This document summarizes a public engagement event on integrating care in Eastern Cheshire. It includes:
1. An agenda for the event that focused on international case examples of integrated care, developing a vision for integrated care locally, and what integrated care could look like in practice.
2. Feedback from previous engagement events emphasizing a need for improved coordination, communication, and community-based care.
3. A vision for integrated care centered around four pillars: empowering individuals, community-provided care, local specialist care, and regional specialized care.
4. Activities where attendees provided input on what improved integration would look like in practice and reviewed international case studies. They discussed and provided feedback on a vision
Making Integration Work - Melanie WaltersAlexis May
The document summarizes Salford's Integrated Care Programme, which aims to promote independence for older people through coordinated health and social care. Key elements include Multi-Disciplinary Groups providing targeted support; a Centre of Contact acting as a central hub; and local community assets enabling independent living. The goals are better outcomes, improved experiences, and reduced costs through a person-centered approach.
Healthwatch Stoke-on-Trent held its annual meeting for 2018/19. The organization works to gather people's views on health and social care services, with a focus on those who find it hardest to be heard, to help shape support. In 2018/19, Healthwatch worked with others on an information card for homeless people accessing GPs. It also engaged people for the NHS Long-Term Plan and identified key themes around access, communication, and specific conditions. Healthwatch will focus areas of prescriptions/pharmacy and community mental health services to understand experiences and identify improvements.
Making Integration Work - Sandra Birnie and Will IvattAlexis May
The document discusses integrated health and social care delivery in West Cheshire, England. It notes that an aging population is increasing demands on services while budgets are decreasing. Partners are working to reduce hospital admissions and long-term care placements for over-65s by 25-30% and 15% respectively. The model involves a single point of access, integrated locality teams aligned with GP surgeries, and a shared care record to better coordinate services for improved outcomes and efficiency. Metrics are being developed to measure the model's impact on admissions, readmissions, satisfaction and more.
Social Prescribing | Swindon | Building Health Partnerships SEUK2014
Swindon have piloted a social prescribing scheme to support individuals being discharged from secondary mental health services. This presentation was given as part of an action learning day on social prescribing hosted by Swindon Building Health Partnerships group. For more information about the Building Health Partnerships programme www.socialenterprise.org.uk/buildinghealthpartnerships
Keynote: Transforming primary care - Karen KirkhamNHS England
This document discusses primary care networks and system transformation. Some key points:
- Primary care networks aim to create collaboration between general practices and other providers to meet patient demand and develop innovative care models.
- Having a clear shared vision, data-driven approaches, and trusting relationships between partners are important for primary care networks.
- Examples are provided of successful primary care networks that have improved access to care, integrated teams, and achieved reductions in A&E visits and hospital admissions through their collaborative work.
- Engagement with patients, the community, and other providers is essential for primary care networks to co-design new care pathways and services. Relationship building and celebrating early successes helps to develop trust between partners.
The Care Quality Commission conducted a review of end of life care in England to examine inequalities. They found that while the quality of end of life care varies, some groups experience worse care coordination and have their needs overlooked. Specifically, people with conditions besides cancer, older adults, those with dementia or from minority groups may face barriers. The review highlighted examples of good local practices that promote personalized care and address inequalities. The CQC will use its findings to strengthen regulation and assessment of end of life care quality and encourage continued improvement in meeting individual needs.
This document discusses the need for choice and patient-centered care in children's palliative care. It notes that there are approximately 49,000 children in the UK with life-limiting conditions, yet their voices are often not heard and patient choice is absent. Parents describe the system as a "minefield" with a lack of support and coordination. Short breaks for respite care are important but often not funded by local authorities. Choice is limited by a lack of services due to underfunding. The document calls for improved coordination, a national inquiry, mandated joint commissioning, and greater transparency and accountability in funding to better meet the needs of children requiring palliative care and their families.
Making Integration Work - Melanie WaltersAlexis May
The document summarizes Salford's Integrated Care Programme, which aims to promote independence for older people through coordinated health and social care. Key elements include Multi-Disciplinary Groups providing targeted support; a Centre of Contact acting as a central hub; and local community assets enabling independent living. The goals are better outcomes, improved experiences, and reduced costs through a person-centered approach.
