Integrating Personal Health Budgets into            the new landscape of clinical                   commissioningNorthampt...
Learning from PHB    • Health professionals/patients working in partnership,      different conversations, real choice & c...
New County Landscape    • CCGs x 2    • Nine localities    • Mirrors local authorities boundaries    • NHFT (community ser...
LTC integrated model pilots       Two pilots in Northamptonshire working from                  one agreed model concept   ...
HOUSING          VOLUNTARY                 NEIGHBOURHOOD TEAM                SOCIAL SERVICES                              ...
• LTC integrated pilots - MH low level support     to start with   • Exploring how to commission PHBs further     this yea...
Claire - in her early twenties, using MH services for 4 years, has been unwell      since she was 17. When Claire applied ...
Northamptonshire Integrated Care Partnership
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Gill Ruecroft: Integrating Personal Health Budgets into the new landscape of clinical commissioning

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In this slideshow, Gill Ruecroft, Northamptonshire Personal Health Budget Lead, outlines the ways in which personal health budgets can work within the new commissioning landscape, detailing the need for integration of different sectors across health and social care.

Gill Ruecroft presented at the Nuffield Trust seminar: Where do personal health budgets fit in the new commissioning landscape? in May 2012.

Published in: Health & Medicine
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Gill Ruecroft: Integrating Personal Health Budgets into the new landscape of clinical commissioning

  1. 1. Integrating Personal Health Budgets into the new landscape of clinical commissioningNorthamptonshire Integrated Care Partnership
  2. 2. Learning from PHB • Health professionals/patients working in partnership, different conversations, real choice & control • The plan is the key to coordinate integrated services • New role required - support, brokerage and advocacy • Improved quality = reduced demand on services • Tension – current service provision/decommissioning to make savings real • This was much more complex and difficult to implement than we envisaged – its not a QIPP fix!Northamptonshire Integrated Care Partnership
  3. 3. New County Landscape • CCGs x 2 • Nine localities • Mirrors local authorities boundaries • NHFT (community services provider) provision locality based • 3rd sector tend to be locality based • Health & Well Being Fora in each localityNorthamptonshire Integrated Care Partnership
  4. 4. LTC integrated model pilots Two pilots in Northamptonshire working from one agreed model concept • Daventry – Risk stratification approach – Based on MDT and use of specialists – Centralised • Kettering – Not condition specific, high users of emergency services – Generic team who coordinate an individualised MDT – Practice basedNorthamptonshire Integrated Care Partnership
  5. 5. HOUSING VOLUNTARY NEIGHBOURHOOD TEAM SOCIAL SERVICES INDIVIDUAL PLAN FRIENDS FAMILY MENTAL HEALTH NURSES MDT H&SC NEEDS H&SC OUTCOMES TO ACHIEVE THERE IS NO “CURE”… THIS IS ABOUT MANAGING AND LIVING YOUR LIFENorthamptonshire Integrated Care Partnership
  6. 6. • LTC integrated pilots - MH low level support to start with • Exploring how to commission PHBs further this year • Develop a CQIN for inclusion in 2013/14 contracts • Future plan, to include in LTC integrated modelNorthamptonshire Integrated Care Partnership
  7. 7. Claire - in her early twenties, using MH services for 4 years, has been unwell since she was 17. When Claire applied for her PHB she was living with her parents. Last year 9 contacts with crisis resolution team and 67 inpatient stays. • Total cost of health care 12 mths previous = £56,291.89 (excl medications) • PHB = £12,930.56 (planned spend to date £10,426.00) • Claire’s progress against the outcomes in her plan she aimed to achieve: No inpatient stays, one contact with the crisis resolution team Reduced contact with care coordinator, from 2 weekly to 4 weekly Self harmed twice (‘Nowhere as many as I used to’) Weight loss, new clothes, improved self esteem Reduced reliance on family, living more independently, in control, making decisions • Claire’s plans for next year and the future To complete year 2 of college course Make more new friends and move to next level of independent living Continue to stay out of hospital To work in a Zoo – dream…to work in another country on and endangered breeding programmeNorthamptonshire Integrated Care Partnership
  8. 8. Northamptonshire Integrated Care Partnership

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