1. Transforming Your Care - Developing Integrated Care Dr S Harper HSCB

2. Strategic direction Care pathways Care pathways Networks Networks Integrated teams Integrated teams Locally designed

3. Challenges?

4. Challenges Communication Communication Co-ordination of care Co-ordination of care Co-operation Co-operation –Multiple provider agencies –How do we include third sector? –Patients & clients? Speed of decision making Speed of decision making Resource deployment Resource deployment –Acute v Community

5. ACUTE WARD A&E PATIENTPATIENT Unscheduled Care Pathway CITIZENCITIZEN ? ? ? ? ? ? ? ? ? ? ? ? Pick an important problem and fix it! Social Care Community nursing Voluntary & Community Sector

6. ACUTE WARD A&E PATIENTPATIENT Longterm Conditions Pathway CITIZENCITIZEN ? ? ? ? ? ? ? ? ? ? ? ? Pick an important problem and fix it! Social Care Community nursing Voluntary & Community Sector

7. ACUTE WARD A&E PATIENTPATIENT Diabetes Care Pathway CITIZENCITIZEN ? ? ? ? ? ? ? ? ? ? ? ? Pick an important problem and fix it! Social Care Community nursing Voluntary & Community Sector eg BDA

8. Strategic direction Care pathways Care pathways Networks Networks Integrated teams Integrated teams

9. Future opportunities -backed by investment Risk stratification Risk stratification Information sharing Information sharing Care plans Care plans Evaluation Evaluation Integrated Care Partnerships: £12m 2012-15 Shift to community/primary care: £70m 2012-15 £83m recurrent 2015- Leadership skills