1. Integration, cooperation and partnerships Care Act 2014

2. Integration, cooperation and partnerships are not new concepts  Health Act 1999  Independence Wellbeing and Choice 2005  National Health Service Act 2006  Health and Social Care Act 2012 2 “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 the service user experience  Eliminate duplication  Streamline care pathways  Collaborate on early intervention and prevention  Improve safeguarding

3. Why integration, cooperation and partnerships? 3 Organisational barriers Different operational practices Duplications Better access to services Local provision Prevent and delay care needs Integration, cooperation, partnerships “Silo” working

4. What does the Act say? Sections 3, 6, 7 and 43 of the Act require that: 3.“A local authority must exercise its functions under this Part with a view to ensuring the integration of care and support provision with health provision and health-related provision” 6.“A local authority must 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” 7.“Local authorities and their partners must co-operate where this is needed in the case of specific individuals who have care and support needs” 43.“Each local authority must establish a Safeguarding Adults Board (SAB) for its area... The way in which a SAB must seek to achieve its objective is by co-ordinating and ensuring the effectiveness of what each of its members does.” 4

5. What do we mean by integration, cooperation and partnerships?  Integration: The combined set of methods, processes and models that seek to bring about improved coordination of care  Cooperation: Public organisations working in partnership to ensure a focus on the care and support and health and health-related needs of their local population  Partnership: A joint working arrangement where the partners: are otherwise independent bodies; agree to co-operate to achieve a common goal; create a new organisational structure or process to achieve this goal; plan and implement a joint programme; share information, risks and rewards 5

6. With whom should local authorities cooperate? 6 Cooperation Local authorities District Councils Other authorities Health CCGs Hospital trusts NHS England DWP Police Prisons and probation Others

7. Working together: examples of integration, cooperation and partnerships  Strategic planning by building better commissioning arrangements or joint commissioning teams  Commissioning integrated services, or jointly commissioning specific services such as advice and advocacy services  Assessments, information and advice such as integrated health, care and housing assessments  Delivery or provision of care via integrated community teams, or working with housing providers to ensure that adaptations support independence, reablement or recovery 7