This event, held in Sheffield Town Hall in 28 May 2015, looked at what health and care could look like in 2020 in Sheffield and considered some of the challenges the system faces.

1. Health and Social Care in
Sheffield in 2020
Tim Furness
Director of Business Planning and Partnerships,
Sheffield CCG
On Behalf of Sheffield NHS Organisations and Sheffield
City Council
Primary Care Sheffield

2. This Afternoon
• Why the way we provide care needs to change
• What people have said to us already
• What the Council and NHS is currently
thinking
• What you think

3. Part 1 - Does care provision need to change?

4. Part 1 - Does care provision need to change?
• Year on year increase in hospital activity, and
demand for long term care
• Waiting time pressures – winter, 18 weeks, A&E –
increasingly challenging
• Public expectation
• Technically, we can do more and more to treat
and support people
• Funding for NHS and Social Care

5. Projected expenditure and funding

6. Question
Do you recognise these issues?
5%
0%
95% 1. Yes
2. No
3. Don’t know

7. Question
To what extent do you feel that health and social care services
can’t just do more of the same?
3%
2%
10%
31%
54% 1. Strongly agree
2. Agree
3. Neither agree or disagree
4. Disagree
5. Strongly disagree

8. Question
What more might you want to know to help you
answer these questions?
This will be a topic in the open space sessions
later.

9. Sheffield’s Aims for the next five years
Priorities in the Joint Health and Wellbeing Strategy
• Sheffield is a healthy and successful city
• Health and Wellbeing is improving
• Health inequalities are reducing
• People get the help and support they need
• Services are affordable, innovative and deliver value for money
CCG prospectus aims
• To improve patient experience and access to care
• To improve the quality and equality of healthcare in Sheffield
• To work with Sheffield City Council to continue to reduce health inequalities in Sheffield
• To ensure there is a sustainable, affordable healthcare system in Sheffield
SCC Corporate Priorities
• An in touch organisation
• Strong economy
• Thriving neighbourhoods and communities
• Better health and wellbeing
• Tackling inequalities

10. Previous public views
Consultation and engagement through:
• Development of Joint Health and Wellbeing Strategy
• Right First Time
• Integrated Commissioning
• City Council budget conversations
• CCG commissioning intentions 2014
• Musculoskeletal services - commissioning for outcomes
• Patient Opinion
• Healthwatch work, complaints analysis, specific consultations,
messages coming through routine involvement mechanisms

11. What people have said so far
Key messages:
• Support for integration of health and social care, to reduce
handover from one worker to another
• Support for care closer to home
• Information and advice about what’s on offer to support people
• Support for information sharing – telling your story only once
• Holistic support, e.g. mental health/emotional needs being
considered when being treated for physical issue
• Comments about staff attitude and approach
• Getting to see a GP when you want can be difficult
• Need to engage people in design of services

12. Our thinking so far - aims
 Reducing need for A&E attendance and emergency admissions (20%
reduction target)
 More local specialist diagnosis and management of health problems,
making best use of technology, reducing hospital outpatient attendances
 Single assessment for long term care and pooled health and social care
budgets, helping people to stay at home where possible and reducing
placements in care outside Sheffield
 Development of specialist services in Sheffield to provide care to South
Yorkshire and wider populations
 Reducing the gaps in life expectancy in Sheffield
 Quality of care and patient experience must continue to be improved

13. What this would mean
 Ensuring all children have the best possible start in life
 Supporting people to care for themselves, e.g. information and advice, use
of pharmacies
 More emphasis on helping people to stay well, preventing problems
 Risk identification and care planning for those most at risk of major
problems
 Stronger primary and community services, including local Voluntary,
community and Faith organisations
 GP practices working together in local areas, offering more services, but
sometimes in nearby practices
 Integrated health and social care services

14. What this would mean
 Better recognition of the connection between mental health and physical
health issues
 Improved responses to mental health crises
 Fewer outpatient attendances, replaced by more local services and use of
technology
 Review and possible changes to urgent care services
 Fewer general hospital beds in the city
 More beds being used to provide specialist care to the wider population
 Seven day working where that achieves better outcomes

15. How far do you agree these ideas are really important for
Sheffield?
3%
2%
10%
48%
38% 1. Strongly agree
2. Agree
3. Neither agree or disagree
4. Disagree
5. Strongly disagree

16. Question
Would these ideas improve things for you and people
you know?
25%
8%
66% 1. Yes
2. No
3. Don’t know

17. Discussion questions
• How can we improve the way we respond if you have an
emergency?
• How can we better help you to stay well?
• What should health and social care services do to help
reduce health inequalities?
• What other areas (in addition to those in the presentation)
are important?
• What do you want to know more about in relation to our
vision and the need for change, and how do you want to be
involved?
• What should our priorities be in spending the money we
have for health and social care in Sheffield?

18. Summary of Discussions
How can we improve the way we respond if you have an emergency?
• How do people know what is an emergency?
• Health services must be joined up?
• People taken to A&E when not necessarily needed – there needs to be more
assessment before an ambulance is called.
• Non health emergency services closed out of hours and there’s no single point of
contact.
How can we better help you to stay well?
• Professionals first need to understand what the problem is. They need to listen
and understand what’s been said. We are all part of the team!
• Bring back expert patients and expert elders.
• Improve information for people not on the internet.
• We need more self help groups
• Age Better Project - approach isolation and loneliness.

19. Summary of Discussions
What other areas (in addition to those in the presentation) are important?
• Cultural change and better links between the CCG, the council and all stakeholders
• Looking at the interest of the citizens more rather than organisations
• Prevention – Public Health should invest to save and provide people with information to
support themselves.
What do you want to know more about in relation to our vision and the need for change,
and how do you want to be involved?
• How will we measure the outcomes and know if we’re achieving the objectives?
• How will we communicate our successes or our need to further develop services to the
citizens of Sheffield?
• We want to be involved from the start of the planning – not when you have already
developed a draft strategy or set of proposals – please support true coproduction and
let us know how to get involved in all aspects of health and social care

20. Summary of Discussions
What should health and social care services do to help reduce health inequalities?
• Tackle the root causes such as a poor diet, lack of exercise, alcohol dependency
and social isolation
• We need to build people’s resilience.
• Bring education and people in care together
What should our priorities be in spending the money we have for health and social
care in Sheffield?
• Invest in better monitoring and measurement services
• More preventative services, such as Activity Sheffield
• Improving home equipment and adaptations to enable people to remain living
independently
• Invest in vaccination programmes to prevent illnesses, particularly within
vulnerable groups

21. What Happens Next
Next three months
• Discussion this afternoon
• More meetings like this, at all organisations
• Web based opportunities to comment
• Discussion between organisations
Then
• Reflection on what people have said
• Publication of a short document setting out our plans
• Action to make changes
And
• Engagement and consultation on specific changes, to develop
and test ideas

22. Thank you