Integrating Health and Social Care in
An update to the Sheffield Health and
Joe Fowler, Director of Commissioning, Sheffield City
Tim Furness, Director of Business Planning and
Partnerships, NHS Sheffield Clinical Commissioning Group
12th December 2013
Our Story So Far
A Health and Wellbeing Board that
is a system leading, working hard
at engaging with local people and
providers, with an ambitious
strategy for improving health and
wellbeing in Sheffield.
A Health and Wellbeing Board that
brings together the unique role of
clinicians and democratically
A CCG that is fully authorised,
effective and high-performing,
and a local authority that is
forging development in new areas.
Why do we want to integrate health
and social care?
People, families and
communities in Sheffield
support each other to
improve and maintain their
wellbeing and independence.
People get the right care, at
the right time and in the
Organisations in Sheffield
work together to help
people, families and
communities to build and
strengthen the support they
provide to each other.
We get the best outcomes
possible with the resources
jointly available, helping
people in Sheffield to stay
Health and care services are
focussed on a person’s needs
- organisational boundaries
do not get in the way of
people getting the expert
help they need.
Integration and Whole-Person Care in
Sheffield: what we’ve done up to now
Launched a range of projects that work
in and with local communities and
professionals, such as in the Lowedges,
Batemoor and Jordanthorpe area of the
city, and the Right First Time and Future
Shape Children’s Health programmes.
Engaged with Sheffield people. This
tells us how important integration is to
Sheffield people, who don’t want to be
passed from ‘pillar to post’.
Established a Joint Commissioning
Executive to oversee the integration
work for the Health and Wellbeing
Board and to feed into our work with
Think Local Act Personal and the Public
Services Transformation Network.
What areas are we currently looking at
1. Community and primary prevention.
– Working with professionals (including GPs) and communities in local areas.
– Stopping people at low risk of declining health and wellbeing becoming
high risk by investing in tackling the causes not the symptoms.
2. Intermediate care and reablement.
– Helping people to be supported and independent following a stay in
– To include equipment and adaptations.
3. Long-term high support.
– Devising innovative options for people needing high support.
– May include developing new accommodation options.
– Ensuring we have all the things in the place to work best together.
What would help us to do better?
- Focus on the Sheffield £ not on organisational boundaries.
- Increase our work with Sheffield people and providers.
- Involve clinicians so that the changes we make as commissioners help them to
work together better, with each other and with service users.
- Be able to plan over a period of several years to make the most effective
investments, and to give the time to succeed.
- Have maximum flexibility over when to tender
- Explore whether different payment
mechanisms can help us focus on person
centred outcomes – for example, a move away
from NHS tariffs and Payment by Results.
- Maximum autonomy for Sheffield to make the
changes people need.
We will be looking carefully at the
options for integrating in our
We will share our initial plans for
these areas with our Integration
Advisory Group and with some of
our key providers in January 2014.
The Joint Commissioning
Executive will report back to the
Health and Wellbeing Board in
We will also engage at the right
time with Sheffield people and
users of our services.
Members of our Integration Advisory
• Darnall Dementia
• Department of Work and Pensions
• Healthwatch Sheffield
• Home Start Sheffield
• Neighbours Can Help
• NHS Sheffield Clinical
• Sheffield City Council
• Sheffield Health and Social Care
• Sheffield People’s Parliament
• Sheffield Teaching Hospitals
• South Yorkshire Housing
• Spectrum Social Care
Questions for the Health and
• Are these plans developing in line with the Board’s
expectations and strategy for health and wellbeing in
• Where are there opportunities for further joint
working between the Board’s organisations? Is there
a more specific role for Healthwatch Sheffield and