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

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