Developing local partnerships: transforming community services and reducing inequalities Dr James Morrow Chair, Clinical Management Board Assura Cambridge.

Slides:



Advertisements
Similar presentations
Derby Hospitals moving forward in the 21 st Century …. Dianne Prescott, Director of Strategy & Partnerships Future Strategy.
Advertisements

What next for End-of-Life Care?
Regional DNACPR Policy Steve Barnard, Head of Clinical Governance, North West Ambulance Service NHS Trust
Health Innovation Exchange
Developing our Commissioning Strategy Richard Samuel.
The Patient Safety Challenge in the UK Dr Kevin Cleary Medical Director National Patient Safety Agency.
Patient Public Involvement (PPI) Policy What is PPI? PPI means putting patients and public at the centre of all that we do. It encourages the active participation.
Worcestershire Joint Health and Well Being Strategy
Faithworks Wessex Early lessons from the Poole Integrated Care Pilot Matt Thomas Consultant Physician Dept of Medicine for the Elderly Poole Hospital NHS.
Well Connected: History Arose out of Acute Services Review Formal collaboration between WCC, all local NHS organisations, Healthwatch and voluntary sector.
Well Connected: History A reminder - previous presentation in December 2013: Arose out of Acute Services Review Formal collaboration between WCC, all.
CIPFA North West Audit, Risk and Governance Professional Development Group Warrington, November 2014 Health & Social Care Workshop.
28th March 2013 Debbie Newton Chief Operating & Finance Officer
NHS Services, Seven Days a Week Professor Sir Bruce Keogh National Medical Director NHS England.
South West Experience. How we went about Different Perspectives Findings Questions But first …………………..
Delivering the right data to the right person at the right time Improving services to patients with long- term conditions Professor Michael Thick Chief.
Integrated care pilots – Care Without Walls. NHS Next Stage Review What is integrated care? More personal and responsive care Better health outcomes Joint.
The Care Debate: an NHS provider perspective Dr Ros Tolcher Chief Executive, Harrogate and District NHS Foundation Trust National Care Association Symposium.
Integration, cooperation and partnerships
Ian Williamson Chief Officer Greater Manchester Health and Social Care Devolution NW Finance Directors Friday 15 May 2015 Ian Williams Chief Officer Greater.
Integrated care in Westminster, Kensington & Chelsea and Hammersmith & Fulham Jenny Platt 24 th June 2015.
Birmingham Health And Wellbeing Partnership An introduction to the partnership Darren Wright Life Expectancy – Programme Manager.
The End of Life Care Programme Adrienne Betteley End of Life Care Programme Lead Merseyside and Cheshire Cancer Network.
Concept To develop a low cost, consistent end of life care programme, available to all care homes. It will support the development of nominated staff.
Transforming Community Services Vanessa Griffiths.
CCG Strategy Update Lewisham Children and Young People Strategic Partnership Board 26 th January 2015.
Integration Working together for a caring, healthier, safer Edinburgh 12 th February 2012.
County Durham Planning Unit – Strategic Plan on a page
Northamptonshire Integrated Care Partnership How Can Hwbs Promote Integration Across Health And Social Care? Northamptonshire’s Experience Raf Poggi GP.
Better Care Fund John Webster – Director of Commissioning Chris Badger – Assistant Director – Health and Social Care Integration.
Darzi Review and The End of Life Care Strategy A summary and initial analysis Graham Elderfield Chief Executive Earl Mountbatten Hospice
World Class Commissioning Claire Whittington Deputy Director, Commissioning Department of Health.
Improving End of Life Care in Leeds 15 th June 2009 Angela Gregson Practice and Professional Development Lead Palliative and Continuing Care.
Healthcare plays an important though proportionately small role in preventing early deaths. Improving how we live our lives offers far greater.
Department of Health The Role of the DPH and Joint Strategic Needs Assessment George Leahy Head of Public Health Development Department of Health PUBLIC.
Having your say within the new NHS health structures.
Dr Caroline Gamlin Director of Public Health NHS Somerset World Class Commissioning.
Transforming Community Services Commissioning Information for Community Services Stakeholder Workshop 14 October 2009 Coleen Milligan – Project Manager.
Together – delivering the best personal services Opportunities & Challenges in Health & Social Care Integration 7 October 2011 James A. Reilly Chief Executive.
Penny Emerit Acting Director of London Programmes May 2010 Polysystems: how do they support tackling health inequalities in Sectors and PCTs?
ARE THERE ANY LESSONS FOR US FROM A ‘CARE TRUST PLUS’? ‘Making Partnerships Work in Health & Local Government’ Peter Melton PEC Chair, North East Lincolnshire.
VSNW Conference October 2014 Better Care and Integration Sue Lightup – Strategic Director, Salford City Council and Chair of ADASS NW.
How can Geriatricians help PCTs?. What on earth is world class commissioning? Department of health has set criteria by which it wishes PCTs to operate.
ProMISE Proactive Management and Integrated Services for the Elderly ProMISE The Bromley Programme Sam Merridale, Programme Lead June 2012.
Complex Care Teams Context The Department of Health white paper “Our Health, Our Care, Our Say” ‘By 2008 we expect all PCTs and local authorities to have.
Health and Wellbeing Scrutiny Select Committee Sue Lightup; Community, Health and Social Care Mel Sirotkin; Public Health.
Clinical Commissioning Dr James Kingsland General Practitioner Wallasey Chairman Wallasey Health Alliance LLP National PBC Clinical Network Lead President.
Implementing NHS North West MPET priorities across MCCN Kathy Collins Associate Director Merseyside & Cheshire Cancer Network.
BACKGROUND TO THE HEALTH AND WELLBEING STRATEGY Neil Revely.
EQUITY & EXCELLENCE ADASS DISABILITIES OCTOBER, 2010 NETWORK.
Berkshire Healthcare NHS Foundation Trust The Community Health Services of Berkshire East and Berkshire West are part of Berkshire Healthcare NHS Foundation.
Linda Devereux Associate Director Merseyside and Cheshire Cancer Network - why we are here and what’s next!
Healthwatch – lunch & listen 30 th September 2015.
Integration of Health and Social Care Keith Darragh – Assistant Director Safeguarding, Quality and Business Strategy.
Dorset Clinical Commissioning Group Dr Paul French.
The Primary Care Home Dr Sanjiv Ahluwalia NAPC Executive.
Simon Williams Director of Community and Housing.
What is UnitingCare? A new NHS partnership between: - Cambridgeshire and Peterborough NHS Foundation Trust (providing mental health and community services.
Better health, better value How the NHS is changing Anne Swan Chief Executive NHS Bournemouth and Poole.
The Health and Social Care Academy Integration Series Palliative Care: from acute to the community #palliativecarescot.
NHS Reform Update October Context Health Reform Agenda Significant pace of change Clear focus on supporting the Transition Process At the same time.
South Birmingham Community Health Journey to Community Foundation Trust.
Transforming care in Hampshire Our multi-specialty community provider.
Macmillan Cancer Improvement Partnership North Manchester Macmillan Palliative Care Support Service Commissioning Lead: Moneeza Iqbal Programme Lead: Christine.
Health Visiting Service Our Model Family centred Wider Partnership working with stakeholders Holistic Preventative, proactive & systematic Sustainable.
Our Five Year Health and Care Strategy - Plan on a Page Worcestershire Joint Health and Well Being Strategy We will work to deliver financial balance,
New Economy Breakfast Seminar – 13 July What Has Changed?
Epsom Health and Care Working in Partnership and Developing the Focus on Prevention and Pro-active Interventions.
Developing an Integrated System in Cambridgeshire and Peterborough
Improving Care, Health and Wellbeing David Behan
Presentation transcript:

