This PowerPoint is referenced in CareKnowledge Special Report 'Integration, digital opportunities and challenges', which reported on a workshop at Social Work Scotland's Annual Conference at Crieff in June 2015.
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Integrated Working Across Health And Social Work: The Digital Challenge
1. Platform for
Care
Monday, 29 June 2015
OLM Conference 2013
Working Towards One Vision
Integrated Working Across Health
And Social Work:
The Digital Challenge
29th January 2014
4. Platform for
CareThe Context:
The Public Bodies (Joint Working) (Scotland)
Act 2014 was given royal assent
on 1 April 2014
Stage 1:
Legal structures and Governance
Stage 2:
Designing integrated services
8. Platform for
CareHow digital are we?
“The internet is everywhere,
but it is not everywhere in the same way”
Professor Ien Ang
9. Platform for
CareOrdinary Jo(e)
Jan 2015
Global digital snapshot
Total
population
Active internet
users
Unique mobile
users
Active social
media accounts
Active mobile
social accounts
7.210
Billion
3.010
Billion
2.078
Billion
3.649
Billion
1.685
Billion
http://wearesocial.net/blog/2015/01/digital-social-mobile-worldwide-2015/
10. Platform for
CareMost of our daily interactions are screen based
147
minutes
50
minutes108
minutes
113
minutes
Daily screen use (minutes)
A typical multiscreen user
consumes just under 7 hours of
screen media daily.
Smartphones are now
comfortably the largest single
screen medium around the
world.
Combined with tablet minutes,
mobile devices take up 47% of all
screen time
Device Key
Smartphone TV Laptop Tablet
http://www.millwardbrown.com/AdReaction/2014/report/Millward-
Brown_AdReaction-2014_Global.pdf
12. Platform for
CareDigital transforms customer experience
How many of you bank online?
http://www.ons.gov.uk/ons/dcp171778_322713.pdf
71%
bank online
13. Platform for
CareDigital transforms customer experience
How many have bought a holiday online?
25%book overseas
holidays with
online travel agent
14. Platform for
CareDigital and Social Care
Essential part of early intervention and Self Directed Support
First stage: Information and advice
Next stage: Increased functionality assessments, document sharing etc
15. Platform for
CareFostering & Adoption Portal
Attract more Adopters and Fosterers
Save time with self-assessments
Save money with document sharing
Reduce admin work with event management
19. Platform for
CareA single system in action
New system built
specifically for integrated
working
Built in partnership with a
Local Authority and their
Partners: Health, Police
Housing
23. Platform for
CareExample Integrated systems
View data and ability to add observations
Between:
• Social Care
• Occupational Therapy
• Housing
• GP’s
Angus Council and NHS Tayside use MAV
for Child Protection messaging
Used in Schools to view GIRFEC
assessment and plans with the ability
to add observations.
24. Platform for
CareCitizen Portal
Technology already linking up care with the third sector:
e.g Age Concern
Next: citizen access to their integrated social care and
health records
26. Platform for
CareCollaboration and Communication
Integration is much more than bolting the two
current systems together – it requires a new
outlook on priorities for all those care groups
where both health and social care had an
important part to play in delivering outcomes.
Professor John Bolton
27. Platform for
CareCollaboration and Communication
350,000
employees across
Health and Social Care
Good Not so Good
Health care good when
people are ill
Health care not so good
with long term illness
Social care good at caring
for people with long term
needs
Social care good getting
better at short term
interventions
Common
Both often act at a point of crisis
Prevention is better than cure
28. Platform for
CareCollaboration and Communication
Collective vision
Evidence based thinking – sharing stories
Need clear roles and responsibilities
Need stability – time for trust to develop
Co-location
Measure the value of outcomes
Don’t drown out the value to the client/patient by talk of savings
29. Platform for
CareCollaboration and Communication
You can’t over communicate
You can’t listen enough
Worker becomes part of the journey
Encourage, and facilitate, them to share their personal:
Success
Failure
Ideas
99% may not be very engaged but 1% may just change everything
31. Platform for
CareActivities
Activity 1: Come up with a joint viewpoint on each of the themes for your team
Theme 1: Digital:
What should the role of digital be in integrated health and social care ?
What do you think are the potential blockers in moving to a digital framework?
What do you think are the benefits for all stakeholders of a more digital service?
Theme 2: Integrated Working:
One system or Integrated systems – which do you think is the better approach?
What do you see as the challenges of your chosen approach?
What do you see as the essential components of the solution?
Theme 3: Communication and collaboration:
How can we improve trust between colleagues as we integrate services?
How can we improve communication and collaboration in our increasingly busy
working lives?
In what way could technology help?
Activity 2: Design a solution based on one of the themes above:
This is a change in law that requires Health boards and Local Authorities to integrate their health and social services
There are two models of integration:
Body Corporate model: The Health and Local Authority can delegate the responsibility for planning and resourcing service provision for adult health and social care services to an Integration Joint Board
Lead Agency model, the Health board or Local Authority takes the lead responsibility for planning, resourcing and delivering integrated health and social care.
We need to look at the current strengths and weaknesses in the sector when designing our integrated services.
How do we redesign to lower costs whilst not impacting on services.
How do we ensure we use and crucially support the community resources that we have in place?
Vatican Square: 2005 and 2013
Digital allows new business models.
Uber has been hugely successful by changing the traditional taxi model using digital
The user just users and App to book their taxi and they can do this at any time.
They have more choice as they can choose the type of vehicle they would like, they can be less expensive (as the taxi drivers go from job to job rather then look for people to pick up). Through GPS you can track your taxi and see how long till it picks you up
Explain benefits of single system approach
Latest technology
The technology can be built to support the process rather then Visa Versa
Tell the story of working with Devon and why we advised this route