1. “If we can’t make it work here, then it won’t work anywhere….” John Rivers Chairman, Isle of Wight CCG Introduction to My Life a Full Life & Vanguard Simon Paul & Jacqui Skeel

2.  MLAFL story so far  Vanguard progress so far  What next  Summary and Close Format for the session

3. About ‘My Life a Full Life’ Why we are unique Care on the Island will be shaped around people’s individual needs and managed by them. Our model focuses on keeping people happy and healthy through self-care and self- management. Working together is nothing new for us. My Life, A Full Life is already working across organisational boundaries, sharing resources and expertise. We’re already on the way – but we can go further and faster with your help! The age and wellbeing of the Island’s current population is a reflection of how the rest of England’s population will be in 20 year’s time. If we can get care right here, we can lead the way for the rest of the country. We have an incredibly active voluntary sector on the Island, along with strong communities. Both are at the core of the My Life, A Full Life model. Our starting point for going forward Prevention and Early Intervention – accessing information and support Establishment of an Integrated Access hub The formation of 3 integrated locality teams Our three key projects Key Statistics GP Registered population of 2.5m visitors per annum Large summer music festivals 2 1 2 3 Why we are the perfect Vanguard site Strong My Life, a Full Life brand Single system, single boundaries (NHS Trust, CCG, Local Authority) Strongly engaged community Only accessible by sea and air 380 km 2 141,857

4. My Life is a Full Life I’ll no longer be a patient or a client – I’ll be a person I have access to a range of support that helps me to live the life I want I can plan ahead and keep control at times of crisis Integrated Locality Teams Prevention and Early Intervention Integrated Acute Services Integrated Single Point of Access I am able to get skilled advice to plan my care and support I have consider ate support delivere d by compete nt people I feel valued for the contributi on that I can make to my communi ty I have access to easy to understa nd informat ion Evaluation, continual improvement and sharing lessons learned Vision What do people want? What will we do? One Technology- Enabled Care System One Island £One Leadership One Information One Empowered People and Workforce How will we do it? My Life a Full Life - Our Vision & Ambition

5. Vanguard progress so far… May 2015  One of 29 sites approved for Vanguard, NHS England visit June  My Life a Full Life submitted a funding request for £8m to support the further development of the integration programme August  £8m My Life a Full Life funding request is approved by NHS England Investment Committee  Workstream leads identified / initial discussions on project plans September  The first tranche funding is released  Governance starts to be set up  Project plans start to be developed  Interdependencies start to be identified

6. By the end of December 2015  Final 2015-16 funding release request to be received by NHS England  The next Value Proposition (2016/17+) to be ready for submission to NHS England  Interim MLAFL Programme Director and WISR Project Director in place until substantive appointments made  Governance processes agreed and in place, with the My Life A Full Life Board meeting fortnightly  Consistent programme management office methodology adopted  Work-streams established & interdependencies mapped  Project charters & plans developed with work-streams Vanguard progress so far…

7. 5 year forward view Integrated Primary & Acute Systems (PACS) GP, Hospital, Community & Mental Health Multi-specialty Community Providers (MCP) Enhanced Health in Care Homes Work streams comprise:  Four ‘Service’ work streams, which will deliver the ‘person- centred’ outcomes across the system.  Six ‘Enabler’ work streams, which will deliver the requirements that underpin the Service work streams. VANGUARD

8. Immediate priorities  Programme management office  Workforce infrastructure  Whole Integrated Service Review  Continue developing the work-streams and supporting the project teams to:  Accelerate pace of change  Developing robust delivery plans, ensure interdependencies are included within the next level of planning  Firm-up milestones and reporting arrangements through PMO  Coach and build internal capability  Develop business cases for funding release What next?

9. Focus 1: Prevention & Early Intervention  Recruitment of Local Area Coordinators  Development of an Island-wide Prevention and Early Intervention Strategy Focus 2: Integrated Access  Establishment of an Integrated Access point that includes but is not limited to; hospital, ambulance (999 and 111 calls), out of hours GP, district nursing, multi-disciplinary community support teams, mental health, social care and the voluntary sector. Focus 3: Integrated Locality Teams  Establishment of three locality teams that are led by primary care, lead nurses, and social services  Appointment of three GP Locality Leads and Lead Locality Nurses  Development of a strategic partnership with health and social care Focus 4: Whole Integrated System Review  Agreement of the scope, objectives, and guidelines by the My Life A Full Life Board  The Review is anticipated to start in December 2015. What next?

10. Next steps: Enabling Workstreams Leadership, workforce and organisational development  Identify leadership development interventions to support a system wide development framework.  Development of a central 'development directory' to support the creation of the 'centre of excellence‘ One Information and technology enabled care, infrastructure, estates  Develop technology strategy for enabling shared health and care records  Review current estates and buildings, and develop a strategy in line with estates to provide access for personnel in any building. Organisational Integration and Form  Review the current corporate support functions and conduct initial scoping to lead into an options appraisal  Develop the Joint Provider Board and further develop the Joint Commissioning Board

11. Strategic Commissioning and One Island £  Design road map to deliver One Island £  Commission as a Single Entity; engagement and co-production with councillors, GP members, health-watch and governing body  Develop new contracting models to enable innovation and collaboration Evaluation and Measurement  Develop My Life a Full Life evaluation framework for each workstream  Develop tools to gather qualitative and quantitative data from staff and service users  Gather and analyse metrics for base line data Communications, Engagement and PMO  Develop and implement communication and engagement strategy and  Develop plan for roll out of shared language / plain English approach (for new docs) to include health / care services  Establish and support quarterly forum and regular meetings for engagement and co- production partners Next steps: Enabling Workstreams

12. Summary and Close Contact us: Jacqui Skeel- jacqui.skeel@iow.nhs.uk jacqui.skeel@iow.nhs.uk Simon Paul- simon.paul@iow.nhs.uk simon.paul@iow.nhs.uk Keep posted- www.mylifeafulllife.com www.mylifeafulllife.com