Mid Essex Provider Forum 17 May 2017 Residential

Mid Essex Provider Forum 17 May 2017 Residential and Nursing Working together for better care

Welcome! 2

Agenda • • 3 Arrival, registration and refreshments Opening Comments and Meeting Outline Update: Integrated Residential Nursing Contract Integrated Discharge Demonstration: Care Provider Information Hub & Provider Feedback Braintree Neighbourhood Hub Question Time Plenary

Opening Comments and Meeting Outline Simon Froud (Director of Local Delivery) 4

Additional Social Care Monies • 3 year ‘one’ off funding i. e. this is not an increase in the base budget • You will remember that in the Chancellor’s budget it was announced that £ 2 billion of funding will be made available for social care. • This funding had not been included in our discussions or models as we were awaiting more details of the funding and the conditions for its use. • Draft grant terms have now been made available which state that the funding should be; 5

Additional Social Care Monies • “spent on adult social care and used for the purposes of meeting adult social care needs, reducing pressures on the NHS - including supporting more people to be discharged from hospital when they are ready - and stabilising the social care provider market. ” • The funding will also have to be signed off by the NHS through the Better Care Fund mechanisms. • For this reason, it would not be possible to use these funds to increase care prices in 2017/18, as any increase would have to be removed in the following year. This would not allow providers to invest in pay rates, staffing levels, or training and development, and so do little to meet the requirements to improve hospital discharge and provide more care packages. 6

Additional Social Care Monies • For the reasons set out we would like to seek your input as to how we maximise the impact of these additional monies without creating an on-going financial burden when the funding ceases. We have received no confirmation that the £ 8. 3 m allocated in 2019/20 will continue in future years. 7

Update: Integrated Residential Nursing Contract Charles Wattley (Contract Manager) 8

Integrated Residential and Nursing (IRN) Contract • Charles Wattley – Contract Manager (Adults) • T: 033301 36422 • M: 07809 555171 9

Where are we now: • 1 st anniversary of the 3 year contract launched February 2016 • Re-opening the contract via a mini tendering process to allow existing providers to bid new prices and allow new providers to come onto the framework. 10

Preferred Suppliers Rank List (PSRL) Bidders ranking scores sent out on Friday 12 May 2017 with position on the rank list notified. 11

Next Steps Reviewing the number of KPI questions along with our CCG’s Health Colleagues. Go live date for the launch of the 1 st anniversary of the IRN contract: 1 st June 2017 Contract review will be carried out annually (1 st June 2018) where providers can tender to become part of the framework 12

Questions 13

Integrated Discharge Brid Boraks (Service Manager) 14

Planned Pathway Unplanned/Crisis Pathway

Unplanned Pathway

Objectives of Integrated Discharge Team HOME FIRST Caseload management of people requiring health & social care at discharge Navigation to other agencies and services Board rounds at ward level Assessment skills: Trusted assessor Single point of contact/access

Home/transfer 2 assess The key features are an integrated ‘suite’ of services geared towards ‘home’: • Hilton Model • Reablement • Health / Social Care Support – (Short term Care) • Community Hospitals (Transfer 2 assess & rehabilitate)

Demonstration: Care Provider Information Hub & Provider Feedback Lucy Johnson (Project Manager) 19

Commercial Online Care Provider Information Hub • Project Sponsor: Nicole Wood • Commercial Lead: Zoe Harriss • Project Manager: Lucy Johnson 20

Background As a result of feedback from the providers, we are currently developing a care provider information hub to: Create a forum for us to develop two way communication channels and enable us to communicate effectively and in a timely way. Develop transparency in the market. Improve the markets understanding of our commissioning intentions and needs. 21

Online Care Provider Information Hub The portal will provider you with: • Latest News and newsletters. • Forthcoming events and information from previous events. • Commissioning Intentions: • Market Position Statement • Market Shaping Strategy • Services Commissioning Intentions • Sourcing, capacity and demand: • GIS Mapping of clients • GIS Mapping of demand data • GIS Mapping of community assets e. g. GP’s, libraries, hospitals etc. • Quality • Information to support Quality checks, check lists and what to prepare for when being inspected. • Workforce Development • Training and e-learning available to support you to develop the workforce. • Working with us; how to work with us • Frequently Asked Questions; common questions • Getting to know us; details on our team, roles and responsibilities. 22

What you have already told us…. 23

What we need from you…. What to you think about the look and feel? What information should be contained in each of the sections? What is missing? If you would like to contact us to provide feedback, get involved or share ideas on how this can be used please feel free to contact us on: marketportal@essex. gov. uk 24

Braintree Neighbourhood Hub 25

Locality Development The New Primary Care Model For Mid Essex CCG plus Wide Locality Hub Intermediate Care Beds Dentistry Shared PC Clinical Support Comm. LD Teams Mental Health Specialist District Nurses Diagnostics (handheld) ultrasound Optometry Sub-Locality Hub Comm. Spec. Nurses Primary Care Network/Hub. Practice Administration Physician’s Assistant The Practice Nurse Pharmacy Practice Management GP HCA Acute Specialists Physiotherapy PC Urgent Care Hubs Community Rapid Response Practice Pharmacist Social Care Receptionist Social Prescribing Citizens Advice Diagnostics X-Ray / MRI Specialist Outpatients Community Mental Health

Growing Capacity and Capability in Primary Care

Locality Development Initial Headline Priorities Identified by Sub Localities Colne Valley Braintree • Sharing back office functions • Care Homes • Stand alone frailty team • Access to Mental Health • Cross sector involvement in caring for LTC • Navigation to Services patients Witham • Palliative Care, LTC and Children • Further develop and expand existing collaborative work • Evaluate and roll out extended MDT arrangements piloted South Woodham Ferrers Dengie • Long Term Conditions • Frail Elderly • Frailty case management • Patients with Long Term Conditions • Mental Health & Counselling • People with Mental Health Problems • Children Chelmsford Maldon • Urgent on the day appointments • Mental Health • Nursing & Care Homes • Care of People with Leg Ulcers • Complex & Failed Discharges • Practice / GP Capacity & Efficiencies • Dementia Diagnosis 28 • Mental Health

Who is Currently Involved in Developing the Braintree Neighbourhood Hub…. CHURCH LANE SURGERY

Braintree Neighbourhood Hub • Led jointly by Adult Social Care & Provide • Being ‘Grown from Community Upwards’ with Partners • Developing bespoke Models: – Care Homes – Navigation – Mental Health • Sustainability longer term

Neighbourhood Recommendations: Developing work with Care Homes - Named GP aligned to specific residential care homes Linked Nurse Assessor role – triage, weekly ward round, Linked Social Worker aligned to specific homes EMDT as default mode of operation Adaptation of Sheffield handbook: minor ailments approach - Review/agree effective MDT approach including use of digital - Defined access points and relationship to urgent care pathway /admission avoidance

Mental Health NEPT Reviewing MDT Nurse Liaison roles (2 x 30 hour posts) Feedback on referrals Piloting Specific Mental Health Enhanced Multi Disciplinary Team meeting Assessing possibilities for in-reach MDTs with Care Homes

Next Steps • • • Workshop with Braintree Residential and Nursing Homes Developing & Agreeing work plans Agreeing who to pilot with Implementation Learn from the findings and tweak Scaling up

Question Time….

Question Time 35

Plenary 36