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Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

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Page 1: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change
Page 2: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

Welcome and scene setting

Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG

• Period of dramatic change• Co-production vitally important

Page 3: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

Challenges

1. Increasing number of people2. Increasing number of over 75s3. Increasing number of people with multiple

long term conditions4. Patient expectations5. Static funding6. Work force planning and recruitment7. Fragmented care

Page 4: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

Opportunities

1. Awareness of the challenges!2. Greater integration – commissioning3. Greater integration – providing4. Co-commissioning of primary care5. New models of primary care6. Five Year Forward View

Page 5: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

Finally…

What does South Worcestershire CCG want?

• As much time listening to you• A deliverable solution

Page 6: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

Overview of Co-Production

Peter Pinfield, Chairman and Simon Adams, Chief Operating Officer, Healthwatch Worcestershire

Page 8: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

Healthwatch Worcestershire – Who Are We?

Independent consumer champion – giving the public,

patients and users of health and social care services in

Worcestershire a voice

Gathering service users and carers experiences & views about

local health and social care services and making these known.

Making recommendations about how services could and should

be improved

Page 9: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

CO-PRODUCTION - CONTEXT

Health & Well Being Board

• 5 year Strategy

• Well Connected Programme (Integration of Services)

• Strategic Partnership Group

• Communications & Engagement

• Task – to define patient/service user/carer led proposal for Co-Production

NHS England 5 Year Forward View

Page 10: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

CO-PRODUCTION - METHODOLOGY

• Desk-top Research

• Engagement with ‘Engaged’ patients/service users/carers

• Define the meaning of ‘Co-Production in Worcestershire

• Proposals for ‘Key Principles’ & ‘Critical Success Factors’

• Survey of wider patients/services users/carers

• Co-create, Co-innovate (Young Foundation) workshops

• HWW Board Meeting in Public

• Report to SPG & Health and Well Being Board

Page 11: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

CO-PRODUCTION – KEY PRINCIPLES

Equal Voice

Parity of involvement – nobody more important than anyone else

Involvement from the start – point at which NHS/WCC start to

provide a service, think about change to existing service or create

new service

Encouraged to share skills & experiences to shape how services are

planned, designed, developed and delivered

Page 12: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

CO-PRODUCTION

– CRITICAL SUCCESS FACTORS

Commitment of right resources

Listening to and acknowledging skills & experiences

Sharing power – creating environment where involvement happens

all the time

Commitment to Co-Production with clear set of values for staff

Monitor how successfully patients/service users/carers are involved

All health & care organisations carry out Co-Production in the same

way

Page 13: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

Contextualise the objectives of the workshop

Sue Harris, Director of Strategy and Business Development,Worcestershire Health and Care NHS Trust

Page 14: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

What is Well Connected?

“You plan your care with people who work together with you to understand

you and your needs, allow you control and co-ordinate and deliver services that support you to achieve

the outcomes important to you”.

National Voices

Page 15: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

Shared challenge

You

Self care

Social Care

General Practice

Housing

Acute care

Healthwatch

Police

VCS providers

Carers

Independent sector

providers

Communities

Community care

Page 16: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

Need and desire to transform the way health and care is provided in Worcestershire.

All local NHS health and social care providers, commissioners and voluntary and community groups committed to this.

However this requires us to listen and develop a different relationship with patients, carers,

communities and the public.

A DIFFERENT APPROACH….

Page 17: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

17

Lots of different organisations….........but we don’t want you to see the joins

Page 18: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

Agenda

Topic Presenter/sRegistration AllWelcome and scene setting Dr Carl Ellson, Chief Clinical Officer,

NHS South Worcestershire CCGOverview of Co-Production Healthwatch WorcestershireContextualise the objectives of the workshop

Sue Harris, Director of Strategy & Business Development, WHAC Trust

Introductions & Charlie & Marie –imagining a new future

Eleanor Cappell, Senior Associate, The Young Foundation

BREAK ALL

Reflect on patient experiences and stories The Young Foundation supported by group facilitators

Identify a problem & opportunity for change: imagining a new offerLUNCH ALLCrafting and articulating a new offer/ joint integrated delivery model

The Young Foundation supported by group facilitators

Sharing feedback and listening to others

Plenary – Q&A Chaired by The Young Foundation

Thank you, closing remarks and next steps Dr Carl Ellson, Chief Clinical Officer, NHS South Worcestershire CCG

Page 19: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

Ground rules/ guiding principles

Patient experience is at the heart of

the process.

Everyone's voice is equal.

Every good conversation, starts

with good listening.

Come with an open mind.

Page 21: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

What does Co-Production mean

for you?

Activity 1

Page 22: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

Break

Page 23: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

My experience of long term conditions is….

I receive help and support from…

What helps and frustrates me the most in

managing long term conditions is…

I would really like help and support to…

Activity 1A

Page 24: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

Activity 1B: Reflect on patient experiences & stories

Page 25: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

Activity 2 – Generate new ideas/ solutions

How can co-production be a tool to help patients manage Long Term Conditions?

Page 26: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

Lunch

Page 28: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

Activity 3 – Craft and articulate a new offer

How could you organise/ present your solution via the transition points?

Page 29: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

Activity 4: Sharing feedback and listening to others

Page 30: Welcome and scene setting - Community First: Home … · Welcome and scene setting Dr Carl Ellson - Chief Clinical Officer, NHS South Worcestershire CCG •Period of dramatic change

Plenary – Q&A