5. Charities & Patient
Advocacy Groups
Employers
Researchers
Government &
Commissioning bodies
Third sector
providers
Social services
Relatives
GP
Consumer
Specialist services
Pharmacies
Secondary
care/Hospital
Mobile device and
app developers
Community teams
Pharmacy
6. Employers
Researchers
Government &
Commissioning bodies
Community teams
Social eCAF
e.g. services
Charities & Patient
Advocacy Groups
Relatives
GP
Pharmacies
Secondary
care/hospitals
Primary Care /
Mental Health
Third sector
providers
Pharmaceuticals
Mobile device and
app developers
12. Contacts & further information
www.in-control.org.uk/webinarschedule2014
www.in-control.org.uk/stayconnected
Laura Bimpson
Laura.bimpson@in-control.org.uk
07969 332 393
Editor's Notes
1. SIneadMySupportBroker (MSB) is a Community Interest Company, established in October 2010, Pioneering a new type of collaboration - often seen as disruptive between local people and their local Council and NHSInnovating new ways of delivering traditional health and social care services, underpinned by innovative collaborative co-designed collaborative technology. How - MSB recruits, selects and trains peers with lived experience of older age, long term physical or mental health conditions, their own or someone they have supported, to become self-employed ‘Peers Plus’ Support Brokers in expanding networks for MSB across the UKMany of our peers are on personal budget, and a few are in receipt of NHS continuing health carePeople with long term conditions should play an active role in determining and directing their own care and health provision. By managing the provision of their own health and care services individuals can empower themselves and move from passive recipients of services to active consumers and members of their local communities. This process has beneficial consequences for individuals, public services and society in general, including increasing uptake of direct payment, reduced social isolation and increase in use of community resources
2. SineadOverviewGovernment Policy: Continues to push ahead with integration as evidenced withBetter Care Fund: £3.8billion reallocated funding, for integration and encouraging creative and innovative thinkingHealth and Wellbeing Boards: CCG’s / LA : 14 pioneer sites and other interested partiesMSB Disruptive Business ModelLevel of change is inherently disruptive for cultural norms and traditional organisations Great for MSB as we operate a disruptive modelMSB been working around user in mental health space for 3 years. Before BCF MSB working MH field, which is a natural space for us to the pint where we withdrew from 1 LA as too paternalistic, giving people hope then hammering with levels of approvalChange is Complex piece of work, causing a major rethink.MSB disruptive model in this area has the person, individual, mother / father or Mrs. Smith (AKA Kings Fund) at the centreNature of BCF is to be disruptive and acknowledges need for changeOur Peer Brokers on the ground and our customers wanting integrationAs Chris Hopson, CEO The Foundation Trust Network, put it Integration comes in many forms – organisational, finance etc – though there needs to be a strong emphasis on patient leadership and outcomesStronger still if it’s the patient is the customer, where they are in control, supported to co-ordinate and deliver services to achieve their best outcomes."
