Transcript Document
Health and Social Care Integration:
Key Developments, Summer/Autumn 2014 NES Contacts: Bob Parry: [email protected]
Stuart Cable: [email protected]
Audrey Taylor: [email protected]
Cheryl Harvey: [email protected]
Quality Education for a Healthier Scotland
Health and social care integration:
What do you know and what do you want to know?
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Remembering the Christie Commission recommendations ...
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The workforce must be able to provide effective services and support that are designed with and for people and communities and not delivered top down for administrative convenience
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Joining up care; integrating services
Joined-up care: Sam's story – Kings Fund http://www.youtube.com/watch?v=3Fd-S66Nqio Quality Education for a Healthier Scotland
Failed care pathway; need for early intervention
https://www.youtube.com/watch?v=Fj_9HG_TWEM Quality Education for a Healthier Scotland
Timescales for Integration: Public Bodies (Joint Working) Bill 2014 Assent for legislation APRIL 2014 Consultation on Regulations and development of Guidance MAY 2014 – AUGUST 2014 Regulations and guidance complete NOVEMBER 2014 - FEBRUARY 2015 Integration goes live locally APRIL 2015 All integrated arrangements must be in place APRIL 2016
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What services are in the draft regulations?
Health…
• • • • • • • • • • • • • • • • Unplanned inpatients Outpatient - A&E Care of older people District Nursing Health visiting Clinical Psychology CMHT Community Learning difficulties Addiction Services Home dialysis Women's services AHPs General Medical Services GP out of hours Pharmaceutical services (GP Prescribing) Public Health dental services
Local Authority…
• • • • • • • • • • • • • • • Social work service for adults and older people Mental health services Drug and alcohol services Adult protection and domestic abuse Carers support services Community care assessment teams Support services Adult placement services Health improvement services Housing support, aids and adaptations Day services Local area coordination Respite provision OT services Reablement services Quality Education for a Healthier Scotland
Body Corporate Model of Integration
• Functions are delegated to an integration joint board, accountable to both the local authority and the health board. The partners agree the amount of resources to be committed by each partner to support delivery of the delegated functions.
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Lead Agency Model of Integration
• One partner delegates a particular function and a share of resources for delivery of that function to the other. The partner to whom the function has been delegated becomes the lead agency for delivering that function. Quality Education for a Healthier Scotland
32 Health and Social Care Partnerships: Associated NHS Boards, Local Authorities and Support Clusters Cluster North West North East Partnership
Highland Argyll & Bute Western Isles Stirling Clacks Falkirk Perth & Kinross Dundee Angus Aberdeenshire Aberdeen Moray Fife Orkney Shetland
NHS Board Highland Western Isles Forth Valley Tayside Grampian Fife Orkney Shetland Cluster West South East Partnership
Glasgow West Dunbartonshire East Dunbartonshire Renfrewshire East Renfrewshire Inverclyde South Ayrshire East Ayrshire North Ayrshire Dumfries & Galloway South Lanarkshire North Lanarkshire Edinburgh East Lothian Midlothian West Lothian
NHS Board Greater Glasgow & Clyde Ayrshire & Arran D & G Lanarkshire Lothian
Complex Partnership Working and an Assets-Based Approach
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Third Sector : local knowledge-local connections - ‘Get Involved’
• Ask SCVO or your local Third Sector Interface (TSI) to help you make connection http://www.getinvolved.org.uk/about Quality Education for a Healthier Scotland
All Hands on Deck: Discussion paper (2013)
Overarching principle: Good partnership working - scale, complexity and nature of integration mean that the challenge will only be met if everyone plays their part in full.
• • ‘Localities’ are the engine room of integration, centred on people and the communities they live in - need ‘clout’, to define local outcomes, reflect local needs and be accountable Integration requires more community-facing acute sector, primary care sector taking more responsibility for system wide issues and increasing blurring of boundaries with social care sector combining effective delivery of traditional core role with focus on preventing ill-health.
Preparing the way: Short term - Good quality dialogue locally, especially - but not only - between professionals; agreed locality boundaries based on natural communities; starting with small things which are achievable and locally desirable.
Medium term - Professionals, communities and users prominent part, not servants of structures but focus on solutions already in place and new and innovative solutions; embedding right cultures and behaviours based on person-centred needs, local history and aspiration; complementing not duplicating work of Community Planning Partnerships.
Support: Local design, data sharing and IT system compatibility, evidence/data to inform local choices, effective leadership and integrated development resources.
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The Social Care Workforce: facts and figures
Made up of: Social work Care home services in the community Nurseries After school care 191,000 staff 41% private sector 32% public sector 27% voluntary sector
Scottish Social Services
Council (SSSC) - register workforce and regulating education and training • • • • Largest services; housing support/care at home care homes for adults day care of children 76% of the workforce Workforce registration is function based rather than qualification based Services registered by the Care
Inspectorate
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Want to know more? http://www.thinklocalactpersonal.org.uk/Browse/Informationandadvice/CareandSupportJargonBuster/?dm_i=4O5,2FK66,UVWKL,8UB3B,1 Quality Education for a Healthier Scotland
National health and wellbeing outcomes
1. Healthier living 2. Independent living 3. Positive experiences of care 4. Improved quality of life 5. Reduced health inequalities 6. Supported carers 7. People are safe 8. Engaged workforce 9. Effective use of resources Quality Education for a Healthier Scotland
Supporting an Engaged Workforce: key workforce outcomes
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Integration aligns with...
• • • • • • • • Everyone Matters - 2020 Vision Carers and Young Carers Strategy Promoting Excellence - Dementia Strategy Reshaping Care for Older People Scottish Leaders Forum: Workforce Development Self-Directed Support Unscheduled care Person-centred care...
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Organisational Development (Transition) Plans: Common development needs
Partnerships were asked to submit plans* for a £7 million development fund. Common development themes were: - leadership, - teambuilding - improvement, - locality planning - change management - strategic commissioning *Submitted in March 2014 for financial year 2014/15 Quality Education for a Healthier Scotland
Professional Development – 70/20/10 Framework
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‘Hub and Spoke’ – trainee support
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Collaborative education approaches
• • • • • Problem-based small group learning Appreciative Enquiry Values based reflective practice Personal learning networks Social media/communities of practice • What else Quality Education for a Healthier Scotland
The Trainer’s Role?
• What are the steps you need to take to engage personally with both the spirit and the letter of Health and Social Care Integration?
• What opportunities can you provide your trainees to equip them for this new way of working?
• What can NES provide to support this?
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