2. The Eastern Academic Health
Science Network
eahsn.org | @TheEAHSN
Karen Livingstone
3. 11.30
eahsn.org | @TheEAHSN
Welcome Martino Picado,
Chief Executive, Stevenage Bioscience Catalyst
11.40 Introductions
Karen Livingstone, Director of Partnerships & Industry
Engagement and National Director, SBRI Healthcare
11.50 Local Enterprise Partnerships
Paul Witcombe, Hertfordshire LEP
12.10 Sustainability and Transformation Plans (STPs)
Victoria Corbishley, Core Programme Lead, Eastern AHSN
Carol Roberts, Chief Executive of PresQIPP
Robert Berry, Innovation lead, Kent Surrey and Sussex
13.15 What do you want from EAHSN - Ian Sandison to facilitate
13.40
14.00
Lunch and networking
CLOSE of session
Agenda
6. We are a credible force for growth in thecounty
We have secured
nearly £300 million of
Government and EU
funding to dateto invest
in our people, places
andbusinesses.
A1(M)
Growth Area
M1/M25
Growth Area
A10/M11
Growth Area
A1M
M11
M1
M25
A10
7. We are making it easier to work byimproving
transport links and broadbandconnections
We have invested in a
package ofroad and rail
improvements including
the Metropolitan Line
Extension and a new
train stationforHatfield.
8. Weare creating healthy,prosperous towncentres
We have put in place
ambitious regeneration
plans forHemel,Watford
and Stevenage with
further opportunities
progressing inHatfield.
9. We are building lastingconnections
between schools andbusinesses
Weareshaping thefuture
workforce to meet local
employers’ needsvia
TheCareersandEnterprise
Company, Skillmakers
and Apprenticeships
AmbassadorNetwork.
10. We are accelerating R&Dfor commercialsuccess
We are investing in
science-led incubation
centres at Rothamsted
Research, theUniversity
of Hertfordshire and
Stevenage Bioscience
Catalyst.
11. We are unlocking new growth and job creation
We are providing free
support to established
businesseswith
high-growth potential
viaourGrowthHub.We
are investing instart-up
supportsuch as thenew
Ambition Broxbourne
BusinessCentre.
12. We are encouraging new inwardinvestment
Our newly established Enterprise
Zone aims to create an international y
recognised employmentzonefocusing
on theemergingenviro-tech sector.
Wearegrowingthevisitoreconomy
withourtourismservice VisitHerts.
13. We are supporting our key sectors
Creative industries:
£1m GrowingPlaces
Fund to supportElstree
Studios expansion,
helping to secureNetflix
£100m productionofThe
Crown, employing upto
400 additionalpeople
on site and injecting up
to £30,000 per day into
localeconomy.
14. We are now delivering on our £221.5m
Growth Deal…
Life sciences: £2.5m to support
unique, innovative knowledge
transfer partnership attheUniversity
of Hertfordshire’s new Scientific
Knowledge andInnovationHub
Agri-tech: Daniel Hall Innovation
Centre now open at Rothamsted,
providing specialist incubationspace
with six agri-techbusinessesalready
onsite
15. …and secured £55.3m EU fundingfor
business support and skillsprojects
European Regional
Development Fund: High-growth
and start-ups businesses can access
a newERDF-funded business support
services packagefrom2017
European Social Fund: Around
£17m ESF allocated topromote
social inclusion, employabilityand
lifelonglearning
16. Hertfordshire’s economy
In summary, we are performing well
in relation to other LEP areas but
therearestillmajorchallenges around
productivity and meetingthedemand
forskills ina tighteninglabourmarket.
Our revised Strategic Economic Plan
wil help to address some of these
challenges and meet the growing
needs ofbusinesses.
17. We are ambitious for the future
widePartner: Wewil continuetoworkwitha
range ofpartners.
Investor: We wil build on our significant track
record forinvestment.
Strategic Leader: We wil set out clear priorities
foreconomicgrowth.
Advocate: We wil ensure the voice of business
remainsattheheartofourwork.
