Integration, cooperation and partnerships Care Act 2014

Integration, cooperation and partnerships are not new concepts  Health Act 1999  Independence Wellbeing and Choice 2005  National Health Service Act 2006  Health and Social Care Act “The vision is for integrated care and support that is person- centred, tailored to the needs and preferences of those needing care and support, carers and families.”  Improve the service user experience  Eliminate duplication  Streamline care pathways  Collaborate on early intervention and prevention  Improve safeguarding

Why integration, cooperation and partnerships? 3 Organisational barriers Different operational practices Duplications Better access to services Local provision Prevent and delay care needs Integration, cooperation, partnerships “Silo” working

What does the Act say? Sections 3, 6, 7 and 43 of the Act require that: 3.“A local authority must exercise its functions under this Part with a view to ensuring the integration of care and support provision with health provision and health-related provision” 6.“A local authority must co-operate with each of its relevant partners, and each relevant partner must co-operate with the authority, in the exercise of their functions relating to adults and carers” 7.“Local authorities and their partners must co-operate where this is needed in the case of specific individuals who have care and support needs” 43.“Each local authority must establish a Safeguarding Adults Board (SAB) for its area... The way in which a SAB must seek to achieve its objective is by co-ordinating and ensuring the effectiveness of what each of its members does.” 4

What do we mean by integration, cooperation and partnerships?  Integration: The combined set of methods, processes and models that seek to bring about improved coordination of care  Cooperation: Public organisations working in partnership to ensure a focus on the care and support and health and health-related needs of their local population  Partnership: A joint working arrangement where the partners: are otherwise independent bodies; agree to co-operate to achieve a common goal; create a new organisational structure or process to achieve this goal; plan and implement a joint programme; share information, risks and rewards 5

With whom should local authorities cooperate? 6 Cooperation Local authorities District Councils Other authorities Health CCGs Hospital trusts NHS England DWP Police Prisons and probation Others

Working together: examples of integration, cooperation and partnerships  Strategic planning by building better commissioning arrangements or joint commissioning teams  Commissioning integrated services, or jointly commissioning specific services such as advice and advocacy services  Assessments, information and advice such as integrated health, care and housing assessments  Delivery or provision of care via integrated community teams, or working with housing providers to ensure that adaptations support independence, reablement or recovery 7