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18 th September 2018

North Durham CCG and DDES CCG Governing Bodies in Common County Durham & Darlington Community Services Mobilisation and Transformation. 18 th September 2018. 16 providers into 1 1600 staff 23 services May to September focus on: - safe transfer of services

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18 th September 2018

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  1. North Durham CCG and DDES CCGGoverning Bodies in CommonCounty Durham & Darlington Community ServicesMobilisation and Transformation 18th September 2018

  2. 16 providers into 1 • 1600 staff • 23 services • May to September focus on: • - safe transfer of services • - transfer of caseload and patient information • - TUPE of staff • - staff consultation • - estates (6 changes out of 109 sites) • - IM&T • - informing patients • - development of TAPS budgets • - development of TAPS governance for local decision making Mobilisation

  3. Mobilisation into Transformation • Changes to services that were already in progress • - MSK/physiotherapy • - Palliative care • Cultural transformation – led by Director of County Durham Integrated Community Services (Lesley Jeavons) • Services transformation – delivering the service specification and the vision • - requirement to develop a transformation plan as part of the bidding process • - need to engage with stakeholders post contract award – partnership decision making

  4. An effective system for frailty and people with long term conditions • A common vision and purpose, shared between leaders • Effective and robust leadership, underpinned by clear governance arrangements and clear accountability • Strong relationships, at all levels, open communication, trust and common purpose • Funding and commissioning • The right staff with the right skills • The right communication and information-sharing channels • A learning culture

  5. Doing the right thing • Safe, single, supportive approach for shaping local integrated plans. • Learning forum to promote celebration and innovation. • Making data meaningful, for benchmarking, peer identification and partnerships. • Leadership at every level, senior decision makers within a governance framework. • Encouraging innovation from people at the front line, staff and users.

  6. 5 Year Service Transformation Plan • To deliver the aims set out in the contract - reduce dependence and promote independence • Prevention • Supporting people with long term conditions to live well • Managing crisis – preventing admission or supporting discharge as soon as appropriate • Support rehabilitation and return to independence • Four domains in transformation plan

  7. Service Transformation Engagement Event • To engagewith key stakeholders on developing the transformation plan • To ensure the plan covers the most important improvements we need to make and priorities are appropriately set • To ensure any priority local areas for development are identified and considered • To gather input from key TAP/Hub stakeholders to ensure we get it right and create a plan that is fit for purpose, understood and deliverable.

  8. Domain 1 – Extended Primary Care TeamOngoing support for those who most need it • Integrated teams • Falls • Emergency health care planning • Crisis response • CHD services • Respiratory services • Non-medical prescribing • Predictive health care planning • Palliative care

  9. Domain 2 – Primary Care Team & Wider Community NetworkShort term support to help you return to independence • Community frailty (Hospital at home) • Virtual ward • Mental health • Voluntary sector • In reach (early supported discharge)

  10. Domain 3 – Secondary prevention & self-managementHelp to help yourself 15. Self management programme 16. Digital Innovation 17. Community Pharmacy 18. Care co-ordination center (C3) 19. Secondary prevention 20. Care coordinator 21. MSK model

  11. Domain 4 – Whole Population Primary preventionStaying Well 22. Supporting the market 23. EAST (Model of self-management – Easy, Attractive, Timely, Social) 24. Social prescribing 25. Primary prevention (Big 4)

  12. What stakeholders have said so far Access to shared IT systems, better information sharing

  13. What stakeholders have said Access to shared IT systems, better information sharing

  14. Next Steps • Mobilise successfully on 1st October • Evaluate feedback from the event • Re-prioritise transformation plan • Staff engagement • Patient engagement • Delivery in partnership under the new integrated arrangements

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