We’re talking about workforce in integrated care systems @sfc_yorkhumbne
Housekeeping Introductions
Dr Linda Harris CEO Spectrum Community Health CIC SRO Workforce Transformation Integrated Care Partnership Wakefield
Aim of the day We will hold conversations about integrated care systems and share examples of good practice about where collaboration has helped to build solid relationships and trust across social care and health
Integrated care The person’s perspective is at the heart of discussion about integrated care. Achieving integrated care requires those involved in planning and providing services to ‘impose the person perspective as the organizing principle of service delivery’ (Shaw et al 2011 after Lloyd and Wait 2005)
Creating a workforce for integration Involves whole system collaboration To achieve genuine integration of services based around the person, we need to acknowledge and overcome resistance to change and transition; as acknowledged in Beyond Barriers (CQC 2018): “Joined - up care… requires a workforce equipped to move between health and social care. Workforce planning needs to create the skills and career paths that allow people to work flexibly across the system as services evolve over time to meet the population’s changing needs.”
Programme 10.15: Introductions…Dr Linda Harris CEO at Spectrum Community Health CIC / Sally Gretton SfC Head of Area co-chair 10.45: Keynote…James Drury Programme Director, Bradford Integration and Change Board 11.30: Refreshments 11.45: Workshops 12.45: Lunch 1.30: Presentation…Siobhan Smith and Claire Evans Stockton partnership Accolade winners 1.50: Workshops 2.50: Questions 3.30: Close
James Drury, Programme Director, Bradford Integration and Change Board, the integrated care system in Bradford
Workshops A) Guide to Coordinating Care led by Sally Gretton SfC and Andrew Jones…Domiciliary Care Provider B) ‘Health and social care integration - Ageing well and Digital programme’, led by Pallavi Kaushal and Tom Luckraft NHSE C) Building trust between social care and health organisations led by Jeanette Cookson SfC and Accolade winners ,Siobhan Smith and Claire Evans Stockton partnership D) Update on nursing associates programme led by Rachael Ross and Peter Northrop SfC with Peter Hodkinson, Managing Director Westward Care and SfC Fellow
Accolade award winners, Siobhan Smith and Claire Evans Stockton partnership, use integration to make a positive impact on people’s lives
Stockton 100 day challenge My Voice My Choice Integrated Personal Commissioning
Methodology • A goal was set it was NOT a target! • Bottom up approach • Staff were empowered to make decisions • No fear of failure • Testing new approaches - flexibility • Wasn’t a structured project management approach
Snapshot of the activity: Teams quickly stepped into action, testing a whole range of ideas in people’s homes, in community settings, in primary care and in hospital settings to support people at different points in their journey. This included: Initiating multi-disciplinary meetings across hospital and community settings focussed on proactive Establishing, building person-centred care. Over 40 and growing links with 288 voluntary and held over the community activity challenge 100+ Personalised care and support plans completed New connections and referrals Establishing COPD peer support group 8 Developed and tested integrated team running extended hours New, integrated and multi- services in a hospital to prevent disciplinary approach to unnecessary use of services, GP weekly sessions discharge through the creation of and hospital primarily. a Home, Safe, 40 sessions run, Sooner campaign
Stockton’s 100 day challenge: the context Early results were in.. Early Results from the challenge were promising… • Developing a system-wide consistent approach to personalised care and support planning • Almost 300 care plans completed over 100 days • Over 100 new referrals and connections to community Learning Agenda themes for teams groups and services • Over 40 new multi-disciplinary team meetings held • 40 out-of-hours sessions run focussed on admission avoidance • 41% reduction in A&E attendance, and 19% reduction in 1 day admissions from an urban-based team • 35% reduction in DTOC across the hospital (combined with other efforts)
Then this happened.. Skills for Care Accolade Awards 2018 Winner 2018 ‘Most effective approach to integrated new models of care’
No quick fix BUT…. • Catalyst… NESTA challenge • 12pm huddle 2017-18 • 7 day working • Front line teams empowered • SAFER bundle • Power of VCSE • Honorary contracts • Pivotal role of AHP’s • Estates & kettle sharing • Trusted assessors • Drop in sessions • Discharge to assess pathways • Super stranded Thursday • AHP NHSi challenge • Alternative workforce model • New discharge pathways • Frailty coordinators • Links with care homes • Red bags • INTEGRATION
DST’s in the community and Trusted Assessor … • Shared decision making • Shared risk and responsibility • Better decisions in the right place at the right time • A more person centred approach • Less needless paperwork • Better engagement with care homes
Does the IDT work?
Next Steps • Integrated working – not co-locating! • Share best practice, respecting other professional backgrounds • Face challenges head on • Make good use of the shared kettle! • Achieve better engagement with our provider partners • Continue to work together to build Trusted Assessor models
Thank You
Workshops
7 key principles informing the Green Paper A shift in focus and priorities Quality care Whole-person integrated care Control Workforce Supporting families and carers Funding Security
Call to action Involvement and solution finding • Personalisation • Shift to place based • Importance of social care voice • Prevention agenda
SfC Resources 2019 - 20 • Building trust top tips • Co-ordination of Care guide • Updated Principles workforce integration • Integration indicators, case studies analysis of what works well
Accolades : Integration category entries by June 21 st 5pm
For more information visit: www.skillsforcare.org.uk @sfc_yorkhumbne Subscribe to our bi-weekly e-news by emailing: info@skillsforcare.org.uk
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