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NHS Long Term Plan and STP update

10/01/2019

The NHS in England has published a ten year plan setting its priorities for the future

Health and care leaders have come together to develop a Long Term Plan to make the NHS fit for the future, and to get the most value for patient out of every pound of taxpayers' investment. NHS England leaders say that the Long Term Plan could save up to 500,000 lives over the next ten years by focusing on prevention and early detection.
Key priorities within the plan:
• cancer
• mental health
• care for people with two or more chronic medical conditions
• supporting people to age healthily and tackling issues such as dementia
• children's health
• cardiovascular and respiratory diseases
• learning disability and autism
There will also be a focus on improving the way that people are able to interact with the health service for example, by using digital technologies such as video consultations.
NHSE will be working with local Healthwatch groups to ensure that the views of patients and the public are heard.

Click here to read the NHS Long Term Plan.
Click here to read the response of Healthwatch England to the long-term plan.

It is now the role of Sustainability and Transformation Partnerships (STPs) and Integrated Care Systems (ICSs) to develop and implement their own strategies for the next five years. This strategy will outline how they intend to turn the ambitions detailed in the Long Term Plan into local action to improve the services in the communities they serve. STPs will publish their local plans in the next few months.
Given that the role of STPs and ICSs have been reinforced in the NHS long term plan, we thought it would be helpful to provide an update on the key priorities of the STP.
Health and care leaders in Milton Keynes are working in partnership with Bedfordshire, Bedford Borough and Luton to improve integration between services, based on the 'triple tier' model of Scale (BLMK), Place (Milton Keynes) and Locality (GP clusters).

The STP Priorities are as follows:
1. Prevention: Working together to close the health and wellbeing gap by improving healthy life expectancy and reducing health inequality
Key work streams:
• Increasing Flu Prevention by raising awareness and accessibility of flu vaccinations, particularly for the over 65s, pregnant women, children and NHS frontline staff
• MK launched 'LiveLife MK', a social prescribing programme, integrated with High Intensity User Services, with the aim to increase capacity in Primary Care
• Greater promotion of self-care and self-management
• MK is part of an STP-wide programme working with service users across Bedford, Luton and Milton Keynes to co-produce a Local Maternity System that works for all.
• Developing Milton Keynes as a Healthy Place, including securing funding to build campaigns to support residents to make lifestyle changes that improve their health and wellbeing

2. Primary, Community and Social Care: Building integrated primary, community and social care services that work better for the people who need them and reduce unnecessary hospital admissions
Key Work Streams:
• Developing the Primary Care Home Model, bringing mental health, paramedics, social prescribing, physios and Citizens Advice Bureau within GP services
• Engaging with Patient Participation Groups in the development of the Primary Care Home model. Healthwatch is championing the role of PPG involvement in this area
• Using Patient data from health services to deliver more targeted support where people need it in Milton Keynes
• Seeking funding opportunities to develop Mental Health Services

3. Sustainable Secondary Care: delivering high quality and sustainable secondary (hospital) care services across the ICS with a focus on meeting national standards and cost reduction including working with other providers
NHS Five Year Forward Priorities:
• Faecal Immunochemical Testing (FiT) being rolled out across BLMK, enabling most patients to avoid having unnecessary procedures
• Options are being considered for a Midwifery Led Maternity Care Unit in and around Milton Keynes
• Ensuring that the approach to Procedures of Limited Clinical Value is the same across the STP area

4. Technology: ensuring BLMK citizens, patients, carers, care providers, clinicians and managers are able to make maximum use of information to deliver the best outcomes with maximum efficiency
Key Work Streams:
• Developing what a Shared Care Record, involving an inclusive approach with organisations across health and social care. With this in mind, agreements are in place as to how patient data is managed appropriately
• Collecting and sharing population data so that services can be better planned and delivered, according to where people's needs are in Milton Keynes
• Supporting new ways of working such as such as Care Home Digitisation and using technology for virtual GP appointments

5. System Engineering: Deliver an Integrated Care System (ICS) in BLMK, based on the 'triple tier' model of Scale (BLMK), Place (Milton Keynes) and Locality (GP clusters)
Key work streams:
• One leader for all three CCGs across the STP
• GP clusters have been established in Milton Keynes and opportunities for cluster working and local Primary Care Home model are developing

The Health and Wellbeing Board is a key forum where discussions surround the STP and ICS take place. The Health and Wellbeing Board Meetings are public, with the next meeting being held in February 2019. Click here for more information.

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