Locality Planning

Scottish Government Guidance key points

key point 1 Localities to be the engine room bringing together service users, carers and health and care professionals

key point 2 Forums created to bring everyone together to have an active role in service design and improvement

key point 3 People living in communities must also have a meaningful role – with collaborative local decision making/active citizenship

Synergy required with existing Community Planning arrangements. key point 4 Synergy required with existing Community Planning arrangements.

Planning Process Overview

Provides Strategic Direction Aligns funding Carries out actions Integration Joint Board Strategic Planning Group Local Community Planning Groups Provides Strategic Direction Aligns funding Carries out actions This slide demonstrates how the locality plan links with the strategic direction. HSCP Strategic Plan (2016-2019) Strategic Commissioning Plan Year 1 (2016-17) HSCP Locality Plans

Change & Implementation Plan…

“Building on a person’s abilities, we will deliver high quality person centred care to enhance their independence & wellbeing in their communities”

4 Programmes

15 Strategic Priorities

ACTIONS IDENTIFIED VISION OUTCOMES Change Driver s PROGRAMMES Building on a person’s abilities, we will deliver high quality person centred care to enhance their independence & wellbeing in their communities 5. H&SC services contribute to reducing health inequalities 6. People who provide unpaid care are supported to look after their own health, incl. to reduce any negative impact of their caring role on their own health 7. People who use H&SC services are safe from harm 8. People who work in H&SC services feel engaged with the work they do and are supported to improve 9. Effective resource use 2. People incl. those with disabilities or LTCs or are frail are able to live independently at home or in a homely setting in their community 3. People who use H&SC services have positive experiences of those services and have their dignity respected 4. H&SC services are centred on helping to maintain or improve the quality of life of people who use those services 1. People are able to look after and improve their own health and live in good health for longer OUTCOMES 14. Identifying, treating & promoting recovery from mental ill health (supports outcomes 5, 6, 9) 5. Improving the way unpaid carers are recognised & supported (supports outcomes 2, 6,9) 3. Involving people as partners in their care; listening & responding (supports outcomes 3, 4, 5, 6, 7, 9) 4. Self Care, & Self management of long term conditions (supports outcomes 2, 4, 5, 9) 6. Empowering the workforce to influence service decisions (supports outcomes 5, 8,9) 7. Reducing Health Inequalities (supports outcomes 1, 2, 3, 5,9) 8. Improving health; smoking cessation; reducing harm from alcohol, tackling obesity (supports outcomes 1, 4, 5, 6, 9) 9. Supporting people who use health & social care services to achieve their potential and contribute to the life of their community (supports outcomes 1,2,4,5,6,8) 10. Primary Care: better access, continuity of care, making best use of skills (supports outcomes 1, 6, 8, 9) 11. Dementia Early diagnosis, treatment & care (supports outcomes 1, 2, 3, 4, 5, 67 9) 12. Reducing avoidable admissions to hospital (supports outcomes 3, 7, 9) 13. Timely well-managed discharge from hospital to home or homely settings (supports outcomes 3, 7, 9) 15. Identifying & taking steps to protect vulnerable adults (supports outcomes 1, 2, 3, 4, 7, 8) VISION *Review & strengthen structures within H&SCP to ensure effective involvement & co-production of services *Community involvement / participation in Locality Service Improvement & Planning Develop health champion model Change Driver s The Best of Health and Care for Everyone Effective Treatment and Care * Anticipatory care planning (ACP) * Engagement with strategic planning * Self directed support * Gaining & responding to feedback * Risk enablement – use of technology, rehab/reablement & kit * Professional training & development e.g. personal outcomes * PH links to physical activity * 3rd Sector Rehab Services * NHS Rehab (pulmonary/cardiac) * Enhanced Services * Wider asset building * Peer support for young people with MH * ACPs * Sign posting of services * Development of primary MH workers * Self directed support * Risk enablement – technology, rehab/enablement & equipment * Service Development Officer for Carers Strategy * Short Breaks Bureau Knowing Who – VSA Commissioning Information on Carers * Creative Breaks * Development of empowered locality teams/Local Reference Groups * Participatory Budgeting Locality Plans * Devolved Budgets to Localities * OD/Improvement Facilitation & Support * Knowledge of data/information SIMD * Culturally appropriate approach in localities* Policy development * Keep Well Project * Targeting resource where it is needed (location & condition specific) * Programme of ‘improving health’ approach * Influencing national policies * Links to education and prevention * Community Empowerment Bill * Promotion of local physical & social activities * Need to understand what is required, the approach (services/colleagues roles) * Use of community assets * Direct access to diagnostics (locally, Shire & Grampian levels) * GP Contract – Access to Services * Modernisation Primary Care & provision of 24/7 services within communities Prescription for Excellence * Care at home/care home delivery models * Development of Virtual Ward Model across Shire with local flexibility Open access to services to enable choice/control Dementia Strategy Delegated services strategic planning Development of Virtual Ward Discharge Hub * Flow Programme * Daily Huddle * Interaction with ARI * Priority Discharge – Kaizen Action Plan * Well Functioning MDT Team * Flow Programme * Virtual Ward * Rehab & enablement * Transport capacity/availability * Befriending * Provision of very sheltered housing/care at home/care home * Excellent Communication & Joined Up Processes Between Primary & Secondary care * Primary Care MH Workers * ASSIST * STORM * MH First Aid * Virtual Ward links to MH/Cornhill * ADP Third Sector Commissioned Services * Adult Protection * Identification & Mitigation of Risks to Vulnerable Groups Involving & engaging with communities 1. Responsive and consistent community engagement and involvement in integration and service planning (supports outcomes 1,2, 4,5,6,9) 2. Informed, equitable and equality-sensitive locality involvement in use of community resources (supports outcomes 1,2,4, 5, 6, 9) Test approaches- participatory budgeting, community assets based approaches Strengthen community assets to complement / support health & social care services Work with Community Planning partners to implement the Community Empowerment Bill. PROGRAMMES Partners in Health & Social Care ACTIONS IDENTIFIED PRIORITIES

Locality Planning/Leadership Groups

We now need to create locality forums to lead service design and improvement. The SG guidance advises these people need to be involved:  health and social care professionals (including GPs and Primary Care Contractors) involved in the care of people using services housing sector representatives third and independent sector representatives carers’ and patients’ representatives service managers for the locality acute sector representatives public health / health improvement

LRG LOCALITY PLAN Text Service 3rd sector Partnership Improvement Managers Housing Performance Finance LRG LOCALITY PLAN Text HSCP inc GP’s Carers and Patients Reps Local Community Planning Workforce Devmt We now need to create locality forums to lead service design and improvement. The SG guidance advises these people need to be involved:  Location Managers Public Health Strategic Development Service Mgrs Acute Reps