1. Doing better things in health and social care using Integrated Care and Support Pathway Planning Keith Morris Themos Ltd and Alder

2. 2 Slide 2 General Population Cost per person £ £££ ££££ £££££ ££ Low level care and support at home Home Care Crisis Resolution Fast Track Therapies Time Limited Intervention to reable Sheltered or other support related housing More intensive care and support at home Social Care home care package Intermediate Care Intensive Home Care Extra Care Housing Level 1Level 2Level 3Level 4 Acute Care Nursing Care Residential Care Care and Support Services Preventative Services Low level Prevention “Step” decline Slide 2 General health care and support

3. Slide 3

4. Where the time goes? Slide 4

5. Appreciate what’s good Understand what could be better Work out how to do it Slide 5 The programme

6. What we have now 1

7. What people really need 2

8. 3 Our ideal care and support services

9. 4 A realistic improved pathway

10. 5 Priorities and action planning

11. Then what? Build the business case Secure commitment from budget holders Commission the new services

12. Overcoming institutional barriers Work hard at knowledge transfer Keep service users involved in design and to hold you to account

13. Where next? Continue the method for proven subjects: Dementia Long term conditions Intermediate and transitional care Adapt it to other progressive situations? Autism spectrum Domestic abuse Substance abuse Find a catchier name for the method!

14. Keep in touch keith.morris@alderadvice.co.uk 07846 416084 @thatkeithmorris