1. Community Health Partnerships Gill McVicar

3. “The most important policy issue facing European Governments over the next 50 years is how to cope with ageing populations……For Scotland the future is now……Its population is ageing faster and dying quicker than any other industrialised nation.” The Scottish Report – Scotland the Grave (2003) Demography

4. 18 week RTT Long Term Conditions Collaborative Mental Health Collaborative Other initiatives Projects/targets Financial position Contracts, MMC, EWTD Our Iceberg Ageing population Health inequalities Capacity Capability Shifting the balance of care

5. WANT TO CHANGE V HAVE TO CHANGE

6. Partnership for Care “New Community Health Partnerships, more accountable to local communities, better matched with Social Work services and better able to represent local interests within NHS Boards”

7. Partnerships will…. Ensure patients and a broad range of healthcare professionals are fully involved Establish a substantive partnership with Local Authority services Have greater responsibility and influence in the deployment of resources by NHS Boards Play a central role in service redesign locally

8. Act as a focus for integrating health services, both primary and specialist at local level Play a pivotal role in delivering health improvement for their local communities

9. Better Health Better Care- CHPs Key to delivery Partnership re emphasised Broader range of delegated resources Greater flexibility in decision making Integrated resource framework – joint commissioning, collaborative contracts, budgets devolved to local level Extend responsibility and accountability

10. Expectation of CHPs Shift the balance of care More local services Improve access Waiting times – new targets Manage demand Reduce unnecessary referrals to specialist services Provide better community care services

11. Community Planning Health Improvement Culture Leisure Food Nutrition Community Development Community Learning Community Resilience Seek out those Most at risk Promote/support Self care Better Information Early Intervention Text messages Case/Care Management Practice Access programmes Team approach Extended roles LTC Management Home Care access Mental Well being IT Specialist Roles in PC Hospital at home Intermediate care Community Rehab Demand management Community Hospitals Consultants in Community Nurse/AHP Consultants Referral Management Centres Specialist Services Ambulatory Care

12. Patients Public Staff Local Authority Secondary Care Primary Care Tertiary Care Voluntary Sector Independent Sector Communities Carers

13. Patient Community Primary Care Specialist Care Local Authority Voluntary Independent Carers

14. Whole system engagement Web of connections and communications Integrated Teams Integrated Resource Framework Right person Right place, Right time Right information New flexible Training and learning opportunities Better Anticipatory care Early intervention Health Improvement Self care support Technology Information sharing Leadership New roles ?Joint Standards Joint Inspection

15. Considerations Staff New roles, development opportunities ££ Partnership Community Time

16. Support to shift the focus? Sensible governance and performance management v time consuming bureaucracy Freedom to manage Flexible training and education, quickly Bust the barriers Public awareness Mutuality Manage expectations

17. Anticipatory Principle Collective imagination and discourse about the future Image of the future guides current behaviour Project ahead – horizon of expectation Bring future powerfully to present (mobilise) Inquire in ways that serve to refashion anticipatory reality (Cooperider et al, Appreciative Inquiry, 2000)

18. …a time for bold imaginings, thinking the unlikely, doing the unreasonable. Charles Handy