1.
Who we are and what we do
Anton Draper and Caroline Allnutt
@ServiceReform
Better Services for Less

2.
Why
Sue
Charles

3.
Who we are

4.
Where we are
• 13 places
• 33 authorities
• 22 per cent of
population
• Wider Network
of another 30
interested places
• 14 Integrated
Care pioneers

5.
What we do

6.
Redesigning a person-centred approach in North West London
Multi-agency provider network
Community
care
Social care
Mental
health
Personal care
network
Other
neighbourin
g practices
Family
Hospital
Underpinned by:
Community
pharmacy
Patient
Community
support
•Information systems
Patient’s
own GP
practice
Held
together by
resilience
•Governance
•Reimbursement
Carer
Housing
Supported to
self-manage
Assistive
technology
Voluntary
sector
Education
Employment
Other
neighbourin
g practices

7.
A shared NWL vision for independence and wellbeing
29 partner organisations
share a vision …
“
… supported by 3 key principles
We want to improve the
1
People will be empowered to
direct their care and support
and to receive the care they
need in their homes or local
community.
2
GPs will be at the centre of
organising and coordinating
people’s care.
3
Our systems will enable and
not hinder the provision of
integrated care.
quality of care for
individuals, carers and
families,
empowering and
supporting people to
maintain independence
and to lead full lives
as active participants in
their community
”

8.
Achieving Whole Systems Integrated Care by 2015/16
Today
1
2
3
4
Co-design
framework
centrally once
Locally agree
priorities and
plans
All NWL prepares
for implementation
and learns from
early adopters
Roll out Whole
Systems
approach
Apr 2015 –
Jan 2014 –
Apr 2014
Oct 2013 –
Jan 2014
Apr 2014 –
Mar 2015
Whole
Systems
integrated
care
business
as usual

9.
Co-design with delivery partners and people using services
“Co-production means delivering public services in an equal and reciprocal relationship
between professionals, people using services, their families and neighbours… both
services and neighbourhoods become far more effective agents of change.”
Nesta & new economics foundation
Our commitment to working co-productively in North West London means:
1.Commitment to agreed ways of working – everyone is valued as equal partners, we
will capitalise on lived experience as well as professional learning
2.Supporting development and learning
3.Fostering a supportive environment – developing collective resilience and
acknowledging that mistakes will be made along the journey
4.Working towards shared goals – promoting local voice and enabling
to be involved in the delivery of their care and support
people

10.
Collaborative working – lessons
learned
• Collaboration requires time to establish and
ongoing resource to sustain
• Invest in training and support for both
service users and professionals to make
engagement as effective as possible
• Co-design not only creates better solutions
but also advocates for change

11.
Where do we go from here
• Tie in with City deals and local growth – as
well as better care and troubled families
• Centre of Excellence on information
sharing
• Widen network of people and places
• Website presence and campaigning

12.
Follow us
@servicereform