Integration across the health and social care sector Richard Humphries Senior Fellow, The King’s Fund ADASS Spring Seminar, Warwick University, 20 th April.

Slides:

Advertisements

Similar presentations

Understanding the NHS reforms Jo Webber, Deputy Policy Director 20 th March 2012.

Advertisements

Mental Health Strategy Event Clinical Commissioning Groups Dr Chris Harris GP – The Ridge Chair – GPCE Clinical Director, Partnerships & Health Inequalities,

1 Vision for better co-ordinated care: how could mental health payment systems serve as a key enabler for integration and personalised care? Mental Health.

Future challenges for health and social care Spending Review – what it means for health and social care: The King’s Fund conference 1 November 2010 Richard.

West Sussex Health and Wellbeing Board

What has Public Health got to offer Local Authorities? Dr Tony Hill Joint Director of Public Health NHS Lincolnshire & Lincolnshire CC.

Bournemouth and Poole Health and Wellbeing Strategy 2013 – 2016 Framework Version 8:

Well Connected: History Arose out of Acute Services Review Formal collaboration between WCC, all local NHS organisations, Healthwatch and voluntary sector.

Well Connected: History A reminder - previous presentation in December 2013: Arose out of Acute Services Review Formal collaboration between WCC, all.

Monday 17 September (Materials presented to the Mayoral Team on 28 August 2012)

Housing and Health The Brighton and Hove Experience

September 2012 Health & Social Care Reform Intermediate Care – where we are now and where are we going Damon Palmer – Health & Social Care Integration.

Implementing the Five Year Forward View New Models of Care Emily Hough Senior Strategy Advisor, NHS England January 2014.

Health and wellbeing boards and Police and Crime Commissioners.

Integration and partnership working in the context of the Care Act Staff Conference - 10 November 2014 David Sykes, Interim Head of Joint Commissioning.

NHS Harrogate and Rural District CCG Better Care Fund – overview Systems Leadership Approach Amanda Bloor Chief Officer Harrogate and Rural District CCG.

1 The role of social work in personalised adult social care and support Social Work and Personalisation: Skills for Care Wednesday 25 th June 2014 Lyn.

Integration, cooperation and partnerships

Understanding how commissioners work, and the ways in which HITs can influence their decisions Louise Rickitt & Mel Green June 2015.

The Care Act ,500 older people 3,420 people with a physical disability 3,030 people with a learning disability 5,300 people with mental health.

NHS Southern Derbyshire Clinical Commissioning Group Call to Action Andy Layzell Chief Officer.

Patient Advice and Liaison Service NHS Devon, Plymouth and Torbay The work of PALS Patient transport Health and Wellbeing Boards.

‘Changing the balance’ A 2020 Vision of Health and Social Care in Sheffield #2020vision Primary Care Sheffield.

Safeguarding Adults at Risk in the new commissioning landscape Stephan Brusch Professional Safeguarding Adult Advisor.

Children & Young People’s Network meeting Shaping the Bristol Health & Wellbeing Strategy for local children and young people Claudia McConnell,

Transforming Community Services Vanessa Griffiths.

Southern Derbyshire CCG Integrated Care CCG & Adult Care View Andy Layzell Southern Derbyshire CCG James Matthews Derbyshire County Council.

Every Deaf Child Matters

Solace Summit 2014 The integration challenge: health and social care David Pearson President of the Association of Directors of Adult Social Services (ADASS)

Joined-up care David Smith, Head of Transformation – Integration NHS Southwark Clinical Commissioning Group.

National Dignity Council Conference Creating a system that delivers dignity David Pearson President of the Association of the Directors of Adult Social.

Having your say within the new NHS health structures.

Health Overview Policy and Scrutiny Panel Update on Health Reform Proposals James Foster North Somerset Council.

Mapping the Future A Vision for health and social care provision in Harrogate and Rural District.

Together – delivering the best personal services Opportunities & Challenges in Health & Social Care Integration 7 October 2011 James A. Reilly Chief Executive.

ASSH Overview and Scrutiny Panel 30 th July 2008 Transforming Social Care – The Change Agenda.

Our Plans for 2015/16 We want to make sure that people in our area are able to live long and healthy lives, both now and in the future, and our plans set.

How can Geriatricians help PCTs?. What on earth is world class commissioning? Department of health has set criteria by which it wishes PCTs to operate.

Complex Care Teams Context The Department of Health white paper “Our Health, Our Care, Our Say” ‘By 2008 we expect all PCTs and local authorities to have.

Health, Wellbeing and Social Care Scrutiny Committee.

Improving outcomes and reducing inequalities through integrating public health Dr Peter Marks Director of Public Health Leicestershire and Rutland.

Equity and Excellence; Liberating the NHS: Reform of the Public Health System Dr Giri Rajaratnam Deputy Regional Director of Public Health, East Midlands.

A guide for those of us who aren’t in Parliament.

Health and Wellbeing Scrutiny Select Committee Sue Lightup; Community, Health and Social Care Mel Sirotkin; Public Health.

