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A partnership approach to transforming local health and care services across the Surrey Heartlands area

​Our five year plan to improve local health and care services across Surrey Heartlands - our Sustainability and Transformation Plan

​“Our plan is to work together as one area to improve public services and make sure we have sustainable, high quality health and care services for the long term.” ​​​
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About Surrey Heartlands

Across Surrey Heartlands, we are bringing together clinicians and other health and care staff – alongside patients, their carers and families and members of the public - to think through how we can transform services so local residents have access to the very best care and treatments.  This is a new and exciting way of working, creating a real partnership that will make a positive difference to local people.

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Surrey Heartlands covers the central and western parts of Surrey; those areas currently looked after by Surrey Downs, North West Surrey and Guildford and Waverley Clinical Commissioning Groups.

Our plan

Our full plan is published here: Surrey Heartlands STP October 2016.pdf

This was submitted to NHS England on 21st October and builds on earlier discussions and a draft plan which was submitted at the end of June.  This latest version was approved in public by a joint Committees in Common with representatives from all 11 of our partner organisations.

Importantly this document marks a point in a journey and is not a final plan.  To take this to the next stage will require widespread engagement with staff, patients and the public both on our wider vision and our detailed workstream plans.  It builds on much of the positive work we have been doing across Surrey Heartlands – in particular to create new and more innovative services, for example creating more joined up care outside hospital, our early stage development of a Single Care Record, and the partnership work we have been doing particularly as a result of the Better Care Fund.

The challenges we face as a local system are well documented - increasing demand, the costs of more sophisticated treatments, workforce pressures and a challenging financial environment.  And whilst every day our skilled and dedicated staff offer fantastic care for patients, it’s clear the current system isn’t working as well as it should and doesn’t reflect how services need to be delivered.  This presents us with a real opportunity to transform health and social care, working alongside clinicians and local residents to develop services in a new and different way.  

Our plan is ambitious on behalf of local residents and if achieved will deliver a number of key benefits:

  • Improving the quality of services with better outcomes – lower mortality rates, reducing the impact of long-term disease on people’s lives and improving patient experience of health and care services;
  • Enhanced well-being – local people experiencing better physical and mental health;
  • Improved access to healthcare – shorter waiting times and services closer to home.
In particular this will mean:

An additional £30 million invested in primary care services over the next five years, giving people more access to GP appointments between 8am and 8pm across seven days, and longer appointment times where necessary so doctors can spend more time treating patients.

By 2021, new teams made up of family doctors, nurses, social care practitioners, psychologists and other specialists will mean more patients being seen in one place, with their needs met by health and care professionals working together.

More focus on disease prevention;

  • Investing an additional £8 million in cancer services to support earlier diagnosis and increasing cancer survival rates;
  • Investing an additional £3 million in mental health services making it easier for patients to access services.
Digital Roadmap

The Surrey Digital Roadmap is the strategy plan for the Surrey Heartlands digital workstream to deliver against three core objectives: 

  • establishing the governance and resources that will support and deliver this roadmap
  • driving digital transformation
  • optimising IM&T (information management and technology) across Surrey Heartlands.
This Local Digital Roadmap has matured alongside the Surrey Heartlands STP and a public facing summary is available here Surrey Digital Roadmap V2 FINAL.pdf.  This has been shared and consulted on with key stakeholders and consists of a series of slides that capture extracts from the full plan (submitted to NHS England last October) and notes on progress made up to December 2016.  ​

Working together:

  • Ashford and St Peter’s Hospitals NHS Foundation Trust (acute hospital services)
  • CSH Surrey​ (delivering community services across Surrey Downs)
  • Epsom and St Helier University Hospitals NHS Trust (acute hospital services)
  • Guildford and Waverley Clinical Commissioning Group
  • North West Surrey Clinical Commissioning Group
  • Royal Surrey County Hospital NHS Foundation Trust (acute hospital services)
  • South East Coast Ambulance NHS Foundation Trust (ambulance services)
  • Surrey and Borders Partnership NHS Foundation Trust (delivering mental health services across Surrey)
  • Surrey County Council (adult and children’s social care services)
  • Surrey Downs Clinical Commissioning Group
  • Virgin Care (delivering community services across West Surrey)​​

Bringing everyone together around the planning table will help ensure we get the best possible care for every patient - meeting all their health and care needs including medical care, mental health and social care.

Surrey Heartlands covers the central and western parts of Surrey; those areas currently looked after by Surrey Downs, North West Surrey and Guildford and Waverley Clinical Commissioning Groups.

Learn more about Surrey Heartlands by watching the video below.​

 
 
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Background

In December 2015, the Government asked local health and care organisations to work together across larger areas to plan services over the next five years and deliver the NHS vision (known as the Five Year Forward View).  These plans are expected to be ambitious, improving services for local residents to offer the very best care and treatments, and at the same time making sure they are sustainable over time. 

​The challenge

The NHS is under enormous pressure – with increasing demand, the costs of more sophisticated treatments, workforce pressures and a challenging financial environment – which we see almost daily in the media.  And whilst every day our skilled and dedicated staff offer fantastic care for patients, it’s clear the current system isn’t working as well as it should and doesn’t reflect how services need to be delivered.  This presents us with a real opportunity to transform health and social care, working alongside clinicians and local residents to develop services in a new and different way.  

These plans are called Sustainability and Transformation Plans, and neighbouring health and care services have joined together in geographical areas where it makes sense for organisations to work together.

Each area has been asked to address what have been identified by NHS England as the three big ‘gaps’:
1. Health and wellbeing – promoting healthier lifestyles and supporting people to take responsibility for their own health.
2. Care and quality – making sure everyone has access to the very best care and treatment.
3. Finance and efficiency – making sure health and care organisations get best value for money, eliminating waste and keep within budget

What has happened so far? 

The organisations within Surrey Heartlands came together for three initial planning workshops in April and May.  Local health and care staff were also joined by a number of public representatives, Surrey Healthwatch and members of the voluntary sector.  Discussions focused on six key clinical areas:

  • Urgent and emergency care
  • Mental health
  • Women and children’s services
  • Cardiovascular services
  • Musculoskeletal services
  • Cancer
These discussions, building on what local people have already told us about how these services are provided, have helped to inform our current plan. 

Our plan includes four key themes:
  • Creation of a Surrey Heartlands clinical academy so clinicians can work together and agree common standards so all local residents have access to the same high quality standards of care 
  • To promote self-care and encourage and support residents to take more responsibility for their own healthcare
  • To improve the way we provide services – with more care in the community, and single centres for some of the most specialist hospital services (creating expertise and improving outcomes)
  • Working as one – moving towards one budget and one overall plan for the Surrey Heartlands area
We are still working closely with clinicians and wider staff to develop more detailed plans for the next five years.  Importantly, no firm plans or decisions have yet been agreed. We are now beginning our wider engagement with local residents, building on previous work we have been doing with patients and stakeholders, and will continue to engage with local people and a range of stakeholders as these plans develop.  

This whole process is about improving care for local residents, giving patients equal access to the best care and treatments across the Surrey Heartlands area and supporting people to take more responsibility for their own health.  

Get involved

Please let us know if you wish to keep informed about our developing plans and how you can get more involved ​by signing up here​.

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