1. North Durham CCG and DDES CCG Governing Bodies in Common County Durham & Darlington Community Services Mobilisation and Transformation
18th September 2018

2. Mobilisation 16 providers into 1 1600 staff 23 services
May to September focus on:
- safe transfer of services
- transfer of caseload and patient information
- TUPE of staff
- staff consultation
- estates (6 changes out of 109 sites)
- IM&T
- informing patients
- development of TAPS budgets
- development of TAPS governance for local decision making

3. Mobilisation into Transformation
Changes to services that were already in progress
- MSK/physiotherapy
- Palliative care
Cultural transformation – led by Director of County Durham Integrated Community Services (Lesley Jeavons)
Services transformation – delivering the service specification and the vision
- requirement to develop a transformation plan as part of the bidding process
- need to engage with stakeholders post contract award – partnership decision making

4. An effective system for frailty and people with long term conditions
A common vision and purpose, shared between leaders
Effective and robust leadership, underpinned by clear governance arrangements and clear accountability
Strong relationships, at all levels, open communication, trust and common purpose
Funding and commissioning
The right staff with the right skills
The right communication and information-sharing channels
A learning culture

5. Doing the right thing
Safe, single, supportive approach for shaping local integrated plans.
Learning forum to promote celebration and innovation.
Making data meaningful, for benchmarking, peer identification and partnerships.
Leadership at every level, senior decision makers within a governance framework.
Encouraging innovation from people at the front line, staff and users.

6. 5 Year Service Transformation Plan
To deliver the aims set out in the contract reduce dependence and promote independence
Prevention
Supporting people with long term conditions to live well
Managing crisis – preventing admission or supporting discharge as soon as appropriate
Support rehabilitation and return to independence
Four domains in transformation plan

7. Service Transformation Engagement Event
To engage with key stakeholders on developing the transformation plan
To ensure the plan covers the most important improvements we need to make and priorities are appropriately set
To ensure any priority local areas for development are identified and considered
To gather input from key TAP/Hub stakeholders to ensure we get it right and create a plan that is fit for purpose, understood and deliverable.

8. Domain 1 – Extended Primary Care Team Ongoing support for those who most need it
Integrated teams
Falls
Emergency health care planning
Crisis response
CHD services
Respiratory services
Non-medical prescribing
Predictive health care planning
Palliative care

9. Domain 2 – Primary Care Team & Wider Community Network Short term support to help you return to independence
Community frailty (Hospital at home)
Virtual ward
Mental health
Voluntary sector
In reach (early supported discharge)

10. Domain 3 – Secondary prevention & self-management Help to help yourself
15. Self management programme 16. Digital Innovation 17. Community Pharmacy 18. Care co-ordination center (C3) 19. Secondary prevention 20. Care coordinator 21. MSK model

11. Domain 4 – Whole Population Primary prevention Staying Well
22. Supporting the market 23. EAST (Model of self-management – Easy, Attractive, Timely, Social) 24. Social prescribing 25. Primary prevention (Big 4)

12. What stakeholders have said so far
Access to shared IT systems, better information sharing

13. What stakeholders have said
Access to shared IT systems, better information sharing

14. Next Steps Mobilise successfully on 1st October
Evaluate feedback from the event
Re-prioritise transformation plan
Staff engagement
Patient engagement
Delivery in partnership under the new integrated arrangements