Hackney Health and Social Care devolution pilot Overview and update - - PowerPoint PPT Presentation

Hackney Health and Social Care devolution pilot

Overview and update

1

This evening

• Brief overview of plans, we want you to be

engaged

• Please take time this evening to leave your

comments, concerns and questions on the wall provided

• Dedicated event, hopefully in early April that

will be solely about integration

• Please come along to that event – to receive

updates, please leave your details.

2

A brief overview

• Powers transferred from national government to Hackney
• Nine Hackney partners submitted a joint statement of

commitment for full health and social care integration

• Hackney is one of five successful areas in London. We will be

developing, testing and consulting on new models of delivery

• Key question: Should all the local providers form one new

delivery organisation to improve arrangements for working together?

• Any new organisation would remain part of the NHS and would

be required to adhere to NHS standards and ensure rights of patients under the NHS constitution. Patient choice for services

• utside Hackney.

3

What is our ambition? Why did we decide to apply?

• Significant funding pressures across health and social care. Our

responsibility to get the very best possible for Hackney

• Not just about money! Use the freedoms and powers to create a

truly integrated and sustainable local health and care system

• We believe local people, commissioners and providers are best

placed to develop a system that is built on local need.

• We want to develop a Hackney-led solution to long standing health

and social care challenges, such as providing more prevention and early intervention services

4

5

Hom erton University Hospital NHS Trust London Borough of Hackney NHS City and Hackney CCG HealthWatch and

• ther Lay

Representatives City and Hackney Local Pharmaceutical Committee City and Hackney Urgent Care Healthcare Social Enterprise (CHUHSE) Voluntary sector including HCVS East London Foundation Trust (ELFT) City and Hackney GP Confederation

Who are the local partners?

Local people (resident s, service users, patients and carers)

Hackney’s Whole Health and Care System

What new ‘freedoms’ are we asking for, and why?

• Devolution of some national health com m issioning budgets, including public health,

specialised services and primary care, will enable us to bring budgets together, simplify planning and reduce the transaction costs associated with commissioning.

New commissioning powers

• Financial freedoms: We want to have more control over how we pay for services, making

sure that we encourage prevention and early intervention.

Financial flexibilities

• Developing a simplified and com m on regulatory and assurance system will keep us

focused on how well our system is improving outcomes, especially what matters most to patients and service users.

Common regulatory system

• Freedoms in terms of how we use our buildings and property will help us transform

existing buildings into fit-for-purpose facilities that can deliver integrated services.

Buildings and Property

• Additional powers devolved to London will enable us to address our public health

challenges - ensuring a good start in life, fair employment, educational opportunities, healthy communities, etc.

Additional local powers

6

Links to our 5 year plan

• All working together to develop our five year plan. Integration and
• ur ‘asks’ will be intrinsic part
• By the time we submit that in June we need to be clearer about:
• exactly what decisions and responsibilities do we need to bring

locally to better help us deliver our plans?

• how would one provider organisation help with the delivery of our

plans?

• We will have much more concrete proposals to discuss by that stage

but will continue to engage with all stakeholders on emerging thinking between now and then

7

What have we done so far?

8

October – November Health and Wellbeing Board working group defines the aims of the pilot and prepares the bid November Submission of bid with outline proposal and partners’ collaboration agreement to London Councils/ NHS England December National announcement

• f the pilot

Project governance and management arrangements proposed January Revising governance arrangements, preparing work plans and seeking transformation funding

What happens next?

Jan-Mar 2016

Phase 1

Start Up

Apr-Sept 2016

Phase 2 Detailed business case developed alongside 5 year plan, with input from public, patients and other stakeholders

Oct 2016-Mar2017

Phase 3 Finalise

• perating

model and formally consult

Apr 2017 onwards

Phase 4 Pilot launched

9

Integration: Communications and public engagement

Catherine Macadam Co-chair, Engagement and Communications workstream

Starting point is:

• NHS England Patient and Public Participation

Policy: ” patients and the public to be at the heart of everything we do.”

• The Five Year Forward View: ‘…

we need to engage with communities and citizens in new ways, involving them directly in decisions about the future of health and care services.’

• The Hackney Local Devolution Pilot: “Putting our

patients, clinicians and social care practitioners in the driving seat of service transformation and decision making … . which is open inclusive, transparent and locally accountable.”

Benefits of engagement

• People are better off

because

• they are better informed about

their health, they live longer and in better health

• they build strong social

networks and connections and more stable communities

• they have better partnerships

with doctors and professionals

• The system works better

because

• resources are used more

sustainably

• improved quality and

innovation

• reduced health inequalities

and waste

• people understand how to use

health services responsibly

How will we make this happen?

Com m unications and public engagem ent workstream :

• Who:

Co-chairs: Jon Williams (Healthwatch Hackney) Catherine Macadam (CCG Lay Member)

+ representatives of patients, carers service users and the public.

• What:

To make sure that the people of Hackney:

are fully informed about the proposals have had opportunities to ask questions, contribute ideas, be part of the design and decision-making process

How will we make this happen?

• How:
• Offer a range of opportunities for patients/ carers/ service

users, the public and other interested parties to play a proper part in re-designing services and decision-making

• establish principles of patient/ service user and public

involvement for any new model of healthcare delivery

• communicate widely about the project in a way which is

relevant, timely, meaningful and accessible

Next Steps

• Post a question or comment about integration
• n the Question Wall
• Tell us how you would like to be involved and

leave us your contact details

• Attend the next public event