Lisa Birtles-Smith Clinical Lead Halton CCG & Clinical Lead Nurse Halton Borough Council Damian Nolan Divisional Manager – Urgent Care www.halton.gov.uk

Local Context of Complex Care

• Co-terminous Local Authority and Clinical Commissioning Group • 17 GP Practices • 2 Acute Hospitals • 1 Community Healthcare Provider • 1 Acute Mental Health Provider • 32 Residential/Nursing homes & 11 Domiciliary Care providers www.halton.gov.uk

Opportunities & Challenges

• Small but perfectly formed!

• Strong local communities • Local workforce • Demographics & Deprivation • Rapidly changing landscapes • Pan-Borough organisations • Financial www.halton.gov.uk

Developing an Integrated Care Model

• Network approach • Outcome focussed – centred around the individual • Developing pathways of care – understood by individuals • Use of contracts, incentives, service and management level agreements www.halton.gov.uk

Focus of Learning Disability services as an exemplar

• Current landscape Learning Disability Nursing Team Halton Borough Council Allied Health Professionals 5 Boroughs Partnership Community matron Bridgewater NHS Trust GPs www.halton.gov.uk

Focus of Learning Disability services as an exemplar

• Developments/approach Policy, initiatives, drivers A current view?

www.halton.gov.uk

Networking & MDT working Working well & working not so well

Focus of Learning Disability services as an exemplar

• Moving forward Pathway work LD Partnership Board Outcomes… not counting beans LD Operational Managers Group LD Quality & Performance Group www.halton.gov.uk

Halton’s Learning Disability Nursing Team

• What we do…..

Glue/ common ground Sexual Health Training Health Action Plans, Health Passports Behaviour support Linked workers to GP surgeries Health support Intervention Plans Dementia, Epilepsy Health Promotion www.halton.gov.uk

Halton’s Learning Disability Nursing Team

• How we do it…..

1-1 sessions Group work Training www.halton.gov.uk

Halton’s Learning Disability Nursing Team

• Working within a Local Authority – Individual focussed – Breadth of activities undertaken – Influence and sharing knowledge – Shared vision – Support to raise and maintain standards in services – Out of Borough support – Transition www.halton.gov.uk