Chief Executive Update

1. Chief Executive Update • Stephen Dalton • Chief Executive

2. What I will cover today… • The National Picture • A focus on South Cumbria • Joining Services Together in Cumbria • What NHS Staff Tell Me • Our Changing Trust • Looking Ahead Cumbria Partnership NHS Trust – district nurses

3. The National picture… • Health Reforms • GP Commissioning • A Market for Healthcare • The Economic Picture • £20 billion • Local Authority funding squeeze • Social Impact • Need to minimise redundancies in posts • Focus on the most vulnerable in our community • Young people disenfranchised

4. The National picture… • What does all this mean? • We must work together in Cumbria • We have planned for our finances being squeezed • Integration is key to being more effective • My own view • Partnership is in our title – we must rise to this challenge on all fronts

5. A bit of background South Lakes • Cumbria oldest population in North West, South Lakes and Eden Valley are the oldest parts of Cumbria • Population  of 110,000 • dispersed over 600 square miles • 0.67 people per hectare – • extremely rural (compare with • Manchester 39 per hectare) • One large hospital in the main market town (Kendal) – our 2 community wards have 51 beds (Langdale Unit)

6. Over the next 20 years in South Lakes there will be: • A  60% rise in rates of obesity in the over 65s • 50% more women and 90% more men over 75 living alone – massive potential for increased loneliness • 50% increase in falls in the over 65s • 50% increase in over 65s registered blind • 1350 more people living with dementia • Approximately 120 more strokes a year

7. In 20 years time there will be nearly 40,000 people over the age of 65 living in South Lakeland • This demographic change will result in approximately 60% increase in the numbers admitted to hospital • Whole community response needed to help keep people at home with dignity

8. Joining services together in Cumbria • 1st April saw the Trust more than double in size • There are real opportunities to improve services, be more effective and ensure we are efficient

9. Joining services together in Cumbria • Our first task has been to transfer staff and ensure continuity of services • We are now focussing on our plans to integrate services together • Obvious areas are; Children’s services, Older people’s services and long term condition services (eg diabetes). South Lakes Respiratory Team were recently presented with a ‘Highly Commended’ certificate for their pulmonary rehabilitation programme at the Respiratory Best Practice Awards 2011 in March.

10. An overview of our Trust (not comprehensive!) • Community hospitals • Community nursing • Drug and alcohol services • Health visiting • Learning disability services • Mental health services • Allied health services such as podiatry, physiotherapy and occupational therapy • Community dentistry • Children’s services

11. What NHS staff tell me • We think integration will improve care • Working together is exciting • Organisational change does raise people’s anxietie • Communication is key Trust Nursing staff

12. What NHS staff tell me • Staff are already working to join services together e.g.; • Older peoples services in Barrow • Diabetes and Depression – First Step Services Gill Rise (Ulverston) official opening in May

13. Our changing Trust • We have doubled in size • We have approx 11,000 members and plans to reach 14,000 by the end of the year • We are electing more Governors within our revised constitution • We are starting to integrate services for better patient care and clinical outcomes Membership road show – Penrith, June 2011

14. Looking ahead • We are focussing on seeing through integration • We will build stronger links with local communities via membership and by working in partnership • We will take more services out of hospital and bring them “closer to home”