Key Priorities

for the

Better Together Programme

Harry Capron

Programme Director

Our Shared Commitment

Health and Wellbeing support

National Voices

“I” statements

Our Shared Commitment

Our Shared Commitment to:

A vision

A set of partnership principles and behaviour

A transformation plan

Better Together

“It’s not rocket science”

Kings Fund Video – Sam’s Story

How do we plan to change?Key areas:

1. Responding to initial demand for help.“a co-ordinated front end”

2. Improving the effectiveness of our services and teams

3. Integrated planning and buying of services / commissioning

4. Integrating the delivery of services by multidisciplinary teams

5. Shared delivery of services provided by Bournemouth, Poole and Dorset local authorities

1: Responding to demand

A co-ordinated front end

• Information and advice• Reablement and intermediate care• Leaving hospital support, access to

advice on finances and services• Urgent Care• Independent Living Support

2: Improving Effectiveness

• Person centred, co-ordinated approaches

• Cultural change to respond to what help people are asking for and what they want to achieve – design against demand

• Changing the way we work such as developing pathways of support across services

• Information shared and shared ICT

3: Integrated Commissioning

• Joint planning

• Pooled resources and budgets

• Sharing quality and performance information and management

• Working with independent and voluntary sector providers to plan for the demands we face

• Workforce planning, “the perfect system but no one to work in it”

4: Integrating Service Delivery

• To support closer working at a GP locality level

• To support closer working with acute and community hospitals

• To develop a new model of care which is tested against benefits and costs

5: Shared Local Authority Services

• To improve efficiency and effectiveness by sharing directly provided services across Bournemouth, Poole and Dorset

Who will this apply to first?

• Frail older people with significant long-term health and care support needs

Question 1:Which of these areas do you think will have the most impact?

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1. Responding to demand29.6%

2. Improving effectiveness15.6%

3. Integrated commissioning19.3%

4. Integrated service delivery32.6%

5. Shared local authority service3.0%

Question 2:What would have the least impact?

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1. Responding to demand7%

2. Improving effectiveness8%

3. Integrated commissioning11%

4. Integrated service delivery1%

5. Shared local authority service73%

Question 3:Which one would you most likely want to make a contribution to?

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1. Responding to demand26.3%

2. Improving effectiveness23.3%

3. Integrated commissioning15.8%

4. Integrated service delivery29.3%

5. Shared local authority service5.3%

This is only half the story!

Families, friends and neighbours have a crucial role to support older and vulnerable people to live in their own homes