Healthwatch Stoke-on-Trent held its annual meeting for 2018/19. The organization works to gather people's views on health and social care services, with a focus on those who find it hardest to be heard, to help shape support. In 2018/19, Healthwatch worked with others on an information card for homeless people accessing GPs. It also engaged people for the NHS Long-Term Plan and identified key themes around access, communication, and specific conditions. Healthwatch will focus areas of prescriptions/pharmacy and community mental health services to understand experiences and identify improvements.
Making Integration Work - Sandra Birnie and Will IvattAlexis May
The document discusses integrated health and social care delivery in West Cheshire, England. It notes that an aging population is increasing demands on services while budgets are decreasing. Partners are working to reduce hospital admissions and long-term care placements for over-65s by 25-30% and 15% respectively. The model involves a single point of access, integrated locality teams aligned with GP surgeries, and a shared care record to better coordinate services for improved outcomes and efficiency. Metrics are being developed to measure the model's impact on admissions, readmissions, satisfaction and more.
Social Prescribing | Swindon | Building Health Partnerships SEUK2014
Swindon have piloted a social prescribing scheme to support individuals being discharged from secondary mental health services. This presentation was given as part of an action learning day on social prescribing hosted by Swindon Building Health Partnerships group. For more information about the Building Health Partnerships programme www.socialenterprise.org.uk/buildinghealthpartnerships
Keynote: Transforming primary care - Karen KirkhamNHS England
This document discusses primary care networks and system transformation. Some key points:
- Primary care networks aim to create collaboration between general practices and other providers to meet patient demand and develop innovative care models.
- Having a clear shared vision, data-driven approaches, and trusting relationships between partners are important for primary care networks.
- Examples are provided of successful primary care networks that have improved access to care, integrated teams, and achieved reductions in A&E visits and hospital admissions through their collaborative work.
- Engagement with patients, the community, and other providers is essential for primary care networks to co-design new care pathways and services. Relationship building and celebrating early successes helps to develop trust between partners.
The Care Quality Commission conducted a review of end of life care in England to examine inequalities. They found that while the quality of end of life care varies, some groups experience worse care coordination and have their needs overlooked. Specifically, people with conditions besides cancer, older adults, those with dementia or from minority groups may face barriers. The review highlighted examples of good local practices that promote personalized care and address inequalities. The CQC will use its findings to strengthen regulation and assessment of end of life care quality and encourage continued improvement in meeting individual needs.
This document discusses the need for choice and patient-centered care in children's palliative care. It notes that there are approximately 49,000 children in the UK with life-limiting conditions, yet their voices are often not heard and patient choice is absent. Parents describe the system as a "minefield" with a lack of support and coordination. Short breaks for respite care are important but often not funded by local authorities. Choice is limited by a lack of services due to underfunding. The document calls for improved coordination, a national inquiry, mandated joint commissioning, and greater transparency and accountability in funding to better meet the needs of children requiring palliative care and their families.
David Oliver: designing services that are age appropriateThe King's Fund
David Oliver, Visiting Fellow at The King’s Fund, looks at the challenges around providing health care for an ageing population, and the solutions to achieving better joined-up care.
This document discusses the case for expanding CAMHS services to serve those aged 0-25 years old. It notes the policy context supports integrated services and highlights the small resources currently spent on CAMHS compared to overall mental health budgets. The document argues that a wider wellbeing focus, integration with other services, co-design with users, and flexible workforce models are needed to better meet the mental health needs of children and young people.
This document discusses developing more collaborative approaches to addressing mental health crises through integrated solutions that prevent crises and operate digitally at all times. It recommends moving towards wider collaboration using better data and building professional networks to innovate integrated solutions for preventing mental illness and crisis, reducing service demand.
The document discusses the importance of lived experience expertise in mental health services. It summarizes that:
1) The Dorset Wellbeing and Recovery Partnership puts people with lived experience of mental health problems at the heart of service design, training, and delivery alongside professional expertise.
2) Recovery is about taking back control over one's life and problems, not seeing them as uncontrollable or only manageable by experts.
3) Peer workers are important because those in recovery understand both the ways systems currently help and fail people, and how they could better support recovery journeys.
As Scotland’s society changes, so too must the nature and form of its public services. Integration of adult health and social care is a key part of the Scottish Government’s commitment to public service reform, and its success matters to everyone in Scotland. This session looks at different experiences so far in integrating services across Scotland, and challenges delegates to look beyond the vision at the practical realities to address this.
