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Integrating Care in Eastern Cheshire
Caring Together Model
Knutsford 28th May 2013
Integrating Care in Eastern Cheshire
Welcome
Integrating Care in Eastern Cheshire
Introductions
• Take five minutes now to introduce yourself
• Get to know your group
“Hi, I’m Louise and....”
Integrating Care in Eastern Cheshire
Introduction
Louise Booth, Participate
Integrating Care in Eastern Cheshire
Introduction
Integrating Care in Eastern Cheshire
What’s Today About?
Principles
What
does this
mean to
you?
Identify
Focus
Review
the
Model
Discuss
and
enhance
Next
Steps
Integrating Care in Eastern Cheshire
What Happens Today?
• We will give you information in bite sized
chunks as presentations
• Followed by discussion groups
• Insight captured and reported
Integrating Care in Eastern Cheshire
We’re Here to Deliberate
• What’s deliberation?
– Open discussion
– Look at the issues
– Discuss the facts
– Understand different people’s points of view
– Listen to other people without bias
– Give time for people to have their say
Integrating Care in Eastern Cheshire
Your Comfort
• Natural break whenever you like
• Water on tables
• Ask if you need anything else
• Finish around 9pm
Integrating Care in Eastern Cheshire
Caring Together Principles
Dr Paddy Kearns
Integrating Care in Eastern Cheshire
What is........?
Integrating Care in Eastern Cheshire
Quite simply it is about
organisations and people such as
patients, carers, volunteers and
staff all working together to make
care as straightforward and
integrated (joined up) as possible
Integrating Care in Eastern Cheshire
So what does that mean...?
We need to have a
single front door to
urgent care services
We need investment
in community
services
We need to have
a single budget for
social and medical
care beds
We need
dieticians
to work
with Care
Home
chefs
We need
geriatricians
working closer
with GPs
We need to
help carers
prepare for
dementia
We need to be able access
patients records on the Ward
We need to plan
social care before
admission
We need to
stop telling
our story to
every
professional
We need listen
more to our
patients
We need to know who to talk
to and when
Integrating Care in Eastern Cheshire
In Eastern Cheshire
This means
joint
working
23 GP
Practices
Integrating Care in Eastern Cheshire
This is reflected in…
• The NHS Constitution
• Better Care, Higher Standards Charter
• Cheshire East Council Three Year Plan
Integrating Care in Eastern Cheshire
The National Principles
http://www.youtube.com/watch?feature=player
_embedded&v=YrG8x3XimSM
Integrating Care in Eastern Cheshire
First Group Discussion
• Do you agree with the Principles?
• Where are the gaps?
• What works and what doesn’t?
• What makes you frustrated?
Integrating Care in Eastern Cheshire
What is the Focus?
