my life a full life isle of wight loretta outhwaite interim programme director & chief finance...
TRANSCRIPT
MY LIFE A FULL LIFEIsle of Wight
Loretta OuthwaiteInterim Programme Director & Chief Finance Officer (IW CCG)[email protected]
MY LIFE A FULL LIFEIsle of Wight
What is My Life a Full
Life ?
PARTNERS: the list is growing…
Isle of Wight Council (incl. fire & children’s srvs)
Isle of Wight Clinical Commissioning Group
Voluntary Sector
Independent Sector (Care Homes & Home Care)
Isle of Wight NHS Trust
One Wight Health (All 17 GP Practices)
Earl Mountbatten Hospice
Hampshire constabulary
Housing associations
AIMS
Person-centred, allowing & enabling individuals to take control of their lives & their care
Services based in the community/at home, delivered by integrated teams
Prevention-based, promoting health & wellbeing
Quality of life & keeping well
Linking together & building on schemes already up & running/being planned across our communities
“I” Statements
I’ll no longer be a patient or client – I’ll be a person
I have access to easy to understand information about health, wellbeing, care & support
I am able to get skilled advice to plan my care & support
I can plan ahead & keep control at times of crisis
I have considerate support delivered by competent people
MY LIFE A FULL LIFEIsle of Wight, PACS Vanguard
Why are we doing this ?
ISLE OF WIGHT OVERVIEW
Accessible only by sea/air (weather dependent)
23 miles wide by 13 miles long
Single system, single boundaries
Increasing elderly population; 26% over 65 (17% England av) & over 75 12% (8% England av)Recruitment & retention issues
Low earnings; higher than av. long term unemployment; 20% children live in poverty; low GCSE attainment (45%)
Population of 142,000; est’d £300m health & social care budget
2.5m visitors p.a.; 2 large music festivals
SERVICING THE ISLAND’S NEEDS: CHALLENGES
Off-island destination
Transport
Travel time
(mins)
Southampton General
Air 8
Southampton General
Sea 100
Queen Alexandra Portsmouth
Air 8
Queen Alexandra Portsmouth
Sea 85
Front line Transport
Annual activity
Coastguard
47
Air ambulance 83
Ferries 392
Type of patient
% treated
off Island
Elective 22.9%
Non-elective
7.2%
AGE PROFILE
Isle Of Wight ProfileMale Male2015 2037
Isle Of Wight CCG Population Profile Vs National Average
Female Female
National Profile
0 2000 4000 6000 800002000400060008000
85+
80 - 84
75 - 79
70 - 74
65 - 69
60 - 64
55 - 59
50 - 54
45 - 49
40 - 44
35 - 39
30 - 34
25 - 29
20 - 24
15 - 19
10 - 14
5 - 9
0 - 4
- 2,000 4,000 6,000 8,000
85+
80 - 84
75 - 79
70 - 74
65 - 69
60 - 64
55 - 59
50 - 54
45 - 49
40 - 44
35 - 39
30 - 34
25 - 29
20 - 24
15 - 19
10 - 14
5 - 9
0 - 4
- 2,000 4,000 6,000 8,000
• Over 65s expected to increase by 47% & will account for 36% of the total population by 2037 (vs England 24%)
Health Needs: Multiple Chronic Conditions By Age
– The majority of over-65s have 2 or more conditions, and the majority of over-75s have 3 or more conditions
– 54% of patients have at least one chronic condition requiring management
Source: ACG Risk Stratification tool, July 2015
GETTING IT RIGHT: ALLOCATION & COST
Need
Allocation
Island Premium
Cost
Tariff/benchmarked
cost
Inefficiencies
Island PremiumMitigate with
system redesign
Unavoidable
ACTIVITY BENCHMARKING: HES DATA
0.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
4.00
4.50
CCG within National
New To Follow Up Ratio (All Specialties) 2014/15
0
50
100
150
200
250
300
CCG within National
Elective Admissions per 1000 population
(standardised) 2014/15
0
20
40
60
80
100
120
140
160
CCG within National
Emergency Admissions per 1000 population
(standardised) 2014/15
-
50
100
150
200
250
300
350
400
450
500
CCG within National
A&E Attendances per 1000 population (standardised)
2014/15
MY LIFE A FULL LIFEIsle of Wight, PACS Vanguard
What are we going to
do ?
