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Pan LancashireTransforming Care Partnership (TCP)
‘Right Track’Plan
Transforming Care Partnership (TCP)
Providers
Population with Learning Disabilities and/or Autism
Specialised Commissioners
NHS England via Northern England Programme Board
Calderstones & Mersey Care Partnership Board
Lancashire Collaborative Commissioning Board Transforming Care Partnership Steering Group
Learning Disabilities Commissioning Network Children’s Network Sub groups
Health & Well Being Boards Overview & Scrutiny Committee
Reporting & Developing
Implementation
Steering Group
ComissionersNetworks HousingFinance
ResettlementTeam Procurement Workforce
Co Production Confirm & Challenge
CCB
Stakeholder Events
Create a Vision for a New Community Model of Care Resettlement of long term hospital placements Understand the Financial Implications Development of Services to Support Consider New Methods of Delivery look for Innovation and Partnership Approaches Improve Quality and User Experience Change the Culture
Pan Lancashire Priorities
Supports the delivery of the changes required Housing Strategy Development Procurement/Contracting/Commissioning – developing a flexible
agreement Workforce Understanding the Service Demand – Risk Registers/Data
Sharing Community Service Specification – New Model/All Age Avoiding Placement Breakdown/CRISIS Resettlement Programme Improving Health
Route Map- Work streams
Engagement Lancashire Confirm & Challenge group
established North West Events Supported Lists of existing groups Developing communication processes Asked about needs for homes, communities
, support requirements and staffing for service users and carers
Also invited to stakeholder events
What have we done and what have we learned………………….….…!
Market Stimulation – ACEVO Report Undertook a Request For Information February
16 Held an event in March 16– 93 Providers Many providers are interested in Lancashire Need to strengthen Leadership Need to commission smarter Need to Quality Assurance Need to harness partnership working Currently developing a flexible agreement Pan
Lancashire
What have we done and what have we learned………………….….…!
What have we done and what have we learned………………….….…!
Community Model Held a community team stakeholder event Developed a draft integrated service
specification Shared and discussed at a wider adult
stakeholder workshop Shared and discussed at a wider children’s
stakeholder workshop Had a ballot for all age specification Currently incorporating the comments and feed
back
What have we done and what have we learned………………….….…!
Housing Agreed to develop a Pan Lancashire Housing
Strategy Commenced data collection on population –
definitions and categorisation problematic Considered voids Engaged with District Councils Considered the models required to meet the
needs of the population Need to incorporate Children’s and transition
requirements
What have we done and what have we learned………………….….…!
Finance Urgent requirement to establish a pooled budget Identified a set of principles Held a workshop to develop Identified risks and anxieties Devised an Memorandum of Understanding – requested
sign up from all organisations to agree to work together Developed a draft plan Identified the current spend/ organisation populations Local Authorities reviewed line by line to clarify inclusions Footprints to be agreed Risk agreement considered the priority
What have we done and what have we learned………………….….…!
Workforce Plan developed with Health Education
England Stakeholder workshops held - adults and
children Engaged with providers to undertake mapping Considering how to incorporate into contracts PBS being considered as a specific
development Recruitment and retention are a concern and
have delayed discharges
What have we done and what have we learned………………….….…!
Resettlement Ratified the cohort, Clinical Commissioning
Groups & Specialised Commissioned Discharge co-ordination team Report to the steering group Devised a 12 point discharge plan Started a strategic approach to commissioning Considered models of care that will better
meet the needs of the population Complex cases – unique solutions in place
Ministry of Justice resistance
Know the population – what data and from where Data Holding/Sharing issues Acquisition programme Commissioner resources to progress Additional resources to support transition Development of STP – differing footprint Pace – systems are not established to support
decision making Doing too much all at once Appetite to be bigger, bolder and braver
Challenges
This is just the beginning…..
Need to maintain strong lasting partnerships Need to establish robust communication
links Need to learn what we still don’t know Engage those we haven’t yet reached Continue to work together to make a
difference
Ongoing Progress
