1. Herefordshire and Worcestershire VCS Event
Transforming Services
30th March 2017

3. STP Vision
Our vision: Local people will live well in a supportive community with joined up care underpinned by specialist expertise and delivered in the best place by the most appropriate people.

4. In reality this means…
• Organisations working better in partnership to make services easier to navigate and access • We all need to do more to support healthy living, or to self-care and manage aspects of our conditions ourselves • Improving parity of esteem between mental and physical health, so both types of conditions are viewed equally • Providing more care in the place where you live or closer to home, reducing avoidable hospital admissions Making our current out-of-hospital system more efficient and effective • Improving access to urgent care • Ensuring our specialist services are safe and sustainable

5. Enabler 3: HEALTHY COMMUNITIES AND THE VCS
• We recognise the importance of reengineering our system so that health and care services work alongside thriving communities to realise the value of individuals, their informal networks and wider communities. Being able to respond to the new landscape ahead requires the vision and commitment of all and embracing different partners into a new way of working. In particular this includes listening and responding to different solutions that are presented by the VCS, who often have effective methods, if not the means, to support those facing multiple disadvantage.
• The adoption of “a better conversation” approach across the wider system; including volunteers, community champions to develop a lay coaching model to focus on what is important to the individual in managing their day to day lives with a health condition.
• We recognise the depth of understanding that the sector can bring and the significant benefits of prevention. There are numerous asset based activities already implemented across our STP, creating social capital across our communities and we want to scale up this approach to promote and strengthen the factors that support good health and wellbeing, protect against poor health and foster positive communities and networks.
• The VCS has a vital role in reducing demand on formal services such as unplanned hospital admissions for example through care navigation/bridging roles, peer support and group activities . The sector also helps to address health inequalities by contributing to wider social outcomes such as employment and school attendance.
• Therefore, we need to find ways to tap into the energy, enthusiasm and innovation of the VCS in a coordinated manner, including a simplification of the commissioning process to enhance the contribution that the VCS can make, particularly those grassroots community organisations who struggle with complex commissioning arrangements. We will also strengthen how we support volunteering, recognising the assets and capacity of the workforce in our wider system planning.

6. Extracts from main body of STP
Partners across the footprint recognise that the solution to the sustainability and efficiency challenges facing health and social care cannot be dealt with by partners nor organisations working alone. Individuals, families, local communities, Voluntary and Community Sector Partners all have a core role to play in developing solutions.
Development of dementia services – with a focus on early intervention, strengthened VCS links and interface with frailty pathway
We will be better at helping residents to draw on the support available from their local communities and voluntary groups, and we will help those communities and groups develop the capacity to meet these needs. We will use social impact bonds and social prescribing to support this
Support patients and carers to self-manage their own conditions, harnessing voluntary sector partners and communities to support independence and reduce loneliness.
Support people to manage their own health, linking them with social support systems in their communities and identify when a non-clinical intervention will produce the best experience and outcomes for patients.

7. Prevention Board
STP Prevention Programme Board – Terms of Reference agree at last meeting 
VCS Rep on Board – will forward the nominations
And If too many?

8. Update STP Board 21st March 2017
Feedback from engagement process – understanding of need to respond
Recognition of potential for VCS involvement in transport provision
Recognition that the workforce workstream has progressed further than others – VCS involvement from the start
NHS Involvement on Engagement with public/VCS

9. VCS Presentation to the Board
Context
Service redesign

10. VCS Presentation Our offer to you – manifesto, expectation
Not in it to make a profit
We will be equal partners- we bring resurce to the table
Benefits – e.g. Tony’s slide -
NHSE slide as examples
Principles –
Examples – mixed bag – lots of solutions, but don’t want to give them away
Better value for money
Sector organising itself – examples from elsewhere e.g. infrastructure, consortiums etc. – themed?
What we need from you
Work with us to develop a new commissioning model / not a standard NHS contract
Dialogue – re co-commissioning/co-design
Work with us as partners, not competitors
Acknowledgement of expertise
Resource!
Trust

11. VCS Presentation to the Board
Context – they should know this! -
Shared vision – VCS is part of it
Influencing for good of our communities
Respect for VCS -
Need to engage – STP and workstreams
Duplication public sector/NHS
Not reps / reflectors
Need a cahnge in attitude
Workforce – v. skilled labour force – adpatable, flexible – cope with change
Community connection _‘glue’, community link
Public voice – advocacy – vulnerable grpups
engagement?/research – re patient/client voice and constant dialogue
what is the VCS? Diversity
Snapshot of number or organisations, income, volunteers, staff – organisations on the edge
Range of services – examples
How we work – focus on outcomes, person-centred
Not tied to NHS T&Cs
Not all about what we can do for free! – volunteers come with paid services – added value
Service redesign
In STP – mentiones social prescribing and navigation -
– involve us as an early stage
Don’t consider us as ‘competitors’ – we are partners / involve us all the way through and as deleivers
What are we offering re: process

12. VCS Presentation How we’ll organise ourselves – our offer to you
Role of this group going forward – single point of contact
Agreement between us
VCS reps. for workstreams/Boards
Route to vulnerable people
Supporting prevention agenda
What we need from you
Understanding of the role we can play
Transparency
Partners not competitors
Social Value embedded in contracts
Simplified contracting process

13. VCS Presentation – practical arrangements
Who to deliver presentation (not JB or CC)