Download Overview of Healthier Lancashire

Tim Mansfield
Healthier Lancashire
Associate Programme Director
Background
• Call to action July 13
• Paper to Health & Well-being Boards Late 2013
• Early 2014 Healthier Lancashire established with workstreams covering:
– Digital
– Hospital
– Out of hospital & Neighbourhoods
– Third Sector
– Collaborative Leadership
– Sustainability Assessment Forecast September 15
• Programme Director appointed and started in September 14
• Purpose Document December 14
• Strategic Outline Case Early summer 15
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Key Facts #1
Lancashire has a higher proportion of people (compared with the England
average) in all age bands above 50 years old.
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Key Facts #2
Lancashire has 10% more people (12,000 patients in total) with 3 or more long
term medical conditions compared with the England average. (Almost 13% of
people in Lancashire self-report three or more LTCs compared with an England
average of 10.5%.)
Lancashire has 20% more people (24,000 patients in
total) with 3 or more long term medical conditions
compared with the England average. (Almost 13% of
people in Lancashire self-report three or more LTCs
compared with an England average of 10.5%.)
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Key Facts #3
People in Lancashire are more satisfied with GP services than the England average
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Key Facts #4
Lancashire’s heart failure, asthma and depression rates are in the highest 20% in
England.
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Key Facts #5
The number of people with diabetes is projected to almost double (to 175,000) by
2026/27
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Key Facts #6
GPs in Lancashire are younger than the England average
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Key Facts #7
The prevalence of cancer in Lancashire is set to more than double between now
and 2021/22 (up from 39,000 cases to 89,000 cases).
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Key Facts #8
Fewer people are being admitted to hospital for planned surgery
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Key Facts #9
Obesity is expected to affect 225,000 Lancastrians by 2021/22 (up by more than
40% compared with today).
Obesity is expected to affect 275,000 Lancastrians by
2021/22 (up by more than 70% compared with today).
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Key Facts #10
3% of the population use 42% of health care resources
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Summary of the key challenges across the health economy
Health and
outcomes
Patients and
activity
Summary of
financial
position
• Whilst Lancashire has an ageing population and the older segments are growing at a
disproportionate rate, this is still below the England average to 2020
• However there is a higher than average prevalence of disease, which is set to grow
across the major disease categories by over 50% in the next 7 years
• With Health outcomes already very poor compared to the rest of England and
mortality rates are high, this is set to become an even greater challenge in future
• In terms of disease the biggest killers are circulatory diseases, cancers, respiratory
diseases and digestive diseases
• The level of A&E attendances varies across the CCGs, but is generally in line with
expectations
• Admissions are high compared to peer groups in particular, which could indicate the
generally poor health of the population results in higher admissions
• However data shows that there is significant opportunity to improve upon
emergency admissions for acute conditions that should not usually require hospital
admission, as well as unplanned hospitalisation for conditions sensitive to
ambulatory care
• Many providers are financially challenged and need to radically change to become
more sustainable
• Commissioners have significant expectation of providers in terms of cost efficiency in
order to balance existing commissioning plans over the next 5 years
• There is significant pressure on local government budgets, with £300m of cuts to be
delivered by Lancashire County Council by 2018 and the consequent impact on
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services
Opportunities for the Third Sector
• Five Year Forward View
– Utilisation of community assets
– New care models
– Different forms of contracting
• Development of the “empowered person” – self
care, better management of long-term
conditions
• Digital technology
• Personal Health Budgets
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