1. Connecting Care in Cheshire - An Integrated Health and Care Pioneer

2. The Cheshire Pioneer

3. Transformation Programmes in the three localities: Eastern Cheshire CCG – ‘Caring Together’ (CCG, East Cheshire NHS Trust, GPs, Cheshire East Council, Cheshire & Wirral Partnership) West Cheshire CCG – ‘The West Cheshire Way’ (CCG, Cheshire West and Chester Council, Countess of Chester Hospital NHS Trust Foundation Trust, GPs, Cheshire & Wirral Partnership)

4. South Cheshire and Vale Royal CCGs – ‘Connecting Care’ (CCGs, Cheshire West and Chester and Cheshire East Councils, Mid Cheshire Hospitals NHS Foundation Trust, GPs, Cheshire & Wirral NHS Partnership)

6. Work-streams and enablers

7. Who is involved The Pioneer bid was submitted with the support of the Acute and Mental Health Trusts. The integration programmes within each CCG involve commissioners and providers working together to co-design the new models of care (staff at different levels of the organisations). The public are also being involved, although level of involvement varies.

8. The Benefits - national National Profile raised; National support offer from organisations such as Monitor, NHS IQ, Skills for Health, Skills for Care; Access to other sources of expertise – Information Commissioners Office; Access to other Pioneers to learn from their experience

9. The Benefits – local Facilitated joined up working across the two local authority geographies and between the three transformation programmes; Successful bid for Tech Fund II monies towards cost of Integrated Digital Shared Care Record; Initiated workforce ‘cultural transformation’ conversations between the commissioners and providers across the pioneer geography; Sharing good practice across all partners (Commissioners and Providers).

10. Empowerment One of the key work-streams, supporting the empowerment of the population; Focus upon self care, self management, changing the relationship of individuals with the health and care system; Requires behaviour change in the residents and workforce; Building upon work done in ‘Caring Together’

11. The Challenges Securing effective system leadership as opposed to organisational leadership; Sharing of good practice and information; Communication and engagement with workforce colleagues and the public – Pioneer seen as something different and additional to the transformation programmes; Managing the plethora of initiatives (Pioneer, Vanguard, Personal Commissioning, Prime Minister’s Challenge) with limited capacity.

12. The Opportunities Rethinking the contractual and financial arrangements with Providers; Driving behaviour change and cultural transformation across the population and workforce; Delivering new models of care that are sustainable in the long term; DevoCheshire?

13. For more information:- Guy Kilminster, Interim Programme Director guy.kilminster@cheshireeast.gov.uk