DELIVERING THE FUTURE OF HEALTH AND CARE

27-28 June 2018 | ExCeL London

27 - 28 June 2018 | Excel London

27 - 28 June 2018 | Excel London

Health Conference Streams

STP & ICS Hub

The STP and ICS Hub at Health+Care 2018 will be a hotspot for engaging in some really intensive, interactive learning around the complexities of developing Sustainability and Transformation Partnerships (STPs) and Integrated Care Systems (ICSs). 

Leaders from England’s most advanced health and care systems have been lined up to speak in the Hub about how they are overcoming the many obstacles to setting up integrated care systems with essential advice for STPs hoping to be approved as shadow ICSs in the near future.  Through a mix of case studies, discussion and Q&A, each session in the Hub will focus on a key aspect of developing integrated care systems, including building relationships, overcoming legal and governance challenges, public engagement, joining up health and social care commissioning, provider integration, implementing primary care networks, managing end-to-end risk and achieving financial balance across an entire health and care system. Discussion and Q&A at the end of each session will be supported where relevant by legal, finance, population health and public engagement experts.

The STP & ICS Hub is a must-attend for NHS and local government professionals and the private and voluntary sector partners they are working with to deliver STPs, ICSs and Accountable Care Organisations (ACOs). In particular, leaders from STPs that aspire to be approved as an ICS in the near future should attend for a detailed outline of the steps they need to take. Likewise, if you are confused by the NHS landscape with its ever-changing acronyms then this is the place to come. You will find clarity on STPs, ICSs and ACOs, what they are, what they are for and how they are beginning to make a difference.

Improving Care Pathways Theatre

The Improving Care Pathways Theatre at Health+Care 2018 will host a series of workshops that focus on transforming services and improving outcomes in five high-cost diseases: respiratory, diabetes, oncology, CVD and mental health. Through case studies and expert advice, you will learn how substantial savings have been made through service redesign involving collaboration between commissioners and providers across the pathway. Through adopting the NHS RightCare approach, medicines optimisation, technology-enabled care and new models of service delivery, speakers will demonstrate how to reduce costs, eliminate unwarranted variation and improve outcomes for patients. At the same time, they will cover how to measure outcomes and maintain safety and quality standards throughout pathway transformation.

Transformation in Action 1

Reducing Delayed Transfers of Care
Delayed transfers of care (DTOCs) are symptomatic of a health and social care system operating under unsustainable pressure and can only be solved through collaboration between the NHS, local authorities, housing and other agencies. Ambitious targets have been set for the NHS and local authorities to reduce DTOCs attributable to health and/or social care and great progress has already being made. DTOCs figures from December 2017 showed that there were 145,300 total delayed days in December 2017 – the equivalent to 4,688 daily DTOC beds. This compares to 5,169 in November 2017 and 6,305 in December 2016. Of the total, 58.1% of all delays in December 2017 were attributable to the NHS, 33.9% were attributable to Social Care and the remaining 8.1% were attributable to both NHS and Social Care. NHS commissioner and provider plans for 2018/19 must demonstrate how they aim to reduce the proportion of beds occupied by DTOC patients to 3.5%.

This conference stream will share cases studies illustrating high impact steps that health and social care are taking to reduce DTOCs, with sessions on an innovative integrated discharge service located in an acute hospital, the secrets behind the success of one of the most highly-performing STPs on DTOCs, and a special focus on reducing DTOCs in mental health.

Finance and Efficiency
With the NHS facing a £20+ billion funding gap by 2020/21, coupled with a £2.3 billion shortfall in adult social care, healthcare economies throughout England continue to struggle under unsustainable financial pressure. As NHS trust deficits soar and CCGs feel the pinch, there is clear expectation that health and care commissioners and providers must take a collective, population-health approach to planning and spending local resources in a way that is aligned to system-wide goals. Having plans that clearly demonstrate this approach is a prerequisite for approval of any aspiring Integrated Care System (ICS).

