Follow us on Twitter @NWCAHSN Hashtag for the event #nwcEngage Innovation and Health Connected Presented by: Liz Mear Chief Executive, NWC AHSN
Thank you to all our exhibitors: My RightCare Ltd
Setting the scene: NWC AHSN introduction video https://www.youtube.com/watch?v=sqbOfyltCkg
A challenge for all of us “Yes, it’s quite a noise – but are we having any impact?”
Joined- up care: Sam’s story https://www.youtube.com/watch?v=3Fd-S66Nqio
The Challenge of Integrated Care NWC Connected Health Ecosystem Event 20 January 2015 Bleddyn Rees, Non-Executive Director European Connected Health Alliance Bringing Together the future of Health, Social Care & Wellness www.echalliance.com / info@echalliance.com
1. What is s Integrat grated ed Care? e? Coordinated primary + community + secondary care services? • Coordinated health + social care services? • - Integrated systems e.g. Northern Ireland Department for Health, Social Services and Public Safety Coordinated health + social services + housing? • Coordinated health + social services + housing + education? •
2. Challenge lenges s in Engl gland and Separate commissioners of Health (CCGs & NHS England) and • social care services (Local Authorities) Separate providers of health and social care services? • - NHS + Local Authorities + Third Sector + Private Act on Public Implement & Educate, Promote Policy Scale-Up Business Models Silos? • Connected Communicate, Solutions & (Health/Social Health and our through Entrepreneurship Care & Disseminate members Ecosystems Challenging relationships: Economic) • - GPs & Hospital Consultants - Health & Social Care Workers - Commissioners & Providers - Patient Voice & Coproduction
3. Work k Around nds? Section 75 Joint Health & Social Care Commissioning • Section 75 pooling budgets • Commissioning integrated pathways of care • Vertical integration – Integrated care organisations (ICO) but health • services only? High level duties for Local Authorities and NHS bodies to • cooperate and secure the integration of health and social care services.
4. Comm mmerci cial l Challe lleng nges es Alignment of risk, reward, savings, sharing income/profit & • perverse system incentives Confusion between contract models (prime contractor or Alliance) • and payment mechanisms (capitated or fee for service or results based) Compliance requirements with public procurement and • competition laws Alliance contracting? • - Relationship contracting and/or - Alliance service contracts - SLIC (Southwark & Lambeth Integrated Care)
Questions? @bleddyn_rees e: Bleddyn.Rees@wragge-law.com European Connected Health Alliance Bringing Together the future of Health, Social Care & Wellness www.echalliance.com / info@echalliance.com
NWC AHSN Ecosystem Event Liverpool Martin Hayes Project Director Integrated Care Partnerships 20 th January 2015
ICPs Networks of providers - Working together to deliver the right care, in the right place at the right time. ICP Areas * Local council representation
South East Area Ards Lisburn Down Supported North Down ICP ICP ICP by the ICP ICP Partnership Partnership Partnership Partnership Clinical and Committee Committee Committee Committee Business Support Team Frail Elderly Working Group Diabetes Working Group Stroke Working Group Respiratory Working Group End of Life Working Group
Animation
Structure of Health and Social Care in NI Political Minister for Health Department of Health, Policy Social Services & Public Safety Commissioner Health and Social Care Board Public Health Agency (inc 5 Local Commissioning Groups) Provider systems Primary Care: GP/ Not for Profit, 6 Health & Social Private, Independent Dentists/ Opticians/ Charity and Care Trusts Sector Pharmacist Voluntary Sector Integrated Care Partnerships (as well as service users and carers)
What are ICPs doing? Information Risk Stratification Sharing Frail Elderly, Respiratory Diabetes, Stroke Care Planning Evaluation Improve Fow Develop leadership
Integrated Care Partnerships Patient 5% Stroke Pathway experience Stroke Care Pathway Pathway Belfast LCG Activity 4.5% shift ? ? P C ACUTE A&E Social Care A ? I WARD ? ? T T ? ? ? ? I I Social Care E Ambulatory Care Z ? N E Pick an important problem ? and fix it! T N Social Care Voluntary & Community Sector eg Chest Heart & Stroke, Stroke Association NI
