Integrated Health and Social Care across Bournemouth, Dorset and Poole Better Together Programme Dorset and South Wiltshire Local Workforce Development Group 12 th February 2015

Integrated health and social care across Bournemouth, Dorset and Poole Better Together Integrated health and social care Dorset Clinical Commissioning Group Dorset County Council Borough of Poole Bournemouth Borough Council Poole Hospital NHS Foundation Trust Dorset Healthcare University NHS Foundation Trust Royal Bournemouth & Christchurch Hospitals NHS Foundation Trust Dorset County Hospital NHS Foundation Trust The Partners

Integrated Health and Social Care across Bournemouth, Dorset and Poole Key aims for Better Together: Addressing fragmented nature of care and support Supporting people to manage long-term conditions, especially older people. Reducing demand for high cost care. Enabling more care to be delivered locally (enabling greater independence).

Integrated health and social care across Bournemouth, Dorset and Poole Better Together Integrated health and social care Integrated processes and ICT Shared Commissioning and Market Management Early Help including self funders support service Local Authority directly provided services (LATC) Workforce Planning and Cultural change Multi-disciplinary locality teams

Integrated health and social care across Bournemouth, Dorset and Poole Better Together Integrated health and social care Culture Leadership Organisational restraints Scale of change New model of care Financial sustainability Challenges to overcome

Integrated Health and Social Care across Bournemouth, Dorset and Poole The Workforce and Organisational Development Strategy To change and improve services we need to develop the workforce across services in Dorset to work in new and different ways. In order to achieve this the Workforce and Organisational Development strategy has three strategic aims: 1.Managing demand and sustainability 2.Improve effectiveness 3.Integrating service delivery

The 6 Key Workforce Development Challenges Integrated service delivery Managing demand and sustainability Improve effectiveness Integrating service delivery Integrated Health and Social Care across Bournemouth, Dorset and Poole

Workforce and Organisational Development Strategy - priorities Supply Gap s Putting in place measures to address shortages in particular areas of the workforce. Domiciliary care working Nurses for all health trusts Experienced social working Leadership Committed leaders who will implement change and improvements to services. Work with partners on service design to deliver integrated care Develop leadership skills across the partnership in order to be equipped to meet the change challenge Job Design Skills and job design for moving between settings, secondment agreements, rotation of secondments, costs and skills mix. Explore the feasibility of joining up roles, merging roles, withdrawing roles or creating new roles to support the integration of health and social care and joint working initiatives Managing demand and sustainability Improve effectiveness Integrating service delivery

Integrated Health and Social Care across Bournemouth, Dorset and Poole Workforce and Organisational Development Strategy - priorities Retention Developing initiatives to maintain a skilled, capable, flexible, integrated workforce. Culture and Values Building a person centred, shared culture across different agencies. Skills and Development Transferable skills, skills for tomorrow, expanded and extended roles. Managing demand and sustainability Improve effectiveness Integrating service delivery Reward Schemes – could benefits offered be standardised across different organisations. To offer locality teams facilitation resources from a commissioned provider to help the team build on their joint working with other health and care organisations in delivering person-centred, co- ordinated care. To promote acceptance of the Care Certificate training and assessment between employers. Educational skills passport – to allow skills to be portable between roles and transferable between employers To provide medication training for carers and nurses to meet CQC standards. Dementia - to attain an informed and effective workforce for people with dementia.

Integrated Health and Social Care across Bournemouth, Dorset and Poole Summary of Work Programme

Integrated Health and Social Care across Bournemouth, Dorset and Poole Better Together Programme