Integrated Care Systems. Phil Richardson NHS Dorset CCG
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1 Integrated Care Systems Phil Richardson NHS Dorset CCG
2 Integrated care system? ICS were previously called accountable care systems Take the lead in planning and commissioning care for their populations and providing system leadership A national initiative that has been extended to ten Sustainability and Transformation Plan (STP) areas, including Dorset.
3 Integrated care system? Aims to align/integrate health and care planning and delivery around population outcomes that are meaningful locally More control of national funding a pot of around 450 million over the next four years to support their transformation programmes Fast-track improvements eg A&E, quicker GP appointments, better access to high quality cancer and mental health services.
4 ICS Partners in Dorset
5 ICS for Dorset Dorset is one of ten areas to become an integrated care system (ICS) We have been an ICS in shadow form since summer of 2017 We are set to become a full ICS in summer 2018/19 if the right progress has been made Delivery of the STP The changes to local hospital and community services resulting from the CSR form part of the way we will deliver these exciting and important changes to health and care services.
6 Memorandum of Understanding MOU describes 4 main objectives: to integrate services and funding over the ICS defined population to make rapid progress in urgent and emergency care reform, strengthen general practice and improving mental health and cancer services to manage within a system financial control total and maximise efficiencies to act as a leadership cohort for subsequent ICS sites, demonstrating what can be achieved within increased freedom and flexibilities.
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8 STP: implementing transformation plans The Sustainability and Transformation Plan STP) explains how we will implement wider transformation plans including the CSR decisions.
9 STP the bigger picture 3 national gaps: Health and wellbeing Care and quality Finance and efficiency In Dorset, addressed by five portfolios: Acute hospital care (One Acute Network) Integrated community and primary care services Prevention Digital Working and leading differently
10 STP programmes Under each of the portfolios sit a number of programmes, e.g.: Integrated community and primary care services Providing more services in community hubs closer to people s homes Developing integrated teams Improving access to GP services One Acute Network Providing dedicated specialist hospitals for emergency and planned care Maternity Cancer services
11 STP programmes Prevention (at scale) Starting well Living well Ageing well Healthy places Digital Dorset Care Record Making better use of data Independent self-care Leading and working differently Recruitment and retention of staff Developing leaders/staff Supporting staff through change Workforce planning
12 STPPortfolio Progress One Acute Network Financial modelling is underway Poole Hospital and Royal Bournemouth Hospital merger case is being drafted. Integrated community and primary care services Community hub Outline Business Cases being produced by Dorset Healthcare Development underway of an operating model for Shaftesbury Primary care workforce mapping and transition planning has been undertaken in each locality and shared with local teams for validation. Digitally transformed Dorset The Dorset Care Record is now live and continues to expand its user base Whilst positioning our efforts and deliveries on the applications and services delivered to staff and patients, we continue to develop the underlying infrastructures needed to support all that change.
13 STPPortfolio Progress Prevention at Scale An integrated Children s Centre / Health Visitor pathway has been agreed and implementation planning is now underway. New LiveWell Dorset website is live A pilot for the Living Well Active programme is planned for North Dorset with engagement events scheduled in July to identify health champions who will be trained to support people to increase physical activity. Leading and working differently A Stocktake took place at the February the Dorset Workforce Action Board (DWAB) in order to refocus the purpose and commitment and how we plan to work together and align work streams The mental health workforce expansion plan to deliver the five-year forward view is currently be assured by Health Education England and NHS England.
14 Timescales
15 Five-year plan Five year plan Different aspects will be introduced at different times - some dependent on various constraints or imperatives such as nationally mandated services (extending access to primary care, expanding access to psychological therapies)
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