Integrated care: a revolution in UK health and care practice, Joy at For Later Life 2014

Integrated care: a revolution in UK health and care practice?

Supporting people tolive the lives they want

The team understands what’s important to me.

I get information I need, at the right time, to make the choices that are right for me.

I feel in control.

Those around me, and looking after me, get help too.

I only have to tell my story once.

I can live the life I want.

 Living Well - supporting people to live the lives they want • Championing a new way of working that enables everyone to live 

the lives they want to the best of their abilities

• The focus will be on people, their stories, their needs and their aspirations 

• We recognise that everyone is different so our response will vary from person to person

Living Well – supporting people to live the lives they want

• Championing a new way of working through a joined up approach with health, social care, the voluntary sector, police and the clergy

• People told us to focus on their stories, needs and aspirations

• Everyone is different – we will agree goals to help them lead the lives they want with services helping them to do this

Our Aims

Living Well video clip

It’s worked in San Diego

PastTransactionalVolume-basedCompetitive advantageSilos and categoricalSick care/social welfare

Present and futureTransformativeValue-basedIntegrated systemInter-operabilityWellness

10 Indicators

5 Areas of influence

4 Strategies

3Components

1Vision

• Co-designed and co-owned community health

• Evidenced-based generational change reducing family violence

• Over 50% drop in ER visits, hospital days, and visits to specialists

• Significant reduction in primary care use

• Benchmarked data nationally and internationally showing top in class performance in utilisation, quality, satisfaction

Nuka – Alaska

What they saw in Alaska

Anchorage area patient visits to ER/Urgent Care per 1000

What they saw in Alaska

Anchorage area patient admits per 1000

Excludes newborns and delivery mums and length of stay must be more than one day

19

96

40

50

60

70

80

19

97

19

98

19

99

20

00

20

01

20

02

20

03

20

04

20

05

20

06

Nu

mber

of

adm

its

Nativeownershipbegins

Better

Year

Admits per 1000

Source: Southcentral Foundation

What they saw in Alaska

Southcentral Foundation cumulative per capita expenditure changes

100%

80%

60%

40%

20%

0%

-20%

-40%

-60%Perc

en

tage in

crease

(D

ecr

ease

)

FY1999 FY2000 FY2004 FY2005

SCF Cumulative Primary Care % Increase (Decrease)SCF Cumulative Hospital Services Care % Increase (Decrease)National Health Spending Increase (Decrease)National Hospital Care Expenditure % Increase (Decrease)National Physician and Clinic Services Expenditures % Increase (Decrease)

FY2006 FY2007 FY2008

Fiscal Year

Source: Southcentral Foundation

Newquay – measuring our impact

• Non-elective emergency admissions reduced by 30 per cent

• Ongoing care package costs down by 5.7 per cent

• People’s wellbeing improved by 23 per cent

• Reduction in new social care packages

• Increase in staff satisfaction – 87 per cent said integration worked and their work was meaningful

Our population’s health

Our Vision

Shaping the whole systemaround the individual

Coordinated community care models

Shaping care around communities in line with needs and assets

• Penwith team brings together health, social care, police and the voluntary sector and aims to support 1000 people

• Referrals come from doctors, nurses, Cornwall Council or anyone involved in a person’s care

• Plan to roll it out countywide during the next 18 months.

From Newquay to Penwith

Laying the track film

When you need to move fast the track isn’t always laid ready for you!

Video clip

Contact us

Joy Youart: joy.youart1@nhs.net

Colin Philip: Colin.philip@nhs.net

Call: 01726 627907

Follow us on Twitter@PenwithPioneer