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Lisa Birtles-Smith Clinical Lead Halton CCG & Clinical Lead Nurse Halton Borough Council

Lisa Birtles-Smith Clinical Lead Halton CCG & Clinical Lead Nurse Halton Borough Council Damian Nolan Divisional Manager – Urgent Care. Local Context of Complex Care Co- terminous Local Authority and Clinical Commissioning Group 17 GP Practices 2 Acute Hospitals

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Lisa Birtles-Smith Clinical Lead Halton CCG & Clinical Lead Nurse Halton Borough Council

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  1. Lisa Birtles-Smith Clinical Lead Halton CCG & Clinical Lead Nurse Halton Borough Council Damian Nolan Divisional Manager – Urgent Care

  2. Local Context of Complex Care • Co-terminous Local Authority and Clinical Commissioning Group • 17 GP Practices • 2 Acute Hospitals • 1 Community Healthcare Provider • 1 Acute Mental Health Provider • 32 Residential/Nursing homes & 11 Domiciliary Care providers

  3. Opportunities & Challenges • Small but perfectly formed! • Strong local communities • Local workforce • Demographics & Deprivation • Rapidly changing landscapes • Pan-Borough organisations • Financial

  4. Developing an Integrated Care Model • Network approach • Outcome focussed – centred around the individual • Developing pathways of care – understood by individuals • Use of contracts, incentives, service and management level agreements

  5. Focus of Learning Disability services as an exemplar • Current landscape

  6. Focus of Learning Disability services as an exemplar • Developments/approach

  7. Focus of Learning Disability services as an exemplar • Moving forward

  8. Halton’s Learning Disability Nursing Team • What we do….. Glue/ common ground Training Linked workers to GP surgeries Health support

  9. Halton’s Learning Disability Nursing Team • How we do it…..

  10. Halton’s Learning Disability Nursing Team • Working within a Local Authority • Individual focussed • Breadth of activities undertaken • Influence and sharing knowledge • Shared vision • Support to raise and maintain standards in services • Out of Borough support • Transition

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