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William Dyer Health & Social Care Reform Programme: An Update 23 rd January

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Presentation on theme: "William Dyer Health & Social Care Reform Programme: An Update 23 rd January"— Presentation transcript:

1 William Dyer Health & Social Care Reform Programme: An Update 23 rd January

2 Health & Social Care Reform The Care and Support Reform Programme A guidance note on social care information and technology sets out initial guidance and a high level specification for the information and technology changes required for successful implementation of the Care Bill.

3 Health & Social Care Reform Socitm was invited to establish a programme of activity to help spread the learned practice from the Health and Social Care Pioneers and from elsewhere (Scotland, Wales, etc.) across the country. The primary focus was on the information and technology implications for different localities as they seek to implement: Reporting requirements (April 2015); and Integration of health and social care (April 2016).

4 Pioneer Programme Barnsley - Stronger Barnsley Together Cheshire - Connecting Care across Cheshire Cornwall and Isles of Scilly - Living Well Greenwich Islington Leeds Kent North West London North Staffordshire South Devon and Torbay Southend South Tyneside Waltham Forest and East London and City Worcestershire West Norfolk Health & Social Care

5 Barnsley – Stronger Barnsley Together Health & Social Care Barnsley is looking at a whole system transformation across their health and wellbeing partnership. They're looking at a transformation programme built on 3 blocks: Strength in partnership and governance Innovation in Practice Whole systems transformation - inverting the triangle (asking what the user needs) Unique to Barnsley Working collaboratively to deliver telehealthcare Collaboration with NHS, Yorkshire Ambulance Service and the local authority with telehealth care at the centre Developing a UK Centre of Excellence in collaboration with Bosch for the provision of Telecare Services

6 Leeds Health & Social Care Leeds has set up a programme to integrate health visiting and children’s centres into a new Early Start Service across 25 local teams in the city. Children and families now experience one service, supporting their health, social care and early educational needs, championing the importance of early intervention. Since the service has been in operation, the increase in face-to-face antenatal contacts has risen from 46% to 94% and the number of looked after children has dropped from 443 to 414. Patients will also benefit from an innovative approach which will enable people to access their information online.

7 Kent Health & Social Care

8 Summits (Leeds and London) Workshops (7 Across England) outputs Draft ‘Local perspectives paper’ outputs …informs National Information Board (NIB) strategy and process …from stakeholders representing the local perspective – including: Health and Social Care Integration Pioneers ADASS IMG LGA LCIO Council and SOCITM DoH supporting September OctoberDecember January October November …can expect further implementation actions and other supporting activities ongoing through 2015… outputs Better informed discussion and collaborative action locally We are here

9 Summits (Leeds and London) Workshops (7 Across England) outputs Draft ‘Local perspectives paper’ outputs …informs National Information Board (NIB) strategy and process …from stakeholders representing the local perspective – including: Health and Social Care Integration Pioneers ADASS IMG LGA LCIO Council and SOCITM DoH supporting September OctoberDecember January October November …can expect further implementation actions and other supporting activities ongoing through 2015… outputs Better informed discussion and collaborative action locally

10

11 Health & Social Care Reform National Sharing Information and technology implications What has been learnt from the Pioneers Key problems and potential solutions Online communities Next steps.

12 Health & Social Care Reform Regional

13 Health & Social Care Reform Summit/Workshop Session 1: The ‘Future State’ Andrew Fenton, Informatics Strategy, Department of Health Session 2: Infrastructure Julie Oxley, Head of Information Management & Technology, Leeds City Council Session 3: Interoperability Andrew Fenton, Informatics Strategy, Department of Health Session 4: Understanding Places Emma Rowse, Independent Consultant at Sea Change Cornwall Abraham George, Assistant Director/Consultant, Public Health Dept, Kent County Council Session 5: IG Toolkit Ralph McNally, Head of Local Public Service ICT Integration, Leeds City Council Session 6: Engaging citizens - The service user perspective Martin Greenwood, Socitm Insight Programme Manager Tim Straughan, Director of Health & Innovation, Leeds and Partners

14 Health & Social Care Reform The ‘Future Has anyone asked the citizen what they really want to see? Informal and transparent...and a working document, rather than a snapshot... Build a model that is focused i.e. based on user experience of and journey through the system and what good looks like / priorities for change

15 Health & Social Care Reform Understanding about what data we wish to share: structured data for commissioning or unstructured data to improve care of the patient. Lack of understanding is a barrier Lack of funding, people being scared of information governance compliance when sharing data, engaging with stakeholders Cross county CCGs are problematic; 3 CCG's in one county having 3 different business cases/workstreams for Better Care Fund. Surely a higher position of agreement should be mandated?

