Presentation on theme: "Sutton CCG and LB Sutton have come together to develop and deliver a joint strategy"— Presentation transcript:
1Sutton CCG & LB Sutton Partnership Presenting our joint health and social care strategy for Sutton
2Sutton CCG and LB Sutton have come together to develop and deliver a joint strategy Sutton CCG became the statutory organisation responsible for commissioning health services for residents of Sutton in April 2013LB Sutton has a statutory responsibility to commission social care services for local residents.Sutton CCG and LB Sutton have come together to develop a joint strategy and this presentation sets out the following:Our joint vision to reshape health, social care and wellbeing servicesThe aim for our joint Strategy for Health and Social CareOur four key objectivesOur five priority areasWhere we will be in 2016/17Our governance structure moving forward
3The demand and challenges to our services Sutton has a population of approximately 192,000, of which:Population over the age of 65 is expected to increase by 18.7% between 2011 and 202179% of are white and 12% from Asian or Asian British ethnic groupsThere are 27 GP Practices, and the majority of unplanned and planned hospital admissions and care occur at St Helier Hospital and St George’s HospitalKingstonSt George’sSt HelierCroydonSutton’s A&E demand has remained stable for the past 3 yearsSUTTONNon-elective admissions have increased by 3%,with spend increasing by 14% in the past 3 yearsJubilee Health CentreNon-elective admissions for people aged 75 years and over, is much higher than across other age groups at 9%Older people currently make up 73% of adults with eligible social care needs.
4A new community service model for Sutton Resulting from the demand and financial challenge, and in order to achieve a sustainable health and social care system fit for the future, service models in Sutton will need to adapt.Co-commissioning between Sutton CCG and Sutton LB will be the mainstay of our Joint Strategy for Health and Social Care and commissioning intentionsCo-commissioning efforts will be reinforced through the Better Care FundThe Better Care Fund (BCF) is recognised as a national enabler for integrated care. A joint pooled fund between Sutton CCG and LB Sutton will be created In Sutton, the minimum transfer from Sutton CCG to the BCF will amount to £614k in 2014/15, increasing to £14m in 2015/16.
5Our vision for joint health and social care in Sutton focusses on Re-shaping health, social care and wellbeing services so that people are supported to remain well for longer in their own homes.This will involve a step change in the way that we plan care, from focussing on reactively providing services when people fall ill, to creating a balance and proactively supporting people to stay healthy.
6By 2016, we will provide services that deliver high quality, integrated care to our residents We will support our residents to remain as independent as they can for as long as they can. We will support and educate our residents to self-care where possible and we will prevent avoidable admissions to hospital providing alternative and responsive community services. We will encourage independent community-based living through joined up services and professionals working closely together. There will be strong relationships between commissioners and provider organisations so that we can realise our vision.
7Why do we need a joint health and social care strategy in Sutton We therefore aim to meet the following reductions in demand:Our joint strategy will:build capacity in the community to work collaboratively through integrated servicesbuild capacity in the community to identify people at riskexpand the capacity of the reablement and rehabilitation servicesrealign the acute sector to match changing demands and community capacitymaximise people’s capacity to self-careplan and develop a community workforce in collaboration with providersprovide stronger links with voluntary services and other community groups10%Reduction in A&E17.5%Avoidable NEL admissions25%Reduction in hospital-basedoutpatient appointments5%Reduction in outpatientappointments
8We have four main object ObjectivesPreventionSupporting people to maintain their independenceReducing admissions and lengths of stay in acute hospitalsImproving quality of careHelping people to remain healthy by stopping them becoming unwell or preventing their condition exacerbating, avoiding unnecessary admission to hospitals or care homesProviding more support in communities to help people effectively manage their own health and well-beingProviding alternatives to admission then improving discharge and building more effective reablement to ensure maximum patient independenceFollowing an episode of ill-health or crisis with the delivery of the right services, in the right place and at the right time
9Our schemes are organised into five priority areas 1Long term conditions – as population over the age of 65 in Sutton grows, the number of people living with one or more long term conditions will increase. Focus on identifying people with LTCs and assisting with management and prevention2Planned Care – focus on ensuring that the right services are available to people in settings close to their homes3Older People – care for older people in Sutton will be provided as part of an integrated Older Patients pathway4Providing Services Closer to Home – expansion of community-based care to ensure more services are provided closer to home5Urgent Care – redirecting people with urgent needs away from acute services to community-based services where secondary care is not required
10Long term conditions1Proactive approach to identify people with multiple LTCs and focus on management and preventionReactive approach to ensure responsive services , professionals and expertise are in place to respondIdentify people at greater risk of unplanned hospital admission and support through active case managementMove away from a historic disease pathway focus towards a more integrated service
11Planned care2Expand the range of services which deliver community and specialist planned careProviding services in convenient services, close to where people liveSupport the continued relocation of services into the Jubilee Health CentreImproved referral management to ensure appropriate planned care is delivered in the community
12Older People3As part of an integrated Older Patients Pathway provide improved quality of care to all people over the age of 65Further develop in-reach/out-reach from community and social services to provide better continuity of care and discharge planningEmbed care planning and a person-centred approach delivered by a team of key professionals who are connected with GPs and specialistsImprove discharge planning and provide expanded services which promote timely discharge and intensive community-based care to improve functionality, independence and prevent readmission
13Providing services closer to home 4Develop community estates where people can experience community care, diagnostics and selected specialist care co-located on one siteImprove care and responsiveness for people who are discharged from hospital, including improving functionality, preventing social exclusion, supporting access and signposting to alternative servicesProvide intense and timely access to intermediate care and rehabilitationSupport, respite and education to informal carers and family members
14Urgent care5Services schemes which provide responsive urgent care and rapid response interventionsA whole-system model which encourages prevention of admission and offers signposting including Out of Hours and 111 servicesCo-located in the emergency department is our Rapid response multidisciplinary teamFacilitating the implementation and development Ambulatory Care Service
15Delivery Plans to support our strategic aims and objectives We have developed delivery plans for each of the priority areas outlining the key steps required in 2014/15 and 2015/16 in order to implement the individual schemes within each area. Commissioning managers from Sutton CCG and LB Sutton have outlined key milestones for in order implement new schemes and further evaluate and manage schemes over the next two years. The plans also outline the predicted outcomes that will be realised through execution of the schemes
16Our governance structure moving forward Reorganisation of our governance will be required in order to deliver our aims and objectives. The revised governance arrangements will be live from June 14.Health and Wellbeing BoardOne Sutton Commissioning CollaborativeTransformation Programme boardLong Term Conditions WorkstreamPlanned Care WorkstreamOlder People WorkstreamUrgent Care WorkstreamProv. Services Workstream
17In summary our joint health and social care strategic plan will help us to deliver… A whole-system service model which expands community-based health and social care, and improves the connections between primary care, third sector services and acute servicesA proactive set of community-based services which are targeted at those who are at risk of escalating needs, and which will help to keep people out of hospital, independent and improves outcomesA reactive set of community-based services which will be responsive for those people whose needs rapidly escalate, preventing inappropriate time in hospital and improved community-based rehabilitation and reablementShift and expansion of services which will bring high quality care and expertise closer to homeStrengthened relationships and governance between Sutton CCG and LB Sutton working in partnership with community-based and acute care providers