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Vanguard Sharing Event: Better Together
September 2017 Dr Amanda Sullivan Chief Officer Helping to shape future health and social care in Mid Nottinghamshire
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Better Together Patient population: 330,000
Better Together is part of the STP Partnership in Nottingham and Nottinghamshire PACS (Primary and Acute Care Systems) Vanguard Better Together Patient population: 330,000 41 GP Practices
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The Better Together road map Overview of programmes
Alliance – development Helping to shape future health and social care in Mid Nottinghamshire
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COMMERCIAL IN CONFIDENCE
Helping to shape future health and social care in Mid Nottinghamshire COMMERCIAL IN CONFIDENCE
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Helping to shape future health and social care in Mid Nottinghamshire
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Helping to shape future health and social care in Mid Nottinghamshire
New care model, Primary and Acute Care System Mortality improved Infections improved CQC rating improved – no longer in special measures Helping to shape future health and social care in Mid Nottinghamshire
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Helping to shape future health and social care in Mid Nottinghamshire
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Helping to shape future health and social care in Mid Nottinghamshire
Newark Hospital Strategy refreshed and being implemented Health and Wellbeing Centre at Ashfield Health Village Mansfield Community Hospital model to be reviewed in 2017/18 Estates strategy as part of STP Commissioning strategy determined – Alliance contract in place Primary care strategy developed and plans in place for general practice to join the Alliance, with hubs Alliance PMO now being established with joint working across the system Total savings £22,275m, gross savings £3.5m, ROI 122% in 2016/17 Helping to shape future health and social care in Mid Nottinghamshire
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Helping to shape future health and social care in Mid Nottinghamshire
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Helping to shape future health and social care in Mid Nottinghamshire
STP in place to achieve overall financial balance – work in progress New care model in place – all component, but further evaluation, refinement and additions required in 2017/18 (extensivist, evaluation of PRISM business model, ambulatory care, self-care / community activation) Helping to shape future health and social care in Mid Nottinghamshire
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Specialist Intermediate Care Team
Vanguard Schemes Explanation Specialist Intermediate Care Team Call for Care Learn more in Zone 1 Learn more in Zone 1
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Local Integrated Care Teams (LICTs)
Vanguard Schemes Explanation Single front Door Local Integrated Care Teams (LICTs) Learn more in Zone 2 Learn more in Zone 3
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Self Care Hub Elective Care Vanguard Schemes Explanation Learn more in
Zone 4 Learn more in Zone 5
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Information Technology
Vanguard Schemes Explanation Primary Care Information Technology Learn more in Zone 7
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Workforce Data Vanguard Schemes Explanation Learn more in Zone 9
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Better Together Alliance
Helping to shape future health and social care in Mid Nottinghamshire
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Full & Associate Members Contract signed April 2016
Mid Notts Alliance 13 Members (Health Commissioners & Providers, County Council, District Council, Voluntary sector & homecare provider) Full & Associate Members Contract signed April 2016 Working to a set of Principles & Behaviours Year 1 Transition Year – 10 Year Contract Governance Structure to support delivery Year 2 – Reflect on the first year
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The Mid-Nottinghamshire Alliance
Overarching Alliance contract between Commissioners and Providers includes governance, risk/reward mechanism and performance regime Individual bi-lateral service contracts with Provider Participants incorporating, for example, mandatory NHS Standard Contract terms Subcontractors
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Individual contracts with providers also exist alongside this
The Alliance is a group of partners who collectively determine how services will be delivered and are collectively responsible for improving health outcomes. In 2016/17, the Alliance covered the following areas: Development of whole-system plans for sustainable services until 2020/21 Development and shadow testing of new payment mechanisms (capitation, based on outcomes) Working together to achieve some defined service changes under an Alliance contract Individual contracts with providers also exist alongside this Learn more in Zone 6
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