What does good look like?

Dr Caroline DolleryGP Clinical Director, East of England Strategic

Clinical Networkcdollery@nhs.net

Evidence, what evidence?

• Urban myths abound• But we have some very strong evidence• And with a strong basis in personalised care

Where we are?

• Dame Carol Black’s report, leading to IAPT and beyond

• Personal health and social care budgets: Cumbria, Northampton, London, Bedfordshire

• Pioneer programmes: integrated commissioning

• Long term conditions, frailty and new ways of working

Areas of development

The public

National initiatives

System enablers

Commissioning

Information development

National

• Urgent care review and concordat• Mental health outcomes framework• Leadership development• Recognition of parity of esteem• Political support• Long term conditions and frailty models

InformationBarriers

Information governance nationally

Social care and health system interfaces

Health system interfaces

Lack of patient held information

Quality and safety

Opportunities

Mental Health Intelligence Network

Mental Health Dashboard

Mental Health outcomes framework

Pioneer programmes: integrated approaches

Development of personalised systems of care through SCNs and Academic Health Sciences networks

System enablers

System enablers

CCGs, social care and providers

AHSCNs

Strategic networks

Sharing good practice

• Leadership development: London, East of England, South Coast, leading to national programme

• Personalised care: Cumbria, Northamptonshire, Bedfordshire

• Taking frailty approach: Essex, Cumbria, Kent• Changing the vision: early intervention and

prevention: Sandwell, Essex, Salford• True patient participation: Cambridge SUN model

Sharing good practice

• Depression and suicide prevention: Detroit workshop and pathfinder sites

• CAMHS: defining what children and young people really need; removing barriers; removing waiting times; including them in designing services and developing resilience

• Physical and mental health: South Essex, North Essex, Bedfordshire, South Central, London

Commissioning

• New approaches:– Year of Care tariff– Pioneer programmes– Developing relationships: voice of patients,

families and carers. Co production– Importance of self care, self management– Role of Health and Wellbeing Boards

Questions?

• cdollery@hotmail.com