1. Birmingham Better Care

2. Agenda

3. Dr Andrew Coward | Introduction

4. “Everybody is a genius. But if you judge a fish by its ability to climb a tree, it will live its whole life believing that it is stupid” Albert Einstein

5. Dr Barbara King| Context setting: Better Care and the Birmingham health economy

6. It’s all about integration health and social care. Increasing pressure on services- several reasons New plan and approach Prevention Care in a crisis Recovery after illness Why change?

7. Critical to the programme Integrated community and General Practice Holistic care Improved communication Reduction in duplication Supporting people to remain healthy and in crisis and recovery Primary Care

8. 5 year forward view New models of community provision Delivering more joined up services within the community Opportunity

9. The data demonstrates that by 2017, 9,531 admissions in could be avoided by prevention focused interventions Heartlands & Good Hope Hospitals = 2,018 days University Hospitals Birmingham = 1,440 days CITY hospital = 893 days TOTAL = 4,351 What would that mean for secondary care?

10. Judith Davis| The specifics of Birmingham Better Care

11. What is Birmingham Better Care? Better Care is Government Policy to bring together health and social care in places which will improve outcomes for individuals and deliver a more cost effective health and social system. Although called the Better Care Fund there is no new money and much of the money in the mandatory pooled budget is pooled with commitments. The current pool includes community service budgets such as community nursing which technically puts these resources under the stewardship of the Health and Wellbeing Board There are a number of must do’s within the policy. You will all see on a daily basis patients, particularly the frail elderly who should benefit from this policy. But there are a number of overlaps with other policies which we need to work through

12. ‘I statements’ | a common narrative across the city I want to stay at home for as long as possible I want help to understand my illness and how to manage it I don’t need experts all the time I worry about having to go into hospital and about when I can’t look after myself anymore I worry about my carers GP surgeries are important points for me but I don’t always need to see a doctor I need people who can help and advise me, not put barriers in my way to stop me getting what I need I want to be understood Priorities 1.Keeping people well where they live 2.Making help easier to get 3.Better Care at times of crisis 4.Making the right decisions when people can no longer cope

13. Better Care work schemes Scheme 1: Developing and agreeing the case for change Scheme 2: Creating the impetus for change Scheme 3: Defining new Primary Care Service delivery models and Accountable community professional Scheme 4: Equipment and technology Scheme 5: Discharge from acute setting and step up/ down care Scheme 6: Instigate 7 day health and social care services Scheme 7: Establish Combined point of access Scheme 8: Improve data sharing between health and social care Scheme 9: Dementia strategy

14. Yvonne Richards & Alison Massey| Introduction to scheme three – place based integration

15. Place Based Integration Project Aims Focuses on: Keeping people well where they live, helping to maintain independence in their local communities Aligning support locally to primary care and non statutory services Establishing wellbeing co-ordinators Promoting & Developing Community Resilience through third/voluntary sector Implementing support to improve the quality of life for unpaid carers and their families, including future commissioning intentions

16. Current Status Initial asset mapping completed; next phase related to emerging primary care Identified best practice local and national for integrated care models and co-ordinators Effective co-operation from all stakeholders Proposals for next phase implementation developed Agreed web portal development for voluntary services across Birmingham Positive progress with sub projects, Carers and Care homes

17. Next steps Key steps for development Agree sites to engage in next phase Approve approach and requirements for Birmingham wide third sector service directory Dr Matthew Boulter and Dr Tamsyn Anderson 0.42 -1.25 1:44- 2:10 and 3: 04- 4.:01 https://youtu.be/OvQLBt3dACY https://youtu.be/OvQLBt3dACY Volunteers 3.12 - 3:52 then 4:13 https://youtu.be/Ib7IZgKmyKQ https://youtu.be/Ib7IZgKmyKQ

18. About scheme three | Accountable Community Professional and Primary Care MDT Aim: To use the ethos of ‘supportive care’ To anticipate and coordinate care for older people who have health and social care needs. To prevent avoidable hospital admissions. To define the roles and responsibilities of the ACP and MDT Progress: Strong engagement from frontline professionals and members of the public MDT framework produced and approved ‘My Care’ Patient held care plan approved Patient information leaflet approved Primary Care MDT self-assessment approved Next steps: Pilot and develop work to date

19. Table top discussion What are you doing and how can we work together? 1.Given what you’ve heard today, what developments in Primary Care are you aware of or involved in? 2.How do these programmes of work interface with Birmingham Better Care? 3.How do we actively collaborate?

20. Judith Davis| Next steps

21. Thank you. www.birminghambettercare.com @bettercarebrum birminghambettercare@nhs.net