September 2021 One Gloucestershire Gloucestershire has been working in a structured partnership across health amp social care known as an Integrated Care System or ICS since 2018 ID: 904511
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Slide1
One Gloucestershire – developing our Integrated Care System (ICS)
September 2021
Slide2One Gloucestershire
Gloucestershire has been working in
a ‘structured’ partnership across health & social care
(known as an Integrated Care System or ICS) since 2018
This partnership is known as ‘One Gloucestershire’
It’s made up of health local health and care partners e.g.
NHS Gloucestershire Clinical Commissioning Group (CCG), that ‘buys’ health services to meet local needs
Primary Care (GP) providers
Gloucestershire Health and Care NHS Trust that provides community physical and mental health services
Gloucestershire Hospitals NHS Foundation Trust that provides specialist hospital services at Cheltenham General Hospital and Gloucestershire Royal Hospital
South Western Ambulance Service NHS Foundation Trust
The County Council that jointly commissions a range of services with the NHS, is responsible for social care and public health
and wider partners such as the Districts and the Voluntary and Community (VCS) sector.
Slide3One Gloucestershire
Working as
an ICS
has meant:
greater focus on supporting people to keep healthy, independent and developing active communities
more joined up care and support for people whether in their own home, GP surgery, community or in hospitaleasier for staff to work across organisations to support shared health and care prioritiesgreater freedom and control to make local decisions about services and use of the Gloucestershire poundgreater opportunities to attract additional money to develop services and support.
Slide4One Gloucestershire – helping us to support people and communities
Some of the areas we have focused on:
Supporting active lifestyles
Cancer services
Health and housing
Maternity care Mental health and well-being - incl. children and young peopleSupporting people with learning disabilities Supporting people with long term health conditions in their communities incl. social prescribing
Stroke careAgeing well - including frailty, dementia and end of life care.
You can find bitesize summaries and film case studies at www.onegloucestershire.net
Slide5One Gloucestershire – next steps
The Health and Care Bill proposes to formalise these arrangements and make ‘ICSs’ statutory organisations from April 2022
A Gloucestershire
Integrated Care Board
(i.e. a statutory ICS NHS Body) will be responsible for overseeing the day to day running of the NHS locally and developing a plan to meet the health needs of the population
It will take on the commissioning responsibilities (i.e. buying health services and support to meet the needs of local people) from the current CCG and some from NHS England The Integrated Care Board will work hand in glove with an Integrated Care Partnership, bringing together health, social care, public health and wider partners The partnership will be responsible for agreeing an integrated care strategy for improving and joining up public health, health care, social care.
Slide6What this means for Gloucestershire
People will continue to access services in their own homes, GP surgery, community and hospital, but ICS partners will work ever more closely together to plan, provide and improve/join up support and care
In the summer, NHS England and NHS Improvement published a ‘Design Framework,’ setting out expectations for the next stage of ICS development. What this means:
Maximum local flexibility on how together we set up our wider Integrated Care Partnership to work alongside the Integrated Care Board
This will help us to build on the real strides made in recent years, using our collective effort, expertise and resources
‘Place based partnerships’ - we expect the formal definition of ‘place’ to reflect the ICS footprint in Gloucestershire, however we anticipate a continuing key role for PCNs and ILPs (see below) in meeting local priorities:
‘Place based’ care and support is already making a real difference to people close to where they live with strong primary care networks (groups of GP practices working together with community services and VCS) and Integrated Locality Partnerships based on districts
Slide7What this means for Gloucestershire (cont.)
Clinical and professional leadership - i.e. experienced health and care professionals will be fully involved as key decision-makers
There will be a formal agreement for engaging the voluntary, community and social enterprise sector (VCSE) sector in governance and decision making arrangements
The Integrated Care Board will take on commissioning (buying) of primary medical (GP) services and over time primary dental services, general ophthalmic (eye) and pharmaceutical services
Integrated Care Boards are expected to develop a system wide strategy for engaging with people and communities, using 10 key principles
e.g.
Putting the voices of people and communities at the centre of decision-making and governance, at every level of the ICSWorking with people with lived experience - using
insight and engagement to achieve accountable health and care services.
Joined up and devolved decision-making and resources will aid our efforts to improve health locally, empower communities, support recovery and ensure the very best care and support when needed.
Slide8Collective effort to meet challenges
Working together as One Gloucestershire partners we will focus on a number of key areas:
Supporting our communities and services as we recover from
COVID-19
e.g. post COVID-19 syndrome service and working to bring down waiting times whilst keeping people informed
Supporting people to improve their own health and wellbeing e.g. access to information, coaching, social prescribing and active communities Supporting people with mental health needs - joined up support in people’s homes, GP surgeries, in communities and in hospitals Improving access to care e.g. new ways of working and use of technology to offer more choice for consultations with service users
Slide9Collective effort to meet challenges
Transforming our
hospitals -
e.g. creating ‘centres of excellence’ at CGH and GRH
a
nd community hospital specialist rehabilitation services Tackling health inequalities - e.g. accelerating preventative programmes that engage those at greatest risk of poor health outcomes Providing improved support and care across people’s lifetime - starting well (e.g. maternity care and C&YP’s mental health), living well (e.g. supporting people with long term health conditions), ageing well (e.g. supporting people who are frail, have dementia or are reaching the end of their lives Looking after resources and investing in the
future - e.g. working together to make best use of the ‘Gloucestershire pound’, attracting additional resources as an ICS for new leading edge innovations and keeping and attracting new staff.
Slide10Timeline so far
November
2020 - NHS
England and NHS Improvement (NHSEI) launch engagement exercise
February
2021 - Government publishes Whitepaper setting out proposals for a Health and Care BillJune 2021 - The ICS Design Framework sets out the next stage of ICS DevelopmentJuly 2021 - First and second reading of the Health and Care Bill in ParliamentJuly
2021 - Dame Gill Morgan confirmed as Chair designate of Gloucestershire Integrated Care Board (ICB)August 2021 - Further implementation guidance issued by NHS England (see link on next slide)
Slide11Further information
The Design Framework can be read in full here:
https://www.england.nhs.uk/publication/integrated-care-systems-design-framework/
NHS Confederation briefing gives a useful overview of the framework:
https://www.nhsconfed.org/publications/ics-design-frameworkNHS England implementation guidance for Integrated Care Systems – including working with people and communities: https://www.england.nhs.uk/publication/integrated-care-systems-guidance/ The One Gloucestershire website has a dedicated page for all resources relating to ICS Development:
https://www.onegloucestershire.net/ics-development/ You can register with the GIG on-line platform to find out how to get involved in shaping the ICS in Gloucestershire:
https://getinvolved.glos.nhs.uk/