See more on the 2013 NHSScotland Event website http://www.nhsscotlandevent.com/resources/resources2013/resources
Kath Sutherland presented on providing effective person-centered support for those at the end of life. She discussed how removing barriers through responsive, coordinated services based on co-production principles can support individuals' needs, wishes and circumstances. This requires considering individuals holistically, utilizing local resources, addressing impacts on health/social care, and investing in proven support methods, research, training and implementation support.
This presentation summarises the discussions, and the actions to be taken forward, from our five workshops (1 on physical activity and 4 on health themes) with the third sector
Impact and celebration event - implementing the city-wide Mental Health Frame...NHS Improving Quality
The document summarizes the work done through a programme to implement Leeds' Mental Health Framework. It discusses workshops held to: create a foundation for implementation; develop and implement a collaborative strategy using driver diagrams; and review the generated strategy and plans. The programme identified shared values, agreed priorities, and created champions to drive culture change. It benefited from bringing stakeholders together, accelerating the development process, and external facilitation to challenge assumptions. Personal reflections noted the large scale change process was helpful but more planning time between workshops would have been beneficial.
This document summarizes a presentation on early intervention in psychosis (EIP) and improving outcomes. It discusses challenges like treatment delays and lack of therapy access. A new EIP pathway was implemented in four Hampshire teams to standardize assessments, promote physical health, and increase employment support. An evaluation is underway to see if it reduces symptoms severity and healthcare use while supporting recovery. Barriers like capacity and IT limitations remain, but initiatives like staff training and coproduction aim to further strengthen early psychosis care.
This document discusses personal health budgets in the UK NHS. It provides background on personal health budgets, which allow patients more choice and control over how their health needs are met. The document outlines several pilots of personal health budgets, including one focused on delivering them in end-of-life care. It shares early experiences from different pilot sites, finding that personal health budgets improved outcomes and choices for patients while often costing less than traditional care packages. The document provides resources for learning more about personal health budgets and their implementation in the NHS.
Impact and celebration event - transforming services for the frail and elderl...NHS Improving Quality
North Lincolnshire CCG - transforming services for the frail and elderly. Slides from the impact and celebration event held in London on 24 February 2015.
Better Local Care is an NHS vanguard site developing the Multi-specialty Community Provider model of integrated care. It brings together GPs, specialists, and community services to provide improved access to care closer to home. Better Local Care currently covers over 800,000 patients across 13 communities in Hampshire and Southampton. The initiative aims to better integrate physical and mental healthcare through improved identification and treatment of mental health issues in primary care settings.
This document discusses supporting patients with learning disabilities at end of life. It notes that people with learning disabilities now have longer lifespans but often have multiple health issues. They face barriers to receiving proper end of life care, such as not having illnesses recognized or treated in a timely manner. Effective communication is key to providing good end of life care for those with learning disabilities. Advance care planning and using accessible information and reasonable adjustments can help facilitate holistic care that respects the individual.
Joint working in community teams has developed across Scotland and across a range of care groups over a number of years. This workshop shares the learning from an award winning integrated team and explore some of the key, common messages for practice. It highlights challenges in developing the workforce, mainstreaming the approach and spreading this to other localities. The team outlines examples of successful outcomes in the context of health and social care integration. Contributed by: Joint Improvement Team & South Lanarkshire Partnership
A new model of care for general practice, pop up uni, 10am, 2 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
This document discusses workforce challenges and opportunities for integration between health and social care. It provides context on budget deficits and demands on the system. Integration is presented as a potential solution but also complicated by the history of separate health and social care legislation. Examples of integrated initiatives in the West Midlands are summarized, including lessons learned from an older adults workforce integration program and a transformation theme. Challenges of integration include defining the integrated system and workforce, and achieving integrated workforce planning. Opportunities include new roles and competencies as well as multi-professional learning.
This document describes an accelerated solutions event being held by the PCN development support team to support primary care networks. The event will focus on co-producing a specification that meets local system needs and creating a development community to connect stakeholders, share learning, and collaborate on issues. It provides an agenda for the event, which will include discussions on key themes, developing plans, and capturing the work. The overall goal is to help primary care networks achieve their purpose through collaborative support.
