East Midlands Mental Health Commissioning Network 9th October 2013

1. East Midlands Mental Health Commissioning Network9th October 2013 Why is integrated care important to providers? Chris Slavin Chief Executive Lincolnshire Partnership NHS Foundation Trust

2. Integrated healthcare defined “Integrated service delivery is the organisation and management of health services so that people get the care they need, when they need it, in ways that are user-friendly, achieve the desired results and provide value for money”. The World Health Organisation 2008

3. Integrated care defined “Integrated service delivery is the organisation and management of health and social care services so that people get the care they need, when they need it, in ways that are user-friendly, maintain their independence, achieve the desired results and provide value for money”. Chris Slavin, October 2013!

4. … or putting it differently It’s organisations that have separated mind and body … and not patients. If you truly put the patient at the centre, things would look a lot different.

5. In Mental Health Services We see the connection with other aspects of people’s lives: • Education • Work • Housing • Leisure • Independence • Individual lifestyles • Companionship • Etc all help establish and maintain healthier lifestyles

6. Most Mental Health Service providers have been providing integrated health and social care for at least 10 years. LPFT have employed social workers since 2002. So what is the mystery? Why are we suddenly all talking about integrated care?

7. … its now about the whole person: Taking a more holistic view of care Coming out of organisational silos Recognising that in many instances people with a co-existing physical and mental illness are poorly treated and have poor outcomes It has the potential to be more efficient creating new opportunities to free up beds, A&E departments and GP surgeries

8. In LPFT we call this “Connecting Care” What is it?

10. Connected Care in practice

11. The Mental Health Managed Care Network 33 Projects, 64 Groups and Organisations, 1750 people helped Woodland activities Formal & informal learning, skills and qualifications User-lead social enterprise development Supported service user volunteering and community participation Horticulture

12. Building on our existing strengths From a patients perspective: • Being at the centre of care and services • Working together to design and meet the person’s needs • Unfettered by organisational boundaries • Receiving well co-ordinated care

13. Building on our existing strengths From a GP/Referrer perspective: • services that are reliable and high quality • that can respond in an emergency/crisis • able to support patient at home if needed • only admits when necessary …for the optimal time • that follows up on discharge • can provide medium to longer term care • is able to attend to those that do not engage

14. Building on our existing strengths From a Commissioner perspective: • services that are of a high quality • that are effective and efficient • can be relied upon to deliver on a consistent basis ……and easy to “do business with.” For Carers and other key sectors and partners (e.g. voluntary, not for profit):view their role as being one of partners in care acknowledging collective strength and interdependence.

15. …….to summarise Truly put the patient at the centre Build on what works Now is probably the time and presents us with a great opportunity

16. Thank you