On October 23rd, 2014, we updated our
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Commissioning fromnon-traditional providersDr Sue Roberts, Chair, Year of CarePartnerships, Northumbria Foundation TrustMs Linsley Charlton, Senior Manager,HealthWORKS NewcastleChair: Alice FullerPolicy & Parliamentary Affairs LeadNational Association for Palliative Care
Workshop: Commissioning fromNon traditional Providers Living Well with LTCs ConferenceWhat can the voluntary sector contribute? November 14th 2012 Sue Roberts: Year of Care PartnershipsLinsley Charlton: HealthWORKS Newcastle
Each person finds the green piece of paper with thescale on it on your table. 1 2 3 4 5 6 7 8 9 10 Agree DisagreeMark with a line the point that indicates how muchyou agree or disagree with the following statement‘The voluntary sector needs to understandhow they are part of the solution to thechallenge of LTCs’
Each person finds the white piece of paper with the scaleon it on your table. 1 2 3 4 5 6 7 8 9 10 Agree DisagreeMark with a line the point that indicates how much youagree or disagree with the following statement‘It is critical that health services learn moreabout the role of the voluntary sector inmanaging Long Term Conditions’
Introduction:• How we got involved• ‘Thanks for the Petunias’• ‘answers?’ or ‘questions?’The Lead Provider ModelClinical and community worlds: Managing the interface
The individuals perspective …….Linking clinical and community support Self care / management Hours with NHS = 8757 in a year professional = 3 in a year
PCTs had no:Fragmented and Identified person ad hoc schemes No development strategy No identified work programme 2008: Year of Care Survey of community support for self management ‘Public Health ‘Not sure PCT does that!’ knows what to do’
• Top Tips for Commissioning• Commissioning for sustainability• The on line Health Directory• Case Studies• Tools including metrics• Food for thought!
Care pathways, single or co morbidities e.g. COPD, Diabetes, Obesity, Mental Illness Initial assessment/stabilisationLead Non Traditional Annual care planningProvider Menu of activities related to needs/dependencySelf care Minimal support Moderate support High support Own Direct access to services Health link workerprogramme with initial induction and personalised regular review programme and intensive review
Pathways between medical and social models of health
A lead provider model
What next?• Your initial thoughts?• The Lead Provider Model : Pros and cons• Clinical and Community worlds: managing the interface
Towards Long Term Condition Management Our story so far…..(whistle stop tour!)Linz CharltonSenior ManagerHealthWORKS Newcastle
Lead Provider AdvantagesAsset based approach (not reinventing the wheel!)Using a range of organisations to work towards the aimsof the interventionSupporting smaller local third sector organisationsValued by local peopleLead provider is a single point of contact for thecommissionerLead provider takes the ‘risk’ of using smaller thirdsector organisations by collecting and reportingoutcome data
QuestionAny other advantages?What do you think the challenges may have been?
Lead Provider Our Challenges• Tracking individuals• Measuring outcomes across organisations• Sustainability for participantsand…………………
Possible Implications for the lead provider• Robust data collection systems• Build in administration and data entry costs• Outcomes• Sustainability
Bridging the gap Two worlds collide
Staying SteadyCommunity Fall’s prevention exercise programme Hospital Fall’s services Fall’s pathway First Community Contact Rehabilitation Staying Steady Team Community Self referral
Bridging the gap…Outpatient Lipid Clinic Hearty Lives Newcastle Health trainers The community
Bridging the gapWhen ‘clinical’ meets ‘community’