care for sufferers of

osteoporosis

Care planning

Combining health and social

care expertise

Enable people with diabetes to

‘own’ their conditions

Our Two Year PlanMore specialist heart nurses in the community

We recognise there are challenges North and West Reading

Above average number of People aged between 30-

54

Higher levels of Obesity in Adults and

Children

Higher than average

prevalence of depression

Improve support to people near End

of Life

Rising costs and finite resources

Older population expected to rise higher than the national average 14.5% compared to the national average of 11.7%

15.3% of children aged 10-11 are obese. 9.3% of the population aged 16 and over are obese

70% of people want to die at home. In Reading fewer than 20% of deaths happen at home

30% of people in Reading live with Long Term Conditions such as diabetes, chronic heart disease and COPD

Rising costs and finite resources

Rising number of people with Long Term Conditions

You said – We ListenedPatients with diabetes being posted their test

results before their annual review

“Help us to be better educated and informed on

our health conditions”

Beat the Streets initiative to encourage exercise

“Better self-care and more emphasis on prevention”

Increasing the number of psychiatrists working

in the in RBH

“Better understanding of physical and mental health

problems”

Reduce intervention

rates for Musculoskeletal

conditions

Improve physical exercise in the population e.g. Beat the Street More joined

up services-Better Care

Fund

Improved support to Frail and Elderly

Patients

Improve mental health through

access to psychological

therapies

Robust approach to the

management of long term

conditions

Our Two Year PlanImproved support to

people near end of life

Our 5 year strategy

• Please add the triangle slide we used at the last Call to action

Hospital care

Our 5 year strategy

Urgent care

system

Out of hospital

Musculoskeletal & Ophthalmology

Hospital at Home

NHS 111

Integration of health and social

care

Support to care homes

Care planning

What are your views?

• Questions and use of voting pads

Beat the Streets

Do you want to help Reading Walk to the Moon?

1. Yes2. No

Beat the Streets

Do you do 30 minutes of exercise 5 days a week?

1. Yes2. No

Hospital at Home

Do you think that Hospital at Home is a good idea for certain conditions?

1. Yes – I would like to be treated at home, if appropriate2. Maybe – but I don’t know enough about it 3. No – I think I would want to be treated in hospital

NHS 111

Would you use NHS 111 for medical advice?1. Yes

2. No – I don’t trust it

3. No – I had an unsatisfactory experience

4. No – I don’t know enough about it

5. No - other

NHS 111

If you answered ‘no’ and were taken ill, what would you do instead?

1. Go to A&E?2. Seek advice from a pharmacy 3. Go to Reading NHS Walk-in Centre?4. Wait until your GP surgery is open?5. Other

Long term conditions

If you had a long term condition - other than your GP, practice nurse or hospital doctor - where else would you like to get information from?

1. Internet2. Peer group3. Specific educational course4. Smart phone app

Discussion and feedback

Following your discussions, please choose amongst your table:

– One point that you would like to feed back

– One question that you would like to ask the panel

Panel Discussion

Dr Rod Smith Chair of North & West Reading Clinical Commissioning GroupDr Elizabeth JohnstonChair of South Reading Clinical Commissioning Group Cathy Winfield Chief Officer, Berkshire Federation of CCGsSuzanne WestheadHead of Adult Care, Reading Borough Council

Next Steps

April 2014Two year plans published

Summer 2014Five year vision published

Summer 2014Call to Action event programme part three for Berkshire West CCGsReading event: (date tba)

Thank You

• Thank you for joining us at our “Call To Action” event• Please continue to feedback to us: nhs.calltoaction@nhs.net

.

• Further details can be found on our website:• www.southreadingccg.nhs.uk• www.nwreadingccg.nhs.uk

• Continue to follow the discussion on Twitter @SReadingCCG / @NWReadingCCG or by finding #calltoaction