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Doing better thingsin health and social care
using Integrated Care and Support
Pathway Planning
Keith MorrisThemos Ltd and Alder
2Slide 2
Gen
eral
Pop
ulati
on
Cost per person£ £££ ££££ £££££££
Low level care and support at homeHome CareCrisis ResolutionFast Track TherapiesTime Limited Intervention to reableSheltered or other support related housing
More intensive care and support at homeSocial Care home care packageIntermediate CareIntensive Home CareExtra Care Housing
Level 1 Level 2 Level 3 Level 4
Acute CareNursing CareResidential Care
Care and Support ServicesPreventative Services
Low levelPrevention
“Step” decline
Slide 2
General health care and support
Slide 3
Where the time goes?
Slide 4
Appreciate what’s good Understand what could be better
Work out how to do it
Slide 5
The programme
What we have now1
What people really need2
3Our ideal care and support services
4A realistic improved pathway
5Priorities and action planning
Then what?
• Build the business case
• Secure commitment from budget holders
• Commission the new services
Overcoming institutional barriers
• Work hard at knowledge transfer
• Keep service users involved in design and to hold you to account
Where next?
Continue the method for proven subjects:•Dementia•Long term conditions•Intermediate and transitional care
Adapt it to other progressive situations?•Autism spectrum•Domestic abuse•Substance abuse
Find a catchier name for the method!
