Connecting Care in Cheshire - An Integrated Health and Care

Pioneer

The Cheshire Pioneer

Transformation Programmes in the three localities:

• Eastern Cheshire CCG – ‘Caring Together’

(CCG, East Cheshire NHS Trust, GPs, Cheshire

East Council, Cheshire & Wirral

Partnership)

• West Cheshire CCG – ‘The West Cheshire Way’

(CCG, Cheshire West and Chester Council, Countess of Chester Hospital NHS Trust Foundation Trust, GPs, Cheshire & Wirral Partnership)

• South Cheshire and Vale Royal CCGs – ‘Connecting Care’

(CCGs, Cheshire West and Chester and Cheshire East Councils, Mid Cheshire Hospitals NHS Foundation Trust, GPs, Cheshire & Wirral NHS Partnership)

Work-streams and enablers

Empowerment

• One of the key work-streams, supporting the empowerment of the population;

• Focus upon self care, self management, changing the relationship of individuals with the health and care system;

• Requires behaviour change in the residents and workforce;

• Building upon work done in ‘Caring Together’

Who is involved

• The Pioneer bid was submitted with the support of the Acute and Mental Health Trusts.

• The integration programmes within each CCG involve commissioners and providers working together to co-design the new models of care (staff at different levels of the organisations).

• The public are also being involved, although level of involvement varies.

The Benefits - national

• National Profile raised;

• National support offer from organisations such as Monitor, NHS IQ, Skills for Health, Skills for Care;

• Access to other sources of expertise – Information Commissioners Office;

• Access to other Pioneers to learn from their experience

The Benefits – local

• Facilitated joined up working across the two local authority geographies and between the three transformation programmes;

• Successful bid for Tech Fund II monies towards cost of Integrated Digital Shared Care Record;

• Initiated workforce ‘cultural transformation’ conversations between the commissioners and providers across the pioneer geography;

• Sharing good practice across all partners (Commissioners and Providers).

The Challenges • Securing effective system leadership as opposed to

organisational leadership – being prepared to make decisions that are for the benefit of the system and may not be in their organisations best interests;

• Sharing of good practice and information – making the space and time to do this;

• Communication and engagement with workforce colleagues and the public – Pioneer seen as something different and additional to the transformation programmes;

The Challenges continued:

• Managing the plethora of initiatives (Pioneer, Vanguard, Personal Commissioning, Prime Minister’s Challenge) with limited capacity;

• The politics of making changes to a local health economy that might impact upon GPs and hospitals;

• The pace of change required to get a sustainable integrated system in place.

The Opportunities

• Rethinking the contractual and financial arrangements with Providers;

• Driving behaviour change and cultural transformation across the population and workforce;

• Delivering new models of care that are sustainable in the long term;

• DevoCheshire?

• For more information:-

Councillor Janet Clowes, Portfolio Holder for Adults, Health and Leisure

janet.clowes@cheshireeast.gov.uk