Thriving VCF Leadership Group Event

Keeping People Well in their Community

Introduction to Thriving VCF Leadership Events

Vince Roberts, Sheffield City Council

The Sheffield CompactAims to strengthen working relationships between the VCF and Public Sector to deliver the best possible results for the people of Sheffield.

The Compact was previously ‘looked after’ by a Board made up of representatives from VCF Sector, NHS and Sheffield City Council that aimed to –

•Promote a strong, diverse and independent third sector

•Encourage effective and transparent design and development of policies, programmes and public services

•Champion responsive and high quality programmes and services to the people of Sheffield

•Encourage clear arrangements for managing changes to programmes and services

•Have a more equal and fair society

The New Model –Thriving VCF Leadership Group

• Develop a city culture which values the skills, experience, capability and capacity of the VCF sector.

• Champion a strong approach to co-design and co-production of strategy and service provision

• Provide a broader base for communication and involvement – primarily through a series city-wide workshops and seminars

• Sub-group of Sheffield First Executive Board – Providing advice to key partnership groups and organisations on the development of strategy

• Horizon scanning and issue raising

• Act as custodians of the Sheffield Compact

Working Methods• Quarterly city-wide topic based workshops to shape strategic thinking and planning

• Leadership Group will meet on a quarterly basis to –– plan and review workshops

– agree next steps to take forward relevant actions arising from the workshops

– measure success – track progress of key issues raised at workshops

– discuss and respond to any issues relating to the Sheffield Compact

• Provide half yearly reports on issues and progress to the Sheffield Executive Board

• Membership of the Group -– VCF representation (recruitment process underway)

– Cabinet Member for Communities and Inclusion

– Sheffield Executive Board

– Sheffield City Council (will also provide operational support)

– NHS – Clinical Commissioning Group and Care Trust

– SY Police

– SY Fire & Rescue Service

– Private Sector representation

Keeping People Well in Their Communities and the Better

Care Fund

Joe Fowler, Sheffield City Council

Today is the start of a conversation…

• Much has already been achieved in the City – this has been incorporated into the proposals

• Introduce and take feedback on draft proposals

• Ask for ideas on how we can improve finding the people who could benefit the most from prevention and early intervention

  National

2015/16  

Existing National Funding £1.1bn

Existing Reablement Funding £0.3bn

Existing Carers Grants £0.1bn

Redeployed CCG Revenue £1.9bn

Revenue Sub Total £3.4bn

Capital Grants £0.4bn

Overall Total £3.8bn

Better Care Fund: What is it?• Reallocated (not new) mostly NHS money that local

authorities and Clinical Commissioning Groups through the Health and Wellbeing Board need to spend together on collective priorities that support integration

• Amounts to £3.8bn in 2015/16 nationally – around £42m in Sheffield

Better Care Fund: What are we doing in Sheffield?

• Final plan submitted April 2014, agreed by the Health and Wellbeing Board – full amount £280m

• Setting up a programme which will look, initially, at five main areas:

1. Keeping people well at home2. Intermediate care3. Independent living solutions4. Long-term high support5. Governance (to support integration)- Unplanned hospital admissions

• The Joint Commissioning Executive will oversee the development of and governance surrounding these plans

• From April 2015/16 a £280m pooled budget, with 2014/15 a ‘shadow year’

• Links closely with other areas of work, e.g. Care Bill and Children and Families Bill implementation

The Opportunity

• To build on achievements of programmes such as Healthy Communities Programme, Right First Time

• Incorporate lessons learned from localised initiatives into commissioning plans

• Make the best use of the expertise and resources within communities

• Launched a range of projects that work in and with local communities and professionals, such as in the Lowedges, Batemoor and Jordanthorpe area of the city, and the Right First Time and Future Shape Children’s Health programmes.

• Engaged with Sheffield people. This tells us how important integration is to Sheffield people, who don’t want to be passed from ‘pillar to post’.

• Established a Joint Commissioning Executive to oversee the integration work for the Health and Wellbeing Board and to feed into our work with Think Local Act Personal and the Public Services Transformation Network.

Integration and Whole-Person Care in Sheffield: what we’ve done up to now

Why do we want to integrate health and social care?

People get the right care, at the right time and in the

right place.

Organisations in Sheffield work together to help people, families and communities to build and strengthen the support they provide to each other.

Expert help is available to help people take control of their own care so that it is genuinely person-centred, and complements and builds on the assets they have.

People, families and communities in Sheffield support each other to improve and maintain their wellbeing and independence.

Health and care services are focussed on a person’s needs - organisational boundaries do not get in the way.

1. Community and primary prevention– Working with professionals (including GPs) and communities in local areas.– Stopping people at low risk of declining health and wellbeing becoming high risk by investing in tackling the causes not the symptoms.

2. Intermediate care and reablement– Helping people to be independent following a stay in hospital.

3. Community equipment4. Long-term high support

– Devising innovative options for people needing high support.

5. Other Better Care Fund elements, including infrastructure6. Governance

What areas Health & Social Care are currently looking at commissioning

together?

Keeping People Well in Their Community: The ideas so far

Lorraine Jubb, Sheffield City Council

Elements

Elements / Outcomes

Group Work

Exercise 1 – 20 mins

• Write on post-its your name, organisation and what you currently do that helps people stay well in the community

• Place it on the relevant blue box – put it on more than one if you think it covers more than one element

Group Work – 70 mins

On your tables discuss and answer the following questions…

1) Current and potential challenges

2) Opportunities and Solutions

3) How we can work together to overcome the challenges to make the most of the opportunities?

Pick the top 3 ideas from your table for each question

Summary and Next Steps

• Thriving VCF Leadership Group will meet for a debrief

• Please do fill in the online feedback form that will be circulated by email

• Everyone who attended will get feedback and a summary of the event