VCS Neighbourhoods Pilot

Neighbourhoods Neighbourhoods are the new way health and social care will be delivered under integrated commissioning Neighbourhoods are made up of GP practice populations of 30,000-50,000 residents Neighbourhoods aim to look at the broader determinants of health

Where are our neighbourhoods? North East 1 North West 1 North East 2 North West 2 South East 1 South West 1 South East 2 South West 2 Note that co-located premises have been separated on this map for clarity

Where does your organisation / service fit? Extended neighbourhood teams – work in 1 but may work across more than 1 neighbourhood Core neighbourhood team

The Model still being worked up Help the VCS contribute What do you think should make up the neighbourhood services in relationship to your Special Interest Group Please put posts its on the circles in front of you of services you would see as being part of neighbourhoods that would support your client group. Please put on post its where your service would fit in this diagram ie Is your service / organisation borough wide and building based Specialist Borough wide but with ability to adapt to neighbourhood teams? (extended neighbourhood team) Geographically based in one/ some areas (potentially core neighbourhood team)?

Enablers Neighbourhoods Projects to test approaches Unplanned Care Board Neighbourhood Steering Group Information and Evaluation Working Group Patient Panel Provider Design Group Multi-Morbid Model Mental Health Pilot Community Navigation Community Nursing Resident Engagement Social Care Primary Care Neighbourhood Development Voluntary Sector Neighbourhoods Interface working groups CWYP Planned Prevention Mental Health Unplanned Development of a Neighbourhood Blueprint Enablers IT Enablers CEPN Estates Patient Engagement/Co Production Projects to test approaches

All projects work to this vision Neighbourhoods will: improve the overall health and wellbeing for the City and Hackney population reduce inequality of access to services and reduce inequalities in health and social outcomes for the City and Hackney population focus on the wider social and economic determinants of health for the whole population enhancing early intervention & prevention models coordinate and plan services with residents around their individual needs create empowered communities who are better able to support themselves, prevent ill-health and increase their ability to sustainably manage their own wellbeing listen to and act on what matters to residents improve the quality of care received and patient experience in a sustainable way

Goals To be transformational and innovative with the integration of care To be outcomes focused with robust, measurable and reproducible high-quality outcomes To be whole population focused as well as at the individual neighbourhood level; serving natural recognised communities; To truly understand the needs of the population; with a focus on prevention and a reduction in health inequalities To work collaboratively across the system so that strategic planning and measures of success, both with commissioners and providers, are aligned and conducted in partnership where appropriate To be a driver of co-production of patient outcomes with residents and patients To utilise existing community assets, harness the capacity of the non-registered workforce, and include community groups and local people To support and enable the development of a high quality, enthusiastic, and sustainable workforce making City and Hackney the place where people choose to work To identify the totality of resources available, and commit to focusing them on the interventions that will have the greatest sustainable impact on population health

We need to develop a pilot proposal that answers these questions: How we will improve the overall health and wellbeing for the City and Hackney population in the first 18 months? How we will reduce inequality of access to services and reduce inequalities in health and social outcomes for the City and Hackney population in the first 18 months : ? How we will focus on the wider social and economic determinants of health for the whole population enhancing early intervention & prevention models over the next 18 months : How we will coordinate and plan services with residents around their individual needs in the next 18 months:? How we will create empowered individuals and communities who are better able to support themselves, prevent ill-health and increase their ability to sustainably manage their own wellbeing in the next 18 months : How we will listen to and act on what matters to residents in the next 18 months ? How can we show we’re making a difference in these areas? (Ideas/Thinking/Comments) How we will improve the quality of care received and patient experience in a sustainable way ?

This pilot is NOT about creating new services This Pilot is about integrating services that exist already to better to support residents.

People furthest from services? People living in poverty? Other ideas? Who should we focus on? Whole population? Socially isolated? People furthest from services? People living in poverty? Other ideas?

When choosing the neighbourhood what should we look for? Rates of Poverty? Rates of isolation? Number of VCS organisations in the area / community centres? Population health – ie rates of long term conditions

What activities should we concentrate on? Capacity building/training, e.g. for housing staff Peer support- provided by people who have ‘survived’ the experience and moved on Enable piloting of integrated work around a particular population group and pilot jointly delivered outputs, outcomes/outcomes Mapping VCS community assets and current level of VCS and Statutory service integration Pilot some co-located services (either between /within VCS orgs or with VCS/stat sector Exploring ways to overcome barriers and strengthen enablers to collaboration/colocation of services in community hubs (e.g. different regulatory requirements, systems, culture). Build on the intelligence being produced to look at gaps and needs in each neighbourhood area more intelligence from local residents (similar to Well London approach in Woodberry Down which used a specific grassroots neighbourhood engagement approach led by academic partner, around which activities were built) Resident led social action programmes – e.g. health and wellbeing, skills and knowledge, social action.

What outcomes should we aim to measure Impact on residents’ lives Audit of VCS outcome frameworks Measure leadership and structure effectiveness Referral pathways Outcomes from ongoing activities (via digital referral system)