1. ABOUT MY LIFE, A FULL LIFE
We have been on a journey – and over the last 2 years we have been seeking to create a new strategy and vision.
We looked and listened to our communities and those working in health, social care, voluntary and independent sectors.
Identified:- We were surrounded by water
Increasing demographic demands
A pot of money that would no longer be growing
Increasing vacancies across all sectors
Our major conclusions were:-
Need for a fundamental change in the balance.
We clearly need to address what matters to the person
What does care feel like from the point of the person
We need to work together differently across all sectors and need to win hearts and minds – taking people with us
Create a sense of unity with out communities and workforce
Then can the 5 Year Forward View – for us Vanguard offers nitro to put into the tank and MLAFL Powered by Vanguard was born.
Why we are unique
Our three key projects (so far…)
Key Statistics 1
Crisis intervention reducing hospital admission 2
GP Registered population of
380 km2
2.5m
141,857
Large summer music festivals
Only accessible by sea and air 2
The formation of 3 integrated locality teams
visitors
per annum 3
Self Care - Accessing information and support
Our starting point for going forward
Why we are the perfect Vanguard site
Strong My Life, a Full Life brand
Single system, single boundaries (NHS Trust, CCG, Local Authority)
Strongly engaged community
The age and wellbeing of the Island’s current population is a reflection of how the rest of England’s population will be in 20 year’s time. If we can get care right here, we can lead the way for the rest of the country.
We’re already on the way – but we can go further and faster with your help!
We have an incredibly active voluntary sector on the Island, along with strong communities. Both are at the core of the My Life, A Full Life model.
Care on the Island will be shaped around people’s individual needs and managed by them. Our model focuses on keeping people happy and healthy through self-care and self-management.
Working together is nothing new for us. My Life, A Full Life is already working across organisational boundaries, sharing resources and expertise.
Our Demographics

2. 09.06.2015 Our care is shaped around and managed by the individual
We will focus on keeping people happy and healthier for longer
These rich pictures visually demonstrate the My Life as Full Life transformation from our current model with pockets of good things happening but often not connected
If you look at our current model and the rings around the person, the person is very dependent on statutory services
And the person directed life is not heard because we are not working in a fully integrated way

3. Our future model , sees things as much more connected and led by the person.
If you look at the rings around the person, which are based off our care model, you will notice the people directly around the person, community, friends, community support in the way they want to live within their own home and as contributing members of their community.
The health and social care systems strengthens and keeps the inner circles functioning by always being there and the formal services are responsive when this is needed.
In our future state, the services that now exist are joined up, with information passing freely between respective organisations.

4. OUR VISION AND AMBITION
Our vision is completely engrained in everything we do. A ‘full life’ is about ensuring Islanders live healthier, happier, and more fulfilling lives.
Our ‘I’ statements are based on recommendations from National Voices. They are our measurement of ‘what people want’ and are used to determine whether MLAFL is achieving its objectives
Our activities are aligned to five key enablers
One technology-enabled care
One Island £
One Leadership
One Information
One Empowered People and Workforce
My Life is a Full Life
I’ll no longer be a patient or a client – I’ll be a person
I have access to a range of support that helps me to live the life I want
I can plan ahead and keep control at times of crisis
Integrated Locality
Teams
Prevention and Early Intervention
Integrated Acute Services
Integrated Single Point of Access
I am able to get skilled advice to plan my care and support
I have considerate support delivered by competent people
I feel valued for the contribution that I can make to my community
I have access to easy to understand information
Evaluation, continual improvement and sharing lessons learned
Vision
What do people want?
What will we do?
One Technology- Enabled Care System
One Island £
One Leadership
One Information
One Empowered People and Workforce
How will we do it?

5. One empowered people and workforce One Technology-enabled Care System
OUR ‘MY LIFE’ MODEL
The layers of our ‘My Life’ Model focuses on:-
The individual
The home environment
The community and the statutory sectors being the outer ring providing the support when needed – but maximising the key strengths of the individual in the first instance. It is a whole system approach working across all sectors.
At the centre of our model is the My life Co-ordinator who will work with people, families and carers to build individuals and community resilience, and to help people, families and carers to navigate the health and social system.
This will be delivered through:-
Prevention and Early Intervention
Single Point of Access
Locality Working
Integrated Corporate functions
One information
One Leadership
One empowered people and workforce
One Technology-enabled Care System
One Island £
Integrated acute provider
Integrated Locality Teams
Ambulance Service
Public Health
Commissioned voluntary sector
Adult social care
Children’s social care
Integrated single point of access
Community Faith Groups
Voluntary Sector
Isle Help
Community Action Isle of Wight
Family
Friends
Colleagues
My Life Coordinator
Informal community links
Transport
Education
Housing Association
Environment
Health- watch
People Matter
Crisis Response Team
DomiciliaryCare
Out of Hours
Independent Sector
Palliative Care
Our integrated ‘My Life’ model is:
Prevention-based
Health and wellbeing promoting
Built on experience-based co-design
Founded on self care and empowered communities.
At the centre of our model is the person. My Life Coordinators, will coordinate and navigate support across the community and system. This coordination role will triage, reduce the perceived system complexity, increase awareness of services, and maximise efficiency.
The Integrated Locality Teams deliver person centred care and support in the community, with GP clinical leadership and multi-specialist teams.
Home
Support Groups
Intimate / Family
Key enablers
My Life, A Full Life – care services
Associated Life
Friendships
Based on ABCD approach – Cormac Russell