The Finance and Efficiency conference stream will take a snapshot of NHS financial climate and how it is impacting on the NHS workforce, services and patients. We will look at what money, new and old, is available for 2018/19 and beyond, how it has been allocated and how it can be maximised.  In addition, you will hear about new payment systems that are being developed to support a shift from activity to outcomes-based contracts that support the aims of the NHS Five Year Forward View. 

This stream will include a comprehensive update on CCG finance with practical advice on how clinical commissioner and their colleagues in adult social care can make tough choices over prioritisation of resources and services. There will be support for NHS trusts struggling to meet their control totals, with tips from NHS Improvement’s Financial Improvement Programme on the best opportunities to save money now that the low-hanging fruit has gone. There will be plenty of opportunity to share best practice, including learning from an innovative approach to multidisciplinary team working in Kent that has led to a £3million reduction in demand for secondary care non elective services.

Finally, don’t miss our Keynote Theatre debate on Maximising Efficiency in the NHS (15:00 to 15:50, June 27) where you will hear from leads of the five main efficiency programmes in the NHS, including key actions from Sir Robert Naylor’s review of NHS Estates, Carter, GIRFT, NHS RightCare and the shake-up of the national procurement system.

Scaling and Spreading New Care Models
At the end of the official New Care Models Programme, this conference stream will reflect back on the successes and failures of the 50 Vanguards and consider how we can build on their achievements. Through a series of case studies, we will look at life beyond the Vanguards, focussing on how to embed and integrate the best of them into Sustainability and Transformation Partnerships and Integrated Care Systems. You will hear about a range of new care models from Multispecialty Community Providers (MCPs) to Acute Care Collaborations (ACCs) and we will also feature a successful Primary and Acute Care System (PACS) that has been developed without the support of the national programme.

Prioritising Patient Safety in Tough Times
As the NHS goes through the most rapid and far-reaching transformation of its 70-year history, it is imperative that patient safety remains centre of the action. Spiralling demand, extremely tight finances and a workforce crisis have converged to create a perfect storm that could seriously damage patient safety if appropriate action isn’t taken. This conference stream will look at practical steps commissioners and providers can take to reduce risk and avoid another care crisis on the scale of Mid Staffs or a repeat of the safety failings reported at Liverpool Community Health NHS Trust. The agenda will cover everything from how to reduce medicines-related hospital admissions that account for up to 8% of all hospital admissions through to advice from the CQC on how to drive improvements in patient safety across your organisation. With a mix of expert views, case studies and debate, this programme is aimed at anyone working across health and social care who sees patient safety as their business.

Transformation in Action 2

CCG Mergers and Collaboration Masterclass
As the move towards developing Integrated Care Systems gathers pace, we are seeing a big shake-up of the commissioning landscape. CCGs are already working much more closely with their neighbours, sharing staff, setting up joint committees/governance structures and more recently a raft of CCGs have announced plans to merge with each other and/or to integrate heath and care commissioning. This trend will continue as CCGs align more closely with Sustainability and Transformation Partnership (STP) or Integrated Care System (ICS) footprints. 

This conference stream will look at the practicalities and benefits for CCGs that are in the process of merging or collaborating more closely with each other and with commissioners of adult social care. You will learn from CCG leaders who have recently overseen a successful merger or are actively going through the process. Case studies will cover CCGs from relatively strong as well as troubled healthcare economies that are merging for economies of scale and/or to enable the development of a more strategic role in population health management. Our speakers from NHS and local authority backgrounds will take you through step-by-step how they planned and achieved a successful merger with practical advice about finance, HR, dividing up tactical and strategic commissioning functions, mitigating risk and avoiding pitfalls. There will be plenty of practical tips and tools on offer to support CCGs and adult social care commissioners looking to embark on a similar journey.

