Frimley Health & Care ICS Slough Wellbeing Board Slough Wellbeing Board Slough Wellbeing Board Slough Wellbeing Board Health & Wellbeing 28 March 2018 28 March 2018 28 March 2018 28 March 2018 Care & Quality Sir Andrew Morris ICS Lead Finance & Efficiency Effective Workforce
The Frimley geography Frimley STP population of 800,000 people in East Berkshire, NEH&F and Surrey Heath CCGs. Involves 30 statutory bodies.
Our ICS Journey - Developing our system and relationships Apr 2018 Mar 2018 ICS Go Live Jan 2018 System Operating Plan Dec 2017 System control total agreed Dec 2017 System dashboard Live Capital Bids confirmed Sep 2017 Memorandum of Understanding signed with NHSE Jun 2017 NHSE announce 1 st Wave ACS Apr 2017 Impact on demand curve Dec 2016 Transformation Delivery Programme Established Oct 2016 STP Plan submitted Confidential across Frimley Health & Care STP 3
Our System Ambition Our collective ambition is that the people living in the Frimley system have the best possible health and wellbeing, keeping them healthy and in their homes for longer. The changes required across our health and care system cannot be addressed by individual organisations; they are a collective challenge and require a collective response. Our success will be judged by the strength of our system, not the individual organisations. Our system is inclusive and brings together the providers and commissioners of all health services, social care, public health, council services and the voluntary sector. Primary Care constitutes one of our key partners in successful transformational change. We are working with GP leaders to ensure resilience and increased capacity to support our local residents Confidential across Frimley Health & Care STP 4
Main mechanisms for ICS 2018/19 Mechanisms: • A single ICS leader • A system-wide board with delegated decision-making • A system operating plan for 2018/19 • A system-level accountability framework • Transformational funding to support priority schemes • A system control total mechanism for health • A blend of system level governance and local structures to meet all performance, quality and financial standards required at system and organisational levels. Confidential across Frimley Health & Care STP 5
STP to ICS One System One Budget ICS One Vision Confidential across Frimley Health & Care STP 6
Our system on a page: 2018/19 System plan on a page Five Year Priorities Transformation Initiatives Cross cutting Programmes 1.Prevention & Self-care: Ensure people National ‘must do’s’: Cross cutting Programmes Urgent & Emergency Care have the skills, confidence and support to National Primary Care, take responsibility for their own health and Urgent and Emergency Care, wellbeing Referral to treatment times, Mental Health & Learning Cancer, Disabilities Improving quality 2.Integrated care decision-making: Financial sustainability Develop integrated decision making hubs Development of high quality STP to provide single points of access to services such as rapid response and re-ablement Maternity Priority 1: Making a substantial step 3.GP Transformation: Lay foundations for a Lay foundations for a change to improve wellbeing, new model of general practice provided at increase prevention, self-care and scale , including development of GP Children & Young People early detection federations to improve resilience and capacity. Priority 2: Action to improve long term condition outcomes including greater Cancer 4.Support Workforce: Design a support self management & proactive workforce that is fit for purpose across the management across all providers for system people with single long term conditions Enablers Priority 3: Frailty Management: 5.Care and Support: Transform the social Local Proactive management of frail patients care support market including a with multiple complex physical & mental Workforce comprehensive capacity and demand analysis health long term conditions, reducing and market management crises and prolonged hospital stays . Analytics Priority 4: Redesigning urgent and 6.Reducing clinical variation: Reduce Enablers emergency care, including integrated clinical variation to improve outcomes and working and primary care models maximise value for individuals across the Communications & Engagement providing timely care in the most population. appropriate place Priority 5: Reducing variation and Estates 7.Shared Care record: Implement a shared health inequalities across pathways care record that is accessible to to improve outcomes and maximise professionals across the STP footprint. value for citizens across the Digital & Technology population, supported by evidence Confidential across Frimley Health & Care STP 7
Emerging Governance Structure Chairs, NEDs, Lay Group H&W Alliance Shadow ICS Board Board System Finance Reference Group System Programme Delivery Board System wide leadership group Analytics Estates SG OSC Chairs/ LWAB Comms SG LDR Board SG Healthwatch External Stakeholders Mental Health GP Social Care Variation Shared Care Prevention Support reference group Transformation ICDMH SG Market SG SG Record SG SG Workforce SG SG Local Maternity System Children & Young People A&E Delivery Board Mental Health & LD SG Local Cancer System SG SG SG Local Governance & Delivery Assurance System Local STP Confidential across Frimley Health & Care STP 8
Mental Health The three priority areas for the ICS for 18/19 include: • Out of Area Placements – aiming to reduce OAPs for non-specialist inpatient care - has a significant impact on the experience and quality of care for people and their families. • 24/7 Urgent MH Work - Ensure we have easily accessible support and to commission 24/7 urgent and emergency mental health services for children & adults. • Perinatal Mental Health - Increase access to evidence-based specialist perinatal mental health care Plans and Aspirations for 18/19 • Having more Mental Health staff working within primary care • East Berkshire to transform the front door for mental health services in primary care • Working towards CORE 24 service in Wexham Park • We plan on co producing an ICS crisis pathway for all ages and develop plans to ensure all areas have an improved crisis pathway • Develop a multi agency Out of Area Placement strategy with clear actions and deliverables • East Berkshire to review all current 117 funded placements alongside the local authority and BHFT to improve quality and reducing spending in this area to enable reinvestment in community provision and support We want people to be supported at the earliest opportunity so people can be signposted to the • right care at the right time to a crisis we will reduce the need for crisis pathways in the future. Confidential across Frimley Health & Care STP 9
Children & Young People MH 5YFV Targets • 32% increase in children and young people accessing mental health services in 18/19 • 95% of children receive urgent treatment (within one week) or routine treatment (within four weeks) when they are referred to children’s eating disorder services • Closer to home specialist children inpatient beds (known as Tier 4) Plans for 18/19 • Commission more services together with the local authorities and education • Work with local authorities to support children with special educational needs • All areas have a Children & Young Peoples Eating Disorder Service • Develop a place based CYP Services for mental health at Frimley Park Hospital • All areas are signed up to the national quality programme • All areas commission voluntary sector organisations and preventative support Confidential across Frimley Health & Care STP 10
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