Working together with local authorities to make change happen Antony Tiernan, NHS England Day Two, Pop-up University 1, 13.00

1. Partnership working – working together
with local authorities to make change
happen
Chair: Antony Tiernan – Director of Engagement
and Communications, New Care Models
Programme

2. Partnership working
Contracting and quality monitoring
care homes in Nottingham City

3. Nottingham’s journey
What needed to change and how did
we overcome the challenges?
• Hearts and minds
• Brains
• Courage
• Optimism
The catastrophic event – Autumn Grange

4. Aim – to reach the Emerald City
What have we done so far…
• The joint contract – council lead
• Sharing information and allocation of quality
visits
• Virtual teams
• Early intervention team
• Dashboard pilot
What are the benefits?
• Shared oversight of care home quality
• Less bureaucracy
• No duplication

6. West Wakefield Health and Wellbeing
Working with the local authority
Dr Chris Jones MBChB, MRCGP, Programme Director
Email: chris.jones@westwakefield.org.uk
Telephone: 07789 718822

7. Wakefield District
• Population of 332,000 expected to rise to 338,000 in 2018.
• 65th most deprived district in England, with 40,000 people in the district living in
neighbourhoods amongst the top 10% most deprived in England.
• Currently has three council owned ‘Connecting Care’ health and social care hubs.

8. Challenges and advice
• Challenges / issues
– Interoperability (IT systems, records, pathways, etc)
– Health and social care cultures are different
– Inequality of resources
– Conflicts of interest (commercial bidding)
• Advice
– Necessary to develop a shared vision
– Effective working relationships are key and require investment
– Must work towards establishing shared premises as soon as possible
– Joint governance is essential to integrate workstreams (e.g. joint operational
delivery group)
– Shared approach to organisation development (e.g. team of teams)

9. Stockport Together
Working in partnership
Andrew Webb - Joint Senior Responsible Officer, Stockport Together
Director of People's Services at Stockport Metropolitan Borough Council
Mark Chidgey, Chief Finance Officer and Director of Provider
Management, NHS Stockport Clinical Commissioning Group.

10. Overcoming challenges
• Sign up to joint vision and principles
• Commitment that there will be fundamental changes to all organisations
• Set up weekly leaders and executive meetings
• Develop relationships between and clinical and democratic leaders
• Be clear about governance processes
• Share – public buildings, technology, research, staff
• Be respectful of each other’s statutory responsibilities

11. What next?
• Procurement of the multispecialty
community provider (MCP)
• Further development of the integrated
commissioning function
• Ambition to pool £500m
• Integrated care board development
• Workforce and staff engagement

12. Challenges continued…
• Conflicts of interest
• Changing the whole system at the same time
• Individual governance processes and decision making
timelines
• Pace and scale
• Plugging the leadership gap
• Double running services and processes
• Organisational culture - taking staff with you and
Provider/commissioner differences

13. Integration in East and North
Hertfordshire
Jamie Sutterby, Assistant Director for
Health and Social Care Integration

14. Our story of integration…so far

15. Partnerships for integrated working
OperationsService DesignSystem Leadership
Well developed partnerships at every level

16. The success of a vanguard

17. Find out more…
Come and speak to us afterwards
Visit our website: www.enhertsvanguard.uk

18. Questions?
For further information about the
new care models programme
please visit
www.england.nhs.uk/vanguards