1
Central Manchester
Health and social care system
Integration in Central Manchester
at scale and pace
Sara Radcliffe, Cen...
2
In Central
we believe in
joined up care
In Central
we will design
services to a
shared care model
In Central
we will
com...
Clinical
integrated
care board
Urgent care
board
Planned care
board
Transforming
community
services board
Transactional
re...
EOL
District nurses
Care home staff
Patients and families
Active case managers
Social care
GPs
OOH Falls
Ambulance
Interme...
An integrated care programme
for Manchester
“My care is planned with
people who work together to
understand me and my care...
Our people
/population pyramid
Our service model
for out of hospital
care
Our system
Our workforce
Our money
Our buildings...
Low
Moderate
High
Very High
342,253
36,881
94,193
13,708
5,805
4,398
3,346
6,114
19,531
3,053
1,666
1,845
1,514
1,262
1,27...
CO-ORDINATION OF SHARED CARE
Our care model
Moderate
22,704
22%
OUTCOMESOFFER
What's the
offer, what will
be the
outcome, ...
Our money
Investment
ImplementationImpact
Return on
investment
Virtuous circle – continuous
process of resource shift
Comm...
Executive Health and
Wellbeing Group
System Governance
North Manchester
System Governance
Central Manchester
Integrated Ca...
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Sara Radcliffe: integration in central Manchester at scale and pace

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Sara Radcliffe shares how community staff from across health and social care in Central Manchester have been working together to improve outcomes for patients by transforming intermediate care.

Central Manchester’s Clinical Integrated Care Board (CICB) is a partnership of Central Manchester Clinical Commissioning Group, Central Manchester Foundation Trust, Manchester City Council, Manchester Mental Health and Social Care Trust and the North West Ambulance Service.

Published in: Health & Medicine
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  • Describe purpose of the CICB and brief historyInsert examples of work
  • Sara Radcliffe: integration in central Manchester at scale and pace

    1. 1. 1 Central Manchester Health and social care system Integration in Central Manchester at scale and pace Sara Radcliffe, Central Manchester University Hospitals NHS Foundation Trust Emma Gilbey, Manchester City Council Dr. Ivan Benett, Central Manchester Clinical Commissioning Group Ed Dyson, Central Manchester Clinical Commissioning Group
    2. 2. 2 In Central we believe in joined up care In Central we will design services to a shared care model In Central we will communicate, inform and educate In Central we will redesign our health and social care system Central Manchester Health and social care system Leaders with a joined up vision
    3. 3. Clinical integrated care board Urgent care board Planned care board Transforming community services board Transactional redesign board Integrated care teams taskforce Members Executive level clinical and managerial leadership from: • Central Manchester CCG • Central Manchester Foundation Trust • Manchester City Council • Manchester Mental Health and Social Care Trust • North West Ambulance Service Central Manchester Health and social care system Leaders prepared to put the time and talent in
    4. 4. EOL District nurses Care home staff Patients and families Active case managers Social care GPs OOH Falls Ambulance Intermediate care Community alarm team Patients and families District nurses Falls services Social care GPs OOH COPD COPD team Active case managers Patients and families Intermediate care Social care McMillan GPs OOH Practice integrated care teams 21 practices Social care Community nurses Medicine management Specialist teams Central Manchester Health and social care system Just start it and see where it takes us Can we reduce admissions, lengths of stay and readmissions ?
    5. 5. An integrated care programme for Manchester “My care is planned with people who work together to understand me and my carers put me in control, co-ordinate and deliver services to achieve my best outcomes” People, pride, place Living longer, living better The goal Prepare to change the path to get to the right place
    6. 6. Our people /population pyramid Our service model for out of hospital care Our system Our workforce Our money Our buildings Our Information Social movement People, pride, place Living longer, living better 1 council 4 trusts 3 CCGs 500,00+ people Its massive, its complex , lets make sure its worth it
    7. 7. Low Moderate High Very High 342,253 36,881 94,193 13,708 5,805 4,398 3,346 6,114 19,531 3,053 1,666 1,845 1,514 1,262 1,270 691 753 563 452 328 Increasing risk of admission 80% 20% Our people People not patients with lives not conditions
    8. 8. CO-ORDINATION OF SHARED CARE Our care model Moderate 22,704 22% OUTCOMESOFFER What's the offer, what will be the outcome, how will we do it ?
    9. 9. Our money Investment ImplementationImpact Return on investment Virtuous circle – continuous process of resource shift Commissioning for an integrated system Best laid plans… New rules, new games or new system, better outcomes? Shifting assets - aligning supply and demand in and out of hospital Alliance + ? Need to make the money work – can we have shared and owned risk and gain ?
    10. 10. Executive Health and Wellbeing Group System Governance North Manchester System Governance Central Manchester Integrated Care Board System Governance South Manchester Citywide leadership group Programme Office Reference group Health and Wellbeing Board People, pride, place Living longer, living better Leaders with vision.... Back to the beginning but bigger - if it’s to be sustainable

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