1. Transforming Your Care Strategic Overview – turning the vision into action Emma Holden May 2014

2. Version 0.4 Improving the health and wellbeing of people by promoting good health decisions, preventing ill health in the first place, achieving better outcomes when ill health does occur & enabling people to live healthily and independently for as long as possible. What is “Transforming Your Care”?

3. What is our vision? Putting the individual at centre Accessing services in a different way Population and evidence based planning of services Focussing on prevention and tackling inequalities Integrated Care- Working Together Promoting independence and personalisation of care Making best use of our resources and ensuring sustainability Incentivising innovation at a local level Maximising the use of technology

4. Version 0.4 SelfDirectedSupport Carers Day Opportunities Community Capacity Reablement e-Health HospitalNetworks Service/WorkforceModelling HealthAnalytics PrimaryCardiacInterventionServices Community Information SocialCareProcurement MaternityStrategy AcuteInpatientMentalHealthUnit PhysiotherapySelfReferral Radiology Ambulance Protocols IntegratedCarePartnerships 7DayWorking NeedsAssessmentforOlderPeople PrimaryCareInfrastructure IntermediateCare DomiciliaryCareReview Stroke DeliveringChoicesProgramme StatutoryResidentialHomes Project Echo ElectronicCareRecord Specialist Foster Carers WebPortal ProjectEcho How are we delivering the vision? Integrated Care Partnerships 17 Integrated Care Partnerships established across Northern Ireland Collaborative Networks Trust AHP representation on each ICP committee AHP Input to the ICP Multi Disciplinary groups AHP Federation NI are members of the ICP stakeholder reference group Focus on Clinical Priorities – some examples of recent investment: Integrated Care Partnerships 17 Integrated Care Partnerships established across Northern Ireland Collaborative Networks Trust AHP representation on each ICP committee AHP Input to the ICP Multi Disciplinary groups AHP Federation NI are members of the ICP stakeholder reference group Focus on Clinical Priorities – some examples of recent investment: Western Area Temporary appointment of two Physiotherapists to the Respiratory Early Supported Discharge team Southern Area Appointment of a Diabetic Podiatrist to provide educational training and awareness to GP Practices.

5. Version 0.4 How are we delivering the vision? SelfDirectedSupport Carers Day Opportunities Community Capacity Reablement e-Health HospitalNetworks Service/WorkforceModelling HealthAnalytics PrimaryCardiacInterventionServices Community Information SocialCareProcurement MaternityStrategy AcuteInpatientMentalHealthUnit PhysiotherapySelfReferral Radiology Ambulance Protocols IntegratedCarePartnerships 7DayWorking NeedsAssessmentforOlderPeople PrimaryCareInfrastructure IntermediateCare DomiciliaryCareReview Stroke DeliveringChoicesProgramme StatutoryResidentialHomes Project Echo ElectronicCareRecord Specialist Foster Carers WebPortal ProjectEcho Health and Care Centres Investment in primary care infrastructure through Hub and Spoke configuration Many services that currently require a hospital visit will be available locally at the hub, such as: outpatient assessments for long term condition clinics minor surgery diagnostics (such as x-ray and ultrasound) range of AHP services Portadown, Belfast, on-going development Ballymena, Banbridge, Omagh, Newry and Lisburn For example, new HCC in Newry will see investment in specialist facilities for Physiotherapy, Hydrotherapy, Podiatry, Dietetics, Speech and Language Therapy, Orthoptics

6. Version 0.4 How are we delivering the vision? SelfDirectedSupport Carers Day Opportunities Community Capacity Reablement e-Health HospitalNetworks Service/WorkforceModelling HealthAnalytics PrimaryCardiacInterventionServices Community Information SocialCareProcurement MaternityStrategy AcuteInpatientMentalHealthUnit PhysiotherapySelfReferral Radiology Ambulance Protocols IntegratedCarePartnerships 7DayWorking NeedsAssessmentforOlderPeople PrimaryCareInfrastructure IntermediateCare DomiciliaryCareReview Stroke DeliveringChoicesProgramme StatutoryResidentialHomes Project Echo ElectronicCareRecord Specialist Foster Carers WebPortal ProjectEcho 7 Day Service Aim to introduce 2014/15 at each large hospital site, including 7 day proactive management Support from 7 day diagnostic service Social Care Allied Health Professionals Benefits Support early discharge Improve patient flow Improvements in morbidity and mortality

