health & social care
local government
voluntary sector
2

Delivering Quality, Integrated Health and Social Care

health & social care

local government

voluntary sector

8:45 - 16:40

Thursday 6 June 2019

Central London

This Forum will provide an opportunity to discuss how the NHS, local councils and the voluntary sector can best integrate health and social care services in the interests of creating a sustainable, future-proof, joined-up and sustainable care system. Attendees will be able to assess progress on the Better Care Fund, in addition to other methods of achieving an integrated policy framework, such as the New Care Models programmes and Sustainability and Transformation Projects. Participants will also be able to hear from best practice case studies in the process of joint working across health and social care services.

Audience

This Forum is specifically designed for the Health and Social Care, Local Government and Voluntary Sectors. Typical job titles will include:

  • Commissioning Managers/Leads
  • Chief Executives
  • Finance Policy Managers
  • Heads of Integrated Finance
  • Care and Support Officers
  • Councillors
  • Service Improvement Managers
  • Partnership Officers
  • Heads of Quality Assurance
  • Service Development Officers
  • Area Managers
  • Strategic Leads
  • NHS Service Development Managers
  • Heads of Care
  • Heads of Business Development
  • Directors of Services
  • Project Managers

This Forum is also open to the wider public sector to encourage networking and debate.

Key Speakers Confirmed:
  • James Sanderson, Director of Personalised Care, NHS England
  • Anne Jarrett, Strategic Director – Health and Social Care Integration, Local Partnerships
  • Cllr Paulette Hamilton, Vice-Chair of the Community Wellbeing Board, LGA
  • Aileen Murphie, Director of Local Government Value for Money, National Audit Office (NAO) 
  • Jane Silvester, Associate Director –Social Care and Leadership, NICE 
View the agenda and additional speakers

According to LGA research, the UK could save £1 billion a year through better integration of health and social care services. With the number of people in England aged 65 and over set to increase by 45% over the next twenty years, and an estimated further £60 billion a year needed for the health and social care system by 2030, Health and Social Care is under more pressure than ever before.

In order to tackle these growing challenges, in March 2017, the Department for Health and Social Care published the Integration and Better Care Fund Policy Framework 2017 to 2019, which outlined plans to support the integration of health and social care by NHS agencies and local government. This was further supported by the Better Care Fund 2019-2020, which reinforced the need for a clear plan for improved integrated services that bridge health and social care.

In April 2017, the government commissioned the Social Care Institute for Excellence to produce a framework for an integrated health and social care system. The Better Care Fund was launched, which orders a re-direction of funding by the NHS towards care services, in order to ensure more co-ordinated and person-centered care. The total amount assigned to this fund was a significant £5.8 billion in 2016-17.

A number of changes were announced for 2018-19 to improve NHS contributions to Adult Social Care, including that NHS contributions must be increased by 1.9% and that all areas should implement the High Impact Change Model for Managing Transfer of Care. A number of other initiatives were launched to support integration, such as New Care Models, Integration Pioneers and Sustainability and Transformation Plans. This move towards full integration was further emphasised  in the Next Steps on the NHS Long Term Plan, 2019, which highlighted the importance of NHS agencies, local authorities and voluntary organisations working in partnership to improve population health, through the commitment for all STPs to become Integrated Care Systems by 2021, ensuring that integrated health and social care will be delivered across the entirety of England. The Long Term Plan also outlined plans to conduct a review of the Better Care Fund and specific commitments to integrating community services, such as reablement and health in care homes.

With the NHS and Adult Social Care in the midst of a funding crisis and under pressure to meet the growing demographic demands, it is vital that the NHS, Social Care and Voluntary sectors act now and work in collaboration to ensure that they are delivering co-ordinated, person-centered care that effectively meets the pressing demands of changing UK demographics.

08:45

Registration, Refreshments and Networking


09:30

Chair's Welcome Address

Professor Jenny Billings, Director, Integrated Care Research Unit, University of Kent (CONFIRMED)


09:40

Morning Keynote: The Next Steps for Integrating Health and Social Care Services

  • Discussing progress made in meeting the new care models designed to integrate health and social care services in the NHS Five Year View, 2014
  • Examining proposals to improve integration, outlined in the Next Steps on the NHS Long Term Plan, 2019, including a new Integrated Care Provider Contract from 2019 and a new ICS Accountability and Performance Framework
  • Outlining the next steps for integration, with the NHS contribution to adult social care at a local level set to be increased by 1.9% in 2018-19, and reviewing the Better Care Fund
  • Sharing best practice in successfully delivering joined-up health and social care, through Integrated Health Systems, wherein NHS Organisations, local councils and CICS are working in partnership to facilitate a collaborative approach

James Sanderson, Director of Personalised Care, NHS England (CONFIRMED)


10:00

Special Keynote: Working Towards Integration to Enhance the Quality of Health and Social Care