Working together…
Patient centred approach Sample COPD patient journey – Northern ICP area
Key Measures of success • Service user experience • Admission rates • Occupied bed days and Lengths of stay • Level of complex delayed discharges • Rate of emergency readmission • Rate of ED attendances • Partnership working
Achievements • Care pathways mapped with multidisciplinary professional input and service user and carer input • ICP Action Plans – agreed priorities for improvement and integration • Business Cases – associated bids for investment submitted to LCGs and 20+ initiatives approved (£10m+) • Reform Initiatives underway throughout NI
Examples of service changes include… • Schemes To Avoid “Unnecessary” Hospital Admissions • Rapid Response Teams – Nursing, AHPs, Carers, Social Workers • Enhanced Role For Voluntary-Community-Independent Sectors • Support To Comply With Medication • Falls Prevention Service • Improved Nutrition • Reduced Social Isolation • Signposting of Information • Improved Physical Activity • Single Point of Care for Services • Re-establish Primary Care Team – Linked to Practices/Clusters • Schemes To Provide Alternative To Acute Hospital • Assistance to Enhanced Nursing Home Care etc.. • Rapid Response Labs and Investigations • Intermediate Care – Community Hospital • Shared Community/ Hospital Teams • Rapid Consultant Opinions – home or hospital or OPD.. • Virtual Wards • Dementia Support Teams • Telecare/Telemonitoring
What is working well, what are the challenges? • Productive challenge among ICP Committee members and ability to then agree integrated solutions • There has been huge learning and sharing of information across sectors and professions • Shared understanding of the need for integration and growing feeling that ICPs can be the vehicle to deliver • Development of relationships with local commissioning groups • Capability and development support for committees, chairpersons and service users and carers has been highly valued and effective • Silos + Communication
eHealth Agenda • Risk Stratification • Virtual clinics • Social media • Promote the use of telecare /telemonitoring technology • Work with ECR team (Orion) to allow proactive care plans to be developed, shared and updated across care providers and organisations – Beyond Silos project • Pilot the Project ECHO model in NI
Web http://www.transformingyourcare.hscni.net/integrated-care- partnerships/ To subscribe to our E-zine Email integratedcarepartnerships@hscni.net
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DIGITAL HEALTH AND CARE ALLIANCE DHACA ‘The role of DHACA in Integrated Care’ Presented to: 3 rd NWC Connected Eco System Event Presented by: Graham DeAth Liverpool, 20 th January 2015
Mi ‘Interoperability’ System → Organisational → Technical
www.dhaca.org.uk
DHACA's vision "a world in which health & care is centred around the individual, delivered using the most appropriate technology" DHACA's mission "to enable market growth through interoperability and scale" the values of DHACA include : "doing things once“ …because parallel developments are a waste of resources "collaborating by bringing together requirements“ …to help build scale in the market, for common solutions to common problems What DHACA then offers DHACA itself is a "space" to do these things
DHACA ITSELF… Digital Health & Care Marketplace DHACA Board Professional Suppliers Profiles Health Care SMEs Corporates Private Hospitals Entrepreneurs NHS Hospitals Academia Specialists Therapists Guidance Pharmacists Personal Test Labs Requirements Solutions Call Centres Wellness Home Health SMEs Telehealth Corporates Monitoring Kitemarking Entrepreneurs Web Info Academia Professional Expert Panel Social Care Care Plan Mgt Front Line Carers Commercial Mgt DHACA Telecare Monitoring Market Informal Care Support Peer-to-Peer Care DHACA Members Groups Volunteer Care Groups Friendly Neighbours Friends & Family Care Groups
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