My Life, A Full Life: Shaping Care for Better Communities

1. ABOUT MY LIFE, A FULL LIFE Why we are unique Our three key projects (so far…) Key Statistics 1 Crisis intervention reducing hospital admission 2 GP Registered population of 380km2 2.5m 141,857 2 The formation of 3 integrated locality teams Only accessible by sea and air Large summer music festivals visitors per annum Self Care - Accessing information and support 3 Our starting point for going forward • Why we are the perfect Vanguard site • Strong My Life, a Full Life brand • Single system, single boundaries (NHS Trust, CCG, Local Authority) • Strongly engaged community The age and wellbeing of the Island’s current population is a reflection of how the rest of England’s population will be in 20 year’s time. If we can get care right here, we can lead the way for the rest of the country. We’re already on the way – but we can go further and faster with your help! We have an incredibly active voluntary sector on the Island, along with strong communities. Both are at the core of the My Life, A Full Life model. Care on the Island will be shaped around people’s individual needs and managed by them. Our model focuses on keeping people happy and healthy through self-care and self-management. Working together is nothing new for us. My Life, A Full Life is already working across organisational boundaries, sharing resources and expertise. Our Demographics 09.06.2015

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4. OUR VISION AND AMBITION Vision My Life is a Full Life What do people want? • I’ll no longer be a patient or a client – I’ll be a person • I have access to a range of support that helps me to live the life I want • I feel valued for the contribution that I can make to my community • I have access to easy to understand information • I am able to get skilled advice to plan my care and support • I can plan ahead and keep control at times of crisis • I have considerate support delivered by competent people What will we do? Prevention and Early Intervention Integrated Single Point of Access Integrated Locality Teams Integrated Acute Services Evaluation, continual improvement and sharing lessons learned How will we do it? One Technology- Enabled Care System One Island £ One Leadership One Information One Empowered People and Workforce 09.06.2015

5. OUR ‘MY LIFE’ MODEL • Our integrated ‘My Life’ model is: • Prevention-based • Health and wellbeing promoting • Built on experience-based co-design • Founded on self care and empowered communities. • At the centre of our model is the person. My Life Coordinators, will coordinate and navigate support across the community and system. This coordination role will triage, reduce the perceived system complexity, increase awareness of services, and maximise efficiency. • The Integrated Locality Teams deliver person centred care and support in the community, with GP clinical leadership and multi-specialist teams. Out of Hours Commissioned voluntary sector Crisis Response Team Community Faith Groups Independent Sector Voluntary Sector One Leadership People Matter Environment My Life Coordinator One information Friends One Island £ Ambulance Service Public Health Health-watch Education Informal community links Transport • Integrated acute provider Colleagues Home Key enablers Integrated Locality Teams Support Groups Isle Help Intimate / Family Family Friendships Integrated single point of access One empowered people and workforce One Technology-enabled Care System Associated Life PalliativeCare Community Action Isle of Wight Housing Association My Life, A Full Life – care services Adult social care DomiciliaryCare Children’s social care http://www.nurturedevelopment.org/ Based on ABCD approach – Cormac Russell 09.06.2015

6. OUTCOMES OF OUR ‘MY LIFE’ MODEL Outcomes for people Outcomes for workforce • Pride in the work they do, the services they provide and the organisation they work for • Feeling valued and empowered • Right knowledge, skills and expertise that is appropriate to their role. • Retention and attraction of high-calibre staff who are attracted to delivering the My Life, A Full Life care model • Not constrained by organisation and role and working across boundaries • Primary Care and Multi-specialist consultants able to work across both the acute and community sector ensuring seamless care and support. • My Life A Full Life is an employer of choice • Defined career work path • Improved health and wellbeing • Treated as a person with individual strengths, needs and concerns • A positive experience of care and support • Access to a wide range of support that helps them to live their lives to the full • Receive skilled advice to promote their wellbeing and plan their care and support • Digitally enabled to access a wide range of information and technology • Access to easy-to-understand information and only give and share their information once • Feel valued for the contribution they make to their community 09.06.2015

7. Single Point of Access HOW WILL WE ORGANISE OURSELVES Our operational model has three key components – Integrated Commissioning, which consolidates all the commissioning function across the system; integrated provision accessed through a single point of access and support in the community; and integrated corporate functions that support commissioning and provision. Integrated Locality Teams IntegratedCommissioning One Wight Commissioning (Macro-commissioning) Micro-commissioning Providers People Localities Voluntary Sector One Leadership One Island £ One Technology-Enabled Care System One Information One Empowered People and Workforce Integrated Provision(Points of Delivery) Integrated acute services Out of Hours CommunityCare Local Authority Services General Practice IndependentSector Home Voluntary Sector Community Support Integrated Corporate Functions IT, Finance, Estates, HR, Procurement, Communications, Performance Reporting, Workforce Development 09.06.2015

8. OUR TOP 5 CHALLENGES & SUPPORT REQUIREMENTS KEY AREA While we have some capacity and expertise on the island, we do not have the ability to deploy these as quickly as we would like Transitional costs to allow for ‘step change’ Expertise to challenge, sense check and guide our journey Note: more detailed issues, barriers, and support requirements will be discussed during the workshops 09.06.2015

9. Proposed Governance Framework ISLE OF WIGHT HEALTH AND WELLBEING BOARD Design Authority My Life a Full Life Board (MLB) NEW CARE MODELS BOARD Joint Provider Board (JPB) Joint Commissioning Board (JCB) Workforce 7 Infrastructure/Estates 8 IT (Digital Enablement of Care Process) 9 Evaluation and Measurement 10 Clinical Service Review Integrated Locality Teams Crisis Response / SPOA Development of My Life Navigators Prevention Health of the Older Population Communications, Engagement and PMO 11 Organisational Integration / Form 12 Commissioning 13 1 2 3 4 5 6 09.06.2015

10. ACHIEVING OUR VISION - HOW IT WILL FEEL • One new organisation leadership • Recognised brand • Advocate of My Life, A Full Life 12+ months FUTURE • Visible collaborative leadership • Visible external brand • True buy-in into My Life, A Full Life • Leadership working together • Visible brand • Engagement with My Life, A Full Life 12 months 6 months • One leadership • Visible external brand • Engagement with My Life, A Full Life • Empowered leadership • Visible internal brand • True ownership of My Life, A Full Life • One vision • Refreshed brand • Awareness of My Life, A Full Life Today 09.06.2015