Transcript CARE TOGETHER

Presentation to
Tameside Training Consortium
October 2014
Joined up care…Sam’s Story…
WHAT IS IT?
Care Together is an ambitious programme to radically
reshape the way health and social care services in
Tameside and Glossop (including a part of Derbyshire)
are commissioned, configured and delivered.
WHY DO IT?
To improve the quality, safety and accessibility of
services but also to address a financial gap in health
and social care services locally which is estimated to
reach £74 million by 2018/2019 if we do nothing.

We need to change both arms of the health and social care
system – commissioning and service provision.

Commissioning is the process of assessing what services are
needed to meet the needs of local people over coming years,
deciding how best to configure those services and then paying
for them.

Service delivery is what it says it is – providing the care and
services for people who need them in the right place and at the
right time.
WHAT WE AIM TO ACHIEVE
 Services built around the individual needs and circumstances
of each service user

Making services easier to understand and access

Joining up teams of health and social care professionals

Rapid access to specialist care

Supporting service users and carers

Better use of voluntary and community sector

Not having to tell your story several times to different people
WHAT WILL CHANGE?

We intend to introduce joint commissioning
arrangements with Tameside Council to buy all health
and social care services for local people together.

We want to buy those services from a single
organisation. That means we are proposing that an
integrated care organisation be created which provides
almost all health and social care services.
THE FOUR LEVELS
Level one
A universal service aimed at building up the
strength of our local communities through
healthy lifestyle and community support.
Level two
Five locally based fast response community
teams with an extended range of skills to care
for people at home. This level will be geared
particularly to help people with complex
problems and/or those who are recovering
from a recent illness. It will be made up of
joined-up multi-disciplinary teams of health
and social care professionals – including GPs
and their staff.
Level three
A new way of providing specialist care across
the area. Specialists in cardiac medicine,
respiratory illnesses, diabetes, cancer and
many others will work together as integrated
teams in hospitals and in the community
ensuring expert care, treatment and advice is
available rapidly and effectively.
Level four
Hospital services for the most serious
conditions such as emergency surgery, stroke
and heart attacks. These specialist teams will
work across different local hospitals and
provide rapid access to the most modern and
comprehensive services.
The nine Outline Business Cases (OBCs)


Local Community
Care Teams (LCCTs)
Community, Home
and Hospital
Enhanced Care Teams
(CHHECTs)

Ophthalmology (eye
care)

Dementia





Musculoskeletal
(muscles and bones)
End of life care
All Ages Learning
Disabilities
Rehabilitation after a
stroke or other
neurological problem
Respiratory
Key landing points are as follows: June 14 - public consultation starts on Healthier Together
 July 14 - Phase 1 Outline Business Cases approved (5 to begin with)
 July 14 – Enabling workstreams come on track e.g. Finance , IM&T, Estates
 August 14 – New CTP governance arrangements: Transition Board & Delivery
Unit
 Sept 14 - Patient information systems start to be shared
 October 14 - Phase 2 & 3 Outline Business Cases approved
 October 14 – Monitor appoints external support to the economy and joins
Transition Board and Delivery Unit
 November 14 – External experts commence review of the commissioner’s
ICO model
 December 14 – formal proposal of the pooled budget arrangement
 April 15 – Pooled Commissioning Budget for integrated care commences
 June 15 – Formal Public Consultation Proposed
 April 16 – Start Mobilisation of IC FT
Any Questions?
Thank You