‘Whole Systems Change’ Co-producing new models of care and health in London 16/04/15.
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Transcript of ‘Whole Systems Change’ Co-producing new models of care and health in London 16/04/15.
Who are we?Healthwatch is the consumer champion for health and social care in England. We make sure the views and experiences of service users are heard by those who run, plan and regulate health and social care.
KCSC is the local voluntary sector support agency for the borough of Kensington and Chelsea.
“…too few occasions are there for citizens to get involved and shape the strategy
and priorities of the NHS”Better Health for London, London health Commission
http://www.londonhealthcommission.org.uk/better-health-for-london/
“(This report) argues for a more engaged relationship with patients carers and citizens to promote well being and
prevent ill health”Five Years Forward View, NHS England
http://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf
Better engagement is needed in London
Decision making structure for Whole Systems Integrated Care for over 65s
EngagementOver 70s & Carers•1-to-1 interviews•Focus groups
Voluntary Sector
Patient Panel Model of Care Working Group
Whole Systems Steering Group
Out of Hospital Committee Patient & Public Engagement Committee
West London CCG Governing Body
What we did:
•Created and providing ongoing support for a patient
panel & patient reps on the governance structure
•Healthwatch CWL and KCSC were commissioned by
NHS West London Clinical Commissioning Group
(CCG)
•30 face to face interviews with carers or people
over the age of 65 with one or more long term
conditions.
•Focus groups with an Arabic-speaking women’s
group, an African-Caribbean day centre, and a
sheltered
housing scheme for older adults.
1. Co–design of integrated care in WLCCG
1. Co–design of integrated care in WLCCG (cont.)Findings and recommendations:
• Accessible transport will need to be in place
• The ‘hubs’ of health and social care will need to be
integrated within the local community
• All care should be coordinated around the patient
• Frontline staff should be trained to enhance the
service
• There must be an agreed communication protocol
between GPs, hospitals, social services & community
health services
• Patients should have access to self-management
courses and resources.
2. Developing the business case
•To show to the CCG what the sector can deliver to meet their outcomes
•The sector’s contribution to reducing hospital re-admissions
•Sending a message that this needs investment
2. Developing the business case
How we are doing this:
•Collecting data from organisations on services they deliver - events and survey
•Unit costing each service
•Mapping outcomes against CCG outcomes
•Segmenting users
•Looking at commissioning models
2. Developing the business case
Next steps:
•Producing a report – Summer 2015
•Recommending a model of social prescribing
•A holistic view of patient need – health and wellbeing
Lessons learnt
•Define co-production
•Time consuming process
•Be prepared e.g. segment users, anticipate
new monitoring trends, test the market
•Unit costing is challenging
•Need to get stronger on evidencing how the sector meets CCG outcomes