Developing Integrated Care Dr Kiren Collison, Clinical Chair, - - PowerPoint PPT Presentation

Patient and Public Participation in Developing Integrated Care

Dr Kiren Collison, Clinical Chair, Oxfordshire CCG Lou Patten, Chief Executive Officer, Oxfordshire CCG

Our Developing Strategy……

We need to refocus on prevention and early intervention across health and care, increasing our community capacity to provide care at home whilst reducing bed-based care through our providers, who will work together to make this happen.

Living, Ageing and Staying Well Prevention & Early Intervention Rapid Response & Reablement Long Term Care Low dependency levels High dependency levels Living, Ageing and Staying Well Prevention & Early Intervention Rapid Response & Reablement Long Term Care Current balance of spend Future balance of spend Rebalancing spend over a 5 year period

…needs System Integration

Our Clinical Case for Change

Our length of stay in hospital needs to be shorter

What is an Integrated System?

What it is: What it is not: Mature partnerships - a coalition committed to collective decision making New statutory bodies or change to existing accountabilities Partners making a single, consistent set

• f decisions about how to deploy resources

Employers, ways of managing financial or

• ther resources

Stronger local relationships and partnership work based on common understanding

• f local priorities, challenges and next

steps Legally binding (deliverability rests on goodwill, commitment and shared priorities and objectives) A clear system plan and the capacity and capability to execute it Getting rid of the purchaser / provider split

• r of respective statutory duties and powers

Place-based, multi-year plans built around the needs of local populations and local health priorities Tried and tested. There will be bumps along the way – the true test is in the relationships! Delivering system improvements Removing the need for consensus and collaboration

Enhancing System Efficiencies

If we make services more efficient in one part of the system We must ensure this does not pop up as a cost or burden elsewhere We must move from individual organisation thinking to working as a system Our service developments must consider the system implications

GP Practices GP Practices GP Practices GP Practices GP Practices GP Practices GP Practices GP Practices GP Practices GP Practices GP Practices GP Practices GP Practices

Acute

Locality

Locality

Locality Locality Locality

Locality

Locality

Locality

Locality

Locality

Locality

Locality

Hubs Hubs Hubs

Our Plan is to support each Locality to co-produce the transformation with stakeholders, primary & secondary care clinicians, social care professionals, care homes, voluntary sector and

• thers to deliver the System

strategic priorities

Acute Care

Developing Our ‘Place’ Based Focus: Population Health

Local areas are different and we need to understand the local health and care challenges as well as the issues that people are worried about

Patient and Public Participation

NHS England – Statutory Guidance for CCGs and NHS England, 2017:

Public involvement in commissioning is about enabling people to voice their views, needs and wishes, and to contribute to plans, proposals and decisions about services. Our use of the term ‘patients and the public’ includes everyone who uses services

• r may do so in the future, including carers and families.

The term ‘involvement’ is used interchangeably with ‘engagement’, ‘participation’, ‘consultation’ and ‘patient or public voice’ and there are many different ways to involve patients and the public Different approaches will be appropriate at different times, depending on the nature of the commissioning activity and the needs of different groups of people.

Building Strong and Lasting Engagement

People get engaged when they are interested in the subject Our engagement will have to develop across different clinical conditions, in different locations and with different age groups. We will need to map our engagement and create a comprehensive directory of different groups Diabetes Localities Dementia Children Carers Frailty

GP Practices

We must use different methods of engagement to be effective Population

Tiers of Engagement…

Locality meetings in public Governance meetings in public

Background engagement Targeted engagement

Diabetes UK Using other stakeholder events (BHT, BCC) Locality meetings in public

Future engagement?

Crowd Sourcing Reference groups that are statistically relevant to our populations Long Term Conditions Champions Carers Oxfordshire -wide integrated engagement plan Parents of young children

Engaging differently….

School Competition for best poster and video about using urgent care services properly

Technology to support self help….

Facebook/Twitter to comment real time

• n health & social provision

Personalised Risk Profile Baby Buddy App On line Health Trainer & FitBit Triage, then GP or Nurse appointment

..and a great engagement opportunity

The Important Role of Healthwatch

Healthwatch is:

• Well placed to carry out engagement activity;
• A trusted link to patients, public and

stakeholders;

• Connected to local networks, including

voluntary sector and local authority health

• verview and scrutiny;
• Has experience of engaging with harder to

reach groups and those who have problems accessing services;

• Provides a good source of existing patient

and public insight ;

• A useful source of intelligence on how

people are experiencing services.

Thank You!