Herefordshire and Worcestershire VCS Event Transforming Services 30th March 2017

STP Vision Our vision: Local people will live well in a supportive community with joined up care underpinned by specialist expertise and delivered in the best place by the most appropriate people.

In reality this means… • Organisations working better in partnership to make services easier to navigate and access • We all need to do more to support healthy living, or to self-care and manage aspects of our conditions ourselves • Improving parity of esteem between mental and physical health, so both types of conditions are viewed equally • Providing more care in the place where you live or closer to home, reducing avoidable hospital admissions Making our current out-of-hospital system more efficient and effective • Improving access to urgent care • Ensuring our specialist services are safe and sustainable

Enabler 3: HEALTHY COMMUNITIES AND THE VCS • We recognise the importance of reengineering our system so that health and care services work alongside thriving communities to realise the value of individuals, their informal networks and wider communities. Being able to respond to the new landscape ahead requires the vision and commitment of all and embracing different partners into a new way of working. In particular this includes listening and responding to different solutions that are presented by the VCS, who often have effective methods, if not the means, to support those facing multiple disadvantage. • The adoption of “a better conversation” approach across the wider system; including volunteers, community champions to develop a lay coaching model to focus on what is important to the individual in managing their day to day lives with a health condition. • We recognise the depth of understanding that the sector can bring and the significant benefits of prevention. There are numerous asset based activities already implemented across our STP, creating social capital across our communities and we want to scale up this approach to promote and strengthen the factors that support good health and wellbeing, protect against poor health and foster positive communities and networks. • The VCS has a vital role in reducing demand on formal services such as unplanned hospital admissions for example through care navigation/bridging roles, peer support and group activities . The sector also helps to address health inequalities by contributing to wider social outcomes such as employment and school attendance. • Therefore, we need to find ways to tap into the energy, enthusiasm and innovation of the VCS in a coordinated manner, including a simplification of the commissioning process to enhance the contribution that the VCS can make, particularly those grassroots community organisations who struggle with complex commissioning arrangements. We will also strengthen how we support volunteering, recognising the assets and capacity of the workforce in our wider system planning.

Extracts from main body of STP Partners across the footprint recognise that the solution to the sustainability and efficiency challenges facing health and social care cannot be dealt with by partners nor organisations working alone. Individuals, families, local communities, Voluntary and Community Sector Partners all have a core role to play in developing solutions. Development of dementia services – with a focus on early intervention, strengthened VCS links and interface with frailty pathway We will be better at helping residents to draw on the support available from their local communities and voluntary groups, and we will help those communities and groups develop the capacity to meet these needs. We will use social impact bonds and social prescribing to support this Support patients and carers to self-manage their own conditions, harnessing voluntary sector partners and communities to support independence and reduce loneliness. Support people to manage their own health, linking them with social support systems in their communities and identify when a non-clinical intervention will produce the best experience and outcomes for patients.

Prevention Board STP Prevention Programme Board – Terms of Reference agree at last meeting  VCS Rep on Board – will forward the nominations And If too many?

Update STP Board 21st March 2017 Feedback from engagement process – understanding of need to respond Recognition of potential for VCS involvement in transport provision Recognition that the workforce workstream has progressed further than others – VCS involvement from the start NHS Involvement on Engagement with public/VCS

VCS Presentation to the Board Context Service redesign

VCS Presentation Our offer to you – manifesto, expectation Not in it to make a profit We will be equal partners- we bring resurce to the table Benefits – e.g. Tony’s slide - NHSE slide as examples Principles – Examples – mixed bag – lots of solutions, but don’t want to give them away Better value for money Sector organising itself – examples from elsewhere e.g. infrastructure, consortiums etc. – themed? What we need from you Work with us to develop a new commissioning model / not a standard NHS contract Dialogue – re co-commissioning/co-design Work with us as partners, not competitors Acknowledgement of expertise Resource! Trust

VCS Presentation to the Board Context – they should know this! - Shared vision – VCS is part of it Influencing for good of our communities Respect for VCS - Need to engage – STP and workstreams Duplication public sector/NHS Not reps / reflectors Need a cahnge in attitude Workforce – v. skilled labour force – adpatable, flexible – cope with change Community connection _‘glue’, community link Public voice – advocacy – vulnerable grpups engagement?/research – re patient/client voice and constant dialogue what is the VCS? Diversity Snapshot of number or organisations, income, volunteers, staff – organisations on the edge Range of services – examples How we work – focus on outcomes, person-centred Not tied to NHS T&Cs Not all about what we can do for free! – volunteers come with paid services – added value Service redesign In STP – mentiones social prescribing and navigation - – involve us as an early stage Don’t consider us as ‘competitors’ – we are partners / involve us all the way through and as deleivers What are we offering re: process

VCS Presentation How we’ll organise ourselves – our offer to you Role of this group going forward – single point of contact Agreement between us VCS reps. for workstreams/Boards Route to vulnerable people Supporting prevention agenda What we need from you Understanding of the role we can play Transparency Partners not competitors Social Value embedded in contracts Simplified contracting process

VCS Presentation – practical arrangements Who to deliver presentation (not JB or CC)