1. Vanguard Sharing Event: Better Together
September 2017
Dr Amanda Sullivan Chief Officer
Helping to shape future health and social care in Mid Nottinghamshire

2. 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

3. The Better Together road map Overview of programmes
Alliance – development
Helping to shape future health and social care in Mid Nottinghamshire

4. COMMERCIAL IN CONFIDENCE
Helping to shape future health and social care in Mid Nottinghamshire
COMMERCIAL IN CONFIDENCE

5. Helping to shape future health and social care in Mid Nottinghamshire

6. 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

7. Helping to shape future health and social care in Mid Nottinghamshire

8. 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

9. Helping to shape future health and social care in Mid Nottinghamshire

10. 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

12. Specialist Intermediate Care Team
Vanguard Schemes
Explanation
Specialist Intermediate Care Team
Call for Care
Learn more in
Zone 1
Learn more in
Zone 1

13. 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

14. Self Care Hub Elective Care Vanguard Schemes Explanation Learn more in
Zone 4
Learn more in
Zone 5

15. Information Technology
Vanguard Schemes
Explanation
Primary Care
Information Technology
Learn more in
Zone 7

16. Workforce Data Vanguard Schemes Explanation Learn more in Zone 9

17. Better Together Alliance
Helping to shape future health and social care in Mid Nottinghamshire

18. 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

19. 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

20. 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