Q: Where is Greater Nottingham?
Normally, people think of Nottingham (the city) and Nottinghamshire (the county). But we’re looking at a geography based on where people receive care and how care is planned.
Nottinghamshire is delivering transformation in two areas:
- Mid-Nottinghamshire – which covers Mansfield, Ashfield, Newark and Sherwood
- Greater Nottingham – which covers Nottingham City, Gedling, Broxtowe and Rushcliffe
Bassetlaw is geographically part of the very northern tip of Nottinghamshire, but it has been aligned to the South Yorkshire.
So, Greater Nottingham is important to you if live in Nottingham City, Rushcliffe Borough, Beeston, Chilwell, Stapleford, Eastwood, Hucknall, Gedling, Lowdham, Arnold and Carlton.
Q: What do you mean by ‘health and social care’?
We mean everything involved in keeping people healthy, well, treated and supported – from birth to old age. This could be advice, help, treatment or ongoing support, plus all of the systems and people who work behind the scenes to make this happen.
Basically, it’s everything provided by the NHS, community care groups and the care and support given to adults and older people by local councils.
Q: How does this relate to the Sustainability and Transformation Partnership (STP)?
This is all part of the STP. The NHS has divided the country into 44 STP areas – our area is covered by the Nottingham and Nottinghamshire STP.
The STP sets out the overall plan for improving health and care. But the detailed work to make this actually happen will be in Mid-Nottinghamshire (through the Better Together programme) and Greater Nottingham (through the Greater Nottingham Transformation Partnership).
Q: How do you know what work you need to do? Where are you starting?
This is the beginning of a long journey of improvement. We’ve been exploring how we could transform health and care for a couple of years. We have some broad themes:
- Out of hospital care (ie the support and services we receive in the community or in our own homes from social care and the NHS)
- Urgent and emergency care (services for people who need immediate care)
- Elective care (investigations and treatment for routine conditions such as back pain or irritable bowel syndrome)
- Improving everyone’s health and supporting people to live more of their lives in good health
We have identified a number of areas where we think there are real improvements that can be made which benefit patients, improve quality and which make the best use of our resources. We have been doing further work to look in detail at the impact we can have if we commission and deliver services differently.
We also believe we can build on smaller examples of service improvement that have already been made in Rushcliffe. And there is also a significant programme of work on digital technology and data sharing (through the Connected Nottinghamshire programme) which is already supporting health and social care teams across hospital, primary and community care services to share information about patients health to improve their care, including discharge, management of long-term conditions and end of life care.
But we only got the official go-ahead to develop firmer plans for change in Greater Nottingham from NHS England in June. We’re trying to involve as many people as possible who are involved in delivering health and care to shape how this happens. The views of the public are crucial in this process.
Q: Where is the funding from?
We’ve secured national funding from NHS England to support us to make change happen. We expect to receive £3.4million in 2017/18 and £2.6million in 2018/19. We’re investing this money to help transform our system. We’ll also save money by ensuring we become more efficient as a shared health and care system.
Q: What is an Accountable Care System?
They are systems in which NHS organisations (both commissioners and providers), often in partnership with local authorities, choose to take on clear collective responsibility for resources and population health. They provide joined up, better coordinated care. In return they get far more control and freedom over the total operations of the health system in their area; and work closely with local government and other partners to keep people healthier for longer, and out of hospital.