integrated care: a revolution in uk health and care practice, joy at for later life 2014
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Integrated care: a revolution in UK health and care practice?
Supporting people tolive the lives they want
The team understands what’s important to me.
I get information I need, at the right time, to make the choices that are right for me.
I feel in control.
Those around me, and looking after me, get help too.
I only have to tell my story once.
I can live the life I want.
Living Well - supporting people to live the lives they want • Championing a new way of working that enables everyone to live
the lives they want to the best of their abilities
• The focus will be on people, their stories, their needs and their aspirations
• We recognise that everyone is different so our response will vary from person to person
Living Well – supporting people to live the lives they want
• Championing a new way of working through a joined up approach with health, social care, the voluntary sector, police and the clergy
• People told us to focus on their stories, needs and aspirations
• Everyone is different – we will agree goals to help them lead the lives they want with services helping them to do this
Our Aims
Living Well video clip
It’s worked in San Diego
PastTransactionalVolume-basedCompetitive advantageSilos and categoricalSick care/social welfare
Present and futureTransformativeValue-basedIntegrated systemInter-operabilityWellness
10 Indicators
5 Areas of influence
4 Strategies
3Components
1Vision
• Co-designed and co-owned community health
• Evidenced-based generational change reducing family violence
• Over 50% drop in ER visits, hospital days, and visits to specialists
• Significant reduction in primary care use
• Benchmarked data nationally and internationally showing top in class performance in utilisation, quality, satisfaction
Nuka – Alaska
What they saw in Alaska
Anchorage area patient visits to ER/Urgent Care per 1000
What they saw in Alaska
Anchorage area patient admits per 1000
Excludes newborns and delivery mums and length of stay must be more than one day
19
96
40
50
60
70
80
19
97
19
98
19
99
20
00
20
01
20
02
20
03
20
04
20
05
20
06
Nu
mber
of
adm
its
Nativeownershipbegins
Better
Year
Admits per 1000
Source: Southcentral Foundation
What they saw in Alaska
Southcentral Foundation cumulative per capita expenditure changes
100%
80%
60%
40%
20%
0%
-20%
-40%
-60%Perc
en
tage in
crease
(D
ecr
ease
)
FY1999 FY2000 FY2004 FY2005
SCF Cumulative Primary Care % Increase (Decrease)SCF Cumulative Hospital Services Care % Increase (Decrease)National Health Spending Increase (Decrease)National Hospital Care Expenditure % Increase (Decrease)National Physician and Clinic Services Expenditures % Increase (Decrease)
FY2006 FY2007 FY2008
Fiscal Year
Source: Southcentral Foundation
Newquay – measuring our impact
• Non-elective emergency admissions reduced by 30 per cent
• Ongoing care package costs down by 5.7 per cent
• People’s wellbeing improved by 23 per cent
• Reduction in new social care packages
• Increase in staff satisfaction – 87 per cent said integration worked and their work was meaningful
Our population’s health
Our Vision
Shaping the whole systemaround the individual
Coordinated community care models
Shaping care around communities in line with needs and assets
• Penwith team brings together health, social care, police and the voluntary sector and aims to support 1000 people
• Referrals come from doctors, nurses, Cornwall Council or anyone involved in a person’s care
• Plan to roll it out countywide during the next 18 months.
From Newquay to Penwith
Laying the track film
When you need to move fast the track isn’t always laid ready for you!
Video clip
Contact us
Joy Youart: joy.youart1@nhs.net
Colin Philip: Colin.philip@nhs.net
Call: 01726 627907
Follow us on Twitter@PenwithPioneer
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