Celebrate and Collaborate
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Outline for today 1000 Introduction and keynote speakers 1040 Workshops 1140 Coffee in Abbey Business Lounge 1210 Workshops 1315 Lunch in Abbey Business Lounge 1415 Workshops 1530 Event ends
Gloucestershire’s Sustainability & Transformation Plan February 2017
History of Partnership Working: But- we recognise there is so much more opportunity for joint working and I would welcome hearing your thoughts today ...
Background:
Our Shared Vision: “To improve health and wellbeing, we believe that by all working better together - in a more joined up way - and using the strengths of individuals, carers and local communities, we will transform the quality of care and support we provide to all local people ’”. • Our STP builds on the strategic commitments set out in: Joining Up Your Care and the three gaps in the NHS Five Year Forward View • We have worked together to further develop our shared work programme, financial savings plan and objectives • Our shared transformation work programme is focussed on ensuring we will have a sustainable health and care system for Gloucestershire – for now and for the future
Top Line Messages • We will invest in keeping people healthier for longer by enabling communities to support each other, and support self care and prevention • We will reduce variation in prescribing and services, cut waste, and fund interventions that can deliver the greatest health benefit for our population • We will review the patients’ care journey, to ensure that care is delivered efficiently and effectively, and when appropriate, closer to home • We will join up care around communities, creating 16 GP practice clusters delivering integrated care with community services to support physical and mental health needs
Top Line Messages • We will have a clear joined up approach to urgent care provision, so that people will know when and where to access urgent care, when they need it • We will introduce urgent care centres and streamline assessment services when we are clear this will improve quality and safety, and reduce waiting times for our population • We will have a ‘one county’ approach to IT, Estates, and other system enablers • We will introduce countywide leadership, training, education and learning opportunities to support the shift to new roles and responsibilities for staff
Plan on STP Gloucestershire: Joining Up Your Care System Development Programme a Page Countywide OD Quality STP Programme Governance Strategy Group Academy Development Models • Prevention and Self Care strategy Enabling Active • Asset Based Community Models • Focus on carers and carer support Communities • Social Prescribing / Cultural Commissioning Health and Wellbeing Gap • Transforming Care: Respiratory and Dementia Clinical Care and Quality Gap Finance and Efficiency Gap • Clinical Programme Approach developing pathways Programme and focus towards prevention Approach • Mental Health FYFV • Choosing Wisely: Medicines Optimisation Reducing • Reducing clinical variation Clinical Variation • Diagnostics, Pathology and Follow Up Care • Urgent Care Model and 7 day services One Place, One • People and Place - 30,000 Community Model Budget, One • Devolution & Integrated commissioning System • Personal Health Budgets / IPC System Enablers Joint Workforce Joint IT Primary Care Joint Estates Strategy Strategy Strategy Strategy
Enabling Active Communities: • Radical Self Care and Prevention Plan Enabling Active • Successful bid to National Diabetes Prevention Communities Programme, Gloucestershire 1/13 areas in country for next phase of the rollout • Reset Pathways for Dementia and • Implementation of the Patient Activation Measures Respiratory Clinical • Deliver the Mental continues across all three test & learn projects Programme Health FYFV Approach • Expanded Social Prescribing & Community Agents • Choosing Wisely Service to commence 2nd June 2017 Medicines Optimisation • Reducing 35 businesses signed up to Workplace Wellbeing • Diagnostics Clinical Review Variation Charter, 16 more working towards accreditation • Application submitted to NHSE for National VCSE • Place Based Commissioning Provider (NESTA) to support development of a model • Reset Urgent care One Place, One and 30,000 for personalised care and support planning Budget, One community Model System • Strong engagement with Districts to ensure joined up • Primary Care approach to delivery plan • Joint IT Strategy • Joint Estates • Innovative proposal to get 90,000 people active, develop System Strategy Enablers • Workforce in partnership with Active Glos and Sport England • Daily mile rolled out across all schools in county
Stepped Model of Community Based Social Prescribing Provision to enhance the standard medical offer Multiple & complex Stratified intervention needs and/or to meet stratified potentially unstable continuum of need Mild to moderate needs health conditions and/or stable health conditions • Mixed media for self harm for • Singing for lung capacity, Universal health & frequent ED attenders stable COPD and asthma wellbeing needs • Dance for falls prevention in • Street dance for diabetic • Walking for health high risk elderly teenagers • • Community choirs for Singing for aphasia in acute • Producers project for men stroke rehab social isolation living with chronic pain • • Live harp music in a special Zumba for weight • Allotments for cardiac rehab care baby unit management • Yoga for low back pain • • painting for relaxation 1:1 nature walks for • Creative writing for mild • Luncheon clubs for housebound people with depression agoraphobia friendship • Debt advice for stress
More details: • Full STP and Short Guide published and available online www.gloucestershirestp.net • Public Engagement Programme closed February 24 th with a report in development to inform next steps • Diabetes Case study Link • Cultural Commissioning Case Study Link
Valuing the Voluntary and Community Sector Richard Bradley Deputy Chief Executive Office of the Police and Crime Commissioner
The FUTURE The PRESENT The PAST
The Past
The PAST c. 2012 • Not ‘valued’ • Not a member of key partnerships • Not clear on structure or role
The Present
‘Valuing their contribution and support’
Member of Partnerships (Examples) • Enabling Active Communities - Health • Criminal Justice Board – Justice • Prevention and Self care - Health • Crisis care – Mental Health • Community Safety Steering Group
Funding • Austerity • Reduction in contributions from Local Authorities, Charities • National research – closure of some charities Commissioner’s Fund 2017 • 165 applications received (65 in 2012) Total funding requested = £3,405,396 – (£600,000 in 2012) • 78 projects funded – a high majority are VCS members and we have agreed to fund the Community Engagement Post within VCS 54 of these are new projects = £612,000 24 Are extensions of funding = £615,000
Funded Projects by area Countywide 31 1 19 6 5 9 7
The Future
• Social Value Act 2013 requires people who commission public services to think about how they can also secure wider social, economic and environmental benefits. • Future Commissioning : Bidding Consortia • More partnership opportunitie s
Thank You
Workshops Red Funding, Abbey Business Lounge Green Partnership and Collaboration, Abbey Business Lounge Blue New ways of working,1873 Suite
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