Healthwatch – lunch & listen 30 th September 2015

Our challenge AGE LIFESTYLE COMPLEX CONDITIONS ADMINISTRATIVE PRESSURES

Warrington Health Plus A new organisation working to improve local health services. A not for profit Community Interest Company run by local GPs Working together to transform our services to benefit patients today and in the future In partnership with NHS, social care & 3 rd sector

Health Plus… Your usual GP Practice PLUS… more focus on keeping healthy and taking care of yourself and your family more care closer to home health and well being services being more joined up more coordinated care improved access to services by GP Practices working together

Ten priorities

Projects Funded by the Prime Ministers’ Challenge Fund Approved by the CIC Board after submission for funding Subject to review and evaluation Internal & external evaluation

Registered List – the key to integrated personalised care Contacts with NHS are in Primary Care Primary Care - the foundation of the whole system transformation So, we are building services around residents that are proactive  responsive  anticipatory  co-ordinated  integrated To Improve health & wellbeing  promote independence  reduce use & reliance on health and social care services

Registered List – the key to integrated personalised care Contacts with NHS are in Primary Care Primary Care - the foundation of the whole system transformation So, we are building services around residents that are proactive  responsive  anticipatory  co-ordinated  integrated To Improve health & wellbeing  promote independence  reduce use & reliance on health and social care services

Clusters formed for defined populations Some services align with clinical working across boundaries Clusters of practices working together on local projects Community nursing align & care co-ordination Fully aligned acuity model Cohesive integrated provision across populations of 30k Spring 2014 Care Co-ordination (Central West) – housebound patients Guided Care (East & North) – 2 or more long term conditions, with Livewire Children’s Care Closer to Home (Central North) – minor ailments with APNP Community Cardiology (Central East) – working with secondary care Care Home Service Extended Access Core Hours Service Our Journey Developing model for Warrington wide Care Co- ordination Social Care – new roles Mental Health Third sector 2017 Winter 2014 Autumn 2015 Warrington Brand - Quality Standard achieved by local & cluster working Enabled by investment in IM&T – risk strat, telehealth, shared records to enable MDT working

Clusters formed for defined populations Some services align with clinical working across boundaries Clusters of practices working together on local projects Community nursing align & care co-ordination Fully aligned acuity model Cohesive integrated provision across populations of 30k Spring 2014 Care Co-ordination (Central West) – housebound patients Guided Care (East & North) – 2 or more long term conditions, with Livewire Children’s Care Closer to Home (Central North) – minor ailments with APNP Community Cardiology (Central East) – working with secondary care Care Home Service Extended Access Core Hours Service Our Journey Developing model for Warrington wide Care Co- ordination Social Care – new roles Mental Health Third sector 2017 Winter 2014 Autumn 2015 Warrington Brand - Quality Standard achieved by local & cluster working Enabled by investment in IM&T – risk strat, telehealth, shared records to enable MDT working

Work in progress… Extra GP appointments to improve access Joining up services – New Primary Healthcare Teams Guided Care in East and North Clusters Care Home Project Risk stratification to help identify those in need of services

Work in progress… Community Cardiology Service in Central East Cluster Children’s Services Closer to Home Range of IM&T investment to help joined up & new ways of working Data sharing to ensure safe and effective care

Communication Website launched

Communication Newsletter

800+ extra GP appointments per month Improving Access

Extra 800+ bookable appointments a month in evenings (6pm – 8pm) and weekends at Bath Street Health & Wellbeing Centre – for all Warrington Practices Live November 2014 Access through own GP Practice Non Urgent Service, all appointments are planned Staffed by 2 GP’s each session Continuity of care

Improving Access Phase 2 New cluster service to provide extra bookable GP and Nurse appointments in core hours within each cluster Service likely to run on Monday, Tuesdays & Fridays - Same Day Appointments Service based in the Cluster with Telephone Triage Service

Phase 2 – core hours

Care Home Project Care Home Teams for each cluster to care for around 1600 residents in care homes More proactive service to keep residents as healthy and comfortable as possible and avoid unplanned admissions to hospital wherever possible Holistic care plan

Care Home Project Using technology to transform care – telecare Pilot with residential care residents in four care homes Baseline measurements and monitoring to help early diagnosis and intervention

Joining up services ‘Collaborative clusters’ will draw services together into integrated locality teams Help agencies make the best use of joint resources, generate additional capacity and get better outcomes for patients. Start with community nursing, social care and care co-ordination.

Joining up services Engaging the voluntary and community sector to draw on additional resources and better align these services to cluster priorities Helping patients to maintain their independence, increasingly self care and prevent future demand on health and social care services. Planning rollout and implementation over next two years