ABOUT MY LIFE, A FULL LIFE We have been on a journey – and over the last 2 years we have been seeking to create a new strategy and vision. We looked and listened to our communities and those working in health, social care, voluntary and independent sectors. Identified:- We were surrounded by water Increasing demographic demands A pot of money that would no longer be growing Increasing vacancies across all sectors Our major conclusions were:- Need for a fundamental change in the balance. We clearly need to address what matters to the person What does care feel like from the point of the person We need to work together differently across all sectors and need to win hearts and minds – taking people with us Create a sense of unity with out communities and workforce Then can the 5 Year Forward View – for us Vanguard offers nitro to put into the tank and MLAFL Powered by Vanguard was born. Why we are unique Our three key projects (so far…) Key Statistics 1 Crisis intervention reducing hospital admission 2 GP Registered population of 380 km2 2.5m 141,857 Large summer music festivals Only accessible by sea and air 2 The formation of 3 integrated locality teams visitors per annum 3 Self Care - Accessing information and support Our starting point for going forward Why we are the perfect Vanguard site Strong My Life, a Full Life brand Single system, single boundaries (NHS Trust, CCG, Local Authority) Strongly engaged community The age and wellbeing of the Island’s current population is a reflection of how the rest of England’s population will be in 20 year’s time. If we can get care right here, we can lead the way for the rest of the country. We’re already on the way – but we can go further and faster with your help! We have an incredibly active voluntary sector on the Island, along with strong communities. Both are at the core of the My Life, A Full Life model. Care on the Island will be shaped around people’s individual needs and managed by them. Our model focuses on keeping people happy and healthy through self-care and self-management. Working together is nothing new for us. My Life, A Full Life is already working across organisational boundaries, sharing resources and expertise. Our Demographics 09.06.2015

09.06.2015 Our care is shaped around and managed by the individual We will focus on keeping people happy and healthier for longer These rich pictures visually demonstrate the My Life as Full Life transformation from our current model with pockets of good things happening but often not connected If you look at our current model and the rings around the person, the person is very dependent on statutory services And the person directed life is not heard because we are not working in a fully integrated way 09.06.2015

Our future model , sees things as much more connected and led by the person. If you look at the rings around the person, which are based off our care model, you will notice the people directly around the person, community, friends, community support in the way they want to live within their own home and as contributing members of their community. The health and social care systems strengthens and keeps the inner circles functioning by always being there and the formal services are responsive when this is needed. In our future state, the services that now exist are joined up, with information passing freely between respective organisations. 09.06.2015

OUR VISION AND AMBITION Our vision is completely engrained in everything we do. A ‘full life’ is about ensuring Islanders live healthier, happier, and more fulfilling lives. Our ‘I’ statements are based on recommendations from National Voices. They are our measurement of ‘what people want’ and are used to determine whether MLAFL is achieving its objectives Our activities are aligned to five key enablers One technology-enabled care One Island £ One Leadership One Information One Empowered People and Workforce My Life is a Full Life I’ll no longer be a patient or a client – I’ll be a person I have access to a range of support that helps me to live the life I want I can plan ahead and keep control at times of crisis Integrated Locality Teams Prevention and Early Intervention Integrated Acute Services Integrated Single Point of Access I am able to get skilled advice to plan my care and support I have considerate support delivered by competent people I feel valued for the contribution that I can make to my community I have access to easy to understand information Evaluation, continual improvement and sharing lessons learned Vision What do people want? What will we do? One Technology- Enabled Care System One Island £ One Leadership One Information One Empowered People and Workforce How will we do it? 09.06.2015

One empowered people and workforce One Technology-enabled Care System OUR ‘MY LIFE’ MODEL The layers of our ‘My Life’ Model focuses on:- The individual The home environment The community and the statutory sectors being the outer ring providing the support when needed – but maximising the key strengths of the individual in the first instance. It is a whole system approach working across all sectors. At the centre of our model is the My life Co-ordinator who will work with people, families and carers to build individuals and community resilience, and to help people, families and carers to navigate the health and social system. This will be delivered through:- Prevention and Early Intervention Single Point of Access Locality Working Integrated Corporate functions One information One Leadership One empowered people and workforce One Technology-enabled Care System One Island £ Integrated acute provider Integrated Locality Teams Ambulance Service Public Health Commissioned voluntary sector Adult social care Children’s social care Integrated single point of access Community Faith Groups Voluntary Sector Isle Help Community Action Isle of Wight Family Friends Colleagues My Life Coordinator Informal community links Transport Education Housing Association Environment Health- watch People Matter Crisis Response Team DomiciliaryCare Out of Hours Independent Sector Palliative Care Our integrated ‘My Life’ model is: Prevention-based Health and wellbeing promoting Built on experience-based co-design Founded on self care and empowered communities. At the centre of our model is the person. My Life Coordinators, will coordinate and navigate support across the community and system. This coordination role will triage, reduce the perceived system complexity, increase awareness of services, and maximise efficiency. The Integrated Locality Teams deliver person centred care and support in the community, with GP clinical leadership and multi-specialist teams. Home Support Groups Intimate / Family Key enablers My Life, A Full Life – care services Associated Life Friendships http://www.nurturedevelopment.org/ Based on ABCD approach – Cormac Russell 09.06.2015

