What Happens Next?

This document sets out the ways in which both individual pathways and enabling workstreams will be taken forward.

It also sets out the ways in which the governance arrangements for the Healthy Ambitions programmes of work will operate, and the levels (PCT, collaborative or regional) at which delivery will be taken forward.

It is intended to provide transparency about the ways in which delivery will take place across the region – primarily for those who work in, or with, the NHS across Yorkshire and the Humber but also for those who use NHS services.

NHS Y&H is committed to the delivery of the recommendations put forward by clinicians and described in Healthy Ambitions – one of the ways in which we will assure delivery will be through the implementation of the Healthy Ambitions metrics described in a previous chapter. We will track key metrics to ensure that improvements are made for patients and that these are reflected in improved outcomes. We will report on our performance against these metrics on a regular basis – so that colleagues across the NHS and the people for whom we provide services can see the progress that is being made.

We will also continue to drive delivery of Healthy Ambitions through:

  • Setting ourselves ever more challenging targets for improvement and measuring the extent to which the NHS is delivering against them
  • Ensuring that key local plans continue to focus on and make improvements in each of the pathway areas – e.g. by assuring the 5 year strategic and annual operational plans produced by PCTs, the service change proposals developed by PCTs and Trusts and also by clinical networks
  • Ensuring that high quality services are rewarded through the development of CQUINs in the contracts that PCTs hold with providers.

We will continue to build on Healthy Ambitions by taking the same approach to developing service models and recommendations for areas that we were not able to cover in that document – for example learning disability services.

As we said in Healthy Ambitions the next ten years present a big challenge for physical health, mental wellbeing and the quality, safety and accessibility of health services in our region. We need to hold the prospect of key improvements in our mind as we work through our delivery programme, including:

  • A halt in the rise in obesity
  • Breastfeeding widespread across the region
  • Halving the number of hospital admissions for children with asthma.
  • No waits for mental health services, whether specialist or talking therapies
  • Halving the number of complications and preventable admissions caused by diabetes
  • Senior clinical decision-makers at the front door and beyond for acute care
  • 600 fewer premature deaths from stroke
  • Twice as many people able to die at home, rather than in hospital
  • Better value for money and greater efficiency
  • NHS working with local government and local communities to improve health and wellbeing.

These are just some examples. Healthy Ambitions – with common purpose and shared commitment we will make these happen.