MY LIFE A FULL LIFE Isle of Wight Dr Mark Pugh Loretta Outhwaite - - PowerPoint PPT Presentation

MY LIFE A FULL LIFE Isle of Wight

Dr Mark Pugh Executive Medical Director, Isle of Wight NHS Trust

mark.pugh@iow.nhs.uk

Loretta Outhwaite Interim Programme Director & Chief Finance Officer (IW CCG)

loretta.outhwaite@iow.nhs.uk

MY LIFE A FULL LIFE Isle of Wight, PACS Vanguard

One Define the population & system boundaries

Isle of Wight Council (incl. fire & children’s srvs) Isle of Wight Clinical Commissioning Group Voluntary Sector Independent Sector (Care Homes & Home Care) Isle of Wight NHS Trust One Wight Health (All 17 GP Practices) Town & parish councils Hampshire constabulary The Island’s citizens

MY LIFE A FULL LIFE: Isle of Wight, PACS Vanguard

Two Identify the right partners & services

MY LIFE A FULL LIFE Isle of Wight, PACS Vanguard

Three Develop a shared vision & objectives

ISLE OF WIGHT OVERVIEW

Accessible only by sea/air (weather dependent) 23 miles wide by 13 miles long Single system, single boundaries Increasing elderly population; 26% over 65 (17% England av) & over 75 12% (8% England av) Recruitment & retention issues Low earnings; higher than av. long term unemployment; 20% children live in poverty; low GCSE attainment (45%) Population of 142,000; est’d £300m health & social care budget 2.5m visitors p.a.; 2 large music festivals

SERVICING THE ISLAND’S HEALTH NEEDS: LOGISTICS

Off-island destination Transport Travel time (mins) Southampton General Air 8 Southampton General Sea 100 Queen Alexandra Portsmouth Air 8 Queen Alexandra Portsmouth Sea 85 Front line Transport Annual activity Coastguard 47 Air ambulance 83 Ferries 392 Type of patient % treated

• ff Island

Elective 22.9% Non-elective 7.2%

AGE PROFILE

• Over 65s expected to increase by 47% & will account for 36% of the

total population by 2037 (vs England 24%)

Health Needs: Multiple Chronic Conditions By Age

– The majority of over-65s have 2 or more conditions, and the majority of over-75s have 3 or more conditions – 54% of patients have at least one chronic condition requiring management

Source: ACG Risk Stratification tool, July 2015

Isle of Wight Council, Trust & CCG 5 Year Strategic Vision & Objectives

Vision

• Person centred, coordinated health & social care

Objectives

• Improved health & social care outcomes.
• People have a positive experience of care.
• Person centred provision.
• Service provision & commissioning is delivered in the most efficient

& cost effective way across the whole system, leading to system sustainability.

• Our staff will be proud of the work they do, the services they provide

and the organisations they work for and we will be employers of choice.

AIMS

Person-centred, allowing & enabling individuals to take control of their lives & their care Services based in the community/at home, delivered by integrated teams Prevention-based, promoting health & wellbeing Quality of life & keeping well Linking together & building on schemes already up & running/being planned across our communities

OUR ‘MY LIFE’ MODEL

http://www.nurturedevelopment.org/ Based on ABCD approach – Cormac Russell

Our integrated ‘My Life’ model is:

 Prevention-based  Health and wellbeing promoting  Built on experience-based co-design  Founded on self care and empowered

communities.

At the centre of our model is the person My Life coordination supports the individual to navigate the community and system. This single point of access triages, reduces the perceived system complexity, increases awareness of services, and maximises efficiency.

The Integrated Locality Teams deliver person centred care and support in the community, with GP clinical leadership and multi-specialist teams.

Intimate / Family Key enablers My Life, A Full Life – care services Associated Life Friendships Support Groups Home One Leadership Hospital Services Integrated Locality Teams Ambulance Service Public Health Commissioned voluntary sector Adult social care Children’s social care Integrated single point

• f access

Community Faith Groups Voluntary Sector Isle Help Town and Parish Councils Family Friends Colleagues My Life Coordination Informal community links Transport Education Housing Association Environment Health- watch People Matter Crisis Response Team Domiciliary Care Out of Hours Independent Sector Palliative Care

10.06.2015

Home

09.06.2015

Community Health Services MH & LD Services

09.06.2015

MY LIFE A FULL LIFE Isle of Wight, PACS Vanguard

Four Develop an appropriate governance structure

CURRENT GOVERNANCE

Health & Wellbeing Board My Life a Full Life Board Joint Adult Commissioning Board (CCG & Council) Strategic Partnerships Board (Council & Trust) Trust Board CCG Governing Body Full Council & Executive Hampshire & IW Executive Groups Locality Boards, Management Groups & Forums

MY LIFE A FULL LIFE Isle of Wight, PACS Vanguard

Five Identify the right leaders & develop a new form of system leadership

MY LIFE A FULL LIFE Isle of Wight, PACS Vanguard

Six Agree how conflicts will be resolved

MY LIFE A FULL LIFE Isle of Wight, PACS Vanguard

Seven Develop a sustainable financing model

Cost Tariff/benchmarked cost Inefficiencies Island Premium

Mitigate with system redesign Unavoidable

MY LIFE A FULL LIFE: PROGRAMME STRUCTURE

Strategic Commissioning, Contracting and One Island £ Organisational Integration & Form Communications, Engagement and Project Management Office Evaluation and Measurement One Information & Technology Enabled Care, Infrastructure and Estates One Leadership & One Empowered Workforce Prevention and Early Intervention Integrated Access Integrated Locality Teams Whole Integrated System Redesign

Eight Create a dedicated team

MY LIFE A FULL LIFE Isle of Wight, PACS Vanguard

MY LIFE A FULL LIFE Isle of Wight, PACS Vanguard

Nine Develop systems within systems

“Are there examples of really good integrated services? I mean unified not just joined up. Working seamlessly. There is a place, I know where it is, I've been there, seen it.” Roy Lilley

MY LIFE A FULL LIFE Isle of Wight, PACS Vanguard

Ten Develop a single set of measures

MY LIFE A FULL LIFE Isle of Wight

Dr Mark Pugh Executive Medical Director, Isle of Wight NHS Trust

mark.pugh@iow.nhs.uk

Loretta Outhwaite Interim Programme Director & Chief Finance Officer (IW CCG)

loretta.outhwaite@iow.nhs.uk