Louise Booth
Integrating Care in Eastern Cheshire
Identify the Focus
Place key points
raised on Post-It
Notes
Place dots on
points you
agree with
Integrating Care in Eastern Cheshire
The Caring Together Model
Dr Paddy Kearns
Integrating Care in Eastern Cheshire
Supported by
Community and
Local Services
Integrating Care in Eastern Cheshire
Co-ordinates
and manages
care
Principles
Supported to
co-ordinate and
manage own care
Encouraged to live
independently
Include community and
voluntary sector
Include all local
communities
Integrating Care in Eastern Cheshire
Co-ordinates
and manages
care
How
Community information
Prevention services
Supported housing
Exercise services
Day care
Assistive technologies
Multiagency team -
Assessment and
signposting
Volunteer signposting
Information, support,
signposting and
technology
Integrating Care in Eastern Cheshire
Co-ordinates
and manages
care
Services/Interventions
Community exercise
Prevention campaigns
Regular health checks
Telehealth & telecare
Man in a Van
Dentists, pharmacists and
opticians
Patient programmes
Screening
Signposting
Information, support,
signposting and
technology
Checks,
screening and
other services
Integrating Care in Eastern Cheshire
Community
Provided Care
Community Care
This is targeted
Town based
(within 5 miles)
Provides 75% of care
Integrating Care in Eastern Cheshire
Community
Provided Care
Targeted
within 5 miles
Principles
Care in person’s home
Services targeted to
need
Focus on prevention
Less admissions to
hospital
Collaborative working
Relationship building
Accessing different kinds
of solutions
Integrating Care in Eastern Cheshire
Community
Provided Care
Targeted
within 5 miles
How
Population profiling
Care co-ordination
Neighbourhood Teams
Link with other localities
Integrated pathways
Federations of providers
Intermediate care service
Assessment & signposting
Out of hours
Integrating Care in Eastern Cheshire
Community
Provided Care
Targeted
within 5 miles
Services/Interventions
Single assessment
Case management
Range of preventions
Care planning
Rapid response
Screening
Respite and support
Shared decision making
Outpatients
Transition care
Integrating Care in Eastern Cheshire
It’s about
empowering
people to
provide and
receive
integrated
support locally
Integrating Care in Eastern Cheshire
Second Group Discussion
• Firstly as individuals read through the model
• Note down using the form given how that
model relates to your experiences
• As a group then discuss these experiences
• Agree a way to move from the model ‘Today’
through to the model of ‘Tomorrow’
Integrating Care in Eastern Cheshire
Next Steps
Sam Nicol, Caring Together Director
Integrating Care in Eastern Cheshire
We need your help
Integrating Care in Eastern Cheshire
This is an evolving process
• Designed with you
• Creating momentum to deliver change
• Challenging assumptions and behaviours
• Caring Together as Champions
Integrating Care in Eastern Cheshire
From Today
• Analyse for common themes
• Draw conclusions to inform next stage
• Send you a summary of insight
• Invite to shape the next stage
Integrating Care in Eastern Cheshire
Thanks and any Questions?
Integrating Care in Eastern Cheshire
www.caringtogether.info
join@caringtogether.info
0845 123 7591

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1137 ct model event knutsford slideshare

  • 1. Integrating Care in Eastern Cheshire Caring Together Model Knutsford 28th May 2013
  • 2. Integrating Care in Eastern Cheshire Welcome
  • 3. Integrating Care in Eastern Cheshire Introductions • Take five minutes now to introduce yourself • Get to know your group “Hi, I’m Louise and....”
  • 4. Integrating Care in Eastern Cheshire Introduction Louise Booth, Participate
  • 5. Integrating Care in Eastern Cheshire Introduction
  • 6. Integrating Care in Eastern Cheshire What’s Today About? Principles What does this mean to you? Identify Focus Review the Model Discuss and enhance Next Steps
  • 7. Integrating Care in Eastern Cheshire What Happens Today? • We will give you information in bite sized chunks as presentations • Followed by discussion groups • Insight captured and reported
  • 8. Integrating Care in Eastern Cheshire We’re Here to Deliberate • What’s deliberation? – Open discussion – Look at the issues – Discuss the facts – Understand different people’s points of view – Listen to other people without bias – Give time for people to have their say
  • 9. Integrating Care in Eastern Cheshire Your Comfort • Natural break whenever you like • Water on tables • Ask if you need anything else • Finish around 9pm
  • 10. Integrating Care in Eastern Cheshire Caring Together Principles Dr Paddy Kearns
  • 11. Integrating Care in Eastern Cheshire What is........?
  • 12. Integrating Care in Eastern Cheshire Quite simply it is about organisations and people such as patients, carers, volunteers and staff all working together to make care as straightforward and integrated (joined up) as possible
  • 13. Integrating Care in Eastern Cheshire So what does that mean...?