This document provides an overview of a three day programme on understanding the NHS. Day one focuses on understanding the structure and system of the NHS. Day two covers relevant knowledge and skills for success working with the NHS. Day three is about applying the learning and pitching innovations. The document discusses the NHS landscape including its history, structures, priorities and statistics. It also covers integrated care systems, clinical commissioning groups, primary care networks and their roles. Opportunities for procurement within the NHS are discussed including frameworks and portals.
David Oliver: designing services that are age appropriateThe King's Fund
David Oliver, Visiting Fellow at The King’s Fund, looks at the challenges around providing health care for an ageing population, and the solutions to achieving better joined-up care.
This document discusses the case for expanding CAMHS services to serve those aged 0-25 years old. It notes the policy context supports integrated services and highlights the small resources currently spent on CAMHS compared to overall mental health budgets. The document argues that a wider wellbeing focus, integration with other services, co-design with users, and flexible workforce models are needed to better meet the mental health needs of children and young people.
This document discusses developing more collaborative approaches to addressing mental health crises through integrated solutions that prevent crises and operate digitally at all times. It recommends moving towards wider collaboration using better data and building professional networks to innovate integrated solutions for preventing mental illness and crisis, reducing service demand.
The document discusses the importance of lived experience expertise in mental health services. It summarizes that:
1) The Dorset Wellbeing and Recovery Partnership puts people with lived experience of mental health problems at the heart of service design, training, and delivery alongside professional expertise.
2) Recovery is about taking back control over one's life and problems, not seeing them as uncontrollable or only manageable by experts.
3) Peer workers are important because those in recovery understand both the ways systems currently help and fail people, and how they could better support recovery journeys.
As Scotland’s society changes, so too must the nature and form of its public services. Integration of adult health and social care is a key part of the Scottish Government’s commitment to public service reform, and its success matters to everyone in Scotland. This session looks at different experiences so far in integrating services across Scotland, and challenges delegates to look beyond the vision at the practical realities to address this.
See more on the 2013 NHSScotland Event website http://www.nhsscotlandevent.com/resources/resources2013/resources
Kath Sutherland presented on providing effective person-centered support for those at the end of life. She discussed how removing barriers through responsive, coordinated services based on co-production principles can support individuals' needs, wishes and circumstances. This requires considering individuals holistically, utilizing local resources, addressing impacts on health/social care, and investing in proven support methods, research, training and implementation support.
This presentation summarises the discussions, and the actions to be taken forward, from our five workshops (1 on physical activity and 4 on health themes) with the third sector
Impact and celebration event - implementing the city-wide Mental Health Frame...NHS Improving Quality
The document summarizes the work done through a programme to implement Leeds' Mental Health Framework. It discusses workshops held to: create a foundation for implementation; develop and implement a collaborative strategy using driver diagrams; and review the generated strategy and plans. The programme identified shared values, agreed priorities, and created champions to drive culture change. It benefited from bringing stakeholders together, accelerating the development process, and external facilitation to challenge assumptions. Personal reflections noted the large scale change process was helpful but more planning time between workshops would have been beneficial.
This document summarizes a presentation on early intervention in psychosis (EIP) and improving outcomes. It discusses challenges like treatment delays and lack of therapy access. A new EIP pathway was implemented in four Hampshire teams to standardize assessments, promote physical health, and increase employment support. An evaluation is underway to see if it reduces symptoms severity and healthcare use while supporting recovery. Barriers like capacity and IT limitations remain, but initiatives like staff training and coproduction aim to further strengthen early psychosis care.
This document discusses personal health budgets in the UK NHS. It provides background on personal health budgets, which allow patients more choice and control over how their health needs are met. The document outlines several pilots of personal health budgets, including one focused on delivering them in end-of-life care. It shares early experiences from different pilot sites, finding that personal health budgets improved outcomes and choices for patients while often costing less than traditional care packages. The document provides resources for learning more about personal health budgets and their implementation in the NHS.
Impact and celebration event - transforming services for the frail and elderl...NHS Improving Quality
North Lincolnshire CCG - transforming services for the frail and elderly. Slides from the impact and celebration event held in London on 24 February 2015.
