Co-Production Session Friday 28 th October 2016 Katie McWilliam Strategic Planning & Quality Manager
Update on our priorities, structures, localities, and the joint inspection for older people
Contents • Edinburgh’s Strategic Plan Priorities • Edinburgh’s Structure & Operating Model • Edinburgh Localities & Involvement • Joint Inspection for Older People – Update
Public Bodies(Joint Working)(Scotland) Act 2014 Delegated Functions for Service Delivery & Planning Community Health Services Hospital Based Services • District Nursing • A&E • Services relating to an addiction or • General medicine • dependence on any substance. Geriatric medicine • Services provided by Allied Health • Rehabilitation medicine Professionals (AHPs) • Respiratory medicine • Community dental service • Psychiatry of learning disability • Primary medical services (GP)* • Palliative care • General dental services* • Hospital services provided by • Ophthalmic services* GPs • Pharmaceutical services* • Mental health services • Out-of-Hours primary medical services provided in a hospital with • Community geriatric medicine exception of forensic mental • Palliative care health services • • Mental health services Services relating to an • Continence services addiction or dependence on • Kidney dialysis any substance • Prison health care service • Services to promote public health *Includes responsibility for those aged under 18
Edinburgh’s Strategic Plan 2016 -19
Strategic Plan Involvement Process People were involved from 2015: • 3 versions of the Strategic Plan: full, summary and easy read • 10,000 fliers • 400 posters • Local press releases • Consultation Hub – hard copy, questionnaires • 75 groups, meetings and workshops: across four localities voluntary, independent, housing, interest groups, staff across council and NHS
Edinburgh’s Strategic Plan for Health & Social Care
Improving Health & Wellbeing Health and social care services should focus on the needs of the individual to promote their health and wellbeing, and in particular, to enable people to live healthier lives in their community. Key to this is that people’s experience of health and social care services and their impact is positive; that they are able to shape the care and support that they receive; and that people using services, whether health or social care, can expect a quality service regardless of where they live. National Health and Wellbeing Outcomes: Framework 2015
Health & Social Care: Improving things for Mrs Scott Draft for Discussion 4. Longer term – 5. Complex – 1. Health and wellbeing 2. Access, assessment, 3. Short Term support services & response Community based Accommodation based Mrs. Scott CARE CLUSTER - LONGER TERM DIRECT Acute & Rehab Health and CARE, SUPPORT, HUB - NEW & Care wellbeing MAINTENANCE & ONGOING ( bed based ) services URGENTASSESSMENT CARE MANAGEMENT FUNCTION & INTERVENTIONS UP TO 6 WEEKS Wider Supports Accommodation based services SIGNPOSTING Ongpoing Reablement and Non Statutory Community Interventions Integrated Locality Hubs and Clusters Prevention and Access and Accommodation Early Intervention Assessment The locality teams are multi disciplinary, will based and Acute Co- ordinated Services provide many supports over 7 days Referral into a community and single point of People only want to multi agency contact , Care go into hospital when approach to Direct and they need to improved health Triage. and wellbeing and Assessment HUB: Short Term – CLUSTER: Longer support, earlier Enhanced support process, Term – enables intervention and enables speedy provision for people at home, through the delivery of longer greater diagnostic of short term care such as and in Care Homes, Multi Agency support for GPs to term support in the reablement, rehab and optimising care , Triage Teams ensure people can community through recovery services, to support and be cared for in their with links to the provision of care at assist to maintain people technology solutions community for as integrated home, community at home, and enable long as possible. locality Hub nursing , and other timely discharge Closer links with teams to community services, communities, provide further around GP Clusters families, carers, assessment housing, providers, and support and generic planning supports.
Edinburgh’s Structure Chief Executive Edinburgh Integration Chief Executive City of Edinburgh Joint Board NHS Lothian Council Chief Officer Edinburgh Chief Social Work Health and Social Care Officer Partnership Hospital Chief Strategy Locality Locality Chief Chief Chief & Hosted and Manager Manager Medical Finance Nurse Services Performance NW NE Officer Officer Manager Officer Locality Locality Strategic Planning Strategic Planning Manager Manager and Quality Manager and Quality Manager SW SE Older People Disabilities Strategic Planning Strategic Planning and Quality Manager and Quality Manager Mental Health & Sub Primary Care Misuse Strategic Planning Support
Operating Model Locality Locality Locality Locality Manager Manager Manager Manager NW NE SW SW Strategic Planning and Quality Monitoring Manager Older People Strategic Planning and Quality Quality assurance Manager Mental Health & Sub Misuse Strategic Planning and Quality Manager Public protection Disabilities Strategic Planning and Quality Service improvements Manager Primary Care & Public Health
Discussion Points • How are you currently involved? • What else do we need to think about to make better links with service users and providers? - Top 3
Localities What the national guidance says: • Locality areas should relate to natural communities and take account of clusters of GP practices, which may in turn need to be realigned to fit with other services. The size of localities will vary, but will need to feel “right” to people living and working in the area: large enough to offer sufficient scope for service improvement, but small enough to feel local and “real”. • It is of interest to people in local communities, who can get involved in localities in order to support and influence the design and delivery of health and social care services • People and communities will be enabled to flourish only where all parts of the system work collaboratively to empower local decision making and active citizenship.
Localities Localities must: • Support the principles that underpin collaborative working to ensure a strong vision for service delivery is achieved. Robust communication and engagement methods will be required to assure the effectiveness of locality arrangements • Support GPs to play a central role in providing and co-ordinating care to local communities, and, by working more closely with a range of others – including the wider primary care team, secondary care and social care colleagues, and third sector providers – to help improve outcomes for local people. • Support a proactive approach to capacity building in communities, by forging the connections necessary for participation, and help to foster better integrated working between primary and secondary care.
Who should be involved in localities To ensure the quality of localities‟ input to strategic planning, they must function with the direct involvement and leadership of: • health and social care professionals who are involved in the care of people • who use services • representatives of the housing sector • representatives of the third and independent sectors • carers‟ and patients‟ representatives • people managing services in the area of the Integration Authority Localities should also take account of input from people who have responsibility for housing, given the focus within integration on supporting people, as far as possible, to stay in their own homes and building healthy, resilient communities.
Localities Locality Neighbourhood Partnerships North West Almond, Forth, Inverleith and Western Edinburgh North East Leith, Craigentinny/Duddingston and Portobello/Craigmillar South West Pentlands and South West South East/ Central City Centre, South Central and Liberton/Gilmerton
Localities Discussion Points What’s working well with locality engagement in your area? What else needs to be done to strengthen this?
Your Community Voice The Integration Authority is a statutory community planning partner and Therefore subject to duties placed on Community Planning Partnerships (CPPs), and partners by Part within the Community Empowerment (Scotland) Act . Edinburgh have deliberately made all the locality arrangements the same boundaries, so that we can work together create effective relationships between CPPs and Integration Authorities to achieve the national health and wellbeing outcomes
Your Community Voice Community Empowerment Will improve outcomes for communities by improving the process of community planning, ensuring that local service providers work together even more closely with communities to meet the needs of the people who use them.
Strengthening Your Community Voice Become aware Get involved in the journey Grow your community assets
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