1. Locality Planning

2. Scottish Government Guidance key points

3. key point 1
Localities to be the engine room bringing together service users, carers and health and care professionals

4. key point 2
Forums created to bring everyone together to have an active role in service design and improvement

5. key point 3
People living in communities must also have a meaningful role – with collaborative local decision making/active citizenship

6. Synergy required with existing Community Planning arrangements.
key point 4
Synergy required with existing Community Planning arrangements.

7. Planning Process Overview

8. Provides Strategic Direction Aligns funding Carries out actions
Integration Joint Board
Strategic Planning Group
Local Community Planning Groups
Provides
Strategic Direction
Aligns
funding
Carries out
actions
This slide demonstrates how the locality plan links with the strategic direction.
HSCP Strategic Plan
( )
Strategic Commissioning Plan
Year 1 ( )
HSCP Locality
Plans

9. Change & Implementation Plan…

10. “Building on a person’s abilities, we will deliver high quality person centred care to enhance their independence & wellbeing in their communities”

11. 4 Programmes

12. 15 Strategic Priorities

13. ACTIONS IDENTIFIED VISION OUTCOMES Change Driver s PROGRAMMES
Building on a person’s abilities, we will deliver high quality person centred care to enhance their independence & wellbeing in their communities
5. H&SC services
contribute to reducing
health inequalities
6. People who provide
unpaid care are
supported to look after
their own health, incl. to reduce any negative impact of their caring role on their own health
7. People who use H&SC
services are safe from
harm
8. People who work in
H&SC services feel
engaged with the work
they do and are
supported to improve
9. Effective resource use
2. People incl. those with
disabilities or LTCs or
are frail are able to live
independently at home
or in a homely setting in
their community
3. People who use H&SC
services have positive
experiences of those
services and have their
dignity respected
4. H&SC services are
centred on helping to
maintain or improve the
quality of life of people
who use those services
1. People are able to look
after and improve their
own health and live in
good health for longer
OUTCOMES
14. Identifying, treating & promoting recovery from mental ill health (supports outcomes 5, 6, 9)
5. Improving the way unpaid carers are recognised & supported
(supports outcomes 2, 6,9)
3. Involving people as partners in their care; listening & responding (supports outcomes 3, 4, 5, 6, 7, 9)
4. Self Care, & Self management of long term conditions (supports outcomes 2, 4, 5, 9)
6. Empowering the workforce to influence service decisions
(supports outcomes 5, 8,9)
7. Reducing Health Inequalities
(supports outcomes 1, 2, 3, 5,9)
8. Improving health; smoking cessation; reducing harm from alcohol, tackling obesity (supports outcomes 1, 4, 5, 6, 9)
9. Supporting people who use health & social care services to achieve their potential and contribute to the life of their community (supports outcomes 1,2,4,5,6,8)
10. Primary Care: better access, continuity of care, making best use of skills (supports outcomes 1, 6, 8, 9)
11. Dementia Early diagnosis, treatment & care (supports outcomes 1, 2, 3, 4, 5, 67 9)
12. Reducing avoidable admissions to hospital (supports outcomes 3, 7, 9)
13. Timely well-managed discharge from hospital to home or homely settings
(supports outcomes 3, 7, 9)
15. Identifying & taking steps to protect vulnerable adults (supports outcomes 1, 2, 3, 4, 7, 8)
VISION
*Review & strengthen structures within H&SCP to ensure effective involvement & co-production of services
*Community involvement / participation in Locality Service Improvement & Planning
Develop health champion model
Change Driver s
The Best of Health and Care for Everyone
Effective Treatment and Care
* Anticipatory care planning (ACP) * Engagement with strategic planning * Self directed support
* Gaining & responding to feedback * Risk enablement – use of technology, rehab/reablement & kit
* Professional training & development e.g. personal outcomes
* PH links to physical activity * 3rd Sector Rehab Services * NHS Rehab (pulmonary/cardiac)
* Enhanced Services * Wider asset building * Peer support for young people with MH
* ACPs * Sign posting of services * Development of primary MH workers
* Self directed support * Risk enablement – technology, rehab/enablement & equipment
* Service Development Officer for Carers Strategy * Short Breaks Bureau
Knowing Who – VSA Commissioning Information on Carers * Creative Breaks
* Development of empowered locality teams/Local Reference Groups * Participatory Budgeting
Locality Plans * Devolved Budgets to Localities * OD/Improvement Facilitation & Support
* Knowledge of data/information SIMD * Culturally appropriate approach in localities* Policy development * Keep Well Project * Targeting resource where it is needed (location & condition specific)
* Programme of ‘improving health’ approach * Influencing national policies
* Links to education and prevention
* Community Empowerment Bill * Promotion of local physical & social activities
* Need to understand what is required, the approach (services/colleagues roles)
* Use of community assets
* Direct access to diagnostics (locally, Shire & Grampian levels) * GP Contract – Access to Services
* Modernisation Primary Care & provision of 24/7 services within communities
Prescription for Excellence * Care at home/care home delivery models * Development of Virtual Ward Model across Shire with local flexibility Open access to services to enable choice/control
Dementia Strategy
Delegated services strategic planning
Development of Virtual Ward
Discharge Hub * Flow Programme * Daily Huddle * Interaction with ARI
* Priority Discharge – Kaizen Action Plan * Well Functioning MDT Team * Flow Programme
* Virtual Ward * Rehab & enablement * Transport capacity/availability
* Befriending * Provision of very sheltered housing/care at home/care home
* Excellent Communication & Joined Up Processes Between Primary & Secondary care
* Primary Care MH Workers * ASSIST * STORM * MH First Aid * Virtual Ward links to MH/Cornhill * ADP
Third Sector Commissioned Services
* Adult Protection
* Identification & Mitigation of Risks to Vulnerable Groups
Involving & engaging with communities
1. Responsive and consistent community engagement and involvement in integration and service planning (supports outcomes 1,2, 4,5,6,9)
2. Informed, equitable and equality-sensitive locality involvement in use of community resources (supports outcomes 1,2,4, 5, 6, 9)
Test approaches- participatory budgeting, community assets based approaches
Strengthen community assets to complement / support health & social care services
Work with Community Planning partners to implement the Community Empowerment Bill.
PROGRAMMES
Partners in Health & Social Care
ACTIONS
IDENTIFIED
PRIORITIES

14. Locality Planning/Leadership Groups

15. We now need to create locality forums to lead service design and improvement. The SG guidance advises these people need to be involved: 
health and social care professionals (including GPs and Primary Care Contractors) involved in the care of people using services
housing sector representatives
third and independent sector representatives
carers’ and patients’ representatives
service managers for the locality
acute sector representatives
public health / health improvement

16. LRG LOCALITY PLAN Text Service 3rd sector Partnership Improvement
Managers
Housing
Performance
Finance
LRG LOCALITY PLAN
Text
HSCP inc GP’s
Carers and Patients Reps
Local Community Planning
Workforce Devmt
We now need to create locality forums to lead service design and improvement. The SG guidance advises these people need to be involved: 
Location
Managers
Public
Health
Strategic
Development
Service
Mgrs
Acute
Reps