16 Health & Social Care Reform Big challenge of smaller delivery organisations that don't use IT Engage suppliers to actually release what is available now Legislation. If you want to supply public sector you must provide Open APIs

17 Health & Social Care Reform Understanding Poor approaches to Data Quality, Data Sharing and Data Ownership. A common lack of recognition of the problem at a strategic level in local organisations Risk in having two different people: one responsible for locking it all down and another looking at opening up and sharing Overcoming information sharing agreements at a local level to allow access to the data

18 Health & Social Care Reform IG How do the 3rd sector (nursing homes etc.) gain access to relevant info without incurring costs which are disproportional to them as an organisation? Is it the same as the PSN? Are we doubling up?, Are we making it more difficult for providers?, GPs need convincing of the benefits Guidance is needed around how citizen-facing applications can update data within the secure council PSN/N3 connected network

19 Health & Social Care Reform Engaging Need to embed user testing in all design. Start with people's actual need To what degree are locally provided services not to some degree, essentially similar/ the same., Is there a case for adopting a common approach to content structure, syntax and to navigation? Need to be aware of service user IT literacy

20 Health & Social Care Reform: An [+12] Use region to stimulate engagement and involvement with health partners regionally - we cannot do it in a silo!, [+9] Need to ensure that the right information is available for the citizen to allow them to get the help that they need at the right time., [+7] We need to support the third sector to enable them to engage with the citizen by having access to relevant information and data, [+9] We need to address the IG issue nationally through legislation and locally through agreements, [+8] Form local engagement groups / hubs around service user needs not service delivery organisations, [+8] Use Regional Forum to facilitate key communications with providers in the region about what development is needed (health and social care records systems development),

21 Health & Social Care Reform: An [+5] Clearer lead nationally - do things once that can be implemented locally (don't reinvent the wheel) [+4] procure IT systems jointly [+4] Collaborate regionally or sub-regionally, [+5] Greater synergy between N3 and PSN requirements to lead to simpler collaboration [+4] set up a regional group (of those here today plus others) to continue the discussion / learn from each other - could be virtual or meet face 2 face, [+3] ICT need including in discussions feeding back to LGA readiness assessments,

22 Health & Social Care Reform: An [+5]Get all stakeholders involved in the discussions and not just at a strategic level. [+5]If not in place already, Establish a locality- based public service governance group to agree a and oversee delivery of a blueprint for integrated services and Informatics - probably led by Health & Wellbeing Board? [+3]There needs to be an honesty in the approach - no protecting investments at this stage. There has to be a willingness to go back to the needs at the centre of this agenda, and to almost disassemble the current systems in place and examine their appropriateness and maturity in digital terms. [+2]Share the practices of other councils [+1]Citizen engagement and early communication with voluntary groups [+1]Design from the outside in?

23 Health & Social Care Reform: An [+8] We need a common framework for the implementation of Information Governance across health, social care and other sectors [+4] Health & Wellbeing Board to take on ownership and overview of the programme with Director leadership [+4] Ensure informatics is on the agenda of key decision making bodies [+7] Collaborate with regional IT leads, Care Act leads, LGYH & ADASS branch to organise a regional event to focus on the practical steps to support Care Act implementation in localities across the region - and who knows what that may lead to in terms of future collaboration. [+5] Don't work in silos, share resources and ideas across sectors [+4] Network more and share good practice ( and bad)

24 Health & Social Care Reform: An [+6] Sharing best practice from pioneers around improving the experience should be a high priority so timing is everything. [+5] Don't focus solely on the health care act focus on transformation and what needs to be done - support engagement [+5] Need a more transparent overarching governance body to support co-ordinated change. [+2] Clarity of roles - ADASS-IN Socitm HSCIC DoH etc [+2] Develop a meaningful maturity model with relevant support resources, guidance, reference and specification 1 [+1] Find a better way to share across boundaries

25 Health & Social Care Reform: An [+6] Make sure this work sits within wider transformation of care and so puts in place the foundations [+5] Make sure our tactical solutions remain focussed, but also don't lose the strategic vision. Do what we need to do to comply, but with an eye on the longer term [+5] Think iteratively, take small steps keep thinking open [+4] Be very clear about WHAT needs to be done instead of jumping straight to HOW we will do it. [+4] Identify what business processes will need to change and therefore what the data implications are and how that affects the systems that they interact with [+4] There will need to be a standards infrastructure for the essential data in social care, and some guidance as to what will happen in the interim.

26 Health & Social Care Reform: An [+4] Dedicated resource to help regionally, perhaps via HSCIC [+3] Open standards for interoperability, pressure/regulation for suppliers to adhere to standard. [+3]Implement identity management and assurance for all citizens [+4] Communicate across the region to share progress, priorities and intel [+3] More communications with other authorities, particularly neighbouring ones [+2] Establish a meaningful and effective governance model that can oversee, communicate, prioritise etc

27 Health & Social Care Reform: An Update What Continuing the process of going through all the comments and points made during the workshop Meeting set between DoH, HSCIC, ADASS and Socitm to determine specific follow up events.

28 Health & Social Care Reform ●Programme of events now completed ●Full output of National and Regional Workshops now available online ○Includes video, slide decks and all comments made using online discussion tool Health & Social Care Reform: An


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