workforce in integrated care systems @sfc_yorkhumbne Housekeeping - - PowerPoint PPT Presentation

We’re talking about workforce in integrated care systems

@sfc_yorkhumbne

Housekeeping Introductions

Dr Linda Harris CEO Spectrum Community Health CIC SRO Workforce Transformation Integrated Care Partnership Wakefield

Aim of the day

We will hold conversations about integrated care systems and share examples of good practice about where collaboration has helped to build solid relationships and trust across social care and health

Integrated care

The person’s perspective is at the heart of discussion about integrated care. Achieving integrated care requires those involved in planning and providing services to ‘impose the person perspective as the organizing principle

• f service delivery’

(Shaw et al 2011 after Lloyd and Wait 2005)

Creating a workforce for integration

To achieve genuine integration of services based around the person, we need to acknowledge and overcome resistance to change and transition; as acknowledged in Beyond Barriers (CQC 2018): “Joined-up care… requires a workforce equipped to move between health and social care. Workforce planning needs to create the skills and career paths that allow people to work flexibly across the system as services evolve over time to meet the population’s changing needs.”

Involves whole system collaboration

10.15: Introductions…Dr Linda Harris CEO at Spectrum Community Health CIC / Sally Gretton SfC Head of Area co-chair 10.45: Keynote…James Drury Programme Director, Bradford Integration and Change Board 11.30: Refreshments 11.45: Workshops 12.45: Lunch 1.30: Presentation…Siobhan Smith and Claire Evans Stockton partnership Accolade winners 1.50: Workshops 2.50: Questions 3.30: Close

Programme

James Drury, Programme Director, Bradford Integration and Change Board, the integrated care system in Bradford

Workshops

A) Guide to Coordinating Care led by Sally Gretton SfC and Andrew Jones…Domiciliary Care Provider B) ‘Health and social care integration- Ageing well and Digital programme’, led by Pallavi Kaushal and Tom Luckraft NHSE C) Building trust between social care and health organisations led by Jeanette Cookson SfC and Accolade winners ,Siobhan Smith and Claire Evans Stockton partnership D) Update on nursing associates programme led by Rachael Ross and Peter Northrop SfC with Peter Hodkinson, Managing Director Westward Care and SfC Fellow

Accolade award winners, Siobhan Smith and Claire Evans Stockton partnership, use integration to make a positive impact on people’s lives

Stockton 100 day challenge

My Voice My Choice Integrated Personal Commissioning

Methodology

• A goal was set it was NOT a target!
• Bottom up approach
• Staff were empowered to make decisions
• No fear of failure
• Testing new approaches - flexibility
• Wasn’t a structured project management

approach

New, integrated and multi- disciplinary approach to discharge through the creation of a Home, Safe,

Sooner campaign

Establishing COPD peer support group 8 weekly sessions

Snapshot of the activity:

Teams quickly stepped into action, testing a whole range of ideas in people’s homes, in community settings, in primary care and in hospital settings to support people at different points in their journey. This included:

288

Personalised care and support plans completed Initiating multi-disciplinary meetings across hospital and community settings focussed on proactive person-centred care. Over 40 held over the challenge Developed and tested integrated team running extended hours services in a hospital to prevent unnecessary use of services, GP and hospital primarily.

40sessions run,

Establishing, building and growing links with voluntary and community activity

100+

New connections and referrals

Stockton’s 100 day challenge: the context

Early results were in..

Early Results from the challenge were promising…

• Developing a system-wide consistent approach to

personalised care and support planning

• Almost 300 care plans completed over 100 days
• Over 100 new referrals and connections to community

groups and services

• Over 40 new multi-disciplinary team meetings held
• 40 out-of-hours sessions run focussed on admission

avoidance

• 41% reduction in A&E attendance, and 19% reduction in

1 day admissions from an urban-based team

• 35% reduction in DTOC across the hospital (combined

with other efforts)

Learning Agenda themes for teams

Then this happened..

Skills for Care Accolade Awards 2018 Winner 2018 ‘Most effective approach to integrated new models of care’

No quick fix BUT….

• Catalyst… NESTA challenge

2017-18

• Front line teams empowered
• Power of VCSE
• Pivotal role of AHP’s
• Trusted assessors
• Discharge to assess pathways
• AHP NHSi challenge
• New discharge pathways
• Links with care homes
• 12pm huddle
• 7 day working
• SAFER bundle
• Honorary contracts
• Estates & kettle sharing
• Drop in sessions
• Super stranded Thursday
• Alternative workforce model
• Frailty coordinators
• Red bags
• INTEGRATION

DST’s in the community and Trusted Assessor…

• Shared decision making
• Shared risk and responsibility
• Better decisions in the right place at the

right time

• A more person centred approach
• Less needless paperwork
• Better engagement with care homes

Does the IDT work?

Next Steps

• Integrated working – not co-locating!
• Share best practice, respecting other professional

backgrounds

• Face challenges head on
• Make good use of the shared kettle!
• Achieve better engagement with our provider

partners

• Continue to work together to build Trusted Assessor

models

Thank You

Workshops

A shift in focus and priorities

7 key principles informing the Green Paper

Quality care Whole-person integrated care Control Workforce Supporting families and carers Funding Security

Call to action

• Personalisation
• Shift to place based
• Importance of social care voice
• Prevention agenda

Involvement and solution finding

SfC Resources

• Building trust top tips
• Co-ordination of Care guide
• Updated Principles workforce integration
• Integration indicators, case studies analysis of what works

well

2019 - 20

Accolades : Integration category

entries by June 21st 5pm

For more information visit: www.skillsforcare.org.uk @sfc_yorkhumbne Subscribe to our bi-weekly e-news by emailing: info@skillsforcare.org.uk