  • Outlining the importance of delivering integrated health and social care, such as efficiency savings of £1 billion a year nationally and meeting growing demographic pressures of an increase of 23% in the number of people needing social care by 2025
  • Recognising the costs that appear when health and social care services are not working in tandem
  • Sharing recommendations for the next steps to implementing effective integrated health and social care, such as fostering greater collaboration between agencies and driving change at the local level
  • Supporting local authorities to develop programmes of integrated health and social care which secure better outcomes for service users, such as through sharing guidance on how to effectively utilise data analysis and information to identify key lines of enquiries for local systems
  • Working in partnership with the voluntary sector to enhance their role in integrated health and social care, such as through supporting them to create an effective process for an integrated performance management framework for a health and care Single Point of Access Service

Anne Jarrett, Strategic Director – Health and Social Care Integration, Local Partnerships (CONFIRMED)


10:20

Case Study: Harnessing the Potential of the Voluntary Sector in Facilitating Integrated Care

  • Examining Age UK’s Personalized Integrated Care Fund, which brings together voluntary, health and care services to provide joined-up personalized support for older people
  • Developing risk sharing protocols and measures to review progress between the different agencies involved and how this enables all agencies involved to work towards a shared set of outcomes
  • Outlining how wrapping services around an individual’s needs facilitates more personalised care, putting the individual in charge of their health and enabling them more independence
  • Sharing findings from the programme, including how it has resulted in an improvement in wellbeing and a reduction in pressure on the health and care system, particularly in the number of emergency and non-elective admissions
  • Gaining an insight into the impact within regions; for example, how the Cornwall programme led to a 31% reduction in hospital admissions, 26% in non-elective hospital admissions and an 8% reduction in social care costs

Alexander Nobes, National Manager, Quality & Transformation, Age UK (CONFIRMED)


10:40

Questions and Answers Session


11:00

Refreshments and Networking


11:20

Panel Discussion: The Plymouth Approach to Integrated Health and Social Care

  • Examining the successful integrated health and social care system delivered by a partnership between Plymouth Council and New Devon CCG, facilitated by Plymouth’s Integrated Fund
  • Outlining the key factors which led to success in integrating services: investing in joint organisational development with staff re-locating to ensure effective team working across multi-disciplinary teams, ensuring a clear shared vision and providing strong leadership
  • Discussing challenges to integration, such as meeting delayed transfers of care targets, and sharing guidance on overcoming these
  • Highlighting the benefits of shared systems, such as integrating ways of working in central teams and pooling budgets
  • Creating Community Wellbeing Hubs, which work as flexible bases for multi-disciplinary teams to collaborate

Dr Sonja Manton, Director of Strategy, New Devon Clinical Commissioning Group (CCG) and South Devon and Torbay CCG (CONFIRMED)

Ruth Harrell, Director of Public Health, Plymouth City Council (CONFIRMED)

John Clark, Chief Executive, Plymouth Community Homes (invited)     

Robbie Nairn, Chief Executive, Elder Tree Befriending Service (CONFIRMED)


12:00

Case Study: Forging a New Approach - Housing and Health Partnerships

  • Establishing the Wakefield Health, Housing and Social Care Partnership to keep people out of hospital, independent at home and supported in their community
  • Integrated working in Connecting Care hubs including specialist health workers, housing, social care and voluntary organisations
  • Use of Technology enabled care, Telemedicine and Responder services  to reduce the number of patients admitted to the Accident & Emergency departments and to local primary care
  • Examining the Care Home Vanguard programme, which introduces a focus on increasing the social interaction for Extra Care residents resulting in the reduction of tenancies terminated for residential care from 38% to 0% over three years
  • Introducing housing support and co-ordination on hospital wards to remove barriers to discharge at an early stage

Sarah Roxby, Associate Director – Health, Housing and Transformation, Wakefield District Housing and NHS Wakefield CCG (invited)


12:20

Case Study: Effectively Integrating Health and Social Care Data Through a Whole System Integrated Care (WSIC) Dashboard

  • Pioneering the usage of a Whole Systems Integrated Care (WSIC) Dashboard, which uses an integrated dataset and data analytics to support integrated health and social care information
  • Providing a simple data analysis tool which collects data from across the health and care sector to connect patients with the best care for them via a simple dashboard
  • Prioritising safety by ensuring the data transfer between care settings is governed by a legal document called The North West London Digital ISA, which ensures patient information is stored and shared safely
  • Leading the way in integrating data by linking data records across four acute, two mental health and two community Trusts
  • Covering healthcare data integration from eight CCGs, in addition to social care from eight separate boroughs, with the WSIC dashboards now live in 115 practices

Dr Ian Goodman, Chair, Hillingdon CCG and Board Member, North West London Clinical Commissioning Groups Collaboration Board (CONFIRMED)