6. OUTCOMES OF OUR ‘MY LIFE’ MODEL
It feels different for people, family and carers
It feels different for our workforce
People
People’s health and wellbeing will be improved
People will have a positive experience of care and support
People will feel valued for the contribution they make to their community
Workforce
The workforce feel empowered and take pride in their work
They have the right knowledge and skills
Defined career pathway
Outcomes for people
Outcomes for workforce
Pride in the work they do, the services they provide and the organisation they work for
Feeling valued and empowered
Right knowledge, skills and expertise that is appropriate to their role.
Retention and attraction of high-calibre staff who are attracted to delivering the My Life, A Full Life care model
Not constrained by organisation and role and working across boundaries
Primary Care and Multi-specialist consultants able to work across both the acute and community sector ensuring seamless care and support.
My Life A Full Life is an employer of choice
Defined career work path
Improved health and wellbeing
Treated as a person with individual strengths, needs and concerns
A positive experience of care and support
Access to a wide range of support that helps them to live their lives to the full
Receive skilled advice to promote their wellbeing and plan their care and support
Digitally enabled to access a wide range of information and technology
Access to easy-to-understand information and only give and share their information once
Feel valued for the contribution they make to their community

7. HOW WILL WE ORGANISE OURSELVES
Single Point of Access
Integrated Commissioning:
We will bring together all the different commissioning functions, which is Primary Care, Public Health and Social Care.
We will move to different contracts to enable Providers, people with personal budgets, GP Localities and the Voluntary Sector to commission services.
We will measure outcomes rather than activity.
Integrated Provision:
People will use the Single Point of Access.
Integrated acute provision will provide services reaching out into the community and working with off-island providers.
Building on the Integrated Locality Teams, across the whole system.
Out of hours link with the Single Point of Access.
Workforce across boundaries
Integrated Corporate Functions;
Will be available to all providers and commissioners in the system.
Key Enablers:
These five ‘enablers’ have been identified as critical to the success of delivering both the care model and the operational model.
Our operational model has three key components – Integrated Commissioning, which consolidates all the commissioning function across the system; integrated provision accessed through a single point of access and support in the community; and integrated corporate functions that support commissioning and provision.
Integrated Locality Teams
Integrated Commissioning
One Wight Commissioning
(Macro-commissioning)
Micro-commissioning
Providers
People
Localities
Voluntary Sector
Integrated Provision (Points of Delivery)
One Leadership
One Island £
One Technology- Enabled Care System
One Information
One Empowered People and Workforce
Integrated acute services
Out of Hours
Community Care
Local Authority Services
General Practice
Independent Sector
Home
Voluntary Sector
Community Support
Integrated Corporate Functions
IT, Finance, Estates, HR, Procurement, Communications, Performance Reporting, Workforce Development

8. OUR TOP 5 CHALLENGES & SUPPORT REQUIREMENTS
We have identified five high level areas where Vanguard support will assist us in enabling My Life a Full Life to deliver at scale and pace.
One information, pathways approach. Workforce, system leadership, organisational form
While we have some capacity and expertise, we do not have the ability to deploy these as quickly as we would like.
Transitional costs to allow the step change.
Expertise to challenge, sense check and guide our journey.
ONE INFORMATION - INFRASTRUCTURE & SHARED RECORD
PATHWAYS APPROACH - PROVISION AND COMMISSIONING
WORKFORCE
SYSTEM LEADERSHIP DEVELOPMENT
ORGANISATIONAL FORM
KEY AREA
While we have some capacity and expertise on the island, we do not have the ability to deploy these as quickly as we would like
Transitional costs to allow for ‘step change’
Expertise to challenge, sense check and guide our journey
Note: more detailed issues, barriers, and support requirements will be discussed during the workshops

9. Proposed Governance Framework
In order to deliver My Life a Full Life, we have developed a Governance Framework. This is a matrix approach to programme management. The key system enablers cut across all areas of delivery.
The MLAFL Board reports directly to the Health and Wellbeing Board and holds the accountability for the whole system.
People representatives are involved a every step in the development of our thinking, co-producing and co-designing the services we will deliver.
A logic model of evaluation has also been developed to measure the impact we will make.
ISLE OF WIGHT HEALTH AND WELLBEING BOARD
Design Authority
My Life a Full Life Board (MLB)
NEW CARE MODELS BOARD
Joint Commissioning Board (JCB)
Joint Provider Board (JPB)
Workforce 7
Infrastructure/Estates 8
IT (Digital Enablement of Care Process) 9
Clinical Service Review
Integrated Locality Teams
Crisis Response / SPOA
Evaluation and Measurement
Development of My Life Navigators
Prevention
Health of the Older Population 10
Communications, Engagement and PMO 11
Organisational Integration / Form 12
Commissioning 13 1 2 3 4 5 6

10. ACHIEVING OUR VISION - HOW IT WILL FEEL
One new organisation leadership
Recognised brand
Advocate of My Life, A Full Life
Over the next 12 months there will be key changes in how leadership functions, how workforce feels, the MLAFL brand recognition and cultural change
A key thing to note throughout the 12 month vision is that collaboration is nothing new for us. We are already working across organisational boundaries and working together.
Leadership
MLAFL Brand
Cultural Change
There will also be significant changes to how we operate over the next 12 months and beyond. Frome the perspective of our operating model, this is how we will function differently.
Integrated Commissioning
Integrated Provision
Integrated Corporate Functions
The age and wellbeing of the Island’s current population is a reflection of how the rest of England’s population will be in 20 year’s time. If we can get care right here, we can lead the way for the rest of the country.
12+ months
FUTURE
Visible collaborative leadership
Visible external brand
True buy-in into My Life, A Full Life
Leadership working together
Visible brand
Engagement with My Life, A Full Life
12 months
6 months
One leadership
Visible external brand
Engagement with My Life, A Full Life
Empowered leadership
Visible internal brand
True ownership of My Life, A Full Life
One vision
Refreshed brand
Awareness of My Life, A Full Life
Today