BACKGROUND TO THE HEALTH AND WELLBEING STRATEGY Neil Revely.

All Change? Health and Wellbeing Boards, the Story so far Ged Devereux North West Transition Alliance Health and Wellbeing Boards - Project Lead 11 th.

John Wilderspin – National Director Health and Wellbeing Board Implementation How are Health and Wellbeing Boards shaping up? How they can improve commissioning.

The NHS in Derbyshire in 2013 Hamster wheel or burning platform? Andy Layzell, Chief Officer Southern Derbyshire Clinical Commissioning Group.

Helping Families update Scrutiny Select Committee Meeting March 2013 Nick Page.

Norfolk’s Shadow Health and Wellbeing Board & Clinical Commissioning Groups 25 April 2012.

Overview of the new Health and Care Landscape Challenges and Opportunities Kathy Eastwood 10 July 2012.

Blackburn with Darwen Joint Health & Wellbeing Strategy Local Public Service Board 30 th April 2015.

“Building the Right Support”. Peninsular Provider Conference. December 2015.

Commissioning Intentions 8 th October Joint working with Islington Council Our four shared priorities are: To make sure every child has the best.

Better health, better value How the NHS is changing Anne Swan Chief Executive NHS Bournemouth and Poole.

The Health and Social Care Academy Integration Series Palliative Care: from acute to the community #palliativecarescot.

Harold Bodmer Vice-President, ADASS 26 th January 2016 The Future Landscape.

Caring for you...closer to home Hertfordshire Community NHS Trust Health Scrutiny Committee Update 13 December 2011 Derek Smith – Interim Chief Executive.

Commissioning Integrated Rehabilitation and Re-ablement Services? Cath Attlee and Ray Boateng 1.

Clinical Commissioning Groups Roles and Responsibilities Dr N Fazlani Chair Liverpool CCG.

Policy and Partnerships Network 11 Dec 2013 Hertfordshire Health and Wellbeing Board update Wendy Tooke, Health and Wellbeing Board Manager

Key challenges facing the NHS Professor Chris Ham Chief Executive 21 September 2015.

No Integration without personalisation: Each requires the other Sam Bennett, Director Think Local Act Personal 23 rd June 2014.

Integrated Care Workforce Showcase Event Nov 2015 Yvonne Rogers – Strategic HR/Workforce Lead.

Integration at Torbay Care Trust Sonja Stefanics General Manager Health & Social Care May 2009.

Welcome to Southern Health Southern Health exists to improve the health, wellbeing and independence of the people we serve.

Commissioning for Wellbeing Time banking and other initiatives in Plymouth Rachel Silcock.

March 2012 Social Care Reform Integration – where we are now and where are we going David Behan – Director General Social Care, Local Government and Care.

Integration, cooperation and partnerships

Improving Outcomes for Users and Carers through Integrated Care:

Presentation transcript:

Integration across the health and social care sector Richard Humphries Senior Fellow, The King’s Fund ADASS Spring Seminar, Warwick University, 20 th April 2012

Integrated care is moving up the agenda ….. Care & Support White Paper ?

The context is tough: Complex organisational change Different NHS/local government relationship Intense financial & service pressures Austerity not growth

Health & Wellbeing Boards Adult Social Care JSNA & Joint Health & Wellbeing Strategy Children’s services Overview & Scrutiny HealthWatch & public engagement Public Health & health inequalities It’s not just about adult social care Local authorities & the NHS

Source: Department of Health, 2012 The organisational landscape is more complex....

So what’s the evidence ? 1.Evidence base for partnership working is weak 2.Organisational integration alone will not deliver benefits 3.Clinical & service integration matters most 4.Focus on individual – coordination of care & support 5.Clarity about purpose – what is the question to which integration is the answer ? 6.Invest time in developing relationships 7.Shared local leadership is key 8.No‘one-size fits all’model – doing the right things locally 9.Integration will not save lots of money quickly 10.Providers more likely to drive integrated care

The Mrs Smith test... Many people with mental, physical and/or medical conditions are at risk of long hospital stays and/or commitment to long- term care in a nursing home. Mrs. Smith is a fictitious women in her 80s with a range of long-term health and social care problems for which she needs care and support. Mrs. Smith encounters daily difficulties and frustrations in navigating the health and social care system. Problems include her many separate assessments, having to repeat her story to many people, delays in care due to the poor transmission of information, and bewilderment at the sheer complexity of the system.

Social Worker Domiciliary Care O.T. Family & Friends G.P. Practice Nurse District Nurse O.T. Diabetologist Cardiologist From a fragmented set of health and social care services …

SAP Family and Friends Specialist Services Integrated Team … to a co-ordinated service that meets her needs

Prospects: GP engagement through CCGs More emphasis on integrated care Health and wellbeing boards welcomed Public health transition > welfare to wellbeing ? ? NCB/CCG balance of power eg CSUs  Structures now more complex  Instability and change threaten partnerships  Biggest challenge for NHS is productivity gap of £20b ! Massive pressure both on local government and NHS –collaboration…. or conflict ?

llbeing.html Some useful links -