  • 14. We need to have a single front door to urgent care services We need investment in community services We need to have a single budget for social and medical care beds We need dieticians to work with Care Home chefs We need geriatricians working closer with GPs We need to help carers prepare for dementia We need to be able access patients records on the Ward We need to plan social care before admission We need to stop telling our story to every professional We need listen more to our patients We need to know who to talk to and when
  • 15. Integrating Care in Eastern Cheshire In Eastern Cheshire This means joint working 23 GP Practices
  • 16. Integrating Care in Eastern Cheshire This is reflected in… • The NHS Constitution • Better Care, Higher Standards Charter • Cheshire East Council Three Year Plan
  • 17. Integrating Care in Eastern Cheshire The National Principles http://www.youtube.com/watch?feature=player _embedded&v=YrG8x3XimSM
  • 18. Integrating Care in Eastern Cheshire First Group Discussion • Do you agree with the Principles? • Where are the gaps? • What works and what doesn’t? • What makes you frustrated?
  • 19. Integrating Care in Eastern Cheshire What is the Focus? Louise Booth
  • 20. Integrating Care in Eastern Cheshire Identify the Focus Place key points raised on Post-It Notes Place dots on points you agree with
  • 21. Integrating Care in Eastern Cheshire The Caring Together Model Dr Paddy Kearns
  • 22. Integrating Care in Eastern Cheshire Supported by Community and Local Services
  • 23. Integrating Care in Eastern Cheshire Co-ordinates and manages care Principles Supported to co-ordinate and manage own care Encouraged to live independently Include community and voluntary sector Include all local communities
  • 24. Integrating Care in Eastern Cheshire Co-ordinates and manages care How Community information Prevention services Supported housing Exercise services Day care Assistive technologies Multiagency team - Assessment and signposting Volunteer signposting Information, support, signposting and technology
  • 25. Integrating Care in Eastern Cheshire Co-ordinates and manages care Services/Interventions Community exercise Prevention campaigns Regular health checks Telehealth & telecare Man in a Van Dentists, pharmacists and opticians Patient programmes Screening Signposting Information, support, signposting and technology Checks, screening and other services
  • 26. Integrating Care in Eastern Cheshire Community Provided Care Community Care This is targeted Town based (within 5 miles) Provides 75% of care
  • 27. Integrating Care in Eastern Cheshire Community Provided Care Targeted within 5 miles Principles Care in person’s home Services targeted to need Focus on prevention Less admissions to hospital Collaborative working Relationship building Accessing different kinds of solutions
  • 28. Integrating Care in Eastern Cheshire Community Provided Care Targeted within 5 miles How Population profiling Care co-ordination Neighbourhood Teams Link with other localities Integrated pathways Federations of providers Intermediate care service Assessment & signposting Out of hours
  • 29. Integrating Care in Eastern Cheshire Community Provided Care Targeted within 5 miles Services/Interventions Single assessment Case management Range of preventions Care planning Rapid response Screening Respite and support Shared decision making Outpatients Transition care
  • 30. Integrating Care in Eastern Cheshire It’s about empowering people to provide and receive integrated support locally
  • 31. Integrating Care in Eastern Cheshire Second Group Discussion • Firstly as individuals read through the model • Note down using the form given how that model relates to your experiences • As a group then discuss these experiences • Agree a way to move from the model ‘Today’ through to the model of ‘Tomorrow’
  • 32. Integrating Care in Eastern Cheshire Next Steps Sam Nicol, Caring Together Director
  • 33. Integrating Care in Eastern Cheshire We need your help
  • 34. Integrating Care in Eastern Cheshire This is an evolving process • Designed with you • Creating momentum to deliver change • Challenging assumptions and behaviours • Caring Together as Champions
  • 35. Integrating Care in Eastern Cheshire From Today • Analyse for common themes • Draw conclusions to inform next stage • Send you a summary of insight • Invite to shape the next stage
  • 36. Integrating Care in Eastern Cheshire Thanks and any Questions?
  • 37. Integrating Care in Eastern Cheshire www.caringtogether.info join@caringtogether.info 0845 123 7591