3 SteveAcceptance of Change: Significant change, brings massive opportunityConsider existing level of interactionOver emphasis on professionals talking to each other, without the consumer being involvedConsider where the consumer, patient individual views they are now- Outside, often told or consulted, frequently seen as passive and rarely asked what they wantNeed to Radicalise and need for innovative thinking and change in behaviourSeparate budgets and multi assessments, multiple plans have to be thing of the pastExisting models have to be disrupted and thinking changed.Too many layers and interactions exclude the consumerPatients, parents, Carers feel lost in vortex of organisational politicsWith individuals feeling maximized by organisations and provider, rather than freed as intended by personal budgetsSteveAcceptance of Change: Significant change, brings massive opportunityConsider existing level of interactionOver emphasis on professionals talking to each other, without the consumer being involvedConsider where the consumer, patient individual views they are now- Outside, often told or consulted, frequently seen as passive and rarely asked what they wantNeed to Radicalise and need for innovative thinking and change in behaviourSeparate budgets and multi assessments, multiple plans have to be thing of the pastExisting models have to be disrupted and thinking changed.Too many bureaucratic layers excluding the consumerPatients, parents,Carers feel lost in vortex of organisational politicsWith individuals feeling maximized by organisations and provider, rather than freed as intended by personal budgets
4 SInead MSB Business ModelNeed to work around the patient see them as a customer, consumerAllow them to be in charge of their own care, health and supportEnabling the consumer to be the commissionerAs Chris Hopson, CEO The Foundation Trust Network, put it: Integration comes in many forms – organisational, finance etc – though there needs to be a strong emphasis on patient leadership and outcomesStronger still if it’s the patient is the customer, where they are in control, supported to co-ordinate and deliver services to achieve their best outcomes.”MSB model achieves one of the key aims of The Better Care Fund - improving the lives of some of the most vulnerable people in our society, giving them control, placing them at the centre of their own care and support, and, in doing so, providing them with a better service and better quality of life.Providers have to stop - since we shouldn't be doing what we've always doneModel needs to be consumer focused with customers at it's heard
5 SteveMSB – OfferTechnology provides customers with access to their patient records allowing them to share with whomever they give permissionBrokers on the ground: Peer Plus Brokers; Peer Personal Coaches; Community CoachesDiffering roles, able to build a network of peer communities that could drive the personalised care agendaOur Aim - Humanise integration, ensuring individuals outcomes are clear and what they wantIntegration in support and care planning is particularly important for people with long-term conditions and older people – since these individual needs should not be defined by either ‘medical’ or ‘social’ – individuals will want to be defined by their hobbies, interests, careers or their circle of family & friendsMSB welcomes integration as currently excluded from this sector though our customers wanting support whilst in Health Care settingsExamples of Existing WorkTwo Case studies Personal and organisationalGilly - Stroke, not worried about health in isolation, worried about her family, her home and where her family were.- NHS was telling her about medication, what she could and couldn't do- ASC assessing whether she'd be eligible for care and what physio availableNo one looking at the wholeThough Gilly knew what her priorities wereFelt held back by the slow response and not being in control of her health or supportSineadNorth London Hospital - Supporting People As they leave Hospital Our Brokers are working in a North London Hospital, directly on wards to do support planning light, supporting people out of hospital Getting their lives back on their terms, enabling individuals to have controlFreeing up hospital beds
5 SteveMSB – OfferTechnology provides customers with access to their patient records allowing them to share with whomever they give permissionBrokers on the ground: Peer Plus Brokers; Peer Personal Coaches; Community CoachesDiffering roles, able to build a network of peer communities that could drive the personalised care agendaOur Aim - Humanise integration, ensuring individuals outcomes are clear and what they wantIntegration in support and care planning is particularly important for people with long-term conditions and older people – since these individual needs should not be defined by either ‘medical’ or ‘social’ – individuals will want to be defined by their hobbies, interests, careers or their circle of family & friendsMSB welcomes integration as currently excluded from this sector though our customers wanting support whilst in Health Care settingsExamples of Existing WorkTwo Case studies Personal and organisationalGilly - Stroke, not worried about health in isolation, worried about her family, her home and where her family were.- NHS was telling her about medication, what she could and couldn't do- ASC assessing whether she'd be eligible for care and what physio availableNo one looking at the wholeThough Gilly knew what her priorities wereFelt held back by the slow response and not being in control of her health or supportSineadNorth London Hospital - Supporting People As they leave Hospital Our Brokers are working in a North London Hospital, directly on wards to do support planning light, supporting people out of hospital Getting their lives back on their terms, enabling individuals to have controlFreeing up hospital beds
6 SineadMSB has a clear vision based on making a positive difference for consumers – enabling consumers of Support and care to have positive impact Customer is able to invite in who they wish, they’re also able to allow people to see everything, or specific areasEnabling a social care collaborative network to be focussed around the individual as the consumerBrokers on the GroundPeer Brokers and Peer Coaches: Supporting customers to design their own plans and support, coaching to imbed the plansAnd coordination of care between agencies more effectively reducing duplication Our frontline are all peers – individuals who received, or are receiving health or social care support.
