Well Connected History Arose out of Acute Services

Well Connected: History • Arose out of Acute Services Review • Formal collaboration between WCC, all local NHS organisations, Healthwatch and voluntary sector • Builds on long history of successful partnership • Strong general practice • Successful application for National Integration Pioneer status • Clear agreement that patients / service users and the public come first, not organisational interests

Our vision Better Experience for service user, families and carers Focus on communities with the poorest health Care centred around your GP practice and the community Looking after ourselves and each other Service Users, families and carers at the centre

What will the future look like? • The future does not just pose challenges, it presents opportunities • A health service, not just an illness service • Giving people greater control and greater choice over their health and well-being • Harnessing transformational technologies – online and digital inclusion • Sharing data and knowledge so people tell their story once • Developing personalised rather than ‘one-size fits all’ model of care • Pooled budgets –with, where appropriate, personal control

Worcestershire 5 year Health and Care Strategy Our vision for health and care in Worcestershire You plan your care with people who work together with you to understand your needs, allow you control and co-ordinate and deliver services that support you to achieve the outcomes important to you. • A seamless health and social care system delivering high quality, timely and effective care; • As much care and support provided in or as close to people’s homes as possible; • Individuals and families will be able to take greater responsibility and greater control over their own health and care; • Specialist hospital services, primary care and community care provided from high quality safe environments, with appropriate qualified, supported and skilled staff working across 7 days. • Investment in prediction, prevention and early intervention where we can be confident that this will reduce future demand on services; • Residents helped with technology supported self care to ensure that specialist resources are focused more effectively on those in most need; • Reduced differences between social groups in terms of health and social care outcomes; • A financially sustainable model of care that targets the use of resources in those areas that will have greatest impact.

Our vision for health and care in Worcestershire You plan your care with people who work together with you to understand your needs, allow you control and co-ordinate and deliver services that support you to achieve the outcomes important to you. National Voices 6

Delivering the Strategy: Programmes and Governance Bodies RBCCG Governing Body WFCCG SWCCG Governing Body WAHT Board Health and Wellbeing Board WHCT Board WCC Cabinet NHSE AHW Health Leaders Forum Worcs Health Improvement Group Strategic Partnership Group Health Protection Group Children’s Trust Board Health Watch Making it “Well Connected” by focusing on (Well Connected Steering Group) Transformation programme areas VCS Out of hospital care: Urgent Care • Primary Care at scale • Care Closer to home Specialised Services Future of Acute Services 1. Improving quality 2. Effective and meaningful public engagement 3. Parity of Esteem between physical health and mental health 4. Integrated care plans 5. Financial sustainability Future Lives Children and Young People’s Plan 6. Alignment of key enablers: Leadership Governance Workforce Information technology An integrated commissioning strategy (incorporating the Better Care Fund)

How will challenges be met and opportunities realised? • In part through the Better Care Fund (BCF) • NOT NEW MONEY • To be agreed by HWB – developed in partnership • Intrinsic part of our 5 year strategy • At a minimum in 2015/16 the pooled budget for Worcestershire will be £ 37. 2 million • Defining people most in need of coordinated care

Better Care Fund is a local plan that has to meet national conditions 1 Plans to be jointly agreed 2 Protection for social care services (not spending) 3 As part of agreed local plans, 7 -day services in health and social care to support patients being discharged and prevent unnecessary admissions at weekends 4 Better data sharing between health and social care, based on the NHS number 5 Ensure a joint approach to assessments and care planning and ensure that, where funding is used for integrated packages of care, there will be an accountable professional 6 Agreement on the consequential impact of changes in the acute sector

Better Care Fund • Identified four group - require a different approach to the commissioning and provision of services • Focus BCF initially on high risk individuals who require the most funding and for whom benefits of integration are greatest • Further work required on population segmentation 1 Normally healthy but sometimes need some form of health or social care support, either through a planned or an emergency event, from which they fully recover and return to their previous way of life 2. One off significant event that results in them from moving from group one to group four and remaining there for a considerable time or for the rest of their lives. 3. “Rising tide” of health problems (which could be preventable) resulting in them moving from group one to group four and remaining there for a considerable time or for their rest of their lives 4 Normally unwell and require some form of on going health and social care support to live their everyday lives.