Developing local partnerships: transforming community services and reducing inequalities Dr James Morrow Chair, Clinical Management Board Assura Cambridge LLP

17 Cambridgeshire General Practices 172,000 registered patients Provider organisation 50:50 joint venture with Assura Group Ltd One of 30 similar LLPs across England

Background to reform Increased focus on long term conditions & end of life care Transfer of acute services to the community Right care in the right place at the right time Promotion of greater user independence, choice & control Reform through integration Long term sustainability

Integrated Care Organisation Pilots Department of Health pilot programme –> 700 expressions of interest –> 100 formal applications –16 national pilot sites Cambridge ICO Pilot focus on end of life care

Cambridge ICO Pilot Partnership between: –Assura Cambridge LLP –Cambridge University Hospitals NHS Foundation Trust –Cambridgeshire Community Services Support of NHS Cambridgeshire (PCT)

Improving Outcomes Integrated working: –Patients –Organisations –Clinicians –Systems and processes –Third sector agencies

Place of death – Cambridgeshire 2006 Source: ONS Recoded

Source: NHS Cambridgeshire Benchmark – deaths at home

Source: NHS Cambridgeshire Cancer deaths at home

ICO Pilot Key Metrics Proportion of population expressing choice of place of death % of those expressing a choice who die in their place of choice % of patient deaths within pilot practices occurring at home Number of patients dying in hospital after admission from nursing home

ICO Pilot objectives at 2 years >50% of those who know that they are dying able to die in place of choice Best practice embedded across organisations Consistent use of tools across organisations Patient-centred care with patient reported outcome measures Organisations thinking and acting together

ICO Pilot Developments Patient, family and carer reported outcome measures Increased public awareness Engagement of funeral directors Analysis of “failed” preferred priorities of care plans Shared budgets

ICO Pilot – Sharing Information Shared Care Records – detailed, accurate and accessible –Community services –Acute hospitals –Hospices –General practice –Out of hours service –Ambulance service –Patients, families and carers

ICO Pilot - Organisational Create new relationships around patient care, not historical accident Changes must be sustainable and self-funding Prospective evaluation Build on existing knowledge and resources Create a template for integrated care

Identified Risks Organisational protectionism Data sharing across organisations Clinical Audit Financial tracking Short time frame to deliver change Over-engineered solutions Clinical risk management

Conclusion Commitment to integrated working Agreement to shift resources into the community Improving care across the board: Helping the best to be better Capturing & disseminating best practice Targeting released resources to areas of relative deprivation Part of the system; part of the solution

Questions?