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* 1. What are you thoughts on the Vision 'Better Health for Sunderland' and the 3 strategic objectives? (p6 of Plan):

Transforming out of hospital care
Transforming in hospital care (specifically urgent care) and
Enabling self care and sustainability

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* 2. What are your thoughts about our view of what the future should look like? (see p7)

NHS England have identified that any high quality, sustainable health and care system in England will have the following six characteristics in 5 years:

1. A completely new approach to ensuring that citizens are fully included in all aspects of service design and change and that patients are fully empowered in their own care;

2. Wider primary care, provided at scale;

3. A modern model of integrated care;

4. Access to the highest quality urgent and emergency care;

5. A step change in the productivity of planned care;

6. Specialised services concentrated in centres of excellence.

Our plan (p26-43 and summarised on p-46) describes how we will deliver each of these characteristics. Over the next set of questions we will ask for your feedback on each of these characteristics.

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* 3. A completely new approach to ensuring that citizens are fully included in all aspects of service design and change and that patients are fully empowered in their own care:

We will ensure patient experience is central to service development and that patients, carers, and the public (our citizens) are actively and systematically involved in all aspects of public service design and change. Communities will feel empowered and enabled and will know they can engage with us on everything to do with their Health and Wellbeing. We will also ensure that patients are fully empowered to make informed choices regarding their own care.

What are your thoughts about our ambition? is there anything missing, or more we should be aiming for?

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* 4. Wider primary care, provided at scale:

By 2019 we will have a high quality, safe, sustainable primary care system fully integrated within a whole health and social care system, operating within available resources to improve health and provide timely access to appropriate services for the population of Sunderland.

What are your thoughts about our ambition? Is there anything missing, or more we should be aiming for?

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* 5. A modern model of integrated care:
By 2019 people in Sunderland will receive the right care, for the right people, in the right place at the right time from people with the right skills.

What are your thoughts about our ambition? Is there anything missing, or more we should be aiming for?

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* 6. Access to the highest quality urgent and emergency care:
By 2019 there will be equality of access across Sunderland to an urgent care response. Urgent care services will be accessible and responsive, and provided in the most part close to home. Only patients requiring specialist urgent care and emergency care will navigate into those services.

What are your thoughts about our ambition? Is there anything missing, or more we should be aiming for?

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* 7. A step change in the productivity of elective care:

By 2019 we will deliver high efficiency care in a convenient setting with increased patient choice, improved scheduling and a higher level of quality resulting in improved outcomes.

What are your thoughts about our ambition? Is there anything missing, or more we should be aiming for?

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* 8. Specialised services concentrated in centres of excellence:

The vision for specialised services in the Sunderland area will be for network or hub and spoke models which ensure local provision of services where possible (outpatients and day cases) whilst at the same time ensuring immediate input and access to expertise from specialist teams 24/7

What are your thoughts about our ambition? Is there anything missing, or more we should be aiming for?

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* 9. Do the key initiatives outlined on page 46 feel like the right things to do as a priority for Sunderland? Is there anything missing?

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* 10. Sunderland has set out its financial strategy over the next 5 years and the savings target required. What are your thoughts about the scale of the challenge and how we plan to achieve the savings?

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* 11. Thank you for taking the time to complete this survey. Please use to box below for any additional comments you would like to make.

Please note we will be publishing a forward programme on both the CCG website (sunderlandccg.nhs.uk) and Health Watch Sunderland (healthwatchsunderland.com) providing an overview of timelines for when we will be undertaking specific engagement as part of the development of our transformational changes.

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