Better Local Care is an NHS vanguard site developing the Multi-specialty Community Provider model of integrated care. It brings together GPs, specialists, and community services to provide improved access to care closer to home. Better Local Care currently covers over 800,000 patients across 13 communities in Hampshire and Southampton. The initiative aims to better integrate physical and mental healthcare through improved identification and treatment of mental health issues in primary care settings.
This document discusses supporting patients with learning disabilities at end of life. It notes that people with learning disabilities now have longer lifespans but often have multiple health issues. They face barriers to receiving proper end of life care, such as not having illnesses recognized or treated in a timely manner. Effective communication is key to providing good end of life care for those with learning disabilities. Advance care planning and using accessible information and reasonable adjustments can help facilitate holistic care that respects the individual.
Joint working in community teams has developed across Scotland and across a range of care groups over a number of years. This workshop shares the learning from an award winning integrated team and explore some of the key, common messages for practice. It highlights challenges in developing the workforce, mainstreaming the approach and spreading this to other localities. The team outlines examples of successful outcomes in the context of health and social care integration. Contributed by: Joint Improvement Team & South Lanarkshire Partnership
A new model of care for general practice, pop up uni, 10am, 2 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
This document discusses workforce challenges and opportunities for integration between health and social care. It provides context on budget deficits and demands on the system. Integration is presented as a potential solution but also complicated by the history of separate health and social care legislation. Examples of integrated initiatives in the West Midlands are summarized, including lessons learned from an older adults workforce integration program and a transformation theme. Challenges of integration include defining the integrated system and workforce, and achieving integrated workforce planning. Opportunities include new roles and competencies as well as multi-professional learning.
This document describes an accelerated solutions event being held by the PCN development support team to support primary care networks. The event will focus on co-producing a specification that meets local system needs and creating a development community to connect stakeholders, share learning, and collaborate on issues. It provides an agenda for the event, which will include discussions on key themes, developing plans, and capturing the work. The overall goal is to help primary care networks achieve their purpose through collaborative support.
This document provides an overview of a three day programme on understanding the NHS. Day one focuses on understanding the structure and system of the NHS. Day two covers relevant knowledge and skills for success working with the NHS. Day three is about applying the learning and pitching innovations. The document discusses the NHS landscape including its history, structures, priorities and statistics. It also covers integrated care systems, clinical commissioning groups, primary care networks and their roles. Opportunities for procurement within the NHS are discussed including frameworks and portals.
John Gillies: Health and Social Care Integration in Scotland 2018STN IMPRO
The document discusses health and social care integration in Scotland. It provides background on the Scottish population and healthcare system. The key goals of integration are to support people living independently at home, provide positive experiences of care, and design services around individual needs rather than organizational structure. Integration partnerships aim to improve outcomes such as quality of life, reducing inequalities, and supporting carers through coordinated primary, community and social care services.
Working together for Better Care in Richmond HW_Richmond
Presentation from Richmond CCG, Healthwatch Richmond, Hounslow and Richmond Community Healthcare, Kingston Hospital, West Middlesex University Hospital and the Richmond GP Alliance on the changes happening to community services in Richmond.
La voz de los pacientes en los proyectos de integracion de servicios del nhs ...Societat Gestió Sanitària
Ponencia a cargo del director de politicas y colaboraciones del National Voices en el National Health Service inglés, en el marco de la VI Jornada Right Care sobre Modelos avanzados en integración de servicios sociales y sanitarios, organizada por la Societat Catalana de Gestió Sanitària el 24 de mayo de 2019.
Realising the Value Stakeholder Event -Workshop: How does the system support Nesta
Workshop D - How does the system support communities/individuals and how could it do it better?
The levers and drivers that national bodies put in place and how these are used locally have a significant impact on working in partnership with communities and patients. These levers and drivers include regulation, targets, outcomes measures, financial flows, annual contracting cycles, clinical standards, workforce training and revalidation etc.
This workshop will draw upon your experience and evidence to address two questions:
How these levers and drivers get in the way of working in partnership with patients and communities?
What is the best blend of approaches to support commissioners and providers locally to harness the energy of patients and communities
Jacquie White, Deputy Director of NHS England Long Term Conditions, Older People & End of Life Care and Claire Cordeaux SIMUL8 Executive Director for Health & Social Care were invited by Centers for Medicare & Medicaid Services to discuss how NHS England work in chronic disease.
