26 th June 2014 Dr Bernie Gregory Clinical Lead for Well Connected Well Connected 2 Coordinated Person Centred Care Formal collaboration of all local NHS health and social care providers ID: 442165
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1
Social Isolation in Older People
26
th
June 2014
Dr Bernie Gregory
Clinical Lead for Well Connected Slide2
Well Connected
2
Coordinated Person Centred Care
Formal collaboration of
all local NHS health and social care providers,
commissioners, Healthwatch and voluntary and community groups.
Need and desire to transform the way health and care is provided in
Worcestershire.Slide3
Well Connected
3
Launched in spring of 2013.
National Integration Pioneer in November 2013
Support for being braver, moving faster and at greater scale. Slide4
Our Vision
4
“You plan your care with people who work together with you to understand you and your needs, allow you control and co-ordinate and deliver services that support you to achieve the outcomes important to you”.
National VoicesSlide5
Our vision
5Slide6
AIMS OF THE WELL CONNECTED PROGRAMME
6Slide7
AIMS OF THE WELL CONNECTED PROGRAMME
7Slide8
AIMS OF THE WELL CONNECTED PROGRAMME-
8Slide9
AIMS OF THE WELL CONNECTED PROGRAMME
9Slide10
AIMS OF THE WELL CONNECTED PROGRAMME
10Slide11
Well Connected Programme
11Slide12
Well Connected Programme
12Slide13
Well Connected Programme
13Slide14
Well Connected Programme
14Slide15
Well Connected Programme
15Slide16
5 year
Health and Care Strategy
for Worcestershire
Draft v5.1
10
th
June 2014
Developed with input from:Slide17
Our Five Year Strategic Plan on a Page
Page
17
Draft
Worcestershire Joint Health and Well Being Strategy
We will work to deliver financial balance, sustainability and Value for Money in the delivery of services
Additional
years of life
secured in conditions
considered amenable to
healthcare.
All
people over 65 or those under 65 living with long term conditions
(including children and young people) have
their own personalised ‘joined up’ care plan where the priorities set by the individual are supported by the care that they
receive, resulting in improved health related quality
of
life.
We respect
the views of the public, patients, service users and carers and ensure that they have an opportunity to shape how services are organised and provided.
We balance need
for consistency across the county with the
specific needs local populations.
We work with a no blame culture where the focus is on finding solutions not blaming for problems.
All decisions considered in the light of the health and care needs of the population and the evidence base for
what works.
Organisations work together to deliver change, not in competition.
Patients and the population come first, not organisational interests.
A seamless health and social care system delivering high quality, timely and effective care;
As much care and support provided in or as close to people’s homes as possible;
Individuals and families will be able to take greater responsibility and greater control over their own health and
care;
Specialist
hospital
services, primary care and community care
provided from high quality safe environments, with
appropriate qualified, supported and skilled
staff working across 7 days
.
Investment in prediction, prevention and early intervention where we can be confident that this will reduce future demand on
services;
Residents
helped with technology supported self care to ensure that specialist resources are focused more effectively on those in most need;
R
educed
differences between social groups in terms of health and social care outcomes;
A financially sustainable model of care that targets the use of resources in those areas that will have greatest impact.
Our vision for health and care in Worcestershire
You plan your care
with
people who work together with you to understand you and your needs, allow you control and co-ordinate and deliver services that support you to achieve the outcomes important to
you.
E
mergency admissions and
length of stay reduced by managing care more proactively
in other settings.
S
afe
and effective care
secured and the
proportion of people having a positive experience of care in all
settings increased.
The
need for long term residential and nursing care
for all age groups is reduced by people being healthy
and
independently.
Parity of esteem for people suffering with mental health conditions alongside those with physical health conditions.
The outcomes we are seeking to achieve
Values and principles underpinning our health and care economy
Worcestershire Joint Health and Well Being StrategySlide18
Better Care Fund
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June 2013 announcement of the Better Care Fund to support the integration of health and social care.
“a single pooled budget for health and social care services to work more closely together in local areas, based on a plan agreed between the NHS and local authorities”.
3.8 billion nationally and minimum of around £37m for Worcestershire for 15/16.
NOT
‘new’ money
Plans need to meet specific criteriaSlide19
Better Care Fund
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F
ocus
for
the Better Care Fund will be to support people who are currently, or who are at risk for becoming, heavily dependent on
health and adult social care
services
C
oncept
of population risk segmentation and early
intervention
- developing an end to end pathway without financial barriers
Slide20
Transforming Primary Care
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Safe, personalised, proactive, out of hospital care
Proactive Care Programme
Named GP for all people aged over 75 with
overall responsibility for and oversight of their
care.
Funds for commissioners to invest in primary care
Slide21
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