1 Hackney Health and Social Care devolution pilot Overview and update
2 This evening • Brief overview of plans, we want you to be engaged • Please take time this evening to leave your comments, concerns and questions on the wall provided • Dedicated event, hopefully in early April that will be solely about integration • Please come along to that event – to receive updates, please leave your details.
3 A brief overview • Powers transferred from national government to Hackney • Nine Hackney partners submitted a joint statement of commitment for full health and social care integration • Hackney is one of five successful areas in London. We will be developing, testing and consulting on new models of delivery • Key question: Should all the local providers form one new delivery organisation to improve arrangements for working together? • Any new organisation would remain part of the NHS and would be required to adhere to NHS standards and ensure rights of patients under the NHS constitution. Patient choice for services outside Hackney.
4 What is our ambition? Why did we decide to apply? • Significant funding pressures across health and social care. Our responsibility to get the very best possible for Hackney • Not just about money! Use the freedoms and powers to create a truly integrated and sustainable local health and care system • We believe local people, commissioners and providers are best placed to develop a system that is built on local need. • We want to develop a Hackney-led solution to long standing health and social care challenges, such as providing more prevention and early intervention services
5 Hom erton University Who are Hospital NHS Trust the local London City and Hackney Borough of GP Confederation Hackney partners? Local people (resident East London NHS City and s, service Foundation Trust Hackney CCG (ELFT) users, patients and carers) HealthWatch and Voluntary sector other Lay including HCVS Representatives Hackney’s Whole Health and Care City and Hackney City and Hackney Urgent Care System Local Healthcare Social Pharmaceutical Enterprise Committee (CHUHSE)
6 What new ‘freedoms’ are we asking for, and why? New commissioning •Devolution of some national health com m issioning budgets, including public health, specialised services and primary care, will enable us to bring budgets together, simplify powers planning and reduce the transaction costs associated with commissioning. Financial flexibilities • Financial freedoms: We want to have more control over how we pay for services, making sure that we encourage prevention and early intervention. Common regulatory •Developing a simplified and com m on regulatory and assurance system will keep us focused on how well our system is improving outcomes, especially what matters most to system patients and service users. Buildings and •Freedoms in terms of how we use our buildings and property will help us transform existing buildings into fit-for-purpose facilities that can deliver integrated services. Property Additional local • Additional powers devolved to London will enable us to address our public health challenges - ensuring a good start in life, fair employment, educational opportunities, powers healthy communities, etc.
7 Links to our 5 year plan • All working together to develop our five year plan. Integration and our ‘asks’ will be intrinsic part • By the time we submit that in June we need to be clearer about: - exactly what decisions and responsibilities do we need to bring locally to better help us deliver our plans? - how would one provider organisation help with the delivery of our plans? • We will have much more concrete proposals to discuss by that stage but will continue to engage with all stakeholders on emerging thinking between now and then
8 What have we done so far? January Revising governance December arrangements, National preparing work announcement plans and of the pilot seeking November Project transformation Submission of governance and funding bid with outline management October – proposal and arrangements November partners’ proposed collaboration Health and agreement to Wellbeing Board London Councils/ NHS working group England defines the aims of the pilot and prepares the bid
9 What happens next? Jan-Mar 2016 Apr-Sept 2016 Oct 2016-Mar2017 Apr 2017 onwards Phase 2 Phase 3 Phase 4 Phase 1 Detailed Finalise business case operating Pilot launched developed model and alongside 5 formally year plan, with consult Start input from public, patients Up and other stakeholders
Integration: Communications and public engagement Catherine Macadam Co-chair, Engagement and Communications workstream
Starting point is: • NHS England Patient and Public Participation Policy: ” patients and the public to be at the heart of everything we do.” • The Five Year Forward View : ‘… we need to engage with communities and citizens in new ways, involving them directly in decisions about the future of health and care services.’ • The Hackney Local Devolution Pilot: “Putting our patients, clinicians and social care practitioners in the driving seat of service transformation and decision making … . which is open inclusive, transparent and locally accountable.”
Benefits of engagement • People are better off • The system works better because because • they are better informed about • resources are used more their health, they live longer sustainably and in better health • improved quality and • they build strong social innovation networks and connections and • reduced health inequalities more stable communities and waste • they have better partnerships • people understand how to use with doctors and professionals health services responsibly
How will we make this happen? Com m unications and public engagem ent workstream : • Who: Co-chairs: Jon Williams (Healthwatch Hackney) Catherine Macadam (CCG Lay Member) + representatives of patients, carers service users and the public. • What: To make sure that the people of Hackney: are fully informed about the proposals have had opportunities to ask questions, contribute ideas, be part of the design and decision-making process
How will we make this happen? • How: • Offer a range of opportunities for patients/ carers/ service users, the public and other interested parties to play a proper part in re-designing services and decision-making • establish principles of patient/ service user and public involvement for any new model of healthcare delivery • communicate widely about the project in a way which is relevant, timely, meaningful and accessible
Next Steps • Post a question or comment about integration on the Question Wall • Tell us how you would like to be involved and leave us your contact details • Attend the next public event
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