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Integration of Health and Social Care. Wellbeing and Health Open Forum March 2016. Why is change necessary?. National position Rising demand and constrained resources Growing pressure - more people living into older age with multiple long term conditions Finances deteriorating
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Integration of Health and Social Care Wellbeing and Health Open Forum March 2016
Why is change necessary? National position • Rising demand and constrained resources • Growing pressure - more people living into older age with multiple long term conditions • Finances deteriorating • Workforce • Public expectation • Major challenges to be tackled within an incredibly fragmented landscape
NE Regional Context • High levels of deprivation • Lower life expectancy than the national average • Some excellent health services but poor population health • Unsustainable Health Economy • Commissioner and provider financial positions • Over reliance on hospital care • 20% higher than the national average • A&E Activity continues to rise year on year • 2014/15 average 2,041 per day • 2015/16 average year to date 2,172 per day
NHS Planning • Plans, plans and more plans! • Emphasis on sustainability and transformation • Systems of care • Place based approaches • No appetite for a national blueprint of structural change • New Models of Care - Pioneers, Vanguards • Integration with other NHS organisations as well as with Social Care
Why Integrate with Social Care? • Interdependence • Public experience fragmented service delivery • Reduction in funding for adult social care beginning to bite • Greater efficiency in delivery • Prevent reduce delay • Need for fundamental rethink
Barriers to be overcome • Universal and free v eligibility and means testing • Nationally governed v locally controlled • Different funding streams • Legal frameworks • Performance frameworks • IT • Medical v Social • Culture
What next? • Plan for integration by March 2017 – Gov’t Spending Review Requirement • Sustainability and Transformation Plan by July 2016 • Health and Social Care Commission – reports in September • Integrated IT across the system by 2020 • Better Care Fund rolls on – broadly stable policy framework • All planning requirements expect a whole systems approach from 2017-2020
Write a Plan or Do Something? Better Care Focus • Children &Young People • Ways to Wellness • Falls Prevention • Intermediate Care
Proof of Concept Localities • Bottom up approach • 2 localities – coalition of the willing • Using GP registered lists • Use Design Principles to share hunches, develop ideas, refine, test • Move quickly from idea to testing • Influence our Newcastle Model of Care
The story so far • 2 design Labs held • Think about the people not services • Be creative • Identify challenge themes • Form initial working groups
How can we integrate health and care around people • How can we support people with the services they need? • Where could we have maximum impact?
Emerging thinking • Amazing start • Connecting Communities • Learn to Prevent • Compass – access for marginalised people • Multiple needs and Year of Care • Homesafe - improving hospital discharge