update on the integration of health and social care
DESCRIPTION
Presentation iupdating Sheffield's Health and Wellbeing Board on the Board's plans for the integration of health and social care at the Board's 26 June 2014 meeting. The presentation included references to the Better Care Fund.TRANSCRIPT
Integrating Health and Social Care in Sheffield
An update for the Health and Wellbeing Board on the Better Care Fund work
Tim Furness, Director of Business Planning and Partnership, NHS Sheffield CCG
Joe Fowler, Director of Commissioning, Sheffield City Council26 June 2014
Better Care Fund is reallocated money that Health and Wellbeing Boards can spend on collective priorities that support integration.
Our plans build on a engagement work done as a Board looking at integration of health and social care.
Sheffield’s final plan was submitted April 2014, full amount £280m. We are looking at four main areas for commissioning:
1. Keeping people well in their local community.2. Intermediate care.3. Independent living solutions.4. Long-term high support.
Recap: what are our plans for the Better Care Fund?
Progress since our last update The Joint Commissioning Executive has been looking at the
following areas: A ‘shadow year’, including governance of the new system and
how we will make decisions jointly and the mechanics of pooling a budget and sharing risks and issues.
How we will measure the performance of the new system. Declaration of Joint Working has been produced for staff. Commissioning projects have been making progress, such as:
Events for providers. Appointment of project managers. First drafts of specifications.
Health and Wellbeing Board e-newsletters have updated over 1,500 people who are signed up about progress – many of whom have expressed an interest in being involved in the future.
Officers have spoken to the Service Improvement Forum and Provider Reference Group about the work.
In-depth look at: Keeping People Well in their Local Community
What is it? Builds on work we have done in Sheffield –
particularly as part of Right First Time Project 1 – to help people be independent, safe and well in their local community
Challenge is how we scale some of the successful pilots into a large-scale preventative approach that demonstrably reduces costs in social care and the health service
We are not alone in having this challenge!
the magic ingredients?
the magic ingredients?
Community development –the right local activities and support
‘Risk stratification’ – people at risk are identified
Advice – people can access good local advice and info
Fix / signpost – common sense sorting out and signposting
Care planning – goal settingand support planning
Care co-ordination – helping people maintain independence and control
the magic ingredients?
Community development –the right local activities and support
‘Risk stratification’ – people at risk are identified
Advice – people can access good local advice and info
Fix / signpost – common sense sorting out and signposting
Care planning – goal settingand support planning
Care co-ordination – helping people maintain independence and control
Increased independence and wellbeing
Fewer A&E attendances
Fewer unscheduled hospital admissions
Fewer Social Care Assessments
Reduced size/cost of formal care
Delayed need for formal care
the magic ingredients?
Community development –the right local activities and support
‘Risk stratification’ – people at risk are identified
Advice – people can access good local advice and info
Fix / signpost – common sense sorting out and signposting
Care planning – goal settingand support planning
Care co-ordination – helping people maintain independence and control
The ingredients are important – but it is how they are used together that makes the recipe
work
Our proposed approach…
• Inviting providers to tell us how they would work together to improve outcomes
• Anticipating groups of providers coming together for discussions about how they would get the recipe right within a community
• Willing to consider devolving funding – but the real prize here is shifting significant investment from treatment to prevention; from illness to wellness; from dependence to independence
• If we can do that we can improve outcomes for the people of Sheffield and reduce costs
Risk Stratification
Local Inform & Advise
Fix and signpost
Community Asset
DevelopmentCare Planning
Care Coordination
The people at most risk of declining health and wellbeing are known (including children and young people)
People get advice and support locally that helps them to stay safe and well
People at risk are connected to community activities/support that helps them to be independent and well
Good activities and support are available locally
People are supported to live healthy lifestyles
People needing extra help and support have an agreed plan for what they, friends/family and services will do
People have someone to help them navigate the system and stay in control
Resources are targeted at those most at risk
Those at risk are contacted and offered advice and support to resolve issues affecting health and wellbeing
RS combines data from more than one source
Hidden carers identified
GP’s report fewer people seeking none medical advice
CARS/Access report fewer information only contacts
Increased attendance at existing community activity
Carers signposted to support
Successful AA claims increase
Reduction in DNA’s at GP practices and outpatients
Emergency services/CWCA report a reduction in false calls
Fewer contacts with Access
Increased Community Transport Reg
People at risk report having more friends
Increased take up of existing community activities by those at risk
New community activities started based on the needs of those at risk
Increase in people volunteering
People actively engage with their care plan and value it
Carers report they feel supported in their role
The majority of people referred to this function are identified via risk stratification
Individual CPM scores improve
People report experiencing seamless integrated services
People have a named contact to turn to when they need it.
Medication regimes enhance quality of life
Health and social care appointments are coordinated
Func
tion
Out
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rsDraft Outcomes Framework – Keeping People Well in their Community
Working on the main areas of commissioning and governance. This will involve some recommissioning activity over the next
year, although the timescales for all the four commissioning programmes are still to be agreed.
Engagement with members of the public, service users, providers. E.g.: Events and co-production initiatives – will vary depending on the
commissioning project. Communication through Health and Wellbeing Board e-newsletter and
other tools. Update at September Health and Wellbeing Board meeting.
So what’s next?
Questions?