Transcript Northamptonshire`s Experience - Charlie MacNally Director of

How Can Hwbs Promote Integration Across Health
And Social Care?
Northamptonshire’s Experience
Raf Poggi
GP Chair of Kettering Locality,
Nene Commissioning Board
Northamptonshire Integrated Care Partnership
Charlie MacNally
Director of Adult & Childrens
Social Services,
Northamptonshire County
Council
How Can Hwbs Promote Integration Across Health
And Social Care?
Northamptonshire’s Experience
Raf Poggi
GP Chair of Kettering
Locality, Nene
Commissioning Board
Charlie MacNally
Director of Adult & Childrens
Social Services,
Northamptonshire County
Council
Northamptonshire Integrated Care Partnership
Peter Watson
CECS Project Manager
Nene Commissioning
Seminar Outline
• The Northamptonshire Integrated Care
Partnership (NICP)
• A way of working and delivery
• Evidence of successful clinical
commissioning
• Health & Wellbeing Board
• Practical demonstration of local
engagement and delivery
Northamptonshire Integrated Care Partnership
Northamptonshire Integrated Care Partnership
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National Pilot now “Business as Usual”
Clinically and Professionally Led
Managerially Supported
Commissioner / Provider Partnership
Senior Decision Makers
Whole System Transformation
Commitment to Integration
Northamptonshire Integrated Care Partnership
Northamptonshire Integrated Care Partnership
Whole System Membership
• Nene Commissioning
CCG
• Corby CCG
• Northampton County
Council
• Kettering General
Hospital
• Northampton General
Hospital
Northamptonshire Integrated Care Partnership
• East Midlands
Ambulance Service
• Northamptonshire
Healthcare Trust
• LINK
• Carer Representative
• Out of Hours Service
• NHS Northamptonshire
• Voluntary Sector
NICP Outcomes
• The five top outcomes for the NICP are:
– A reduction in emergency admissions
– A reduction in emergency readmissions
– A reduction in length of stays
– A reduction in admissions to care homes
– An increase in the number of patients dying in
their preferred place of death
– Improve experience for both patients and carers
Northamptonshire Integrated Care Partnership
Successful Outcomes To Date
(Dec 10 to Aug 11)
• Total Number of emergency admissions >75 stable
compared to national 5% rise
• 10% decrease in the total number of excess bed days
• Direct admissions from the Acute Trusts to
permanent residential and nursing home care has
reduced by 20%
• 622 less deaths in hospital than in the same period in
10/11
Northamptonshire Integrated Care Partnership
Evidence of Successful Clinical Commissioning:
Community Elderly Care Service
• Support for elderly, frail patients to reduce reliance on health
and social care services
• True integration of teams across health and social care
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Consultant Geriatricians
Consultant Psycho-geriatrician
Intermediate Care
Hospital Discharge “Think Home First” Teams
Community Nursing
GPs
Step-up / Step-down beds in the community
Social Care Rehabilitation and Re-enablement
• National award winner
Northamptonshire Integrated Care Partnership
CECS Cumulative Prevented Admissions Actual v Plan
1600
1490
1400
1251
1200
1099
1261
1130
1017
952
1000
847
782
800
690
626
559
600
505
446
388
400
275
200
89
0
129
178
312
FRG
ACTUAL
CECS Cumulative Prevented Excess Bed Days
Actual v Plan
4000
3487
3500
2927
3000
2572
2500
2376
2228
2069
2000
1830
1465
1500
1407
1182
1040
908
1000
734
644
469
500
302
78
0
312
156
1804
FRG
ACTUAL
KGH Year on Year Comparison of No of Emergency Admissions 75+
KGH 2010/11 EAs Per 1000 Age 75+
KGH 2011/12 EAs Per 1000 Age 75+
35
30
Rate per 1000
25
20
15
10
5
0
Dec
Jan
Feb
Mar
Apr
Months
Northamptonshire Integrated Care Partnership
May
Jun
Jul
Aug
NGH Year on Year Comparison of No of Emergency Admissions 75+
NGH 2010/11 EAs Per 1000 Age 75+
NGH 2011/12 EAs Per 1000 Age 75+
35
30
25
20
15
10
5
0
Dec
Jan
Feb
Mar
Northamptonshire Integrated Care Partnership
Apr
May
Jun
Jul
Aug
Health & Wellbeing Board
Board representation:
1. Clinical Commissioning Groups
2. Elected Members from County Council and Borough
Councils
3. Officers
• Ambitious in the approach
• Alignment of Health & Social Care Outcomes
• Locality focus (CCGs map to Borough boundaries) to
ensure local population needs are delivered
• Personalised delivery of H&WB strategy through Health
& Wellbeing Fora
Northamptonshire Integrated Care Partnership
What are the challenges for HWBs going forward and are
there any suggestions for how to overcome these?
• Alignment of organisational priorities - are
stakeholders committed to integration of services?
• Unprecedented financial environment
• Increasing demand for services
• The Public Health agenda
• How will we know if we have improved “wellbeing”
• Significant chance it will becomes a “talking shop”
without tangible delivery of the strategy
Northamptonshire Integrated Care Partnership
What are the opportunities for HWBs to tackle the
issues going forward?
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Make it local
Health & Wellbeing Fora
Mind Map Exercise with Kettering Borough Council
Outcomes:
– Young People and alcohol
– Falls
• Work now underway to establish how to transform
the Local Strategic Partnership Board into the Health
& Wellbeing Forum in Kettering
Northamptonshire Integrated Care Partnership
Questions
Northamptonshire Integrated Care Partnership