1. Integration and partnership working in the context of the Care Act Staff Conference - 10 November 2014 David Sykes, Interim Head of Joint Commissioning Collaborative

2. Overview of presentation  Integration, co-operation and Partnership working  Better Care Closer to Home & Better Care Fund  Outcomes Based commissioning for community services

3. Integration, cooperation and partnership working Not new concepts  NHS Reorganisation Act 1973  The New NHS: Modern, Dependable 1997  Health Act 1999  Independence Wellbeing and Choice 2005  National Health Service Act 2006  Health and Social Care Act 2012 3

4. Vision and outcomes of Integration, cooperation and partnership working 4 “The vision is for integrated care and support that is person- centred, tailored to the needs and preferences of those needing care and support, carers and families.”  Improve service user experience  Eliminate duplication  Streamline care pathways  Collaborate on early intervention and prevention  Improve safeguarding

5. Benefits of Integration, co-operation and partnership working Access to services Local provision Prevent and delay care needs Integration, cooperation, partnerships Silo working Organisational barriers Different operational practices Duplication

6. What does the Act say? Local authorities MUST: Ensure the integration of care and support provision with health provision and health-related provision Co-operate with each of its relevant partners, and each relevant partner must co-operate with the authority, in the exercise of their functions relating to adults and carers Co-operate where this is needed in the case of specific individuals who have care and support needs 6

7. Better Care Closer to Home Strategy (BCCH)  Key joint strategy  Create holistic integrated community services in the community to maintain and improve people’s health and wellbeing  Shift in settings of care from hospital to community  Funding from Better Care Fund will deliver parts of the Strategy

8. Better Care Fund (BCF)  The BCF is a pooled budget that shifts resources into social care and community health services for the benefit of the NHS and local government  Requirement to measure impact on reducing avoidable hospital admissions and reduce length of stay

9. Outcome Based Commissioning (OBC)  Initiative of Richmond Clinical Commissioning Group (CCG) and Richmond Council  Aims to transform the delivery of community services based around outcomes that matter most to local people  This model is still in development and some services will be delivered in this way from April 2015.

10. Care Act BCF Integration Enhanced community health and social care BCCH Commissioning intentions Prevention strategy Dementia strategy Carers strategy OBC IT Business processes Linkages with Care Act