2. Living Well in Localities Road Shows May 2015 Localities are where service changes can have a real and quick impact on outcomes The Improvement Network for Integrated Care and Support developed and delivered a series of Road Shows, May 2015, building on Locality Planning Conversations published June 2014. It is widely recognised that localities are the engine room of integrated care and support and the space where we will best engage and empower those who deliver and receive health and social care and support. Over 450 participants engaged in co-creating an exciting future through the Road Shows. The Road Shows gave partnership teams the opportunity to:  Illustrate the local approaches, successes and challenges around the emerging locality models across Scotland  Network and learn with, and from, other partnerships implementing new models of integrated care and support for people with complex and multiple conditions  Understand the improvement supports and resources that can help to drive local change The Living Well in Localities Story Book illustrates 7 Partnerships Story Boards, in the first instance. Partnerships will be offered the opportunity to add their emerging locality models in story format to contribute to the ‘never ending story’. Improvement Network for Integrated Care and Support purpose: ‘Networking for Improvement’ ‘Collectively create the conditions for people and organisations to share learning, ideas and experiences, think creatively and act collaboratively to transform integrated care and support to improve health and wellbeing outcomes’ Stay Connected by subscribing at www.jitscotland.org.ukwww.jitscotland.org.uk Mandy Andrew, Network Development Lead at: mandy.andrew@scotland.gsi.gov.ukmandy.andrew@scotland.gsi.gov.uk

3. I thought having dedicated time for people to visit the stands was an excellent idea, ensuring that it is not just a case of grabbing people in the ten minutes while they have their coffee. It was an excellent idea to get more footfall Pop up sessions were very informative and allowed you to gather maximum information on a short period of time. it was also good to move about often as these events can be very sedentary. The chance to get some space with colleagues away from the usual daily activities to think and chat through the issues and opportunities Very much enjoyed having the chance to speak to so many people from so many different areas! The opportunity to contribute to the national guidance The informal structure and tone of the event was excellent It was very hopeful while realistic and most importantly it was not death by PowerPoint!!

4. A Snapshot from Experiences in Highland: Highland Health & Social Care Partnership Contact: Alison.Phimister@nhsAlison.Phimister@nhs Describe your locality journey approach 1.Highland Health and Social Care Partnership established – April 2012 Lead Agency model health and social care teams 2.District (Locality) Boundaries established round natural communities – easier in the more rural setting 3.District Partnerships established – collaborative working across all agencies and stakeholders to collaboratively plan service delivery to meet identified needs. To be reviewed in light of new legislation 4.Highland Third Sector Interface launched March 2013, working with partners to develop volunteering, social enterprise, support and develop the third sector and build the third sector relationship with community planning 5.Strong Leadership at Unit, Area, District and integrated team level, professional leadership structures established 6.Co-location of multidisciplinary health and social care integrated teams 7.Establishment of ‘Single Point of Access’ to all adult services, new roles identified to support same 8.Improved access to services with introduction of new roles i.e. generic health and social care workers 9.Focus of enablement via in house Care at Home service to facilitate early discharge from and prevention of admission to hospital What has worked well? 1.Co-location of health and social care teams 2.Stronger relationships with independent sector providers, link workers established 3.Delegated levels of authority to area and district teams 4.Changes in appreciation of respective contributions of team members supports service improvement 5.Collaborative working to support emergent community groups to take on wider roles e.g. Seaboard Cares 6.Framework and Support for Third Sector partners 7.Coordination of health improvement, public health and community development resources 8.Increased resource allocation from preventative spend monies to mitigate effects of deprivation working collaboratively with partners to increase community resilience and capacity 9.Introduction of enablement service reducing dependence on service 10.Focus on service improvement – Highland Quality Approach What would you do differently? 1.Quality of relationships are paramount however address some structural issues e.g. IT access, HR issues earlier 2.Increase the profile of supportive community’s roles 3.Invest in community empowerment – capability and powers 4.Focus on creating time/ opportunities for networking for key issues 5.Focus on prioritising social connectedness 6.Enhance preventative interventions through strengthening work with communities 7.Recognise impact of organisational histories and culture on process of integration Achievements to date? 1.Increased local ownership evident, increased confidence + engagement in individuals and communities 2.Supporting communities to improve their overall health and wellbeing (e.g. Motiv8 and Well Now) and increase social connectedness 3. 4.Training and support to groups, staff, partner organisations to develop work around food and health including Cookery courses, food 4 thought, increasing the uptake of healthy start, infant nutrition and weaning. 5.Development of a resource to signpost people to available resources which support people who are experiencing a negative impact on their mental health and wellbeing. E.g. substance misuse who are affected by recent changes to the welfare benefits system with an emphasis on employability. 6.Community Health and Social Care services are accessible, appropriate and inequalities sensitive. 7.Directory of information services for older people in Mid and East Ross (RCOP Community Networks) 8.Stronger relationships with independent sector providers 9.Innovative post – joint funded OT post with housing – streamlines housing adaptations and access to funding

5. Aberdeenshire Health and Social Care Partnership Vision Building on a person’s abilities, we will deliver high quality person centred care to enhance their independence and wellbeing in their own communities What’s worked well Aberdeenshire Wide Reference Group – to share good practice; ensure consistency; support idea sharing and raise challenges face to face with Senior Management Team and Chief Officer Having a dedicated team to provide support The diverse membership of Locality Reference Groups enables good engagement with other partners e.g. community planning and 3rd Sector. Integration conversations Having a timeframe to work within helped bring focus. Getting groups of employees together across the partnership to engage. Using an asset mapping approach to identify what we have and then focus on “is this right”? “Is this the best we have to offer Mrs Smith?” Using a bottom up approach and a two way system of communication between operations and senior Being allowed to ’make mistakes’. Achievements to date Community Events – 2 per locality engaged with members of the public to start the journey of co- production at local level and raise awareness of the challenge of future demographic change. Staff engagement across all disciplines - bottom up approach Progress of design of Community Teams within each locality to deliver integration. Development days for professions to look at what opportunities integration brings. Developed video to communicate integration message at all levels. What would you do differently? Select Local Reference Group membership rather than ask for volunteers Encourage more development days for services – only a few have taken place and these were successful Establishing more diverse ways of communication may have helped those who haven’t engaged.

6. South Ayrshire Health & Social Care Partnership

8. Fife Story Board. Contact details: heather.ford@fife.gov.uk & fiona.mackenzie3@nhs.netheather.ford@fife.gov.ukfiona.mackenzie3@nhs.net

9. North Ayrshire Story Board. Contact details: annieweir@north-ayrshire.gov.ukannieweir@north-ayrshire.gov.uk

10. Dumfries & Galloway. Contact Details: robyn.langton@nhs.netrobyn.langton@nhs.net