18. The Eastern Academic Health
Science Network
eahsn.org | @TheEAHSN
Karen Livingstone
19. Academic Health Science Networks
15 Academic Health Science Networks across
England
• Licensed and mainly funded by NHS England
• Promoting innovation in healthcare
• Disseminating innovation – from the UK and
beyond
• Improving care across whole systems
• Providing access to the NHS for industry
• Creating wealth and health
• Collaboration – A B C
Business
Clinician
NHSservice
Academia
eahsn.org | @TheEAHSN
20. • 4.8 million people
• > 650 companies
• 43 NHS organisations
• 7 Universities
• Cambridge Biomedical
Campus/Science Parks
• Norwich Research Park
• Stevenage Biocatalyst
• Global pharmaceutical Presence
• Health Enterprise East
• Leading SBRI for NHS
Cambridge
Norwich
Stevenage
Colchester
lpswichBedford
Eastern Academic Health Science Network
eahsn.org | @TheEAHSN
21. Refreshed Clinical Trials tool – re-
launched with CRN
Refreshed Procurement tool –
relaunched with Regional Hub
Horizon scanning, learning
events & surgeries
Building on existing work Building on existing work
MedTechAccelerator STPs Test Beds
Needs
articulation/Identification
Innovation
Exchange &
user testing
groups
The Innovation Pathway – Economic Growth work
A programme of business support has been developed for SMEs and industry partners in conjunction with key regional partners
MedTechAccelerator
Needs
articulation/Identification
327 Businesses supported
78 hrs of business support
MedTechAccelerator STPs Test Beds
Needs
eahsn.org | @TheEAHSN
articulation/Identification
24. Sustainability and Transformation Plans (STP)
eahsn.org | @TheEAHSN
• Outline of what the STP plans are, how they have been formulated and what they mean for
NHS planning
• How the STPs in the East are taking forward their work – what projects you might be able to
link into
• Key opportunities for new technologies and innovations
25. What are the STP plans?
• 44 plans being developed by regions known as ‘footprints’
• These plans will be place based, multi-year plans built around
the needs of local populations.
• They are umbrella plans that cover a range of delivery plans,
different geographies and types of services
• The plans must show how they will achieve sustainable
financial balance by March 2021
• The plans are expected to set out how the local area will
implement a number of national priorities, such as seven day
services, improving cancer outcomes and a paperless NHS
SOURCE: HEALTH SERVICE JOURNAL
eahsn.org | @TheEAHSN
26. The three gaps STPs are trying to solve
eahsn.org | @TheEAHSN
The health and well being gap
– Prevention
– Health inequalities
The care and quality gap
– Reshaping care delivery to address variations in outcomes
– Harnessing technology
The funding and efficiency gap
– £22bn of savings required nationally by 2020/21
27. How they have been formulated
eahsn.org | @TheEAHSN
• April 2016: Footprints submitted their initial STPs
• May 2016: Conversations took place between footprints leads and leaders from the health ALBs (arms
lengths bodies)
• 30 June 2016: Second deadline for submission
• July 2016: Regional conversations between footprint leads and leaders from the ALBs
• 21 October 2016: Final deadline for submission
• October - December 2016: Plans expected to be published
• Early 2017: Consultation on plans expected to take place.
29. Regional finance and efficiency gap
eahsn.org | @TheEAHSN
The Hertfordshire
plan is not yet
published though
some “leaks” have
appeared.
We have used
leaked numbers in
the table opposite
but these should be
treated with caution
until the plan is
published
The financial bridges published
The deficit left is the social
deficit which has been included
in all the positions. The NHS
only position is a 0.9m surplus
Regional total 1,617.30 2,021.70 - 47.60 293.10
£m
The do
nothing
financial gap Savings 2020/21
published identified position
Cambridgeshire and Peterborough 547.00 548.50 1.50
Suffolk and North East Essex 248.00 248.80 0.80
Mid and South Essex 406.70 406.60 - 0.10
Norfolk and WaveneySTP 415.60 365.80 - 49.80
Hertfordshire - 452.00
£s for each
head of
population
588.17
260.23
338.92
401.55
30. Which results in varying degrees of activity impact
-7%
-13%
-30%
-30%
-40%
-20%
-10%
0%
C&P SNEE MSE N&W
A&E attendance changes
0
-11% -9.70%
-34%-40%
-20%
-30%
-10%
0%
C&P SNEE MSE N&W
NEL changes
-8%
eahsn.org | @TheEAHSN
-7%
-14%
-16.20%
-20%
-15%
-10%
-5%
0%
C&P SNEE MSE N&W
Outpatient changes
• C& P provided financial breakdown but not always a consistentactivity picture so we have
been unable to include them routinely in thecharts
• Norfolk & Waveney quoted different figures at stages through the document. In the plan on
a page, they quote 20% reduction in A&E and a 20% reduction in NEL. This differs form
numbers quoted in the left shift chart on pg. 32. We have shown the figures from pg. 32 but
are uncertain which ones represent the shared position of the STP. N.B. If we took the
reduced figures, the STP would still be the most aggressive in terms of activity reduction.
