MY LIFE A FULL LIFE Isle of Wight

MY LIFE A FULL LIFE Isle of Wight Loretta Outhwaite Interim Programme Director & Chief Finance Officer (IW CCG) Loretta. outhwaite@iow. nhs. uk

MY LIFE A FULL LIFE Isle of Wight What is My Life a Full Life ?

PARTNERS: the list is growing… Isle of Wight Clinical Commissioning Group Isle of Wight Council (incl. fire & children’s srvs) Isle of Wight NHS Trust One Wight Health (All 17 GP Practices) Voluntary Sector Independent Sector (Care Homes & Home Care) Earl Mountbatten Hospice Hampshire constabulary Housing associations

AIMS Quality of life & keeping well Person-centred, allowing & enabling individuals to take control of their lives & their care Prevention-based, promoting health & wellbeing Services based in the community/at home, delivered by integrated teams Linking together & building on schemes already up & running/being planned across our communities

“I” Statements I’ll no longer be a patient or client – I’ll be a person I have access to easy to understand information about health, wellbeing, care & support I am able to get skilled advice to plan my care & support I can plan ahead & keep control at times of crisis I have considerate support delivered by competent people

MY LIFE A FULL LIFE Isle of Wight, PACS Vanguard Why are we doing this ?

ISLE OF WIGHT OVERVIEW 23 miles wide by 13 miles long Accessible only by sea/air (weather dependent) Population of 142, 000; est’d £ 300 m health & social care budget 2. 5 m visitors p. a. ; 2 large music festivals Single system, single boundaries Low earnings; higher than av. long term unemployment; 20% children live in poverty; low GCSE attainment (45%) Increasing elderly population; 26% over 65 (17% England av) & over 75 12% (8% England av) Recruitment & retention issues

SERVICING THE ISLAND’S NEEDS: CHALLENGES Off-island destination Transport Southampton General Air 8 Southampton General Sea 100 Queen Alexandra Portsmouth Air 8 Queen Alexandra Portsmouth Sea 85 Front line Transport Annual activity Coastguard 47 Air ambulance 83 Ferries 392 Travel time (mins) Type of patient % treated off Island Elective 22. 9% Non-elective 7. 2%

AGE PROFILE • Over 65 s expected to increase by 47% & will account for 36% of the total population by 2037 (vs England 24%)

Health Needs: Multiple Chronic Conditions By Age – The majority of over-65 s have 2 or more conditions, and the majority of over-75 s have 3 or more conditions – 54% of patients have at least one chronic condition requiring management Source: ACG Risk Stratification tool, July 2015

GETTING IT RIGHT: ALLOCATION & COST Allocation Need Cost Tariff/benchmarked cost Inefficiencies Island Premium Mitigate with system redesign Unavoidable

ACTIVITY BENCHMARKING: HES DATA A&E Attendances per 1000 population (standardised) 2014/15 Elective Admissions per 1000 population (standardised) 2014/15 Emergency Admissions per 1000 population (standardised) 2014/15 New To Follow Up Ratio (All Specialties) 2014/15

MY LIFE A FULL LIFE Isle of Wight, PACS Vanguard What are we going to do ?

VANGUARD BID Why we are the perfect Vanguard § § § Strong My Life, a Full Life brand Single system, single boundaries (NHS Trust, CCG, Local Authority) Strongly engaged community Our three key projects (so far…) 1 Crisis intervention reducing hospital admission 2 The formation of 3 integrated locality teams 3 Self Care – Accessing information and support Our starting point for going forward We’re already on the way – but we can go further and faster with your help! We have an incredibly active voluntary sector on the Island, along with strong communities. Both are at the core of the My Life, A Full Life model. Working together is nothing new for us. My Life, A Full Life is already working across organisational boundaries, sharing resources and expertise. The age and wellbeing of the Island’s current population is a reflection of how the rest of England’s population will be in 20 year’s time. If we can get care right here, we can lead the way for the rest of the country. Care on the Island will be shaped around people’s individual needs and managed by them. Our model focuses on keeping people happy and healthy through selfcare and selfmanagement.

Partners’ current examples Crisis Response

Our Current Model & Issues Health and social care services (statutory) Voluntary & independent Voluntary and support sector services Access to services are often uncoordinated Funding not aligned with person centred care Separate leadership Services are working separately It is financially unsustainable Technology potential not maximised Friendships and support services Information is not easily available Organisational boundaries Reliance on health and social care services Does not give flexibility for where people are treated

OUR ‘MY LIFE’ MODEL Healthwatch la e Is Frie nds Colleagu es rc e Home kf o or w d an Fami ly yre Ca pe ed er w d Key enablers Intimate / Family Children’s social care Domicili ary. Care em st Sy Housing Association le ab em MH & LD Services en e Community Health Services og On Ambulanc e Service ol le Isle Help hn Town and Parish Councils Adult social care £ nd On ec 10. 06. 2015 09. 06. 2015 Environment e. T http: //www. nurturedevelopment. org/ Based on ABCD approach – Cormac Russell Informal commu nity links Integrat Support Transport Groups ed single point of access Pallia tive Care Independe nt Sector Voluntary Sector Education Hospital Services op Integra ted Locality Teams Out of Hours On The Integrated Locality Teams deliver person centred care and support in the community, with GP clinical leadership and multi-specialist teams. Public Health po At the centre of our model is the person My Life coordination supports the individual to navigate the community and system. This single point of access triages, reduces the perceived system complexity, increases awareness of services, and maximises efficiency. Commissione d voluntary sector Crisis Commu Respons nity e Team Faith People Groups Matter On e in My Life for ma Coordinat tio n ion One Leadership Our integrated ‘My Life’ model is: l Prevention-based l Health and wellbeing promoting l Built on experience-based co-design l Founded on self care and empowered communities. Friendships Associated Life My Life, A Full Life – care services

MY LIFE A FULL LIFE Isle of Wight, PACS Vanguard How are we going to do it ?

09. 06. 2015

PROGRAMME STRUCTURE Prevention & Early Intervention Integrated Access Integrated Locality Teams Whole Integrated System Review Integrated Locality Teams Integrated Access Prevention and Early Intervention Whole Integrated System Review One Leadership & One Empowered Workforce One Information & Technology Enabled Care, Infrastructure and Estates Strategic Commissioning, Contracting and One Island £ Organisational Integration & Form Evaluation and Measurement Communications, Engagement and Project Management Office

MY LIFE A FULL LIFE Isle of Wight Loretta Outhwaite Interim Programme Director & Chief Finance Officer (IW CCG) Loretta. outhwaite@iow. nhs. uk