OUTCOMES OF OUR ‘MY LIFE’ MODEL It feels different for people, family and carers It feels different for our workforce People People’s health and wellbeing will be improved People will have a positive experience of care and support People will feel valued for the contribution they make to their community Workforce The workforce feel empowered and take pride in their work They have the right knowledge and skills Defined career pathway Outcomes for people Outcomes for workforce Pride in the work they do, the services they provide and the organisation they work for Feeling valued and empowered Right knowledge, skills and expertise that is appropriate to their role. Retention and attraction of high-calibre staff who are attracted to delivering the My Life, A Full Life care model Not constrained by organisation and role and working across boundaries Primary Care and Multi-specialist consultants able to work across both the acute and community sector ensuring seamless care and support. My Life A Full Life is an employer of choice Defined career work path Improved health and wellbeing Treated as a person with individual strengths, needs and concerns A positive experience of care and support Access to a wide range of support that helps them to live their lives to the full Receive skilled advice to promote their wellbeing and plan their care and support Digitally enabled to access a wide range of information and technology Access to easy-to-understand information and only give and share their information once Feel valued for the contribution they make to their community 09.06.2015

HOW WILL WE ORGANISE OURSELVES Single Point of Access Integrated Commissioning: We will bring together all the different commissioning functions, which is Primary Care, Public Health and Social Care. We will move to different contracts to enable Providers, people with personal budgets, GP Localities and the Voluntary Sector to commission services. We will measure outcomes rather than activity. Integrated Provision: People will use the Single Point of Access. Integrated acute provision will provide services reaching out into the community and working with off-island providers. Building on the Integrated Locality Teams, across the whole system. Out of hours link with the Single Point of Access. Workforce across boundaries Integrated Corporate Functions; Will be available to all providers and commissioners in the system. Key Enablers: These five ‘enablers’ have been identified as critical to the success of delivering both the care model and the operational model. Our operational model has three key components – Integrated Commissioning, which consolidates all the commissioning function across the system; integrated provision accessed through a single point of access and support in the community; and integrated corporate functions that support commissioning and provision. Integrated Locality Teams Integrated Commissioning One Wight Commissioning (Macro-commissioning) Micro-commissioning Providers People Localities Voluntary Sector Integrated Provision (Points of Delivery) One Leadership One Island £ One Technology- Enabled Care System One Information One Empowered People and Workforce Integrated acute services Out of Hours Community Care Local Authority Services General Practice Independent Sector Home Voluntary Sector Community Support Integrated Corporate Functions IT, Finance, Estates, HR, Procurement, Communications, Performance Reporting, Workforce Development 09.06.2015

OUR TOP 5 CHALLENGES & SUPPORT REQUIREMENTS We have identified five high level areas where Vanguard support will assist us in enabling My Life a Full Life to deliver at scale and pace. One information, pathways approach. Workforce, system leadership, organisational form While we have some capacity and expertise, we do not have the ability to deploy these as quickly as we would like. Transitional costs to allow the step change. Expertise to challenge, sense check and guide our journey. ONE INFORMATION - INFRASTRUCTURE & SHARED RECORD PATHWAYS APPROACH - PROVISION AND COMMISSIONING WORKFORCE SYSTEM LEADERSHIP DEVELOPMENT ORGANISATIONAL FORM KEY AREA While we have some capacity and expertise on the island, we do not have the ability to deploy these as quickly as we would like Transitional costs to allow for ‘step change’ Expertise to challenge, sense check and guide our journey Note: more detailed issues, barriers, and support requirements will be discussed during the workshops 09.06.2015

Proposed Governance Framework In order to deliver My Life a Full Life, we have developed a Governance Framework. This is a matrix approach to programme management. The key system enablers cut across all areas of delivery. The MLAFL Board reports directly to the Health and Wellbeing Board and holds the accountability for the whole system. People representatives are involved a every step in the development of our thinking, co-producing and co-designing the services we will deliver. A logic model of evaluation has also been developed to measure the impact we will make. ISLE OF WIGHT HEALTH AND WELLBEING BOARD Design Authority My Life a Full Life Board (MLB) NEW CARE MODELS BOARD Joint Commissioning Board (JCB) Joint Provider Board (JPB) Workforce 7 Infrastructure/Estates 8 IT (Digital Enablement of Care Process) 9 Clinical Service Review Integrated Locality Teams Crisis Response / SPOA Evaluation and Measurement Development of My Life Navigators Prevention Health of the Older Population 10 Communications, Engagement and PMO 11 Organisational Integration / Form 12 Commissioning 13 1 2 3 4 5 6 09.06.2015

ACHIEVING OUR VISION - HOW IT WILL FEEL One new organisation leadership Recognised brand Advocate of My Life, A Full Life Over the next 12 months there will be key changes in how leadership functions, how workforce feels, the MLAFL brand recognition and cultural change A key thing to note throughout the 12 month vision is that collaboration is nothing new for us. We are already working across organisational boundaries and working together. Leadership MLAFL Brand Cultural Change There will also be significant changes to how we operate over the next 12 months and beyond. Frome the perspective of our operating model, this is how we will function differently. Integrated Commissioning Integrated Provision Integrated Corporate Functions The age and wellbeing of the Island’s current population is a reflection of how the rest of England’s population will be in 20 year’s time. If we can get care right here, we can lead the way for the rest of the country. 12+ months FUTURE Visible collaborative leadership Visible external brand True buy-in into My Life, A Full Life Leadership working together Visible brand Engagement with My Life, A Full Life 12 months 6 months One leadership Visible external brand Engagement with My Life, A Full Life Empowered leadership Visible internal brand True ownership of My Life, A Full Life One vision Refreshed brand Awareness of My Life, A Full Life Today 09.06.2015