The Oldham Model Inclusive Economy where everyone has a fair and - PowerPoint PPT Presentation

The Oldham Model Inclusive Economy – where everyone has a fair and real chance to access opportunities and improve their own lives Co-operative Services – where radical innovation changes the delivery and impact of public services and Thriving Communities – where society and social action really mean something This model is complemented and supported by a focus on two key enablers – public service reform and empowering people and communities

#Ourbit #Yourbit #Result

Vision and ambition for improving Oldham’s population health “Thriving Communities drawing on its own resources to stay well, and for great organised care to be available for those who need it, when they need it.”

What does this mean for Oldham People?

Engaging People in the conversation

The case for change Variation in care decision-making Significant variation in care decision-making impacts Constrained funding quality, performance and economic stability across the system Constrained funding means that all partners are facing an unprecedented financial challenge, with Ageing population a forecast deficit of c. £70m by 20/21 if no action Our older population experiences is taken. multiple complex chronic conditions, Increasing demand with life expectancy for both men and There is increasing demand from individuals women below the England average. with complex health and care needs across Sustainability Integration challenge the system. Oldham experiences high levels A lack of integration between different of emergency admissions combined with providers in the system results in very increasing pressures on primary care. complex and fragmented care for those with complex needs. Children and young people Accommodation 1 in 4 of our children live in poverty. In some The volume and quality of our areas of Oldham children and young people’s community provision does not support health outcomes as worse than the national independent living as well as it could, average – performing poorly on dental health, resulting in high levels of admission to unintentional injuries and asthma in children. residential care and nursing homes. . Health and wellbeing Urgent and emergency care Our adult population is less physically active, smokes Compared to other regions of England, NWAS takes more, and carries more excess weight than the England the highest percentage of patients to A&E, while the average and we have higher than average alcohol-related second lowest percentage of calls are resolved with admissions to hospital . phone advice.

What makes us Oldham: Health & Social Care • A co-operative approach with citizens at the centre • History of making things happen in Oldham ‒ we have already invested heavily in out of hospital services (£24m recurrently) • Approach that enhances the social value by ‒ have strong partnership arrangements in place maximising the role of our Anchor organisations (the Integrated Commissioning Partnership and the Urgent Care Alliance) • A total population and system approach within our ICO with thriving communities and primary care at • Encourage cluster working in Oldham across GPs the heart taking a place based approach • Despite a number of challenges for Localities we have • New model of system leadership with co-production made strong investment and real progress at every level (Economy, community, service users/carers, managerial and clinical staff across commissioners and providers)

Next Steps: Commissioning and Alliance arrangements 18/19 There will be a Strategic Joint 1 Commissioning Board, supported by a Proposed system construct 2018/19 joint commissioning team with pooled delegated budgets through a section 1 75 agreement. The joint NHS Oldham Strategic Joint commissioning team will issue an Oldham Council CCG Commissioning Board alliance contract to support core Section 75 providers of care to bring providers together across the system Joint Commissioning Team 2 The Alliance Contract will formalise the 2 agreement between the ICO Core members ICO Alliance and the Commissioners Contract ICO 3 3 ICO Alliance Board The Alliance Board will operate as a joint executive management team overseeing the 4 Managed Care Organiser delivery of the alliance contract Primary Mental Acute Care 4 Health Core Clusters 5 A managed care organiser function will be Providers jointly created to drive system change Adult Social Community Care Care 5 Core ICO providers will be responsible for co- Voluntary Other ordinating the supply and provision of care, Sector Providers including for patients outside of their current organisational boundaries

Our journey to date Design GM Investment Investment Financial Locality Case for Principles Identify Journey to date Agreement Business case Interventions analysis Plan Vision change and Care Pathways Locality business Investment System partners A shared Partners Opportunities for The impact of case secures GM agreement with GM Agree the vision Understanding of collaboratively improvement that better ways of investment funding confirmed for Oldham and why the system design a high-level will bring about working modelled plan for what the needs to change model for the ACS change identified Locality is seeking developed to deliver

Strong track record of investment, innovation and success

Oldham achievements (1) • Establishing the primary care cluster system across the locality, completing the establishment of integrated health and care teams and creating of single structures at a GP cluster level • Integrating services across Oldham including a fully integrated Hospital Discharge team that consists of a range of stakeholders including housing and voluntary sector representatives. This has resulted in some of the best Delayed Transfers of Care performance in Greater Manchester • Nationally leading performance against Better Care Fund Targets and GM leading for Delayed Transfers of Care and delivery of Personalised Budgets for patients, service users and carers

Oldham achievements (2) • Successful local performance, including:- - The One Recovery partnership supporting those recovering from substance misuse - Hope Citadel, with their Focused Care delivery model and their Hill Top Surgery being classed as one of the best GP practices ever visited by CQC - Established MioCare, which provides care and support to people so they can get the most out of life by promoting independence, choice and well being - Investment in Council Services through the Public Health transformation fund, ensuring population health goals are embedded right across the full range of Council services