MY LIFE A FULL LIFE Isle of Wight Dr Mark Pugh Loretta Outhwaite Executive Medical Director, Isle of Interim Programme Director & Chief Wight NHS Trust Finance Officer (IW CCG) mark.pugh@iow.nhs.uk loretta.outhwaite@iow.nhs.uk
MY LIFE A FULL LIFE Isle of Wight, PACS Vanguard One Define the population & system boundaries
MY LIFE A FULL LIFE: Isle of Wight, PACS Vanguard The Island’s citizens Isle of Wight Clinical Commissioning Group Two Isle of Wight Council (incl. fire & children’s srvs) Identify the Isle of Wight NHS Trust right One Wight Health (All 17 GP Practices) partners & services Voluntary Sector Independent Sector (Care Homes & Home Care) Hampshire constabulary Town & parish councils
MY LIFE A FULL LIFE Isle of Wight, PACS Vanguard Three Develop a shared vision & objectives
ISLE OF WIGHT OVERVIEW 23 miles wide by 13 miles long Accessible only by sea/air (weather dependent) Population of 142,000; est’d £300m health & social care budget 2.5m visitors p.a.; 2 large music festivals Single system, single boundaries Low earnings; higher than av. long term unemployment; 20% children live in poverty; low GCSE attainment (45%) Increasing elderly population; 26% over 65 (17% England av) & over 75 12% (8% England av) Recruitment & retention issues
SERVICING THE ISLAND’S HEALTH NEEDS: LOGISTICS Off-island Transport Travel destination time (mins) Southampton Air 8 General Southampton Sea 100 General Queen Air 8 Alexandra Portsmouth Queen Sea 85 Alexandra Portsmouth Front line Annual Transport activity Type of % treated patient off Island Coastguard 47 Elective 22.9% Air 83 ambulance Non-elective 7.2% Ferries 392
AGE PROFILE • Over 65s expected to increase by 47% & will account for 36% of the total population by 2037 (vs England 24%)
Health Needs: Multiple Chronic Conditions By Age – The majority of over-65s have 2 or more conditions, and the majority of over-75s have 3 or more conditions – 54% of patients have at least one chronic condition requiring management Source: ACG Risk Stratification tool, July 2015
Isle of Wight Council, Trust & CCG 5 Year Strategic Vision & Objectives Vision • Person centred, coordinated health & social care Objectives • Improved health & social care outcomes. • People have a positive experience of care. • Person centred provision. • Service provision & commissioning is delivered in the most efficient & cost effective way across the whole system, leading to system sustainability. • Our staff will be proud of the work they do, the services they provide and the organisations they work for and we will be employers of choice.
AIMS Quality of life & keeping well Person-centred, allowing & enabling individuals to take control of their lives & their care Prevention-based, promoting health & wellbeing Services based in the community/at home, delivered by integrated teams Linking together & building on schemes already up & running/being planned across our communities
OUR ‘MY LIFE’ MODEL Our integrated ‘My Life’ model is: Prevention-based Out of Commissioned Health and wellbeing promoting Hours voluntary One Leadership sector Built on experience-based co-design Crisis Founded on self care and empowered Community Independent Voluntary Response Faith Sector communities. Sector Team Groups People Environment At the centre of our model is the person My Matter My Life Life coordination supports the individual to Public Coordination Friends Health navigate the community and system. This Ambulance Service single point of access triages, reduces the Health- perceived system complexity, increases Integrated Education Hospital watch Locality awareness of services, and maximises Informal Services Teams community efficiency. Colleagues Home Home Community links Health Support Integrated Transport Services Isle Help Groups single point The Integrated Locality Teams deliver Family of access person centred care and support in the MH & LD Town and Palliative community, with GP clinical leadership Services Parish Key enablers Care Housing and multi-specialist teams. Councils Association Intimate / Family Adult Domiciliary Friendships social care Care Children’s http://www.nurturedevelopment.org/ Associated Life Based on ABCD approach – Cormac Russell social care My Life, A Full Life – care services 09.06.2015 10.06.2015
09.06.2015
MY LIFE A FULL LIFE Isle of Wight, PACS Vanguard Four Develop an appropriate governance structure
CURRENT GOVERNANCE Hampshire & IW Executive Groups CCG Governing Strategic Partnerships Body Board Health & Wellbeing Board (Council & Trust) Full Council & My Life a Full Life Board Executive Joint Adult Commissioning Board Trust Board (CCG & Council) Locality Boards, Management Groups & Forums
MY LIFE A FULL LIFE Isle of Wight, PACS Vanguard Five Identify the right leaders & develop a new form of system leadership
MY LIFE A FULL LIFE Isle of Wight, PACS Vanguard Six Agree how conflicts will be resolved
MY LIFE A FULL LIFE Isle of Wight, PACS Vanguard Cost Seven Develop a Tariff/benchmarked cost sustainable financing model Inefficiencies Mitigate with system redesign Island Premium Unavoidable
MY LIFE A FULL LIFE Isle of Wight, PACS Vanguard Eight Create a dedicated team MY LIFE A FULL LIFE: PROGRAMME STRUCTURE Whole Integrated System Integrated Locality Teams One Leadership & One Empowered Workforce Prevention and Early Integrated Access One Information & Technology Enabled Care, Infrastructure and Estates Intervention Redesign Strategic Commissioning, Contracting and One Island £ Organisational Integration & Form Evaluation and Measurement Communications, Engagement and Project Management Office
MY LIFE A FULL LIFE Isle of Wight, PACS Vanguard Nine Develop systems within systems “Are there examples of really good integrated services? I mean unified not just joined up. Working seamlessly. There is a place, I know where it is, I've been there, seen it .” Roy Lilley
MY LIFE A FULL LIFE Isle of Wight, PACS Vanguard Ten Develop a single set of measures
MY LIFE A FULL LIFE Isle of Wight Dr Mark Pugh Loretta Outhwaite Executive Medical Director, Isle of Interim Programme Director & Chief Wight NHS Trust Finance Officer (IW CCG) mark.pugh@iow.nhs.uk loretta.outhwaite@iow.nhs.uk
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