• The A&E attendance reduction figure for N&W by 20/21 equates to 65,000attendances
being moved into other settings or not requiringtreatment
31. Improving
prevention
How the regional STPs are taking forward their work
Increasing
self-care
Developing
enhanced
primary care
Putting
outpatient
care “out” of
hospital
Effective
hospitals
Integrating
MH
Specialist
services
New
Models of
care
STP focus areas
eahsn.org | @TheEAHSN
32. How the regional STPs are taking forward their work
Improving
prevention
Increasing
self-care
Developing
enhanced
primary care
Putting
outpatient
care “out” of
hospital
Effective
hospitals
Integrating
MH
Specialist
services
New
Models of
care
STP focus areas
Improving prevention Lifestyle interventions
Health checks
Screening services
Increasing self-care Virtual monitoring and consultations
Wearable sensors
Patient education
Peer support
Enhanced primary care GP practices increasing list sizes
Offering enhanced services e.g. Lucentis
injections
Outpatientservices Moving outpatients into community settings
VirtualOP
Effective hospitals Centralising services (back office and
clinical)
Reducing unit cost of care to maintain or
improve quality
Integrating MH Mentally healthycommunities
Single point of access
New models of care Developing accountable care organisations
eahsn.org | @TheEAHSN
33. Implementation challenges
eahsn.org | @TheEAHSN
• Workforce – do we have the right people, in the right roles with the right resources? If not
where are we going to get them from? Do they know and buy into the plans developed?
• Technology – how can we get better at adopting and using technology to meet these
challenges?
• Funding – how can we fund any investment needed to deliver the transformation ambitions?
Link to estates
• Engagement – the plans need to be further developed and implemented with stronger
engagement with all stakeholders
34. Engagement challenges – one example
eahsn.org | @TheEAHSN
• The BMA recently completed a survey of 615 London GPs and Consultants to ask them their thoughts on STPs
• Some of the key findings included:
– 53 per cent have not heard of STPs
– 85 per cent have not had any information about STPs from their Trust
– 88 per cent felt they were unable to influence decisions made by their CCG
– 93 per cent felt they have not had enough information about how health services are being devolved in
pilot areas
– 73 per cent do not know if devolution is happening in their area
• Some of the key findings among the GPs surveyed in London were:
– 66 per cent have not heard of STPs
– 87 per cent were not formally consulted about the STP
– 76 per cent felt they were unable to influence decisions made by their CCG
– 61 per cent did not know how to challenge or change the leadership of their CCG
35. Key opportunities for new technologies and innovations
• Anything that supports the priority areas
identified and helps our workforce
deliver high quality, effective and
efficient care
• Consider the radical redesign principles
developed by the IHI
eahsn.org | @TheEAHSN
37. Questions & Answers
eahsn.org | @TheEAHSN
Victoria Corbishley – Eastern AHSN
Carol Roberts – PresQiPP
Rob Berry – Kent Surrey and Sussex
Karen Livingstone – Eastern AHSN
38. What help do you need?
Ian Sandison
eahsn.org | @TheEAHSN
39. Refreshed Clinical Trials tool – re-
launched with CRN
Refreshed Procurement tool –
relaunched with Regional Hub
Horizon scanning, learning
events & surgeries
Building on existing work Building on existing work
MedTechAccelerator STPs Test Beds
Needs
articulation/Identification
Innovation
Exchange &
user testing
groups
The Innovation Pathway – Economic Growth work
A programme of business support has been developed for SMEs and industry partners in conjunction with key regional partners
MedTechAccelerator
Needs
articulation/Identification
MedTechAccelerator STPs Test Beds
Needs
eahsn.org | @TheEAHSN
articulation/Identification
40. • Health needs identified
• Navigation / connections
• Clinical trials / research evidence
• Connecting to procurement
• Demonstrators
• Connection to other AHSNs
• Other ideas?
eahsn.org | @TheEAHSN
• Would you pay for support?
• What would you prioritise?
• What would give you an outcome
you can’t get elsewhere?
• What would it mean to your
business?
• Support to create?
• Support to scale?
41. The Eastern Academic Health
Science Network
eahsn.org | @TheEAHSN
karen.livingstone@eahsn.org
