Thank you for joining us The leadership for personalised care, co-production and strong communities: Growing the next generation roundtable will start shortly
Agenda 10.00 Time Item Presenter(s) 10.00 Welcome from the NHS Leadership Academy Tim Swanwick, Dean of Education and Leadership Development, NHS Leadership Academy 10.05 Context of the project Catherine Wilton, Associate - NHS Horizons and NHS Leadership Academy 10.10 Presentation from Personalised Care Group, NHS Nicola Gitsham, Head of Personalised Care, NHS England England 10.15 Presentation on building and nurturing communities Sian Lockwood, CEO Community Catalysts 10.20 Presentation from representative from C4CC co- Katie Clarke-Day, C4CC co-production group production group member 10.25 Discussion and debate All 10.55 Next steps Catherine Wilton, Associate - NHS Horizons and NHS Leadership Academy
Agenda 13.00 Time Item Presenter(s) 13.00 Welcome from the NHS Leadership Academy Tim Swanwick, Dean of Education and Leadership Development, NHS Leadership Academy 13.05 Context of the project Catherine Wilton, Associate - NHS Horizons and NHS Leadership Academy 13.10 Presentation from Personalised Care Group, NHS Rich Watts, Lead for Strategy and Scale, NHS England England 13.15 Presentation from representative from C4CC co- Katie Clarke-Day, C4CC co-production group production group member 13.20 Presentation on building and nurturing communities Jane South, Public Health England 13.25 Discussion and debate All 13.55 Next steps Catherine Wilton, Associate - NHS Horizons and NHS Leadership Academy
Agenda 15.00 Time Item Presenter(s) 15.00 Welcome from the NHS Leadership Academy Tim Swanwick, Dean of Education and Leadership Development, NHS Leadership Academy 15.05 Context of the project Catherine Wilton, Associate - NHS Horizons and NHS Leadership Academy 15.10 Presentation from Personalised Care Group, NHS Simon Stockton, Senior Manager (Demonstrator England Programme) 15.15 Presentation from representative from C4CC co- Katie Clarke-Day, C4CC co-production group production group member 15.20 Presentation on building and nurturing communities Alyson McGregor, National Director and Martin Fischer, Associate, Altogether Better 15.25 Discussion and debate All 15.55 Next steps Catherine Wilton, Associate - NHS Horizons and NHS Leadership Academy
Presentation Nicola Gitsham Head of Personalised Care NHS England
Universal Personalised Care: Implementing the Comprehensive Model February 2019 www.england.nhs.uk/personalisedcare @Pers_Care #personalisedcare www.england.nhs.uk
Comprehensive Model for Personalised Care All age, whole population approach to Personalised Care TARGET POPULATIONS INTERVENTIONS OUTCOMES Specialist Integrated Personal Commissioning , including Empowering people, proactive case finding, and personalised care and integrating care and support planning through multidisciplinary teams, reducing unplanned personal health budgets and integrated personal budgets . service use. People Plus Universal and Targeted interventions with complex Targeted needs Supporting people to 5% Proactive case finding and personalised care and support planning through General Practice. build knowledge, skills Support to self manage by increasing and confidence and to live patient activation through access to health coaching, People with long well with their health peer support and self management education. term physical conditions. Plus Universal interventions and mental health conditions 30% Universal Supporting people to stay well and Shared Decision Making . building community resilience, Enabling choice (e.g. in maternity, elective enabling people to make informed and end of life care). decisions and choices when their Whole population Social prescribing and link worker roles. health changes. 100% Community-based support .
