Celebrate and Collaborate Our sponsors Outline for today 1000 - - PowerPoint PPT Presentation

Celebrate and Collaborate

Our sponsors

Outline for today

1000 Introduction and keynote speakers 1040 Workshops 1140 Coffee in Abbey Business Lounge 1210 Workshops 1315 Lunch in Abbey Business Lounge 1415 Workshops 1530 Event ends

Gloucestershire’s Sustainability & Transformation Plan February 2017

History of Partnership Working:

But- we recognise there is so much more

• pportunity for joint working and I would

welcome hearing your thoughts today ...

Background:

“To improve health and wellbeing, we believe that by all working better together - in a more joined up way - and using the strengths of individuals, carers and local communities, we will transform the quality of care and support we provide to all local people’”.

Our Shared Vision:

• Our STP builds on the strategic commitments set out in:

Joining Up Your Care and the three gaps in the NHS Five Year Forward View

• We have worked together to further develop our shared work

programme, financial savings plan and objectives

• Our shared transformation work programme is focussed on

ensuring we will have a sustainable health and care system for Gloucestershire – for now and for the future

Top Line Messages

• We will invest in keeping people healthier for longer by

enabling communities to support each other, and support self care and prevention

• We will reduce variation in prescribing and services, cut

waste, and fund interventions that can deliver the greatest health benefit for our population

• We will review the patients’ care journey, to ensure that care is

delivered efficiently and effectively, and when appropriate, closer to home

• We will join up care around communities, creating 16 GP

practice clusters delivering integrated care with community services to support physical and mental health needs

Top Line Messages

• We will have a clear joined up approach to urgent care

provision, so that people will know when and where to access urgent care, when they need it

• We will introduce urgent care centres and streamline

assessment services when we are clear this will improve quality and safety, and reduce waiting times for our population

• We will have a ‘one county’ approach to IT, Estates, and other

system enablers

• We will introduce countywide leadership, training, education

and learning opportunities to support the shift to new roles and responsibilities for staff

Plan on a Page

• Prevention and Self Care strategy
• Asset Based Community Models
• Focus on carers and carer support
• Social Prescribing / Cultural Commissioning

Enabling Active Communities

• Transforming Care: Respiratory and Dementia
• Clinical Programme Approach developing pathways

and focus towards prevention

• Mental Health FYFV

Clinical Programme Approach

• Choosing Wisely: Medicines Optimisation
• Reducing clinical variation
• Diagnostics, Pathology and Follow Up Care

Reducing Clinical Variation

• Urgent Care Model and 7 day services
• People and Place - 30,000 Community Model
• Devolution & Integrated commissioning
• Personal Health Budgets / IPC

One Place, One Budget, One System System Enablers

Joint IT Strategy Primary Care Strategy Joint Estates Strategy Joint Workforce Strategy

System Development Programme

Countywide OD Strategy Group Quality Academy STP Programme Development Governance Models Care and Quality Gap Health and Wellbeing Gap Finance and Efficiency Gap

STP Gloucestershire: Joining Up Your Care

Enabling Active Communities:

Enabling Active Communities

• Radical Self Care

and Prevention Plan Clinical Programme Approach

• Reset Pathways

for Dementia and Respiratory

• Deliver the Mental

Health FYFV Reducing Clinical Variation

• Choosing Wisely

Medicines Optimisation

• Diagnostics

Review One Place, One Budget, One System

• Place Based

Commissioning

• Reset Urgent care

and 30,000 community Model System Enablers

• Primary Care
• Joint IT Strategy
• Joint Estates

Strategy

• Workforce
• Successful bid to National Diabetes Prevention

Programme, Gloucestershire 1/13 areas in country for next phase of the rollout

• Implementation of the Patient Activation Measures

continues across all three test & learn projects

• Expanded Social Prescribing & Community Agents

Service to commence 2nd June 2017

• 35 businesses signed up to Workplace Wellbeing

Charter, 16 more working towards accreditation

• Application submitted to NHSE for National VCSE

Provider (NESTA) to support development of a model for personalised care and support planning

• Strong engagement with Districts to ensure joined up

approach to delivery plan

• Innovative proposal to get 90,000 people active, develop

in partnership with Active Glos and Sport England

• Daily mile rolled out across all schools in county

Universal health & wellbeing needs Mild to moderate needs and/or stable health conditions Multiple & complex needs and/or potentially unstable health conditions

Stepped Model of Community Based Social Prescribing Provision to enhance the standard medical offer

Stratified intervention to meet stratified continuum of need

• Mixed media for self harm for

frequent ED attenders

• Dance for falls prevention in

high risk elderly

• Singing for aphasia in acute

stroke rehab

• Live harp music in a special

care baby unit

• 1:1 nature walks for

housebound people with agoraphobia

• Singing for lung capacity,

stable COPD and asthma

• Street dance for diabetic

teenagers

• Producers project for men

living with chronic pain

• Allotments for cardiac rehab
• Yoga for low back pain
• Creative writing for mild

depression

• Walking for health
• Community choirs for

social isolation

• Zumba for weight

management

• painting for relaxation
• Luncheon clubs for

friendship

• Debt advice for stress

More details:

• Full STP and Short Guide published and

available online www.gloucestershirestp.net

• Public Engagement Programme closed

February 24th with a report in development to inform next steps

• Diabetes Case study Link
• Cultural Commissioning Case Study Link

Valuing the Voluntary and Community Sector

Richard Bradley Deputy Chief Executive Office of the Police and Crime Commissioner

The PAST The PRESENT The FUTURE

The Past

• Not ‘valued’
• Not a member of key partnerships
• Not clear on structure or role

The PAST c. 2012

The Present

‘Valuing their contribution and support’

Member of Partnerships

(Examples)

• Enabling Active Communities - Health
• Criminal Justice Board – Justice
• Prevention and Self care - Health
• Crisis care – Mental Health
• Community Safety Steering Group

Funding

• Austerity
• Reduction in contributions from Local Authorities,

Charities

• National research – closure of some charities

Commissioner’s Fund 2017

• 165 applications received (65 in 2012)

Total funding requested = £3,405,396 – (£600,000 in 2012)

• 78 projects funded – a high majority are VCS members

and we have agreed to fund the Community Engagement Post within VCS

• 54 of these are new projects = £612,000
• 24 Are extensions of funding = £615,000

19 6 7 1 5 9

Countywide 31

Funded Projects by area

The Future

• Social Value Act 2013 requires people who

commission public services to think about how they can also secure wider social, economic and environmental benefits.

• Future Commissioning :
• Bidding
• Consortia
• More partnership opportunities

Thank You

Workshops

Red Funding, Abbey Business Lounge Green Partnership and Collaboration, Abbey Business Lounge Blue New ways of working,1873 Suite