This document summarizes a meeting about integrating health and social care in Sheffield, England. It discusses the Thriving VCF Leadership Group, which aims to strengthen relationships between voluntary/community organizations and the public sector. The group will hold quarterly workshops and provide reports to the Sheffield Executive Board. The document also summarizes a presentation on the Better Care Fund, which allocates £3.8 billion nationally to local health and social care priorities. In Sheffield, £42 million will be spent on areas like preventative care, rehabilitation, independent living support, and long-term high-needs care. Attendees then discussed current and potential challenges, opportunities, and ways to overcome challenges through collaboration.

1. Thriving VCF Leadership
Group Event
Keeping People Well in their
Community

2. Introduction to Thriving VCF
Leadership Events
Vince Roberts, Sheffield City Council

3. The Sheffield Compact
Aims to strengthen working relationships between the VCF and Public Sector to
deliver the best possible results for the people of Sheffield.
The Compact was previously ‘looked after’ by a Board made up of representatives
from VCF Sector, NHS and Sheffield City Council that aimed to –
•Promote a strong, diverse and independent third sector
•Encourage effective and transparent design and development of policies, programmes and
public services
•Champion responsive and high quality programmes and services to the people of Sheffield
•Encourage clear arrangements for managing changes to programmes and services
•Have a more equal and fair society

4. The New Model –
Thriving VCF Leadership Group
• Develop a city culture which values the skills, experience, capability
and capacity of the VCF sector.
• Champion a strong approach to co-design and co-production of
strategy and service provision
• Provide a broader base for communication and involvement –
primarily through a series city-wide workshops and seminars
• Sub-group of Sheffield First Executive Board – Providing advice to
key partnership groups and organisations on the development of
strategy
• Horizon scanning and issue raising
• Act as custodians of the Sheffield Compact

5. Working Methods
• Quarterly city-wide topic based workshops to shape strategic thinking and planning
• Leadership Group will meet on a quarterly basis to –
– plan and review workshops
– agree next steps to take forward relevant actions arising from the workshops
– measure success – track progress of key issues raised at workshops
– discuss and respond to any issues relating to the Sheffield Compact
• Provide half yearly reports on issues and progress to the Sheffield Executive Board
• Membership of the Group -
– VCF representation (recruitment process underway)
– Cabinet Member for Communities and Inclusion
– Sheffield Executive Board
– Sheffield City Council (will also provide operational support)
– NHS – Clinical Commissioning Group and Care Trust
– SY Police
– SY Fire & Rescue Service
– Private Sector representation

6. Keeping People Well in Their
Communities and the Better
Care Fund
Joe Fowler, Sheffield City Council

7. Today is the start of a
conversation…
• Much has already been achieved in the
City – this has been incorporated into
the proposals
• Introduce and take feedback on draft
proposals
• Ask for ideas on how we can improve
finding the people who could benefit the
most from prevention and early
intervention

8. National
2015/16
Existing National Funding £1.1bn
Existing Reablement Funding £0.3bn
Existing Carers Grants £0.1bn
Redeployed CCG Revenue £1.9bn
Revenue Sub Total £3.4bn
Capital Grants £0.4bn
Overall Total £3.8bn
Better Care Fund: What is it?
• Reallocated (not new) mostly NHS money that local
authorities and Clinical Commissioning Groups through the
Health and Wellbeing Board need to spend together on
collective priorities that support integration
• Amounts to £3.8bn in 2015/16 nationally – around £42m in
Sheffield

9. Better Care Fund: What are we doing in
Sheffield?
• Final plan submitted April 2014, agreed by the Health and
Wellbeing Board – full amount £280m
• Setting up a programme which will look, initially, at five main
areas:
1. Keeping people well at home
2. Intermediate care
3. Independent living solutions
4. Long-term high support
5. Governance (to support integration)
- Unplanned hospital admissions
• The Joint Commissioning Executive will oversee the
development of and governance surrounding these plans
• From April 2015/16 a £280m pooled budget, with 2014/15 a
‘shadow year’
• Links closely with other areas of work, e.g. Care Bill and
Children and Families Bill implementation

10. The Opportunity
• To build on achievements of programmes
such as Healthy Communities
Programme, Right First Time
• Incorporate lessons learned from localised
initiatives into commissioning plans
• Make the best use of the expertise and
resources within communities

11. • 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.
Integration and Whole-Person Care in
Sheffield: what we’ve done up to now

12. Why do we want to integrate health
and social care?
People get the right care, at
the right time and in the
right place.
Organisations in Sheffield
work together to help
people, families and
communities to build and
strengthen the support they
provide to each other.
Expert help is available to
help people take control of
their own care so that it is
genuinely person-centred,
and complements and builds
on the assets they have.
People, families and
communities in Sheffield
support each other to
improve and maintain their
wellbeing and
independence.
Health and care services are
focussed on a person’s needs
- organisational boundaries
do not get in the way.

13. 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.
1. Intermediate care and reablement
– Helping people to be independent following a stay in hospital.
1. Community equipment
2. Long-term high support
– Devising innovative options for people needing high support.
1. Other Better Care Fund elements, including infrastructure
2. Governance
What areas Health & Social Care are
currently looking at commissioning
together?

14. Keeping People Well in Their
Community: The ideas so far
Lorraine Jubb, Sheffield City
Council

15. Elements

16. Elements / Outcomes

17. Group Work

18. Exercise 1 – 20 mins
• Write on post-its your name,
organisation and what you currently do
that helps people stay well in the
community
• Place it on the relevant blue box – put it
on more than one if you think it covers
more than one element

19. Group Work – 70 mins
On your tables discuss and answer the
following questions…
1) Current and potential challenges
2) Opportunities and Solutions
3) How we can work together to overcome
the challenges to make the most of the
opportunities?
Pick the top 3 ideas from your table for
each question

20. Summary and Next Steps
• Thriving VCF Leadership Group will
meet for a debrief
• Please do fill in the online feedback
form that will be circulated by email
• Everyone who attended will get
feedback and a summary of the event