Positive Ageing in London Forum Helen Cameron NHS England London Region 9 December 2013 The NHS Every day the NHS saves lives and helps people stay well but it was created 65 years ago when ID: 401450
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Slide1
A Call to ActionPositive Ageing in London Forum
Helen Cameron
NHS England London Region
9
December 2013Slide2
The NHS
Every day the NHS saves lives and helps people stay well, but
it was created 65
years ago when many people faced choosing between poverty if they fell seriously ill or forgoing care altogether.In 1948:Population was 47 millionFood rationing was still in placeA quarter of homes had no electricityLife expectancy for men was 66 years
2Slide3
The NHS today
Population in England today is estimated as over 57 million
The
NHS treats 1,000,000 people every 36 hours.We are living longer than ever before. Between 1990 and 2010, life expectancy in England increased by 5.2 years For example: Londoners are living longer than ever before. Figures from the Office for National Statistics show men and women have a life expectancy of 79.3 years and 83.6 years respectively, which is higher than the national average. However, the above masks significant variation not just in life expectancy but in the length of time people can expect to live healthy lives, free from serious
illness. In Tower Hamlets, women have a healthy life expectancy of 54.1
years, compared to 72.1 years for women in Richmond-upon-Thames: a gap of nearly
18 years
.
88% of patients in the UK described the quality of care they received as excellent or very good.Slide4
The challenges are significant
Rising
demand for services as the population agesAn increasing number of people with long-term conditions and multiple healthcare needsHuge variations in quality and healthcare outcomesA period of financial constraints 4Slide5
The national ‘Call to Action’
Tackling the challenges
A
national ‘Call to Action’ was launched by NHS England on 11 July inviting the public, NHS staff and politicians to help NHS meet future demand and tackle funding gaps through ‘honest and realistic’ debate.Slide6
London – A Call to Action launched
o
n 14 October
London’s Call to Action is engagement that will allow everyone to debate about the future of health and care provision in LondonGather views, data and information that Clinical Commissioning Groups (CCGs) and NHS England can use to develop their commissioning plansLondon’s Call to ActionSlide7
London’s Call to Action
Engagement
will be patient and public-centred through local and regional events as well as through on-line and digital
resourcesCCGs are leading on public engagement in their areas from October – December NHS England (London Region) is leading on engagement with London healthcare stakeholders from now until December and will hold pan-London events in the New Year7Slide8
Wide variations between and within boroughs in health, life expectancy and the quality of health care
Inner London has higher levels of adults who smoke and binge drink, while obesity is a bigger problem in outer London. (London is the childhood obesity capital of Europe)
42% of people in London are from a minority ethnic group, with 100+ languages
A transient population in some communities makes continuity of care difficultGreater pockets of deprivation and more people not registered with a GPOver reliance on big hospitals (350,000 patients per catchment area compared to 500,000 in rest of England, therefore it’s financially unsustainable)
London’s
unique challengesSlide9
More challenges
London spends 46% per person above the England average on older people’s social care and 20% per person above the England average on younger adults’ social care
90% of patients’ interactions with the NHS are in the primary care sector, e.g. with GPs, yet focus of attention historically has been on hospitals and acute care
The quality of care that patients receive is variable – both in a primary care setting, for example with their GPs, and also in hospitals Patient expectations have changed, e.g. Patients want to see their GP more quickly – before and after work and at the weekend. And many patients with long term conditions want to see their GP more frequentlySlide10
Build a
health service, not just an illness service – we must get better at preventing disease
Give
patients greater control over their own health• Develop effective preventative approaches• Use technology to enable new and improved ways for patients to get better information and help from
healthcare professionals
•
Exploit
the
full potential
of transparent data
•
Moving
away from a ‘one-size fits all’ model of
care
Transform
the way care is delivered through general
practice by helping people
to manage their long term
conditions better
An opportunity for improvementsSlide11
Preserving the values that underpin a universal health service, free at the point of use, will mean fundamental changes to how we deliver and use health care services
.
Call to Action is NOT
about:• Privatising the NHS• Charging for services• Restricting access
Doing nothing is not an optionSlide12
The London Call to Action is on the London pages of the NHS England website
Information also available on the myhealthlondon.co.uk website
The dialogue will be on-going through
December and we will be engaging on the London wide themes in the New YearFor more informationSlide13
Financial Challenges – the context
Within the NHS £1,000
buys
you one of the following:What would you choose to spend the money on?
Between 3 and 14 trips to A&E
31 GP appointments with a GP
3.5 first outpatient appointment - diabetes
1.3 weeks of continuing care for an older adult
3 days in an acute mental health inpatient bed
50 ambulatory blood pressure monitoring checks
10 hours in a Neonatal Intensive Care Bed
One fifth of a hip replacement
1 cataract removal Slide14
A Call to Action: over to you
Time to tell us what you thinkSlide15
Discussion - thinking to the future
What are the key characteristics of the NHS that we must retain for future generations?
What future opportunities should we be looking to seize?
What three things would make the biggest difference in improving patient experience for older people and their carers? Please complete a questionnaire online at www.england.nhs.uk/london/ldn-call-to-action/Get involved in the debate online at, https://www.myhealth.london.nhs.uk/