Our Current Work
In order to achieve our vision we have embarked on five programmes of work. These are led by a team of clinicians, managers and patient leaders. Each programme of work will deliver some of the service improvements needed to achieve our vision.
Our programmes are:
The Starting Well programme ambition is to support babies, children, young people and their families in Western Cheshire within the community to promote self-care and reduce reliance on care in hospitals.
This programme promotes joint planning and commissioning with the Local Authority in order to ensure an integrated approach to our offer for the start of life through from pre-conception to the point of transition from children into adult services.
Using the available intelligence, as well as engagement with parents, children and young people through several children’s surveys, the national inpatient survey and various engagement opportunities with over 500 new parents in 2013, we have prioritised this programme to focus on the areas of greatest need i.e. long term conditions, vulnerable groups, children and young people with complex and multiple needs and those areas where we are a significant outlier compared to similar health economies e.g. lower respiratory tract infection admissions.
The Being Well programme ambition is that patients will be at the centre, supported by tailored education, easy-to-use technology and a multi-disciplinary team of clinicians that supports them to manage their own condition(s) (or as parents/carers) at home and in the community.
When exacerbations do happen, patients will have support to rapidly access appropriate specialist clinical expertise including diagnostics, to prevent admission to hospital where possible or alternatively ensure individuals are supported into hospital and back home again.
Elective Care will be provided in a way which is timely and convenient for the patient, demand will be reduced through reducing unwarranted variation.
Developing Primary Care
The Developing Primary Care programme ambition is to transform the way primary care (GP practices) is delivered to provide timely access and continuity of care for patients, particularly those with complex conditions, taking on a crucial role within the integrated health and social care teams
Mental Health and Learning Disabilities
The ambition of the mental health and learning disabilities programme is to achieve Best Health, Best Care, and Best Value for our population which means more people will:
- Have good mental and physical health
- Will recover
- Will have a positive experience of care and support
And fewer will:
- Suffer avoidable harm
- Experience stigma/discrimination
Ageing Well and End of Life
The ambition of the ageing well and end of life programme is that older people will live life to the full in their communities and stay as fit and well as they can to the end of their lives and, if they need support, they can exercise real choice and control about the nature of that support.
There will be a seamless system of integration between health and social care with a real focus on prevention, anticipation and supported self-reliance. All parts of this system will be talking to each other with appropriate sharing of information which will mean individuals will only have to tell their story once. When hospital treatment is required, and cannot be provided in a community setting, there will be a focus on ensuring that people get back into their home or community environment as soon as appropriate, with minimal risk or readmission.
Whatever the setting, care will be provided to the highest standards of quality and safety, with the person at the centre of all decisions.
Our Plan on a Page