Nick Goodwin - Bringing integrated care to lifeAge UK
Dr Nick Goodwin, Senior Fellow, The King's Fund - presentation from Age UK's For Later Life conference, 25th April.
For more information: www.ageuk.org.uk/forlaterlife
This document summarizes a conference on harnessing health and wellbeing in older age. It discusses:
1) Presentations from experts on using innovation and collaboration across sectors to improve outcomes for older adults, such as developing digital health tools and exercise programs to prevent falls and strokes.
2) The concept of an "innovation ecosystem" to deliver solutions that improve lives and how these solutions can be scaled up. Examples of specific innovations developed in the North of England are mentioned.
3) The need for a common outcomes framework and additional funding to support preventative programs and a focus on living well in older age rather than just treating illness.
4) Systems leadership approaches that focus on relationships and influence to
This document discusses efforts to improve post-diagnostic support (PDS) for people with dementia in Scotland. It describes 5 pillars that are being used to guide improvements to PDS, including establishing PDS leads and networks, capturing the impact of PDS through evaluation, developing a quality improvement framework, and relocating PDS services into primary care settings. Specific projects underway include testing a quality improvement framework with various sites, and shifting delivery of PDS from mental health teams to general practitioner practices in 3 locations. The benefits of relocating PDS to primary care are being explored. Overall, the document outlines initiatives to enhance and transform PDS for people with dementia in Scotland.
The document provides an overview of the launch event for the East Midlands Research into Ageing Network (EMRAN). It outlines the vision for EMRAN to facilitate collaboration between researchers, commissioners, providers and practitioners interested in research on the care of older people in the East Midlands. The event included talks on EMRAN's project plan and engagement activities. It also highlighted the challenges of conducting high-quality, complex research in ageing and implementing findings, and the potential role of a network in supporting research funding, conduct and translation into practice across the region.
Working better together: community health and primary careNHS Confederation
This slide pack captures the main points from a workshop on integrated working between primary care and community health services. The workshop was organised by the NHS Confederation Community Health Services Forum in partnership with the National Association of Primary Care, in September 2014
Lesley Strong and Hazel Carpenter: integrating community and social care serv...The King's Fund
This document discusses integrating health and social care services in Kent, England. It outlines localities and implementation of the Kent Health and Social Care Integration Programme (HASCIP). Key points include co-located and flexible multidisciplinary teams, single assessment processes, and proactive care programs reducing hospital admissions and costs. Challenges include information governance, integrated care plans, and ensuring capacity to support long-term condition objectives. The vision is to make life-changing improvements to experiences and outcomes through collaboration.
This document provides a practical agenda for policymakers and local authorities to better target public services to individuals' needs. It focuses on five domains: 1) Using data segmentation and sharing to gain deeper insights into diverse population needs; 2) Designing services around individuals rather than predefined models; 3) Examples of personalizing services in practice; 4) Mainstreaming preventative approaches; and 5) Effective partnerships. The report aims to point to achievable innovations that can be replicated across localities to improve commissioning and service integration without major structural reforms or new resources.
Transforming Primary Care through the development of Primary Care Networks – ...NHS England
The document discusses transforming primary care in the UK through the establishment of primary care networks (PCNs). It notes that the changing health needs of the population are putting pressure on the health system, with an aging population and rise in chronic conditions. While services are fragmented, the NHS Long Term Plan aims to develop integrated care systems with PCNs as the foundation. PCNs will comprise groupings of clinicians serving populations of 30,000 to 50,000 people, in order to provide proactive, accessible, and coordinated primary and community care at scale. The plan provides funding for PCNs to expand multidisciplinary teams.
This document discusses innovative approaches to healthcare design for patients with complex needs. It argues that integrated care models are needed to address the growing challenges posed by aging populations with multiple chronic conditions. Successful integrated care models coordinate services around patient needs, rather than individual diseases. They feature elements like population-based approaches, multidisciplinary teams, and flexibility in funding and regulations. While lean thinking aims to streamline care, complex patients require systems that can adapt dynamically to changing needs through features like case management and care coordination between specialized and community-based providers.
The document outlines the goals and challenges of integrating information technology to support integrated health and social care. The goals are to:
1) Create more joined-up services across health and social care with the citizen at the center and their information shared easily.
