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Transforming Your Care - Developing Integrated Care

Transforming Your Care - Developing Integrated Care. Dr S Harper HSCB. Strategic direction. Care pathways Networks Integrated teams Locally designed. Challenges?. Challenges. Communication Co-ordination of care Co-operation Multiple provider agencies

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Transforming Your Care - Developing Integrated Care

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  1. Transforming Your Care -Developing Integrated Care Dr S Harper HSCB

  2. Strategic direction • Care pathways • Networks • Integrated teams Locally designed

  3. Challenges?

  4. Challenges • Communication • Co-ordination of care • Co-operation • Multiple provider agencies • How do we include third sector? • Patients & clients? • Speed of decision making • Resource deployment • Acute v Community

  5. Unscheduled Care Pathway C I T I Z E N P A T I E N T ? ? A&E ACUTE WARD Social Care ? ? ? ? ? ? Social Care Community nursing ? ? ? Pick an important problem and fix it! ? Social Care Voluntary & Community Sector

  6. Longterm Conditions Pathway C I T I Z E N P A T I E N T ? ? A&E ACUTE WARD Social Care ? ? ? ? ? ? Community nursing Social Care ? ? ? Pick an important problem and fix it! ? Social Care Voluntary & Community Sector

  7. Diabetes Care Pathway C I T I Z E N P A T I E N T ? ? A&E ACUTE WARD Social Care ? ? ? ? ? ? Community nursing Social Care ? ? ? Pick an important problem and fix it! ? Social Care Voluntary & Community Sector eg BDA

  8. Strategic direction • Care pathways • Networks • Integrated teams

  9. Future opportunities-backed by investment • Risk stratification • Information sharing • Care plans • Evaluation Leadership skills • Integrated Care Partnerships: • £12m 2012-15 • Shift to community/primary care: • £70m 2012-15 • £83m recurrent 2015-

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