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No Integration without personalisation: Each requires the other

No Integration without personalisation: Each requires the other. Sam Bennett, Director Think Local Act Personal 23 rd June 2014. Two parallel policies. The only game in town?.

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No Integration without personalisation: Each requires the other

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  1. No Integration without personalisation: Each requires the other Sam Bennett, Director Think Local Act Personal 23rd June 2014

  2. Two parallel policies

  3. The only game in town? “A national collaborative coming together to confirm a shared commitment to moving ahead with integration at pace and scale, including through Integrated Care Pioneers.” “The Spending Review announced the creation of what has become the Better Care Fund - £3.8B of existing funds redirected to deliver better outcomes and greater efficiencies through more integrated health and care services.”

  4. What do we mean when we talk about integration? • The narrative for person-centred, coordinated care aims to ground integration in what is important to people. • But…too often integration still refers to something done at the level of systems, organisations and budgets. • There is now an opportunity to bring together two important agendas, since the best outcomes will result from embracing change that truly shifts the focus towards people communities and health as a movement for change.

  5. Policy convergence? “…the mandate to NHS England will make it a priority to extend personal health budgets, including integrated budgets across health and social care.” “As PHBs are extended beyond the pilot sites…we will make it straightforward for people to combine them with personal social care budgets so that they can make the most of the support to which they are entitled.”

  6. Interdependent, one will not work without the other The biggest challenge for the clinicians involves recognising that information and the lived experience and personal assets that the patient brings to the care planning, is as important as the clinical information in the medical record.” Kings Fund: Building the House of Care “people are managing their health on a day to day basis, but they may need additional help to develop their confidence in fulfilling their role as a self manager.”

  7. Evidence? National Personal Budgets Surveys, Think Local Act Personal 2013

  8. Where could personal budgets fit with integration? Personal health budgets could be deployed in all integration plans, with the greatest impact coming from a risk stratified approach targeting those with the most complex needs, e.g. Repeat acute mental health admissions in crisis. Repeat users of A & E with two or more long term conditions. Families and individuals who want an alternative to nursing/residential care for frail older people. People who might become CHC eligible if not supported early. Personal budgets could also be deployed effectively at the point of hospital discharge. “70,000 beds days used in January 2014 alone, some 3,000 a day because people were stuck in hospital despite being fit to leave.” Kings Fund, Commission on Future of Health and Social Care in England. Interim report 2014.

  9. Stay in touch with TLAP Website: www.thinklocalactpersonal.org.uk Twitter: @samhbenn @TLAP1

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