Connecting Care in Cheshire - An Integrated Health and Care Pioneer
Connecting Care in Cheshire - An Integrated Health and Care
Pioneer
The Cheshire Pioneer
Transformation Programmes in the three localities:
• Eastern Cheshire CCG – ‘Caring Together’
(CCG, East Cheshire NHS Trust, GPs, Cheshire
East Council, Cheshire & Wirral
Partnership)
• West Cheshire CCG – ‘The West Cheshire Way’
(CCG, Cheshire West and Chester Council, Countess of Chester Hospital NHS Trust Foundation Trust, GPs, Cheshire & Wirral Partnership)
• South Cheshire and Vale Royal CCGs – ‘Connecting Care’
(CCGs, Cheshire West and Chester and Cheshire East Councils, Mid Cheshire Hospitals NHS Foundation Trust, GPs, Cheshire & Wirral NHS Partnership)
Work-streams and enablers
Empowerment
• One of the key work-streams, supporting the empowerment of the population;
• Focus upon self care, self management, changing the relationship of individuals with the health and care system;
• Requires behaviour change in the residents and workforce;
• Building upon work done in ‘Caring Together’
Who is involved
• The Pioneer bid was submitted with the support of the Acute and Mental Health Trusts.
• The integration programmes within each CCG involve commissioners and providers working together to co-design the new models of care (staff at different levels of the organisations).
• The public are also being involved, although level of involvement varies.
The Benefits - national
• National Profile raised;
• National support offer from organisations such as Monitor, NHS IQ, Skills for Health, Skills for Care;
• Access to other sources of expertise – Information Commissioners Office;
• Access to other Pioneers to learn from their experience
The Benefits – local
• Facilitated joined up working across the two local authority geographies and between the three transformation programmes;
• Successful bid for Tech Fund II monies towards cost of Integrated Digital Shared Care Record;
• Initiated workforce ‘cultural transformation’ conversations between the commissioners and providers across the pioneer geography;
• Sharing good practice across all partners (Commissioners and Providers).
The Challenges • Securing effective system leadership as opposed to
organisational leadership – being prepared to make decisions that are for the benefit of the system and may not be in their organisations best interests;
• Sharing of good practice and information – making the space and time to do this;
• Communication and engagement with workforce colleagues and the public – Pioneer seen as something different and additional to the transformation programmes;
The Challenges continued:
• Managing the plethora of initiatives (Pioneer, Vanguard, Personal Commissioning, Prime Minister’s Challenge) with limited capacity;
• The politics of making changes to a local health economy that might impact upon GPs and hospitals;
• The pace of change required to get a sustainable integrated system in place.
The Opportunities
• Rethinking the contractual and financial arrangements with Providers;
• Driving behaviour change and cultural transformation across the population and workforce;
• Delivering new models of care that are sustainable in the long term;
• DevoCheshire?
• For more information:-
Councillor Janet Clowes, Portfolio Holder for Adults, Health and Leisure