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Person-centred care –Are we nearly there yet?
Laura Collins - ICP Carer Representative
Dr. Sloan Harper - Director of Integrated Care HSCB
Dr. Alan Stout - GP Federations
Tony Doherty - Health Living Centre Alliance
Joined Up Person
Centred Care
– are we nearly
there yet?
NICON
28th June 2016
Joined up Person Centred Care
People want co-ordination. Not
necessarily (organisational)
integration.
People want care. Where it comes
from is secondary.
National Voices’ Principles of Integration (2011)
Integrated Care Partnerships
Networks of providers - Working together to deliver the
right care, in the right place at the right time.
What are ICPs doing?
Risk StratificationInformation
Sharing
Care Planning Evaluation
Frail Elderly, Respiratory
Diabetes, Stroke, Pain Management, End of Life
Improve FlowDevelop
leadership
TYC – Integrated Care Partnerships
ACUTE
WARDA&E
P
A
T
I
E
N
T
Stroke Care Pathway
C
I
T
I
Z
E
N
?
?
?
?
??
??
?
?
?Pick an important problem and fix it!
Social Care
Social Care
Social Care
Pathway
Activity
Voluntary & Community Sector eg Chest Heart & Stroke
Ambulatory Care
Patient experience5%
4.5% shift
Integrated Care Partnerships-Progress
Social Prescribing
Ambulatory Coronary Care
Acute Care at Home
Integrated Community Respiratory
Service
Nursing Home In-Reach
Co-ordinated Falls Pathway
Community Health &
Wellbeing Hub
Integrated Community
Diabetes Service
Advanced access for GPs to Diagnostics
ACAH Belfast - Feedback
Primary Care
• “From a GP perspective working in the team, you can see the real benefit in being able to treat patients in their home environment… You can see first hand the value to patients of the enhanced and targeted care keeping them at home. As a GP it has also been a rewarding and invigorating experience collaborating with secondary care professionals”
Carer
• “At a time when there has been criticism of the NHS, I have nothing but praise for this team of highly professional and friendly staff. My mother's mobility has improved and her pain control is managed much better as a result of the team's treatment plan. This has given her back confidence with walking. I am so glad this team exists. SMALL TEAM, BIG DIFFERENCE.”
Service User
• “My GP called on this team and it has been the best thing that I have ever imagined, the care is just second to none, their help for me is something I could never have dreamed of. A million thanks to them all.”
Challenges• Person centred culture – what matters to service users &
carers?
• Measuring what matters to service users & carers; patient reported outcome measures?
• Aligning incentives across the system
• Communication across sectors & disciplines
• Approach to “risk” taking in trying new ways of working
• Maintaining focus – strategic drive
• Clinical leadership and workforce capacity
• Integrated commissioning
• Resources
• Allowing time to build relationships
More information
• Subscribe to the ICP E-zine
E-mail [email protected]
• Visit the ICP pages of the HSCB website
• www.hscboard.hscni.net/icps.