The difference personalised care makes To people’s experiences To the system • • 86% of people said they achieved what they wanted with their PHB. Monitoring of costs for PHB holders receiving NHS CHC home care 77% of people would recommend PHBs to others with similar needs. packages found an average saving of 17%. • Independent reviews have found evidence that people’s well -being, • An independent evaluation found that PHBs were overall cost satisfaction and experience improves through good personalised neutral. People with a PHB had lower indirect costs through less care and support planning, including for people with cancer. use of secondary healthcare (average £1,320 per person per year). • • 75% of people who booked hospital outpatient appointments online In one site, IPC was implemented at scale alongside other felt they were able to make choices which met their needs. interventions. Following the 100-day challenge in 2017 the site saw a reduction in emergency admissions of 12%, as well as a 24% reduction in A&E attendances for the two practices which took part. • An independent evaluation found that people who had the highest knowledge, skills and confidence had 19% fewer GP appointments To people’s outcomes and 38% fewer A&E attendances than those with the lowest levels of activation. This finding was corroborated by a Health Foundation study which tracked 9,000 people across a health and care system. • People and professionals consistently overestimate treatment benefits and underestimate harms. Shared decision making helps reduce uptake of high-risk, high-cost interventions by up to 20%. To the workforce • Local evaluations of social prescribing have reported improvements in quality of life and emotional wellbeing, as well as lower use of primary experience care and other NHS services. Systematic reviews have found that the • quality of evidence is variable and there is a need for more evidence on Personalised care and support planning has been shown to improve GP and other professionals’ job satisfaction. the effectiveness of social prescribing. www.england.nhs.uk /personalisedcare @Pers_Care #personalisedcare
From Personalised Care Demonstrators Personalised Care demonstrators • 21 sites recruited, kick started the rollout of Personalised Care across the country by ensuring personalised care is a reality for over 300,000 people by April 2019. • Demonstrators cover 66 CCGs – including 11 Integrated Care Systems (ICS) and Sustainability and Transformation Partnerships (STP). Presence in 20 out of the 44 STPs • Three sites (Lincolnshire, Nottinghamshire and Gloucestershire) are testing the more integrated approach to assessment for everyone receiving a needs assessment under the Care Act 2014 as announced by SoS in March 2019. • Full report on progress and impact in Q1 available mid Aug www.england.nhs.uk
The NHS Long Term Plan Chapter One sets out a new NHS service model for the 21 st century. This will be achieved through the following five major, practical, changes over the next five years: Boost ‘out -of- hospital’ care and dissolve the divide between 1. primary and community services 2. Redesign and reduce pressure on emergency hospital services 3. People will get more control over their own health, and more personalised care when they need it 4. Digitally-enabled primary and outpatient care will go mainstream across the NHS. 5. Local NHS organisations will increasingly focus on population health and local partnerships with local authority-funded services, through new Integrated Care Systems (ICSs) everywhere www.england.nhs.uk /personalisedcare @Pers_Care #personalisedcare
Specific Personalised Care commitments in LTP Accelerate roll out of Personal Health Budgets … Up to 200,000 people will benefit from a PHB by 2023/24 (para 1.41) Over 1,000 trained social prescribing link workers by 2020/21 and 900,000 people referred to social prescribing link workers by 2023/24 (para 1.40) 5% Ramp up support for people to self-manage their own health (para 1.38) 30% People have choice of options for quick elective care , including choice at point of referral and proactively for people waiting for six months (para 3.109) 100% Support and help train staff to have personalised care conversations (para 1.37) Use decision-support tools (para 3.106) and ensure the least effective interventions are not routinely performed … potentially avoiding needless harm (para 6.17viii)) /personalisedcare @Pers_Care #personalisedcare www.england.nhs.uk
www.england.nhs.uk
Presentation Sian Lockwood Chief Executive Officer Community Catalysts
Unlocking the capacity of communities to care A Somerset case study Sian Lockwood OBE CEO Community Catalysts
Community Catalysts ▪ A Community Interest Company established in 2010 ▪ Works across the UK through local partners, using a tested model that works at scale ▪ Helps harness the talents and imaginations of people and communities ▪ Aims to make sure that people wherever they live have real choice of the great services and supports that will help them live the life they want ▪ Since 2010, has worked in nearly 60 areas, supporting more than 5000 community-led care enterprises;15,000+ people benefited, 7000+ jobs created
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