Integrating Health and Social Care in SheffieldAn update to the Sheffield Health and

Wellbeing Board

Joe Fowler, Director of Commissioning, Sheffield City CouncilTim Furness, Director of Business Planning and Partnerships,

NHS Sheffield Clinical Commissioning Group

12th December 2013

Our Story So Far A Health and Wellbeing Board that

is a system leading, working hard at engaging with local people and providers, with an ambitious strategy for improving health and wellbeing in Sheffield.

A Health and Wellbeing Board that brings together the unique role of clinicians and democratically elected councillors.

A CCG that is fully authorised, effective and high-performing, and a local authority that is forging development in new areas.

Why do we want to integrate health and social care?

People get the right care, at the right time and in the

right place.

Organisations in Sheffield work together to help people, families and communities to build and strengthen the support they provide to each other.

We get the best outcomes possible with the resources jointly available, helping people in Sheffield to stay well.

People, families and communities in Sheffield support each other to improve and maintain their wellbeing and independence.

Health and care services are focussed on a person’s needs - organisational boundaries do not get in the way of people getting the expert help they need.

Launched a range of projects that work in and with local communities and professionals, such as in the Lowedges, Batemoor and Jordanthorpe area of the city, and the Right First Time and Future Shape Children’s Health programmes.

Engaged with Sheffield people. This tells us how important integration is to Sheffield people, who don’t want to be passed from ‘pillar to post’.

Established a Joint Commissioning Executive to oversee the integration work for the Health and Wellbeing Board and to feed into our work with Think Local Act Personal and the Public Services Transformation Network.

Integration and Whole-Person Care in Sheffield: what we’ve done up to now

1. Community and primary prevention.– Working with professionals (including GPs) and communities in local areas.– Stopping people at low risk of declining health and wellbeing becoming

high risk by investing in tackling the causes not the symptoms.

2. Intermediate care and reablement.– Helping people to be supported and independent following a stay in

hospital.– To include equipment and adaptations.

3. Long-term high support.– Devising innovative options for people needing high support. – May include developing new accommodation options.

Governance.– Ensuring we have all the things in the place to work best together.

What areas are we currently looking at commissioning together?

Locally: - Focus on the Sheffield £ not on organisational boundaries.- Increase our work with Sheffield people and providers.- Involve clinicians so that the changes we make as commissioners help them to

work together better, with each other and with service users. Nationally:

- Be able to plan over a period of several years to make the most effective investments, and to give the time to succeed.

What would help us to do better?

- Have maximum flexibility over when to tender for services.

- Explore whether different payment mechanisms can help us focus on person centred outcomes – for example, a move away from NHS tariffs and Payment by Results.

- Maximum autonomy for Sheffield to make the changes people need.

We will be looking carefully at the options for integrating in our specific areas.

We will share our initial plans for these areas with our Integration Advisory Group and with some of our key providers in January 2014.

The Joint Commissioning Executive will report back to the Health and Wellbeing Board in March 2014.

We will also engage at the right time with Sheffield people and users of our services.

What’s next?Members of our Integration Advisory Group:• Darnall Dementia• Department of Work and Pensions• Glaxosmithkline• Healthwatch Sheffield• Home Start Sheffield• Neighbours Can Help• NHS Sheffield Clinical

Commissioning Group• Sheffield City Council• Sheffield Health and Social Care

Trust• Sheffield People’s Parliament• Sheffield Teaching Hospitals• Soar• South Yorkshire Housing

Association• Spectrum Social Care

• Are these plans developing in line with the Board’s expectations and strategy for health and wellbeing in Sheffield?

• Where are there opportunities for further joint working between the Board’s organisations? Is there a more specific role for Healthwatch Sheffield and NHS England?

Questions for the Health and Wellbeing Board