Ha Happy ppy He Healthy althy at at Ho Home me Skills for - - PowerPoint PPT Presentation

Ha Happy ppy He Healthy althy at at Ho Home me

Skills for Care Integration Event 23rd May 2019

James Drury v1

1

Hello

2

Happy py Healthy althy & a & at Home

• me

James.drury2@bradford.gov.uk 07970 479491 @jddrury

A sense of place

3

Happy py Healthy althy & a & at Home

• me

A proud history

4

Happy py Healthy althy at Home

• me

Looking to the future

5

Happy py Healthy althy at Home

• me

Modern, connected and outward facing with a proud history and heritage – significant untapped potential

• Entrepreneurial culture: Young, creative clusters
• Advanced manufacturing and Digital innovation: 25,000

manufacturing jobs; 4,000 digital.

• Pioneering traditions in industry and science, politics and social

reform. Leading edge technology University; Born in Bradford – delivering global benefits; DHEZ

• World famous literary, arts and cultural offer: Memorable landscapes,

countryside and heritage buildings; Curry Capital; first UNESCO City of Film

• 1,500 community groups; 100,000 active citizens- ordinary people doing

extraordinary things

Our Economy

• A £10bn economy: Ninth largest in Britain with circa18,000 businesses
• Productive: Bradford’s productivity per worker is the highest in the Northern

Powerhouse at £49,900, but average wages are low; £476 compared to £550

• Challenged by skill base: 14% working age residents have no qualifications

compared to 8.3% across England. 42% working age people qualified to level 3 compared to 57% nationally

• Employment rate: 67% compared to 74% nationally. We are working to get

20,000 more people into work to reach the national average. BME women make up 75% of our employment gap.

• Job density is low: 690 jobs per 1,000 working age people, compared to 840

nationally

• Economic Strategy: raise GVA by 4bn, get 20,000 more people into work, and

get 48,000 more people with NVQ level 3 skills (to match UK average against all measures)

6

Happy py Healthy althy at Home

• me

Economic impact of Health and Care

7

• 60,000 informal carers: saves state expenditure but also limits output of

carers and impacts on their wellbeing

• Significant economic contribution: Social care sector contributed

£390m to the £10bn Bradford economy in 2016/17. This represents growth of 13% since 2011. Health and Care combined = £1bn GVA p.a.

• Provides work for many: 13,600 jobs in social care sector. Health and

Care combined = over 27,000 jobs, and growing.

• Low Pay: Care workers paid at / close to minimum wage – contributing to

high turnover (30%), and high vacancy rates (9%).

• Recruitment and retention: local NHS trusts turnover rates between

13.5% and 15.5%. In social care turnover rates between 21% and 30%

• https://www.skillsforcare.org.uk/NMDS-SC-intelligence/Workforce-

intelligence/publications/Local-authority-area-summary-reports.aspx

Happy py Healthy althy at Home

• me

Our People

8

• Young: 29% population aged 19 or younger

(21.6% in Craven) www.bbc.co.uk/wearebradford

• Diverse: Ethnic minorities make up 36% of

the population in Bradford. In Craven 27% aged 65+ compared to 14.6% in Bradford

• Entrepreneurial: 32,500 people self

employed, and the number of businesses has increased by 20% over the last three years – faster rate of growth than the UK. Named by Barclays as best place for business start ups

• Challenging future demography: By 2030

33% growth in over 65s but 3.4% growth in the working age population.

• Health inequalities: 45% of people in

Bradford live in areas of high deprivation (England average 20%).

Happy py Healthy althy at Home

• me

Our Health

9

Happy py Healthy althy at Home

• me
• Child health: In Year 6, 38.6%

children are overweight, but this ranges from 17.3% to 43%.

• Adult health: Smoking prevalence

has improved - now 18.9%, but England average is 14.9%. Physical activity rates are also improving.

• Health inequalities: Life

expectancy is improving – but there is a gap between the best and worst

• ff - 7.4 years for men and 6.8

years for women.

• Healthy life expectancy: people

are spending more years living with poor health – 22.6 years for women, and 17.3 years for men

Our Vision Vision

People will be happier, healthier and have access to high quality care that is clinically, operationally and financially stable. People will take action, and be supported to stay healthy, well and independent through their whole life and will be supported by their families and communities through prevention and early intervention with a greater focus on healthy lifestyle choices and self-care. When people need access to care and support it will be available to them through a proactive and joined up health, social care and wellbeing service designed around their needs and as close to where they live as possible.

Happ ppy Healthy althy at at Home

Focus on the wider determinants

11

• Most of what helps us to have

good health and wellbeing lies outside the healthcare system

• Healthcare = 15%
• Health behaviour patterns 40%
• Social circumstances and

environmental exposure 45%

• Mc Ginnis et al the case for

more active policy attention to health promotion

Happy py Healthy althy at Home

• me

Machine

• r

Ecosystem

Heroic Leadership versus…. the Wicked Problem

Systems Leadership requires

• Listening
• Questioning
• Perspectives
• Openness
• Improvement orientation

Our approach to partnership

• Organic approach - relationships before structures
• Strong history of commitment to working for the place and the

people who live here

• A broad and holistic view – aim for our partnerships to include

a wide range of voices

• 13 community partnerships – people & workers together –

integration and collaboration in action – teams know each

• ther and work with people as partners
• Supported by health and care partnerships – senior leaders of

local organisations sharing responsibility for delivery.

