Partnership working – working together with local authorities to make change

happenChair: Antony Tiernan – Director of Engagement

and Communications, New Care Models Programme

Partnership working

Contracting and quality monitoringcare homes in Nottingham City

Nottingham’s journey

What needed to change and how did we overcome the challenges?

• Hearts and minds• Brains• Courage• Optimism

The catastrophic event – Autumn Grange

Aim – to reach the Emerald CityWhat have we done so far…

• The joint contract – council lead• Sharing information and allocation of quality

visits• Virtual teams• Early intervention team• Dashboard pilot

What are the benefits?

• Shared oversight of care home quality• Less bureaucracy• No duplication

West Wakefield Health and Wellbeing

Working with the local authority

Dr Chris Jones MBChB, MRCGP, Programme Director

Email: chris.jones@westwakefield.org.ukTelephone: 07789 718822

Wakefield District• Population of 332,000 expected to rise to 338,000 in 2018.

• 65th most deprived district in England, with 40,000 people in the district living in neighbourhoods amongst the top 10% most deprived in England.

• Currently has three council owned ‘Connecting Care’ health and social care hubs.

Challenges and advice• Challenges / issues

– Interoperability (IT systems, records, pathways, etc)– Health and social care cultures are different – Inequality of resources– Conflicts of interest (commercial bidding)

• Advice – Necessary to develop a shared vision– Effective working relationships are key and require investment– Must work towards establishing shared premises as soon as possible– Joint governance is essential to integrate workstreams (e.g. joint operational delivery group)– Shared approach to organisation development (e.g. team of teams)

Stockport Together Working in partnership

Andrew Webb - Joint Senior Responsible Officer, Stockport TogetherDirector of People's Services at Stockport Metropolitan Borough Council

Mark Chidgey, Chief Finance Officer and Director of Provider Management, NHS Stockport Clinical Commissioning Group.

Overcoming challenges

• Sign up to joint vision and principles• Commitment that there will be fundamental changes to all organisations• Set up weekly leaders and executive meetings• Develop relationships between and clinical and democratic leaders • Be clear about governance processes• Share – public buildings, technology, research, staff• Be respectful of each other’s statutory responsibilities

What next?• Procurement of the multispecialty

community provider (MCP)• Further development of the integrated

commissioning function• Ambition to pool £500m• Integrated care board development • Workforce and staff engagement

Challenges continued…

• Conflicts of interest• Changing the whole system at the same time• Individual governance processes and decision making

timelines• Pace and scale• Plugging the leadership gap• Double running services and processes• Organisational culture - taking staff with you and

Provider/commissioner differences

Integration in East and North Hertfordshire

Jamie Sutterby, Assistant Director for Health and Social Care Integration

Our story of integration…so far

Partnerships for integrated working

OperationsService DesignSystem LeadershipWell developed partnerships at every level

The success of a vanguard

Find out more…

Come and speak to us afterwards

Visit our website: www.enhertsvanguard.uk

Questions?

For further information about the new care models programme

please visit www.england.nhs.uk/vanguards