1. Personalisation of health and social care in Torbay Nicola Barker Personalisation Programme Manager Torbay Care Trust

2. SAP Integrated Care Family & Friends Specialist Services Integrated Care

3. The next stage of the journey The next stage of the journey… Personalisation (transformation) of Social Care – individuals and families have choice and control Personal Health Budgets in-depth Pilot Integrated Care Pilot –SDHFT & DPT Carer Demonstrator Site Transformation of Community Services – shaping the future market together

4. Live independently Be in control Be treated with dignity & respect Enjoy quality of life Feel part of a community Stay healthy, recover quickly Putting People First and Our Health, Our Care, Our Say Shared Outcomes....

5. Achieving Personalisation Universal Services Information & Advice for all Investment in Advocacy Engagement of Users & Carers Prevention Easy access to services Early Intervention Equipment and “that little bit of help” Reablement Extra Care Supported Housing Telecare Telehealth Social Capital Befriending & volunteering Developing Communities Maximising employment opportunities Developing 3 rd Sector Choice & Control Self Directed Support Assisted assessment Personal Budgets Direct Payments Improved outcomes

6. What difference does this make to peoples lives? Less isolation, depression and dependence, more optimism, energy and confidenceLess isolation, depression and dependence, more optimism, energy and confidence People able to take control and make better choices for themselves and their lifestyles – supports safeguardingPeople able to take control and make better choices for themselves and their lifestyles – supports safeguarding People decide what is important to them & take responsibility for choices and decisions about care, support and treatmentPeople decide what is important to them & take responsibility for choices and decisions about care, support and treatment More flexible, easy and personalised care, often organised around people’s homesMore flexible, easy and personalised care, often organised around people’s homes Power and responsibility shifts from professionals to individualsPower and responsibility shifts from professionals to individuals

7. Key elements of the Target Operating Model Blueprint First contact - advice and signposting Meet immediate needs and enable Assess Calculate initial personal budget Support plan Authorise & validate Universal services and early intervention Go live Monitor & review

8. Devon Partnership Trust, Torbay Council & the Care Trust: Leading the way in the South West Region… 1 of 20 in-depth pilot sites “testing” personal health budgets nationally Key areas:  Mental Health  Long Term Conditions  Continuing Healthcare  Transition (children)  Public health – obesity etc

9. Personal Health Budgets: Working towards a more personalised NHS Pilot Site Delivery Objectives : development of working models for personal health budgets that result in better outcomes and lives for people collection of necessary data and information for thorough evaluation to inform policy decisions Wide-reaching engagement: programme and policy development that understands target audiences and meets their needs

10. Total System Change Financial Sustainability Workforce Development Info & Technology Risk Enablement/ Safe Guarding Market Development

11. Learning from across England Invest heavily in prevention & reablement Don’t tinker around the edges – redesign and reshape business – total system change Remodelling of the workforce Move away from client grouping – let the supplier negotiate the micro-market Move away from welfare expectation model Review all contracts – shift from volume & service to clear pricing based on results and outcomes Community inclusion every step of the way Leadership – without it we’ll fail

12. Carers Memory Cafes Tele Care Transport Specialist Care Information & advice Choice & control Self Care Leisure Employment Individual budgets Housing Education Neighbourhoods Volunteers Home Treatment Tests & Investigations SAP Specialist Services Integrated Care Family & Friends