1. Whats Changing, Whats New in Leeds? Mike Evans - Chief Officer Adults Zoë Thomas - New Type of Worker Project Manager Workforce Change Programme Wednesday 2nd March 05

2. Who we are? Where do we fit in? Overview of Leeds/West Leeds PCT An example of New Type of Worker Introductions

3. Over-hospitalised population and under resourced primary and community care Rebalance the health care system and reconfigure services Local patient and user events highlighted good processes for discharge but gaps in managing crises in community settings National strategies on long term conditions and targets to reduce emergency bed days Setting the Context

4. No more pilots Funding from changing existing services Systematic programme of change West Care Plus Clinical engagement a key priority Bring in expertise when required Making it Happen

5. Case Management Community Respiratory Team Community Rapid Response Service Community Beds within Leeds West £1 million investment Phase One - West Care Plus Programme

6. From a Chief Executive perspective Impact analysis to create confidence that targets can be met Use payment by results to reduce admissions From a GP Champion perspective Build service changes through primary care Opportunities from practice based commissioning Lessons Learned

7. Components to include Intelligence Service framework Admissions prevention Admissions diversion Reducing bed days Investment plan Workforce plan - Inc. New Type of Worker Technology plan The Next Few Years.....

8. New Type of Worker Project in Leeds Re-designing the role of our Community Support Assistants to enable them to do:- Low Level Nursing Tasks Therapy Tasks Rehabilitation Tasks

9. What Will be New About Our New Way of Working? An improved more seamless service user experience Staffs increased confidence and motivation A service that encourages re-gaining and/or maintaining independence A workforce with a clear and positive career pathway that can cross sectors

10. A programme that workers can obtain NVQ 2 or 3 in 12 weeks Jointly agreed strategies and clinical governances The potential to change how social care is delivered in all sectors in Leeds A model for inter agency working that can be shared and transferred More....

11. Strength does not come from physical capacity. It comes from an indomitable will. Mahatma Gandhi

12. Questions....