1. The Torbay Experience Adrian Jacobs Director of Primary Care Torbay PCT

2. The Local Context Care Trust Mature Health Community Planning infrastructure that crosses traditional boundaries – professional and organisational Multi Professional Health and Social Care Teams Focus on the Management of Long Term Conditions is now embedded.

3. Opportunities and threats Choice Payment by results Practice based commissioning Politically driven organisational change

4. Torbay KP projects Integrated Health and Social Care Centre in North Torquay Redefining the role of a Community Hospital Redefining the referral process Linking nGMS to a reduction in unplanned admissions Alternatives to admission

5. A Change of Focus Moved away from projects to embedding change in systems and culture. –Getting Patients Treated –Unscheduled Care Group –Strengthened local management –Local Multi-professional teams –Professional Leadership

6. Themes for change Know the people planning Treating unscheduled admissions as a failure of chronic disease management. Make the right thing to do the easiest thing to do. Working in partnership as a health and social care community. Develop a Long Term Conditions Strategy

7. Themes for further work with KP Medical Leadership development Better use of information Clinical placements Self Care?