This document outlines plans for integrating health and social care services in Plymouth, England to better address local challenges and improve people's experiences of care. It establishes four main strategies centered around keeping people healthy and independent. An integrated fund will pool £241 million for commissioned services. System Design Groups made up of various stakeholders will work to deliver the strategies and address issues through collaborative planning. The goal is to transition to a single integrated delivery function that provides seamless, personalized support through a single point of access.

1. “Designing and Delivering
Services - For People, With
People”
Health and Wellbeing
Integration in Plymouth

2. The vision for our City

3. Local challenges
• Poverty and
deprivation
• Low wage
economy
• Impact of
recession
• Housing stock
• Transport
infrastructure
• Gaps in life
expectancy
• Impact of
Welfare Reform

4. People told us…
“I want services that support me to manage my situation in life
not just my condition”
“I want the information I need to make healthy choices and stay
healthy, and to have systems in place that can help me at an
early stage to avoid a crisis”
“I want the ability to talk to a health or social care professional
when I need to and to tell my story once - share my information
with colleagues”
“I want to be able to have services provided in lots of different
places, at a time that suits, me having choice and control over
the care I need”
“I want access to a range of services that support me and the
people who care for me to lead a full and healthy life”

5. An integrated population-based
health and wellbeing system
To improve health and wellbeing
outcomes for the local population
To reduce inequalities in health and
wellbeing of the local population
To improve people’s experience of care
To improve the sustainability of our
health and wellbeing system
Aim 1
Aim 2
Aim 3
Aim 4

6. Individuals at the centre

7. Four strategies
People and
communities will be
well, stay well and
recover well. This
strategy supports
healthy and happy
communities by
putting health and
wellbeing at the heart
of everything we do
A system that consists
of quality specialist
health and care
services that promotes
choice, independence,
dignity and respect
Provide the best start
to life for all children
from pregnancy to
school age, and the
right support at the
right time for
vulnerable children
and young people
This strategy targets
services that support
people to maintain
their independence in
their own home within
their community

8. Overview of Plymouth
integrated fund
Net Integrated Fund
The net total of the Pooled and Aligned Fund
£462m
Net Pooled Fund
“Any pooled fund established and
maintained by the Parties as a pooled
fund in accordance with the regulations”
£241m
Net Aligned Fund
“Budgets for commissioning
prescribed services that the
Regulations specify shall not be
pooled, but which will be managed
alongside the Pooled Fund”
£221m

9. Integrated delivery of
community health and adult
social care

10. Integrated governance
Plymouth Integrated
Commissioning
Board
Integrated
Leadership
Commissioning
Function
Wellbeing
Commissioning
System Design
Group
Community
Commissioning
System Design
Group
Children & Young
People System
Design Group
Enhanced &
Specialist Care
Integrated System
Performance &
Intelligence Group
Finance & Assurance
Review Group
CCG Governing Body
Plymouth City Full
Council
Western Locality
Board PCC Cabinet
PCC Health &
Wellbeing Board
Scrutiny Panels

11. Delivering integration- System
Design Groups
• Made up of Commissioners, Clinicians,
Providers, Users and Stakeholders
• Each System Design Group will take
responsibility for one of the four Integrated
Commissioning strategies.
• Each SDG will work collaboratively to deliver
the system changes required to realise
success.

12. Functions
SDGs will:
• Act as a Strategic Planning Forum, owning and working to deliver the
strategies and informing future strategic developments
• Inform Commissioning decisions
• Feed through service user experience/voice into the commissioning cycle
• Communicate with a wider group of stakeholders through a virtual network
and make links to existing partnership groups
• Provide an opportunity for local market engagement
• Problem solve system performance issues
• Share system information
• Inform workforce planning and development needs across a system
• Contribute to the development of an annual plan for the system
• Work closely with other System Design Groups to enable joined up working
across the whole system

13. Next steps…
• Delivering the action plans through the SDGs
• Co-production to inform delivery and plan next
years work
• Work towards a single integrated delivery
function
• Started to deliver health & social care services
via a ‘Single Front Door’ through PCH
• Improved the standard of care by creating
more personalised & seamless health and
social care plans