health & social care
2

Transforming Local Health and the Future of Integrated Care Systems

health & social care

08:45 - 16:20

Wednesday 27 March 2019

Central London

Early Bird Discount Offer

10% off all advertised rates for a limited time only. Discount available to public / voluntary organisations only.

 

This Forum provides attendees with the opportunity to analyse the latest progress in the transformation of local health through the development of integrated care systems, which have been proposed as the future model for the health and care system in England. Participants will hear from organisations at the forefront of raising health standards for local residents on ways of implementing these new models of care, and gain insights on how the health, local government and voluntary sectors can benefit from working in close collaboration to embed whole-system approaches that improve access to care, streamline discharge processes and focus on key strategic priorities that benefit the local population that they are there to serve.

Audience

This Forum is specifically designed for Local Government, Health and Voluntary sectors. Typical job titles will include:

  • Chief Executives
  • Heads of Adult Social Care
  • Directors of Public Health and Community Services
  • Directors of Integration and Partnerships
  • Directors of Strategic Planning
  • Project Leads
  • Heads of Commissioning
  • Heads of Delivery
  • Heads of Service Development
  • Head of Adult Social Care
  • Directors of Nursing
  • Matrons
Key Speakers Confirmed:
  • Nick Harding OBE, Senior Medical Advisor, NHS England for the Primary Care Integrated Care Systems, and Chair, SWB CCG
  • Alex Fox OBE, Chief Executive, Shared Lives Plus
  • Ewan King, Director of Business Development and Delivery, The Social Care Institute for Excellence
View the agenda and additional speakers

08:45

Registration, Refreshments and Networking


09:30

Chair's Welcome Address

Professor Pauline Allen, Professor of Health Services Organisation, London School of Hygiene and Tropical Medicine (invited)


09:40

Morning Keynote: Achieving a Truly Integrated Healthcare System – The Next Steps

  • Sharing insights from the June 2018 Breaking Down Barriers to Better Health and Care guidance designed to help the NHS and local councils work in partnership to meet local health needs
  • Providing guidance for commissioners to enhance Integrated System Working through Refreshing NHS Plans for 2018/19
  • Moving towards delivering more care via re-designed community-based and homebased services co-produced by patients
  • Looking to the future of the UK’s ageing population needs and evaluating the potential evolution of new models of care, supporting systems to become self-governing

Nick Harding OBE, Senior Medical Advisor, NHS England for the Primary Care Integrated Care Systems, Chair, SWBCCG (CONFIRMED)


10:00

Special Keynote: Enhancing the Quality of Services Through Integrated Care Systems

  • Discussing how integrated care systems can deliver strategic reforms across large geographical areas through better joint commissioning and collaboration between providers
  • Championing person-centred, coordinated care for people near where they live and involving people in the design, planning, commissioning, delivery and review of services
  • Using the ‘Making it Real’ framework, developed by Think Local Act Personal along with service users, to guide decision-making and help leaders to deliver more personalised care

Ewan King, Director of Business Development and Delivery, The Social Care Institute for Excellence (CONFIRMED)


10:20

Questions and Answers Session


10:40

Refreshments and Networking


11:00

Case Study: Developing an Integrated, Patient-Centred Local Healthcare System - Lessons from the Process

  • Accessing £28 million of funding from NHS England to develop integrated health and social care hubs offering more efficient out-of-hospital services
  • Working in collaboration across CCGs, primary care, acute care, local councils and mental health trusts: how was successful partnership working developed and then implemented?
  • Designing new models of care in partnership with patients to improve patient engagement and in turn delivering a more positive patient experience
  • Outlining the progress in achieving 2018 priorities including evaluating progress on prevention, reducing clinical variation and implementing shared care records

Fiona Slevin-Brown, Project Lead, Frimley Health and Care (invited)


11:20

Case Study: The Role of Technology in Improving the Patient Experience in an Integrated Care System

  • Engaging with patients and designing services around their priorities, such as better sharing of information between health and social care professionals
  • Maximising the use of technology in hospitals to support patients and clinicians in the community: how has this been achieved in practice?
  • Outlining progress to date in achieving the aims of the Digital Transformation Programme, including introducing a shared digital care record
  • Examining the next steps to implementing key digital projects such as care homes digitisation, e-consultations and remote monitoring

Senior Representative, The Bedfordshire, Luton and Milton Keynes (BLMK) Integrated Care System (invited)


11:40

Case Study: Improving Specialist Community Care Through an ICS

  • Creating a community matron and specialist nurses hub, drawing together specialists from across a wide geographical area in one location to support people with respiratory conditions
  • Building strong relationships and effective partnership working through a co-located space for multi-disciplinary teams
  • Highlighting the importance of prioritising a collaborative approach at the building and design stage
  • Enhancing patient experience through embedding the service within the community, removing the need for patients to travel to hospital for assessments and support

Debbie Curran, Head of Community Services, West Lancashire (invited)


