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Implementing our local care model for 'Dorothy' Caroline Selkirk, Accountable Officer, Medway CCG and Senior Responsible Officer for the Local Care Workstream, Ian Sutherland, Director of Children and Adult Services, Medway Council Anu Singh,


  1. Implementing our local care model for 'Dorothy' Caroline Selkirk, Accountable Officer, Medway CCG and Senior Responsible Officer for the Local Care Workstream, Ian Sutherland, Director of Children and Adult Services, Medway Council Anu Singh, Corporate Director of Adult Social Care and Health, Kent County Council @KMHealthandcare #KMconf2017 ww.slido.com #KMconf2017

  2. Ian Sutherland Director of Children and Adult Services, Medway Council @KMHealthandcare #KMconf2017 ww.slido.com #KMconf2017

  3. 2 Medway Adult Social Care Strategy Our vision Our aims We will support the people of • Prevention Medway to live full, active lives; • Personalising to live independently for as long as possible, and to play a • Innovation full part in their local • Participation and partnerships communities. • Integration Our values • Safeguarding. • Best value • Quality • Co-production and partnership • Personalisation.

  4. 3 Conversation model What needs to change to make you How can feel safe and in control I link you to the again? What can I provide How can we use things that will to support you and how personal care budgets help you get on can I bring all this together to get you the right with your life? in an emergency support? What does What is it you plan for you? a good life look like want to do? for you?

  5. 4 Moving forward together – Medway model ASC Social Work Area 1 ASC Social Work Area 2 ASC Social Work Area 3 CSC Social Work Area 3 CSC Social Work Area 2 CSC Social Work Area 1 CSC Social Work Area 4 Groups of extended practices, Groups of extended practices, Primary Groups of extended practices, Primary Primary Care Teams – C30k population Care Teams – C30k population Care Teams – C30k population Rapid response team Early help and prevention by locality Longer term needs by locality Children’s advice and duty team Strood Chatham Lordswood Balmoral Rainham Rochester 74,227 32,089 56,714 54,693 45,227 31,676 Healthy living HLC 3 HLC 4 HLC 5 HLC 6 HLC 2 centre 1 Commissioning PL: Children and Commissioning PL: Commissioning PL: Specialist Maternity Services Community Services Services Children Commissioning PL: Commissioning PL: Commissioning PL: Better Care Fund and Getting Accommodation and Specialist Services Adults Better Together Registered Services Integrated Locality Care Teams

  6. 5 Medway’s six primary care homes 299,962 Total population of primary care homes 341 The severe and very severe population who will need intense support from a multi-disciplinary team 2,099 People in our moderate group needing targeted MDT support 3,241 People in our mild group who would benefit from education programmes and GP support 5,681 People diagnosed with a long-term condition 2,440 People in our priority group needing intervention to avoid escalation 1.88% Prevalence rate of long-term conditions 5,725 People with undiagnosed long-term conditions who are likely to end up in hospital 3.8% Expected prevalence rate based on COPD (approximately 5,725 in Medway)

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