• Underpinned by Strategic Partnering Agreement – collective

decision making.

15

Happy py Healthy althy at Home

• me

Values and Behaviours

16

Happy py Healthy althy at Home

• me

Our Health and Care Plan

17

• Happy Healthy at Home: Our mission ‘lived’ by the whole system –

Based on achievement of the Triple Aim

• Community Partnerships: Integrated workforce. Joined up community

and clinical leadership. ‘enabling’ not ‘doing to’. Strengths based

• Collaborative decision making: Through two Health and Care

Partnership Boards, and ICB where we need one ‘whole system’ view.

• Enabling networks: collective change supported by enabling networks

combining all relevant resources across organisational boundaries.

Bradford Health and Care Partnership

Airedale

Airedale, Wharfedale & Craven Health and Care Partnership

North Locality Central Locality Wharfeda le Craven South Locality CP N1 CP N2 CP N3 CP S8 CP S9 CP S10 CP S7 CP C4 CP C5 CP C6 AWC Locality

Our Health and Care Workforce

18

• 100,000 citizens active in

community organisations

• Care workers = over 1/3 of

total workforce

• Nursing, midwifery and

health visiting = next biggest group 16%

• 68% community roles. 32%

work in acute care. Population Informal carers Health and care workers

• 592,000
• 60,000
• 27,000
• Workforce demographics – significant proportion over 55 in both health

and care sectors – knowledge and experience is critical

• The needs of informal carers are critical – The Work Foundation report

‘Who Cares? 2018’

Happy py Healthy althy at Home

• me

Workforce strategy - local

19

Happy py Healthy althy at Home

• me

Growing our Own

20

Happy py Healthy althy at Home

• me

Achievements to date Now and next

• Health & Care Industrial Centre of

Excellence: work with 11-18 year

• lds to build understanding of health

and care careers, work experience/ shadowing, inspirational speakers, pathways

• Skills House: bespoke job

readiness support for job seekers and liaison with care homes

• Ambassadors: recruited 71

volunteers from health and care sector – visit schools, engage young people. Share their stories.

• Home Care: contracted on locality

basis to link staff into Community Partnerships

• Health & Care ICE: Grow from 8 to 13

schools – doubling no. participants

• Summer School: University hosted

partnership with ICE 50 young people two week immersive experience. First

• ne Summer 2019
• Skills House: Community Engagement

Workers to develop relationships between target communities and the sector

• Ambassadors: Grow to 80

ambassadors covering 75% schools

• Apprenticeship enrichment

programme: integrated system focus

Developing our workforce together

21

Happy py Healthy althy at Home

• me

Achievements to date Now and next

• Conversations for Change: 10%

workforce trained in Making Every Contact Count / Conversations for Change

• System L&D events: twice yearly,

themed events to share and build connectivity.

• Heat Map: system wide workforce

profile – identifies risks and priorities.

• One Workforce Programme:

£1.15m – will support 1,000 local citizens into work, increase skills of workforce, and develop One Workforce Academy

• One Workforce Academy: Will be

formally established this year.

• Shared training and development:

Building on the passporting approach between WYAAT trusts, mutually recognise mandatory training and open up development opportunities system wide.

• System leadership: Establish a

shared system leadership development programme and network

• Cross sector mentoring: Launch

programme of cross system mentoring using My E Coach platform

Retaining Talent in the System

22

Happy py Healthy althy at Home

• me

Achievements to date Now and next

• System Staff Benefits: Extend

common staff benefits to care sector and VCS where possible.

• System awards/ celebration: Reward

collaborative innovation and values led behaviour with shared team awards.

• Return and Coach: Explore return and

coach scheme for experienced staff planning retirement

• Carer Friendly: Commit as a system

to shared carer friendly policies – flexibility, leave, support

• Support secondments: cross sector

scheme building on mentoring

• Preventing Burnout : Workshops

focused on primary care and wider system

• Mental Health First Aiders: system

approach to train, support and embed.

• Engagement and

Communications: Establishment of network, use of crowdicity for input to strategies

Shared Culture & System Working

23

Happy py Healthy althy at Home

• me

Achievements to date Now and next

• Shared Mission and Values:

Developed together, shared with pride

• Care providers as Strategic

Partners: following CQC

• Work as One Week: system

approach to ED improvement initiative – strengthened mutual understanding

• Community Partnership

Development Programme: Support for multi agency teams to form, build understanding and community connectivity - ABCD

• Core competencies and behaviours:

Building upon shared mission and values.

• Work as One: Repeat in care home

setting.

• System Induction: Develop shared

system induction approach modelled

• n ‘Be Wigan’
• Movement for change: Co-produce

with citizens and workers a ‘system narrative’

• System QI approach: a common

approach to help multi agency teams collaborate and improve

Thanks for listening

24

Happy py Healthy althy & a & at Home

• me

James.drury2@bradford.gov.uk 07970 479491 @jddrury