2) Build a program that gives citizens access to their records and control over their care as they move between services.
3) Achieve safer, higher quality care through innovation and continuous improvement.
Key challenges to achieving this include technical barriers to sharing information between different IT systems, a lack of informatics leadership, and not fully understanding how IT can transform care delivery. The workshop aims to discuss how to address these challenges and focus efforts to better capture, share
Evaluation of IC initiatives - challenges, approaches and evaluation of Engla...Sax Institute
This presentation from Nicholas Mays, Professor of Health Policy, Director, Policy Innovation Research Unit, Department of Health Services Research & Policy focuses on the challenges, approaches and evaluation of England's Pioneers.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Kat...rightmanforbloodline
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
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Macclesfield 16th July
1. WORKING DRAFT
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Printed
Integrating Care in Eastern Cheshire
Doc ID
Integrating Care in Eastern Cheshire
Strategic Plan
Public Engagement
Event
Macclesfield, 16 July
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Agenda
TimeObjective
‘10Welcome and intros
„25International case examples
„30Vision of integrated care
‟50Look and feel of integrated care
Next steps „5
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Thank you for joining us on the continuation of our journey
toward Caring Together in Eastern Cheshire
1
2
3
July - August September - DecemberJanuary - June
Objectives • Informing strategic plan
• Helping to design the
look and feel of the
integrated care model
• What is most important
to change
• Informing vision of 4
pillars
• Understanding how
care is currently
experienced
• Informing and assessing
the business case
• Providing input and
feedback on
implementation plans
Agreed
actions/
next steps
• Building the four pillar
vision
• Communicating plans
• Incorporating input into
design of integrated
care services
• Amending and improving
business case based on
feedback
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Objectives for today
Today’s session aims to:
1. Feedback what we have heard from
previous engagement events
2. Update you on where we are on the
journey toward integrated care
3. Push forward thinking on tangible
aspirations for integrated care
4. Review international best practice on what
care could be provided under integrated
care, and how it could be delivered
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Agenda
TimeObjective
„10Welcome and intros
„25International case examples
‘30Vision of integrated care
‟50Look and feel of integrated care
Next steps „5
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As a reminder, there is a strong case for change for integrated
care in Eastern Cheshire
SOURCE: Caring Together PIDs; Interviews ECCCG and stakeholders; McKinsey analysis
Coping with an
ageing
population
Fragmented
services across
rural area
Severe
financial
challenges
• A population older than the England average
• The fastest growing population of over 65s
and over 85s in the North West
• A declining number of informal carers
• Dementia morbidity significantly above the
national average
• Hospitals still at the centre of much
of the health care provision
• A rural geography meaning many people struggle
to access services
• Poor infrastructure, with IT systems unable to
access single patient records
• £12-15 million per year needed for next 5 years
• £36m savings needed over next three years
• Local Authority and CCG amongst lowest
funded in country
• Acute trust needing a 6.9% CIP
• Mental health and community services in the
lowest national quartile for investment
These factors have
strongly affected your
relationship with the
health system
We are keen to address
these challenges
through Caring
Together
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What we heard on patient experience. . .
SOURCE: Participate Ltd. engagement report
“There is a lack of
integration within
organization, let alone
across organizations”
Patient
experience“I want
simple, accessible
information about my
own care, through a
single point of
contact”
“Staff are overworked and don‟t
have the time or opportunity to
develop a personal relationship
with patients”
“We want more care in
the community so that
we can keep our
independence”
“Sharing of the necessary
patient information does not
always happen because of a
lack of communication”
“We waited 2 years for
a referral to the right
specialist. I don‟t want
my son to be constantly
in hospital”
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What we heard on clinician experience. . .
“There are too many
teams and too little
information on what they
do” Clinician
experience
“Patient experience and
outcomes should be a
driving force”
“There is too much
fragmentation. We need a
better dialogue between
primary and secondary
care providers”
“Many individuals come to our
service in a crisis situation and are
already known to other services.
