Transcript Integration and partnership working in the context of the Care Act

Integration and partnership working in the
context of the Care Act
Staff Conference - 10 November 2014
David Sykes, Interim Head of Joint Commissioning
Collaborative
Overview of presentation
 Integration, co-operation and Partnership
working
 Better Care Closer to Home & Better Care
Fund
 Outcomes Based commissioning for community
services
Integration, cooperation and
partnership working
Not new concepts
 NHS Reorganisation Act 1973
 The New NHS: Modern, Dependable 1997
 Health Act 1999
 Independence Wellbeing and Choice 2005
 National Health Service Act 2006
 Health and Social Care Act 2012
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Vision and outcomes of Integration,
cooperation and partnership working
“The vision is for
integrated care and
support that is personcentred, tailored to the
needs and preferences of
those needing care and
support, carers and
families.”
 Improve service user
experience
 Eliminate duplication
 Streamline care pathways
 Collaborate on early
intervention and
prevention
 Improve safeguarding
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Benefits of Integration, co-operation and
partnership working
Access to services
Local provision
Prevent and delay care
needs
Integration, cooperation,
partnerships
Silo working
Organisational barriers
Different operational
practices
Duplication
What does the Act say?
Local authorities MUST:
• Ensure the integration of care and support provision with
health provision and health-related provision
•
Co-operate with each of its relevant partners, and each
relevant partner must co-operate with the authority, in the
exercise of their functions relating to adults and carers
•
Co-operate where this is needed in the case of specific
individuals who have care and support needs
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Better Care Closer to Home Strategy
(BCCH)
 Key joint strategy
 Create holistic integrated community services in
the community to maintain and improve
people’s health and wellbeing
 Shift in settings of care from hospital to
community
 Funding from Better Care Fund will deliver
parts of the Strategy
Better Care Fund (BCF)
 The BCF is a pooled budget that shifts
resources into social care and community
health services for the benefit of the NHS
and local government
 Requirement to measure impact on
reducing avoidable hospital admissions
and reduce length of stay
Outcome Based Commissioning (OBC)
 Initiative of Richmond Clinical Commissioning
Group (CCG) and Richmond Council
 Aims to transform the delivery of community
services based around outcomes that matter
most to local people
 This model is still in development and some
services will be delivered in this way from April
2015.
Linkages with Care Act
BCCH
Commissioning intentions
Prevention strategy
Dementia strategy
Carers strategy
BCF
Integration
Enhanced community
health and social care
OBC
IT
Business processes
Care
Act