7. Version 0.4 SelfDirectedSupport Carers Day Opportunities Community Capacity Reablement e-Health HospitalNetworks Service/WorkforceModelling HealthAnalytics PrimaryCardiacInterventionServices Community Information SocialCareProcurement MaternityStrategy AcuteInpatientMentalHealthUnit PhysiotherapySelfReferral Radiology Ambulance Protocols IntegratedCarePartnerships 7DayWorking NeedsAssessmentforOlderPeople PrimaryCareInfrastructure IntermediateCare DomiciliaryCareReview Stroke DeliveringChoicesProgramme StatutoryResidentialHomes Project Echo ElectronicCareRecord Specialist Foster Carers WebPortal ProjectEcho How are we delivering the vision? Self Referral Physiotherapy Regional Context What is self referral? Benefits Progress to date Opportunities Self Referral Physiotherapy Regional Context What is self referral? Benefits Progress to date Opportunities Public Health Agency TYC

8. Version 0.4 How are we delivering the vision? SelfDirectedSupport Carers Day Opportunities Community Capacity Reablement e-Health HospitalNetworks Service/WorkforceModelling HealthAnalytics PrimaryCardiacInterventionServices Community Information SocialCareProcurement MaternityStrategy AcuteInpatientMentalHealthUnit PhysiotherapySelfReferral Radiology Ambulance Protocols IntegratedCarePartnerships 7DayWorking NeedsAssessmentforOlderPeople PrimaryCareInfrastructure IntermediateCare DomiciliaryCareReview Stroke DeliveringChoicesProgramme StatutoryResidentialHomes Project Echo ElectronicCareRecord Specialist Foster Carers WebPortal ProjectEcho Reablement Supporting people to remain at home AHPs key to success - led by Occupational Therapists Aims to help people accommodate their illness or condition by relearning skills necessary for daily living Benefits On discharge from the reablement service, users need less/no support than when they initially contacted HSC services Promotes independence Improves outcomes Avoidance of unnecessary hospital admission Full coverage in Northern/Belfast/South Eastern Trust areas, partial in Southern/Western Reablement Supporting people to remain at home AHPs key to success - led by Occupational Therapists Aims to help people accommodate their illness or condition by relearning skills necessary for daily living Benefits On discharge from the reablement service, users need less/no support than when they initially contacted HSC services Promotes independence Improves outcomes Avoidance of unnecessary hospital admission Full coverage in Northern/Belfast/South Eastern Trust areas, partial in Southern/Western

9. Version 0.4 How are we delivering the vision? SelfDirectedSupport Carers Day Opportunities Community Capacity Reablement e-Health HospitalNetworks Service/WorkforceModelling HealthAnalytics PrimaryCardiacInterventionServices Community Information SocialCareProcurement MaternityStrategy AcuteInpatientMentalHealthUnit PhysiotherapySelfReferral Radiology Ambulance Protocols IntegratedCarePartnerships 7DayWorking NeedsAssessmentforOlderPeople PrimaryCareInfrastructure IntermediateCare DomiciliaryCareReview Stroke DeliveringChoicesProgramme StatutoryResidentialHomes Project Echo ElectronicCareRecord Specialist Foster Carers WebPortal ProjectEcho Connecting Health and Social Care across Northern Ireland Improves Quality of Patient Care Improves patient safety Better Clinical Outcomes Reduction in Duplication of diagnostic laboratory and radiological testing Reduction in phone calls required in accessing clinical information 10,000 registered users Currently 8% users made up of AHPs Used in the provision of care to over 250,000 unique patients - around 14% of the N.I. population. Initial focus on Acute- now branching out to community teams 250,000 Radiology Reports Viewed 2.5 million Cumulated Laboratory results 800,000 Episodic Encounters accessed

10. Version 0.4 How are we delivering the vision? SelfDirectedSupport Carers Day Opportunities Community Capacity Reablement e-Health HospitalNetworks Service/WorkforceModelling HealthAnalytics PrimaryCardiacInterventionServices Community Information SocialCareProcurement MaternityStrategy AcuteInpatientMentalHealthUnit PhysiotherapySelfReferral Radiology Ambulance Protocols IntegratedCarePartnerships 7DayWorking NeedsAssessmentforOlderPeople PrimaryCareInfrastructure IntermediateCare DomiciliaryCareReview Stroke DeliveringChoicesProgramme StatutoryResidentialHomes Project Echo ElectronicCareRecord Specialist Foster Carers WebPortal ProjectEcho Workforce

11. Version 0.4 How do you contribute to change? Vital to our system Be the voice to support change No neutral decisions – standing still isn’t an option Change takes time Show clinical leadership – everybody's responsibility or no-one’s