Theory to Practice Integrated Care with the Voluntary Sector Tuesday 17 June 2014 Dr Abigail Barkham RGN, Dip. PHCN, BSc(Hons.) Integrated Services Matron Southern Health NHS Foundation Trust

The Modern NHS Improving efficiency Outcomes focused. Clinical Commissioning Groups QIPP Agenda. Care closer to home. CQC – Mid - Staffordshire trust. Choice & Competition & Technology . Integrated Care

Long term conditions in the Community In a recent study of 1.7 million people in Scotland (Scottish School of Primary Care 2012) it was found that the majority of those aged over sixty five have two or more chronic conditions and the majority of those aged over seventy five have three or more conditions. International evidence suggests that people with multiple LTC’s also experience more problems with the coordination of care as health services are largely geared to provide care for single diseases (Commonwealth Fund International Health Survey 2010).

The Journey. My Hunch as a Community Nurse in Practice. The PhD Moving to the South West Division Meeting Age UK The idea Implementation and measurement embedded in the CQUIN.

Research Findings. Study Design Sample size 40. 4 groups. Study participants will attend a 2 hour fortnightly group, attended by 8-10 service users and the researcher /practitioner. Group care was structured to umbrella the routine care delivered by CMs.

What did I find out ? Improved self-efficacy. Improved levels in the confidence that service users had to make decisions to look after themselves.

Comparison Learning Ownership 'we compare ourselves to each other.' 'We learn from each other.' Ownership 'Our Groups' Comparison 'we compare ourselves to each other.'

Age UK partnership, theory into practice. Social model established in Age UK. Applying a health aspect to the lunch club Community Care Team service users inputting into lunch clubs for care element and for social interaction. Self-management talks to existing service users. Running three times a week Age UK lunch Clubs St Barnabus- Weeke, Winchester Baptist Church, Winnall

Experience examples.

Age UK partnership working Andover. Community Care Team navigator 12 month pilot. Recognizing a need within caseload for ongoing mentorship to promote independence and community living. Community care Team navigator band 2 10 hours a week Age UK facilitator to manage referrals and appoint volunteer to relevant referrals for ongoing mentorship. Sign posting to other services OPMH roll out Case study .

Winchester University parneship working. Winchester University Students can complete a community module. This enables them to work as volunteers within host organizations Used at Age UK lunch clubs, so SHFT has indirect link through this partnership On going project working more directly with Winchester University on a patient experience project. Potential to role out more widely if successful.

Next Steps? We are working to better integrate our services with other providers for the benefit of our patients, and as part of that we want to work more closely with voluntary organisations to help transform the care we deliver. As the NHS landscape continues to change, working closely with the people who provide care and support to our patients and service users will be vital in helping us deliver the best possible outcomes.

Any Questions?