Next Steps for General Practice
Transforming general practice is viewed by most system leaders as key to solving the challenges facing local healthcare economies. Strong general practice as part of expanded primary and community care should be at the heart of every successful Sustainability and Transformation Partnership (STP) and Integrated Care System (ICS). NHS England/NHS Improvement set out clear expectations in ‘Refreshing NHS Plans for 2018/19’ for CCGS to support and invest in the development of primary care and to overseee  implementation of the General Practice Forward View and the establishment of a comprehensive system of primary care networks countrywide.

This conference stream will take a practical look at how general practice is being integrated and embedded within new integrated care systems. You will learn more about the rapid testing and roll-out of population-health based models of primary care at scale such as the NAPC-led Primary Care Home. There will be step-by-step advice on how to build primary care networks and develop them to maturity as well as a look at how they are impacting on challenges around workforce, access and estates.

Prevention and Population Health
There has been a lot of talk about population health management within the NHS of late but what does it mean and how do you do it? This conference stream will look at how the NHS is collaborating with local authorities and other partners around prevention, reducing health inequalities and improving health outcomes for populations. With stretched finances and transformation funding going into stabilising the current system, there is a risk that prevention initiatives will be put on the back boiler but increasingly systems are taking the long-term view. Sustainability and Transformation Partnerships (STPs), Integrated Care Systems (ICSs) and new digital technologies all present important opportunities to take a more coordinated approach to improving the health of defined populations. Significantly, CCGs are working to develop a more strategic role in identifying and planning for the health needs across STPs and ICSs. In ‘Refreshing NHS Plans for 2018/19’, there is a call in particular for ICSs to take a population health management approach to integrating services around populations that are at risk of developing acute illness and hospitalisation.

In all of this, there are challenges outside the NHS’s control with cuts to local government and public health budgets to contend with. This stream will include examples of prevention and population health programmes at whole-system or locality level that are beginning to make a difference.

Rising to the Workforce Challenge
The NHS is working at full-stretch with 100,000 full-time equivalent vacancies increasing the risk of staff burn-out and patient safety failings. Developing a workforce fit to meet the demands of a 21st century health service is a major concern for clinicians and managers working right across the NHS. With a growing, ageing population and a greater focus on quality, the impacts of any increase in workforce over the past five years have barely registered in the GP surgeries or A&E departments on the NHS frontline. Social care and health together make up the largest workforce in the country, by comprising 13% of all jobs, yet NHS leaders acknowledge that we have not had a national strategy for recruiting, training and supporting them for over two decades. Now with a major consultation underway on the health and care workforce due to culminate in the publication of a workforce strategy in July, the problem is set to be tackled head on.

This conference stream will include best practice case studies, advice and innovative new approaches to tackling the workforce challenges in primary and secondary care. Highlights will include a talk by Janet Davies, Chief Executive and General Secretary of the Royal College of Nursing, on the crucial role of nursing staff in the development of sustainable health and care services. There will be stand-out examples of some of the most innovative ways in which hospitals are improving recruitment and retention, advice on reducing agency costs, investing in staff and developing multidisciplinary teams to support new primary care networks that lie at heart of evolving Integrated Care Systems.

Relieving Pressure on Hospitals
Hospitals are doing an amazing job of keeping the show on the road despite an incredibly tough financial climate, escalating demand and workforce shortages - but for how much longer can this situation be sustained? NHS Improvement’s Q3 data for finance, performance and workforce revealed that 5.6 million people visited A&E over the three month period, a quarter of a million more than the same period last year. Performance against the four-hour A&E standard was 89.5% at the end of December. These figures alone demonstrate why urgent action needs to be taken to relieve pressure on hospitals. Add to the mix 100,000 full-time equivalent vacancies in the NHS and a provider deficit of £931 million predicted for the close of 2017/18, and it is clear why the gap between demand and funding for the NHS is not closing.

This stream will share short and long-term ways in which commissioners and providers are working together to bend the demand curve for secondary care. Through discussion and case studies, speakers in this stream will share new approaches to relieve pressure on NHS trusts, from transforming elective care to reinventing outpatient departments and overhauling urgent and emergency care.

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