1. The ‘5 Pillars of Workforce Change‘ ACWR Work backwards from client needs to deliver a comprehensive package of systems change : 1.Competency-based role redesign: moving from traditional ownership and limited services at base of service triangle 2.Focus on better skills mix balance of assistants, generalist and clinical roles & harness reinforcement role of client, carer & volunteers 3.Partnering across continuum of care – integration and coordination: systems 4.Building leadership for change: capacity for the ‘how to’ do reform 5.Systems enablers – must be local & national

2. Shared Vision: What’s Driving This?

3. Integration without Care Co-ordination cannot Lead to Integrated Care! Source: The Evidence Base for Integrated Care Kings Fund and Nuffield trust 2011