VANGUARD BID
Why we are the perfect Vanguard
Care on the Island will be shaped around people’s individual needs and managed by them. Our model focuses on keeping people happy and healthy through self-care and self-management.
Working together is nothing new for us. My Life, A Full Life is already working across organisational boundaries, sharing resources and expertise.
We’re already on the way – but we can go further and faster with your help!
The age and wellbeing of the Island’s current population is a reflection of how the rest of England’s population will be in 20 year’s time. If we can get care right here, we can lead the way for the rest of the country.
We have an incredibly active voluntary sector on the Island, along with strong communities. Both are at the core of the My Life, A Full Life model.
Our starting point for going forward
Self Care – Accessing information and support
Crisis intervention reducing hospital admission
The formation of 3 integrated locality teams
Our three key projects (so far…)
1
2
3
Strong My Life, a Full Life brand
Single system, single boundaries (NHS Trust, CCG, Local Authority)
Strongly engaged community
Partners’ current examples
Crisis Response
Information is not easily available
Separate leadership
Organisational boundaries
Technology potential not maximised
Funding not aligned with person centred care
Our Current Model& Issues
Access to services are often uncoordinated
Services are working separately
Does not give flexibility for where people are treated
It is financially unsustainable
Reliance on health and social care services
Health and social care services (statutory)
Friendships and support services
Voluntary and support services
Voluntary & independentsector
OUR ‘MY LIFE’ MODEL
http://www.nurturedevelopment.org/Based on ABCD approach – Cormac Russell
Our integrated ‘My Life’ model is: Prevention-based Health and wellbeing promoting Built on experience-based co-design Founded on self care and empowered
communities.
At the centre of our model is the person My Life coordination supports the individual to navigate the community and system. This single point of access triages, reduces the perceived system complexity, increases awareness of services, and maximises efficiency.
The Integrated Locality Teams deliver person centred care and support in the community, with GP clinical leadership and multi-specialist teams.
Intimate / Family
Key enablers
My Life, A Full Life – care services
Associated Life
Friendships
Support Groups
Home
One informationO
ne Leadership
One empowered people and w
orkforce One Technology-enabled Care System
One Island £
Hospital Services
Integrated
Locality
Teams
Ambulance Service
Public Health
Commissioned voluntary
sector
Adult social care
Children’s social care
Integrated
single point of access
Community
Faith Groups
Voluntary Sector
Isle Help
Town and Parish
Councils
Family
Friends
Colleagues
My Life Coordinat
ion
Informal commu
nity links
Transport
Education
Housing Association
Environment
Health-watch
People Matter
Crisis Response Team
DomiciliaryCare
Out of Hours
Independent Sector
Palliative
Care
10.06.2015
Home
09.06.2015
Community Health
Services
MH & LD Services
MY LIFE A FULL LIFEIsle of Wight, PACS Vanguard
How are we going to do it
?
09.06.2015
PROGRAMME STRUCTURE
Strategic Commissioning, Contracting and One Island £
Organisational Integration & Form
Communications, Engagement and Project Management Office
Evaluation and Measurement
One Information & Technology Enabled Care, Infrastructure and Estates
One Leadership & One Empowered Workforce
Prev
entio
n an
d Ea
rly
Inte
rven
tion
Inte
grat
ed A
cces
s
Inte
grat
ed L
ocal
ity T
eam
s
Who
le In
tegr
ated
Sys
tem
Re
view
Prevention & Early Intervention
Integrated Access
Integrated Locality Teams
Whole Integrated System Review
MY LIFE A FULL LIFEIsle of Wight
Loretta OuthwaiteInterim Programme Director & Chief Finance Officer (IW CCG)[email protected]