Sharing information and getting
support in these situations is
essential”
“We need better
communication and IT
systems that can speak to
each other”
“I do not know who I am supposed to be
talking to. It would be easier if there was
one person or one department to
handle everything involving the patient”
“There is a lack of
understanding, and
perceptions of
organizations that may
not reflect the reality,
especially about the
voluntary and
community sectors”
“Providers are willing to
co-operate, but work
pressures, poor
communication and a
lack of technology
sometimes get in the way”
SOURCE: Participate Ltd. engagement report
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Based on your input, our vision centres on four pillars
SOURCE: Caring Together: A Framework for Designing, Planning and Delivering a New Integrated Health and Social Care Model for Eastern Cheshire;
1:1 Interviews
Pillar 1: The empowered
person
• Individuals empowered
and supported to take
responsibility for and
manage their own health
• Support provided by
network of community
and voluntary providers
• Key interventions include
health prevention and
promotion, screening,
community exercise,
short term assessment
and signposting and
expert patient
• Universal and town
based (0-5 miles)
Pillar 2: Community
provided care
• Fully integrated multi-
professional team
providing community-
based care centred
around patients with a
single line of
accountability
• 24 hour care anchored in
GP practices
• Key interventions include
single assessment for
health and social care,
case management/
coordination, specialist
input and carers support
• Targeted and town
based (0-5 miles)
Pillar 3: Local specialist
care
• High quality specialised
care delivered at scale
within a reasonable
distance from people‟s
homes, including health
and social care beds
• Acute specialists and
community teams work
in partnership to address
patient needs
• Key elements include
general hospital
services, rapid discharge
team and daycase
centre
• Complex but local (15
miles)
Pillar 4: Regional
specialised care
• World class specialist
centres delivering
highest standards of
care at scale
• Highly-trained specialists
delivering complex
care, often using
advanced technologies
in regional specialist
centre
• Specialist may require
travel (up to 30 miles)
Precise interventions yet to be established/finalised – with focus on more investment in pillars 1 and 2
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Agenda
TimeObjective
„10Welcome and intros
„25International case examples
„30Vision of integrated care
’50Look and feel of integrated care
Next steps „5
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Group exercise – What does this mean to you?
Based on the areas for
improvement that you
have identified, think
about what an improve-
ment would look like in
practical terms
Write your ideas on post-
its and stick then on your
group‟s poster
In groups, spend
20 minutes discussing
what changes you would
like to see on a day-to-
day basis, if the issues
identified were resolved
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Agenda
TimeObjective
„10Welcome and intros
‘25International case examples
„30Vision of integrated care
‟50Look and feel of integrated care
Next steps „5
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Gallery Walk – integrated care case examples
Read the posters and
think about what
elements you like about
the case examples
Put a sticky dot on
anything you particularly
identify with
Take 20 minutes to walk
around the room
We will then spend
30 minutes in
groups, discussing our
vision for integrated care
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Group exercise – Our vision for integrated care
What is our vision for
integrated care?
Going back to the four
pillars of our vision, piece
together the elements you
liked from the case
examples, along with the
feedback from our
discussions on what
integrated care would
look like to you
In groups, use the posters
to write down your ideas
for how integrated care
could look
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What are you willing to commit to over the next few months to
help drive integrated care forward?
Alexi Ness – Clinical Project Manager
To discuss/share and champion Caring
Together in the projects I work on, and
with the people I work alongside
Helen Weston – community Matron
Share principles of Caring Together
through workstreams of integrated
care/neighbourhood teams. Attach logo
to emails
Paul Bowen – GP chair
I‟ll ensure I allow the aspirations set out
by the Clinical Commissioning Group to
motivate the rest of the programme into
action/progress. We need to be sure the
progress of service design keeps up with
the promises of the campaign
Andrew Tester – Health and Wellbeing
Officer Plus Dane Group
1. Attach the link onto the bottom of my
emails.
2. Work with Comms Group to raise
awareness in the neigh-bourhood we
serve (internal and external)
3. Share with partners I work with
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Agenda
TimeObjective
„10Welcome and intros
„25International case examples
„30Vision of integrated care
‟50Look and feel of integrated care
Next steps „5
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How might this change your personal thinking and actions in the
near future?
1
2
This week Next 6 months
Using the wall poster, let‟s create a group
commitment board for both time horizons
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Examples of previous personal commitments
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Next steps
• We can all contribute to communicating the
vision and getting the word out about Caring
Together
• We will take your input today and incorporate
them into our plans for designing integrated
care services
• We look forward to reviewing our initial plans
with you at our next meeting (August)