south west integrated personal commissioning programme - giving people choice and control over their...

SWIPC Update Nov 2015 - Frances Tippett, SWIPC Programme Director

South West Integrated Personal Commissioning Programme –Giving People Choice and Control

Over Their Care

IPC What is it?1 – Care model: Person-led integrated care planning, with an optional personal health or integrated budget2 – Financial model: An integrated, “year of care” capitated payment model

IPC is a delivery vehicle for personalisation



What is the South West IPC programme?

• We are one of nine demonstrator sites nationally • Bringing together local government, VCSE sector and

the NHS to work differently to support people with complex care needs

• It is about a power shift from services to the people they are there to serve

• IPC aims to use person led approaches, with the option of a personal budget to integrate support for people

• People will have one care plan focused on what matters to the person.


How are we making it happen?• Starting with small scale

implementation sites across the region, testing and learning in different settings, working with people with different needs

• Developing a systems change programme, taking the learning from sites and making the changes needed to scale up


Progress in local implementation sites• 51 potential sites identified• 11 already started• 4 of those working with people:

– Cornwall :11 people with mental health needs who are frequent admitters to acute hospital

– B&NES :12 children with complex needs and their families

– NEW Devon: 5 young people with learning disabilities in transition

– Torbay and S Devon: 34 people with multiple LTCs in Totnes


South West IPC GOVERNANCE FRAMEWORK

NATIONAL

IPC PROGRAMME BOARD

SOUTH WEST

IPC PROGRAMME BOARD*

NATIONAL

IPC SUPPORT PROGRAMME

Making It Happen –

South West IPC Core Delivery Team†

LOCAL HEALTH & WELLBEING BOARD

And/or other decision making bodies, for example: Somerset – Transformation Board, Bristol – Better Care Fund Board

The Right Skills Steering Group

Person Centred Care and

Support work stream

Finance and Commissioning

work stream

Getting People Involved - Creating a social movement for

change

Local Leads Action Learning Set

Are We Making a Difference? -

Outcomes & Evaluation Steering

Group

Local Implementation Site Steering Groups





* South West IPC Programme Board has at least one representative from each local decision making Board

†Each local implementation site steering group has a member of the Core Delivery Team linked as mentor

Appendix 2


Right Skills Group• Up and running, meeting quarterly• 3 sub groups looking at: – Career paths – Culture and behaviour change– Expertise Time Bank

• Key next priority – whole system workshops to inform a Regional Workforce Development Strategy to Support Integration

• SW IPC site leading nationally on leadership and workforce development


Person Led Care and Support workstreamMulti sector involvement including user led orgs involved, meeting regularlyKey areas of work:• Tools and

approaches• Implementation

site training and mentoring support

Action Learning sets:• Learning Disabilities• Continuing Health Care• Multiple long term conditions • Children with complex needs• Admissions avoidance/effective

discharge• Community development


Finance and Commissioning workstream

Working groups on:• Sharing information • Growing the market• Capitated budgets• Using new technology • Contracting differently• Making the money work• Driving down admin costs

SW IPC site leading nationally on provider development


Getting People Involved Sub-groups driving different elements of work:• Communications group• Voluntary, Community and

Social Enterprise networks• People helping others• Helping people take control


Management and Evaluation

Making it Happen• Regional team leading

workstream groups and supporting work in local areas

• Several matrix posts in place regional/ national and regional/local

• Local implementation and strategic leads identified

• Regularly bringing people together to share learning and support each other

Are We Getting it Right?Outcomes and evaluation group established, led by SWAHSN with academic partners inputting• Evaluation toolkit developed

and available• 2 x researchers starting Dec

to capture qualitative learning

• SW leading IPC site for evaluation nationally

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