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Integration – the story so far

Integration – the story so far . Isobel Bowler and Barbara Walsh. Thank you!. 26 local authority social services depts. 25 PCTs 1 care trust. What are drivers?. Delivering on OHOCOS white paper Delivering the Long Term Conditions agenda Delivering the NSF for neurological conditions

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Integration – the story so far

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  1. Integration – the story so far Isobel Bowler and Barbara Walsh

  2. Thank you! • 26 local authority social services depts. • 25 PCTs • 1 care trust

  3. What are drivers? • Delivering on OHOCOS white paper • Delivering the Long Term Conditions agenda • Delivering the NSF for neurological conditions • Keeping DH happy • Keeping elected members happy • Keeping SHA happy …..

  4. Don’t lose sight of • Delivering for service users • Delivering for carers • Delivering for front line staff

  5. Current situation • Everyone has some integration of health and social care teams • Learn from your experience positive and negative • Some of you have teams that focus on the population with LTCs • Some teams not specifically for LTCs but deliver to people in that group

  6. Current integration for LTC • Intermediate care teams • Intake teams / Care Assessment teams • Long term care teams • Older people’s teams • Prevention of admissions teams

  7. Where are we on the journey? • Joint strategies – shared vision endorsed by both organisations • Joint plans • Joint implementation • Pooled budgets • Single management • Co-location • Joint working

  8. Approaches to integration • Different models will work in different places – one size does not fit all • Incremental - building it up piece by piece • Organic - Co-location see what happens • Opportunistic – by initiatives • LTC teams as part of wider strategic approach to integration • Big Bang

  9. Final thoughts • What does integration mean? • Is it structural or about the service as it is experienced • might want a structural solution but might want something more informal • Glue and grease • Glue: holds service together • Grease: enables people to move through the system. • How do you involve service users and carers? • real user voice in designing and amending services.

  10. Where next? • Where are you now? • What can you build on? • What do you need from the network? • How can we help

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