1. Health & Social Care Wrapped around the person….. NHSL/LCHS/EMAS/ULHT/ASC/GPs

5. Impact We coped! ULHT did not need to go on black alert We placed over 80 people in 8 week peak Equivalent to 4 wards OOH/WiC/SPA/Patient Flow teams = pressure valve Established strong partnership working GP communication system redesigned (gateway)

6. We moved from a blame culture to a solution focussed culture

7. Lessons learnt from Lincolnshire Get the players together and agree team work (it is likely to deliver better results) Agree the rules up front and be consistent in their application Invest to save New ways of working Do it all year round (not just winter)

8. How? Teleconferencing Senior leadership – make decisions Relationships on the ground Using skills differently NHS buys social care – forcing function Information Commissioning support