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MY LIFE A FULL LIFEIsle of Wight
Dr Mark Pugh
Executive Medical Director, Isle of
Wight NHS [email protected]
Loretta Outhwaite
Interim Programme Director & Chief
Finance Officer (IW CCG)[email protected]
MY LIFE A FULL LIFEIsle of Wight, PACS Vanguard
One
Define the
population & system
boundaries
Isle of Wight Council (incl. fire & children’s srvs)
Isle of Wight Clinical Commissioning Group
Voluntary Sector
Independent Sector (Care Homes & Home Care)
Isle of Wight NHS Trust
One Wight Health (All 17 GP Practices)
Town & parish councils
Hampshire constabulary
The Island’s citizens
MY LIFE A FULL LIFE: Isle of Wight, PACS Vanguard
Two
Identify the
right
partners &
services
MY LIFE A FULL LIFEIsle of Wight, PACS Vanguard
Three
Develop a shared vision
& objectives
ISLE OF WIGHT OVERVIEW
Accessible only by sea/air (weather dependent)
23 miles wide by 13 miles long
Single system, single boundaries
Increasing elderly population; 26% over 65 (17%
England av) & over 75 12% (8% England av)
Recruitment & retention issues
Low earnings; higher than av. long term
unemployment; 20% children live in poverty; low
GCSE attainment (45%)
Population of 142,000; est’d £300m health &
social care budget
2.5m visitors p.a.; 2 large music festivals
SERVICING THE ISLAND’S HEALTH NEEDS: LOGISTICS
Off-island
destination
Transport Travel
time
(mins)
Southampton
General
Air 8
Southampton
General
Sea 100
Queen
Alexandra
Portsmouth
Air 8
Queen
Alexandra
Portsmouth
Sea 85
Front line
Transport
Annual
activity
Coastguard 47
Air
ambulance83
Ferries 392
Type of
patient
% treated
off Island
Elective 22.9%
Non-elective 7.2%
AGE PROFILE
• Over 65s expected to increase by 47% & will account for 36% of the
total population by 2037 (vs England 24%)
Health Needs:
Multiple Chronic Conditions By Age
– The majority of over-65s have 2 or more conditions, and the majority of over-75s
have 3 or more conditions
– 54% of patients have at least one chronic condition requiring management
Source: ACG Risk Stratification tool, July 2015
Isle of Wight Council, Trust & CCG5 Year Strategic Vision & Objectives
Vision
• Person centred, coordinated health & social care
Objectives
• Improved health & social care outcomes.
• People have a positive experience of care.
• Person centred provision.
• Service provision & commissioning is delivered in the most efficient
& cost effective way across the whole system, leading to system
sustainability.
• Our staff will be proud of the work they do, the services they provide
and the organisations they work for and we will be employers of
choice.
AIMS
Person-centred, allowing & enabling individuals
to take control of their lives & their care
Services based in the community/at home,
delivered by integrated teams
Prevention-based, promoting health & wellbeing
Quality of life & keeping well
Linking together & building on schemes already
up & running/being planned across our
communities
OUR ‘MY LIFE’ MODEL
http://www.nurturedevelopment.org/Based on ABCD approach – Cormac Russell
Our integrated ‘My Life’ model is: Prevention-based Health and wellbeing promoting Built on experience-based co-design Founded on self care and empowered
communities.
At the centre of our model is the person My Life coordination supports the individual to navigate the community and system. This single point of access triages, reduces the perceived system complexity, increases awareness of services, and maximises efficiency.
The Integrated Locality Teams deliver person centred care and support in the community, with GP clinical leadership and multi-specialist teams.
Intimate / Family
Key enablers
My Life, A Full Life – care services
Associated Life
Friendships
Support Groups
Home
On
e Le
ade
rship
Hospital Services
Integrated Locality Teams
Ambulance Service
Public Health
Commissioned voluntary
sector
Adult social care Children’s
social care
Integrated single point
of access
Community Faith
Groups
Voluntary Sector
Isle Help
Town and Parish
Councils
Family
Friends
Colleagues
My Life Coordination
Informal community
links
Transport
Education
Housing Association
Environment
Health-watch
People Matter
Crisis Response
Team
DomiciliaryCare
Out of Hours
Independent Sector
PalliativeCare
10.06.2015
Home
09.06.2015
Community Health
Services
MH & LD Services
09.06.2015
MY LIFE A FULL LIFEIsle of Wight, PACS Vanguard
Four
Develop an
appropriate
governance
structure
CURRENT GOVERNANCE
Health & Wellbeing Board
My Life a Full Life Board Joint Adult
Commissioning Board
(CCG & Council)
Strategic Partnerships
Board
(Council & Trust)
Trust Board
CCG Governing
Body
Full Council &
Executive
Hampshire & IW
Executive Groups
Locality Boards,
Management Groups
& Forums
MY LIFE A FULL LIFEIsle of Wight, PACS Vanguard
Five
Identify the
right
leaders &
develop a
new form of
system
leadership
MY LIFE A FULL LIFEIsle of Wight, PACS Vanguard
Six
Agree how conflicts
will be resolved
MY LIFE A FULL LIFEIsle of Wight, PACS Vanguard
Seven
Develop a
sustainable
financing model
Cost
Tariff/benchmarked cost
Inefficiencies
Island Premium
Mitigate with system redesign
Unavoidable
MY LIFE A FULL LIFE: PROGRAMME STRUCTURE
Strategic Commissioning, Contracting and One Island £
Organisational Integration & Form
Communications, Engagement and Project Management Office
Evaluation and Measurement
One Information & Technology Enabled Care, Infrastructure and Estates
One Leadership & One Empowered Workforce
Pre
ve
ntio
n a
nd
Ea
rly
Inte
rve
ntio
n
Inte
gra
ted
A
cce
ss
Inte
gra
ted
Lo
ca
lity T
ea
ms
Whole
In
tegra
ted
Syste
m
Red
esig
n
Eight
Create a dedicated
team
MY LIFE A FULL LIFEIsle of Wight, PACS Vanguard
MY LIFE A FULL LIFEIsle of Wight, PACS Vanguard
Nine
Develop
systems within
systems
“Are there examples of really good integrated
services? I mean unified not just joined up.
Working seamlessly. There is a place, I know
where it is, I've been there, seen it.” Roy Lilley
MY LIFE A FULL LIFEIsle of Wight, PACS Vanguard
Ten
Develop a
single set of
measures
MY LIFE A FULL LIFEIsle of Wight
Dr Mark Pugh
Executive Medical Director, Isle of
Wight NHS [email protected]
Loretta Outhwaite
Interim Programme Director & Chief
Finance Officer (IW CCG)[email protected]
