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Ribblesdale Community Partnership

Ribblesdale Community Partnership. Ensuring a Health Valley: New Ways of Working Phil Mileham 10 April 2017. Lancashire and South Cumbria. One of 44 Footprints in England Sustainability and Transformation Plan (STP) -“Healthier Lancashire and S Cumbria ”

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Ribblesdale Community Partnership

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  1. Ribblesdale Community Partnership Ensuring a Health Valley: New Ways of Working Phil Mileham 10 April 2017

  2. Lancashire and South Cumbria • One of 44 Footprints in England • Sustainability and Transformation Plan (STP) -“Healthier Lancashire and S Cumbria” • Aim – health and care organisations to work together to transform services and the way people use and access them- make people in the area healthier- enhance care quality- put health and care services on a sustainable footing

  3. Healthier Lancashire and South Cumbria • Tackle life expectancy inequality; improving the area’s health by making it easier to get expert advice, access free healthy-living and support schemes. • Improve the way that care is planned and delivered in the region in a more person-centred and coordinated way; bringing help closer to people’s homes and using technology to empower and improve the quality of care people receive. • Relieve the financial pressures on our local NHS by doing things more efficiently; such as avoiding duplication, waste and providing the most clinically effective interventions at the most appropriate time, place and way. • Encourage and support people to take their health more seriously and assume greater responsibility for their own good health.

  4. Healthier Lancashire and South Cumbria • Develop robust integrated care services across Lancashire and South Cumbria that are based in local communities and reduce the over reliance on acute hospital-based services. • Create a multi-skilled, flexible and responsive workforce with great development prospects. • Enhance the role of the third sector to support mainstream services • Establish joint system leadership across Lancashire’s entire health and social care environment.

  5. Pennine Lancashire • Local Development Plans across 5 areas:- Central Lancashire- West Lancashire- Pennine Lancashire- Fylde Coast- The Bay Health and Care Partners • Pennine Lancashire – “Together a Healthier Future”

  6. Three Major Gaps • Health and Wellbeing(including life expectancy, disease prevention, mental illness, children and young people) • Care and Quality (reducing demand on urgent and emergency care) • Finance and Efficiency (hospital based care 35.7% of spend, adult social care 11% of spend and primary care 18% of spend in 2014/15)

  7. Pennine Lancashire

  8. New Ways of Working:Accountable Care Organisation (or system) • brings together a number of providers to take responsibility for the cost and quality of care for a defined population within an agreed budget. ACOs take many different forms ranging from fully integrated systems to looser alliances and networks of hospitals, medical groups and other providers. • Kings Fund 2016

  9. Development of Multi-Specialty Community Providers • The Five Year Forward View 2014 “the NHS will take decisive steps to break down the barriers in how care is provided between family doctors and hospitals……….The future will see far more care delivered locally…….” “groups of GPs combining with community health services, hospital specialists and perhaps mental health and social care to create integrated out-of-hospital care…” • Multi-specialty Community Provider (MCP)Emerging Care Model and Contract Framework (2016) “the underlying logic of an MCP is that by focussing on prevention and redesigning care, it is possible to improve health and wellbeing, achieve better quality, reduce avoidable hospital admissions and elective activity, and unblock more efficient ways of delivering care”.

  10. Ribblesdale Community Partnership - Membership Establishment of Ribblesdale Community Partnership Strategy Group • RVBC • GP Practices (x4) • ELHT • LCFT • LCC • CVS

  11. Ribblesdale Community Partnership - Objectives The Ribblesdale Community Partnerships objectives are to: • Develop and implement a strategy and plan for the Ribblesdale Neighbourhood. • Test out models of delivery for health, wellbeing and care services within the neighbourhood. • Ensure that the model supports the delivery of health, wellbeing and care needs for the Ribblesdale population. • Ensure maximisation of all available resources. • Monitoring the impact of the Ribblesdale Community Partnership.

  12. RCP Strategy and Priorities • Joined Up Care and Support – Development of The Ribblesdale Integrated Neighbourhood Team – keeping people out of hospital, arranging care for people coming home from hospital • Children and Young People – Build a team to support families that includes voluntary organisations as well as health and social care. • Adult Mental Health Services – Develop local services with a range of access points, including the transition from children’s services to adult mental health. • Living Happy, Healthy and Well -Developing a system that encourages healthy lifestyles, healthy environment, social support, access to services, health education • Keeping Happy, Healthy and Well -Allowing people to access and encourage people to use local services appropriately within the community including drug and alcohol, sexual health, minor ailments and injuries, and hospital outreach services.

  13. Examples of Priority Plans • Review of nursing roles and responsibilities within the Ribblesdale locality to ensure joined up support is provided to patients and interventions are provided by the most appropriate professional regardless of who they are employed by. • Development and implementation of a health education programme for children and young people to understand the impact of their behaviour on their health and wellbeing, linking to appropriate usage of health and care services.

  14. Examples of Priority Plans • Ensuring third sector support where appropriate to address the wider determinants of mental health including support services such as befriending schemes to address social isolation, carer support, domestic abuse etc. • Support the implementation of affordable warmth schemes in Ribblesdale to address the issue of fuel poverty. • Avoidance of people having to travel to urgent care centres in Blackburn and Burnley by ensuring that locality community services are able to assess and manage patients who do not have a life threatening illness.

  15. Progress and Plans • Written Strategy • Highlighted Priorities • Communications Strategy • Public Engagement – April • Action Plan (draft) • Measurable Outcomes (Case Studies) • Evaluation Process

  16. Ribblesdale Locality:A Test Bed for an Accountable Care System • What is a neighbourhood? • Where does Ribblesdale fit within The Ribble Valley? • Where does The Ribble Valley fit within Pennine Lancashire? • Who are the System Leaders?

  17. Any Questions?

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