12:40

Questions and Answers Session


13:00

Lunch and Networking


14:00

Afternoon Keynote: Examining the Role of Local Government in Working Towards a Fully Integrated Health and Social Care System

  • Considering the key role that local authorities must play in facilitating better joined-up care, such as co-producing integrated health and social care frameworks
  • Outlining the key recommendations from the Shifting the centre of gravity: making place-based, person-centred health and care a reality Report, 2018
  • Emphasising the key role of localities in ITCs and STPs, as where the majority of work is done and where users will experience the benefits of integrated systems, such as improved access to GPs and more services delivered at or closer to home
  • Sharing guidance on how to effectively utilise the ‘Integrated Commissioning for Better Outcomes – a Commissioning Framework’ to ensure integrated commissioning which takes a place-based, person-centred and outcomes-focused approach
  • Responding to the NHS Long Term Plan and highlighting and discussing the impact of funding pressures on integration

Cllr Paulette Hamilton, Vice-Chair of the Community Wellbeing Board, LGA (CONFIRMED)


14:20

Special Keynote: Identifying and Overcoming Barriers to Deliver Integrated Health and Social Care

  • Outlining the findings from the The Health and Social Care Interface Report, July 2018, which identifies sixteen challenges to improved joint working, including a lack of understanding of how each sector makes decisions
  • Examining how new STP arrangements have encouraged more transparency but caused some local authority partners to feel sidelined in a process which appeared NHS-led
  • Discussing progress made in the Better Care Fund and highlighting the barriers which has prevented it from achieving it’s expected value for money target, such as lack of time to fully develop effective spending plans
  • Considering the future for integrated health and social care and the next steps to be taken to facilitate more collaboration to achieve the government’s integration goals
  • Sharing best practice in delivering effective integrated health and social care, such as tackling the challenge of workforce collaboration through establishing multi-disciplinary teams or expanding roles

Aileen Murphie, Director of Local Government Value for Money, National Audit Office (NAO) (CONFIRMED)


14:40

Special Keynote: Delivering Effective, Person-Centered Care

  • Discussing how integration of health and social care is in the interests of better care service delivery and more personalised care
  • Examining the Better Care Fund and how this delivers efficient user-centred care, with 90% of areas reporting that the Fund has already had a positive impact on integration locally
  • Outlining the role of clinical Commissioning Groups (CCGs) and local councils in delivering integrated care and the realignment of services

Jane Silvester, Associate Director –Social Care and Leadership, NICE (CONFIRMED)


15:00

Questions and Answers Session


15:20

Refreshments and Networking


15:40

Case Study: Collaborating to Successfully Enhance the Quality of Local Health and Social Care Services

  • Examining the Greater Manchester Health and Social Care Partnership: an innovative, fully co-ordinated approach to integrated health and social care between every key actor involved in health and social care in the region
  • Creating ten Local Care Organisations which bring together organisations from each of the 10 boroughs to improve local service transformation, integrate care and improve population health
  • Establishing multidisciplinary neighbourhood teams and providing community-focused models which ensure care is tailored to meet the needs of users
  • Sharing guidance on how to successfully integrate services and considering the initial impact of the partnership, with findings suggesting improved access to GP services, greater investment in mental health services and significant changes to acute and specialised hospital services
  • Outlining the next steps for the partnership and the aim that by 2021 there will be 1,300 fewer people dying from cancer, 2,750 fewer people suffering serious falls and more children reaching a good level of social and emotional deployment
Jon Rouse, Chief Officer, Greater Manchester Health and Social Care Partnership (invited)


16:00

Case Study: Facilitating an Innovative Approach to Joined-Up Care through Connected Care Hubs

  • Creating the Connecting Care Hubs designed to facilitate a system whereby the health, social care, housing, voluntary and community care sectors work seamlessly in collaboration to prevent avoidable hospital admissions and improve the hospital discharge process
  • Designing a whole system approach to The Hubs whereby multiple agencies work together under one roof in Wakefield to ensure that the service provided is joined-up and seamless
  • Providing care to almost 2000 people in 6 months and promoting the work of Integrated Care Systems through the West Yorkshire and Harrogate Health and Care Partnership
  • Examining how the quality of care is enhanced through the use of the Personal Integrated Care file, an electronic care record which allows all professionals to access a patient’s records, allowing sectors to work closely together to deliver personalised care
  • Delivering outstanding care by taking a holistic approach to patient care whilst always aiming to deliver care closer to the patients’ home where possible

Dr Phil Earnshaw, GP and Chair, NHS Wakefield CCG (invited)

Debbie Newton, Director of Community Services, Mid Yorkshire Hospitals NHS Trust (invited)

Andrew Balchin, Director of Adult Social Services, Wakefield Council (invited)


16:20

Questions and Answers Session


16:40

Chair's Summary and Close

*programme subject to change


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