12:00

Questions and Answers Session


12:20

Lunch and Networking


13:20

Afternoon Keynote: The Role of Local Authorities in Integrated Care Systems

  • Acknowledging that local authority engagement is essential in successful ICSs, and councils must be equal partners in plans to join up services
  • Highlighting the need for support from councils in plans to merge CCGs to align more closely with ICSs
  • Discussing examples of local authority involvement in ICSs, such as the appointment of council chief executives as accountable officers in some CCGs
  • Outlining how current funding pressures in social care and the NHS are preventing further integration plans from developing adequately

Cllr Izzi Seccombe OBE, Chairman of the Community Wellbeing Board, Local Government Association (invited)


13:50

Special Keynote: Promoting Co-Design with Communities Through the VCSE Health and Wellbeing Alliance

  • Outlining the aims of the 2016 Joint VCSE Review, namely bridging the gap between the agreed national vision and the local reality
  • Discussing progress made on the Review’s recommendations in the last two years, particularly regarding sharing responsibility for resources with VCSE organisations
  • Describing the 2018 action plan which has been adopted by the Health and Wellbeing Alliance
  • Highlighting how much current commissioning teams need their voluntary counterparts and the communities they reach
  • Underlining that co-design and co-production are essential to improvement and tackling inequalities but are still viewed as slow, difficult and optional

Alex Fox OBE, Chief Executive, Shared Lives Plus (CONFIRMED)


14:20

Questions and Answers Session


14:40

Refreshments and Networking


15:00

Case Study: Analysing the Impact of Integrated Care Teams on Patients with Complex Needs

  • Sharing insights from the Improvement Analytics Unit’s fourth evaluation on the impact on hospital use of integrated care teams for patients with complex needs in North East Hampshire and Farnham
  • Discussing changes that were implemented by the Healthy, Happy, at Home vanguard, including weekly meetings of multidisciplinary integrated care teams
  • Emphasising the benefits of these meetings in co-ordinating care for their patients with complex needs and most at risk of going into crisis, by drawing on extra expertise and arranging specialist visits as needed

Adam Steventon, Director of Data Analytics, The Health Foundation (CONFIRMED)

Senior Representative, Healthy, Happy, at Home, North East Hampshire and Farnham Vanguard (invited)


15:20

Case Study: Adopting a Patient-Centric Approach to Service Co-Design

  • Demonstrating how Surrey Heartland’s formal approach to patient engagement and patient/stakeholder co-design for the cardiovascular disease workstream resulted in patient-led priorities and improvements
  • Discussing how working with M3 Global Research and Surrey County Council allowed them to champion cultural change across the partnership
  • Improving patient representation and engaging with hard-to-reach or high risk groups beyond completion of the research
  • Outlining what the research set out to achieve, the challenges encountered surrounding engagement and how the change in approach was rolled out

Winners of Best Patient-Centric Approach at the British Healthcare Business Intelligence Association (BHBIA) Awards 2018

Richard Stockley, Strategic Lead for Citizen-led Engagement, Surrey Heartlands, and Senior Manager in Intelligence and Research, Surrey County Council (CONFIRMED)


15:40

Case Study: Focusing on Community Care to Effectively Meet Local Population Healthcare Needs

  • Identifying key strategic priorities of the ICS including enhancing housing and the environment: How are these being tackled in practice?
  • Focusing on acute services, increasing collaborating between Nottingham University Hospitals and Sherwood Forest Hospitals whilst working to increase capacity for community care
  • Developing a Community Fracture Liaison Service to reduce hospital visits and admission and provide more joined up care: Examining the impact
  • Working to meet the needs of disadvantaged populations, with 8% of the population covered by the ICS residing in the most deprived areas of England

Hayley Barsby, Chief Executive, Mansfield Council (invited)


16:00

Questions and Answers Session


16:20

Chair's Summary and Close

*programme subject to change


In June 2018, NHS England and NHS Improvement jointly published Breaking Down Barriers to Better Health and Care, examining the changing care needs of today’s ageing population and exploring how the UK healthcare system could be better designed to meet this challenge. The report underlined the urgency of this work, stating that “the number of people aged over 65 in England rose by 21 per cent between 2005 and 2015, and is expected to do so again between 2015 and 2025”. NHS England’s March 2017 update on the Five Year Forward View stated that it aims to use the next several years to make the biggest national move to integrated care of any major western country.

This aim will be brought about by the planned evolution of high-performing Sustainability and Transformation Partnerships (STPs) into what are now termed integrated care systems (ICSs). As of September 2018, there are 8 ICSs with a further 10 ‘shadow’ ICSs under consideration to progress to this level. These new models of care are intended to encourage and enshrine partnership working between the health, local government and voluntary sectors, operating as a system across a wide geographical area to improve prevention, enhance efficient access to care and reduce duplication. ICSs will also ensure that specialist multi-disciplinary skills are pooled and staff can be located and utilised appropriately, by designing services with patients needs and experience at their heart.

In order to fulfil NHS England’s aim of successfully transitioning to integrated care across the country in the coming years, there needs to be a commitment to co-production at all levels, and a clearer focus on outcomes and impact. System leaders need to support, share learning from and further develop this way of working, whether through devolving budgets to local teams or by creating better digital platforms, in order to maximise the potential of ICSs and get local health right for the people who need it.

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